Inspection on 06/09/05 for 6 Lord Street

This inspection was carried out on 6th September 2005.

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

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

Other inspections for this house

6 Lord Street 19/01/09

6 Lord Street 09/01/07

6 Lord Street 24/01/06

6 Lord Street 08/03/05

6 Lord Street 25/11/04

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 6 Lord Street 6 Lord Street St Annes On Sea Lancashire FY8 2DF Lead Inspector Denise Upton Unannounced 22 August & 6 September 2005. nd th 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. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 6 Lord Street Address 6 Lord Street St Annes On Sea Lancashire FY8 2DF 01253 722800 01253 251116 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) Mr D Calwell Care home only 3 Category(ies) of LD Learning Disabilities (3) registration, with number of places 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2005. Brief Description of the Service: Lord Street Care Home is currently registered to accommodate up to three adults who have a learning disability. The home is located in a quiet residential area of St Annes but within easy reach of the main shopping centre of the town and community facilities and resources. Communal areas of the home are domestic in character and each resident is accommodated in single bedroom accommodation. Service users access the local community and are an accepted part of it. The staff group ensure there is a homely and comfortable atmosphere in the home and that service users are enabled and empowered to maintain and maximise their independence. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two separate periods of time on the same day and a short period of time on another day and was carried out in conjunction with the inspection of its sister home, 13, Durham Avenue. In total the joint inspection spanned a period of almost eight hours. The inspector spoke with the home’s registered manager, house manager, coordinating manager and one member of the care staff team. Individual discussion also took place with the three service users in residence at Lord Street who were ‘case tracked’ during the course of the inspection although one of these residents did not really want to become involved in any in-depth discussion. Case tracking involves looking at these residents individual care files to make sure that the correct information is recorded and that the individual care plan, that tells staff what the resident can do for themselves and what help or support may be required, is reviewed on a regular basis and kept up to date. In addition, a number of records and policies and procedures were also examined. What the service does well: Lord Street Care Home has an enthusiastic group of staff that enjoy working at the home and are keen to provide a good service to residents who live there. Staff and residents get on very well together with one resident saying that he enjoyed living at the home and was ‘very happy’ and would not want to live anywhere else. Routines within the home are flexible so that the people who live there can enjoy the lifestyle of their choice. Residents are encouraged to take part in social activities in the community and to attend college courses or work opportunities if they wish to. One resident was very keen to explain how much he enjoyed going to both work and college and to talk about what he did there. Residents are also encouraged to have their say and help make decisions about the running of the home. The atmosphere in the home is welcoming, relaxed and friendly that helps residents feel comfortable, safe and secure. The home has good systems in place to make sure that the staff group understand the needs and wants and wishes of each resident and close contact is maintained with residents families who are welcome to visit at any time. Residents said they enjoyed the food served and also going out with staff shopping for food and also liked their own bedroom accommodation. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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 standard(s) 2 The pre admission assessment information to identify what the prospective service user can do well and what help may be required is detailed in order to establish if current needs, wants and wishes could be met at the home. EVIDENCE: Since the last inspection there have been no new admissions to the home. Service users are however only admitted to Lord Street Care Home following a full assessment of current strengths and needs undertaken by a care manager of the prospective service user’s funding authority and when appropriate, other relevant professionals. Each prospective service user is invited to visit the home initially on an informal basis, usually accompanied by a family member to assess the facilities for themselves and meet existing service users and members of staff. If the initial visit is successful and the prospective service users wishes to live at the home, a gradual introduction is arranged that involves the prospective service user visiting at different times of the day and evening period and includes an overnight stay. Close liaison is also maintained with family members to ensure that they have all the relevant information required. This process also enables a further period of assessment to take place to make sure the home can meet current needs and requirements. As observed at the 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 9 time of inspection, the collated assessment information forms the basis of the initial care plan. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service users needs. EVIDENCE: All service users at Lord Street have an individual plan of care based on current assessed strengths and needs that is developed from the initial assessment process. In addition, appropriate individual risk assessments are undertaken with outcomes recorded. The service user care plan sets out in detail the action that needs to be taken by staff to ensure that all aspects of health, personal and social care needs of the individual service user are met and provide a clear picture of each service users likes and dislikes. It was evidenced that care plans are reviewed on a regular basis and amended as required. The care plan, wherever possible, is drawn up with the involvement of the service user or alternatively with a family member or external advocate if this is more appropriate and the content of the care plan is 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 11 always explained to the service user through individual discussion and explanation. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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,& 17 Links with the community are good and support and enrich service users social and educational opportunities. Service users are encouraged to keep in regular contact with family and friends in order to maintain family and friendship links. The routines of daily living are kept flexible to enable service users to live the lifestyle of their choice. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choice. EVIDENCE: Lord Street Care Home offers service users opportunity for continued personal development and to take part in valued and fulfilling activity. One service user spoken with is employed in a service industry on a part time basis and receives therapeutic earnings. This service user spoke positively about his work and also the college course he is attending. This same service user is also considering other job opportunities with guidance from the employment support service. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 13 It was clearly evident that staff support service users to participate in local community activities. At the time of inspection, two of the service users accommodated were going out for most of the day with a member of staff. This is a weekly event that service users were clearly enjoying. Through observation of service users files it was evident that all service users are enabled to choose from a variety of choices and have a timetable in their file relating to the individual activities that are undertaken. Staff members are flexible around the needs of service users social activities adjusting times to enable support for community involvement. All service users are registered on the electoral register. Service users and their family and friends are informed of the home’s policy in respect of visitors at the time of admission and provided with written information in the Service User Guide. All service users at Lord Street are enabled and encouraged to maintain existing friendship and are supported in making new contacts. Family and friends can spend time with the individual service user either in the privacy of their individual bedroom accommodation or in one of the communal areas of the home. One service user spoken with confirmed that he can have visitors at any time and contact with family and friends can also maintained through regular telephone contact. The privacy and dignity of service users is given high priority and respected. There are agreed procedures for assisting with personal care and staff ensure that service users are enabled to spend time on their own or in the company of other people. Communication within the staff team is very good and service users spoken with confirmed that they liked the staff and got on well with them. It was clearly evident from observation that there is an excellent rapport between service users and staff with a homely and family type atmosphere in evidence that service users responded well to. If they so wish, service users are assisted and supported to undertake domestic tasks of their choice and staff only enter a service user’s individual bedroom accommodation with the permission of the occupant. All service users are provided with a contract of residency, however as specified in Standard 16.11, it is recommended that the rules on smoking, alcohol and drugs be clearly stated in the individual contract. Service users at Lord Street are offered a varied, wholesome and nutritious diet with menus designed to incorporate the known likes and dislikes of service users accommodated. Those service users who wish to be involved in meal preparation are supported in doing so and service users are also encouraged to accompany staff when shopping for food. Specialist diets in respect of religious or cultural need could be accommodated and as observed, hot and cold drinks 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 14 and snacks are made available throughout the day. Service users spoken with were positive in their comments regarding the variety and quality of the meals served. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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 standard(s) 18 & 19 Staff have a good understanding of the service users support needs. This is evident from the positive relationships which have been formed between the staff and service users. The health care needs of service users are well met with evidence of positive relationships taking place with health care professionals. EVIDENCE: The level of personal support required by each service user is determined by their current strengths, needs, wants and wishes and identified in the individual care plan. Times for getting up, going to bed and other daily activities are kept as flexible as possible to ensure that service users are enabled to enjoy the lifestyle of their choice. Service users are supported in choices with regard to their own personal appearance and encouraged to express their own personality in the way they choose to dress or wear their hair. The level of staffing provided ensures that service users are enabled to have some individual one to one support and there is consistency and continuity of support for service users through working with family, friends, advocates and other agencies involved in supporting the individual. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 16 There are effective links established with local health care practitioners and agencies. All service users are registered with a general practitioner of their choice and can be accompanied to appointments by a member of staff if they so wish. Annual medical health checks are arranged and optical, dental and chiropody services are organised as required. Home consultations are carried out in the privacy of the service users own bedroom accommodation. Observation of the professional visits record in respect of each service user confirmed evidence of a variety of other professionals involved with service users accommodated including social workers and psychologists. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 The home has a satisfactory complaints system in place with some evidence that service users feel their views are listened to and would be acted upon. Staff have an understanding of adult protection issues which helps protect service users from abuse however the local protocol for reporting alleged abuse should incorporated in the policy document or attached to the document for ease of reference. EVIDENCE: Lord Street Care Home has devised a complaints policy and procedure that is compliant with requirements and recommendations. Reference is made to the complaints procedure in the Service User Guide that is written in a style suitable for service users accommodated and the topic is also verbally discussed with service users to ensure they are aware of how to make a complaint. Although service users spoken with could not remember discussing the complaint procedure with a member of staff, they were very sure that if they had a complaint it would be brought to attention of staff and the matter would be dealt with. It is important that any complaint raised either a written complaint or verbal complaint be correctly recorded. The complaint record should indicate the name of the complainant, the date the complaint was raised, the content of the complaint, the method of investigation, the outcome, whether any action was taken as a result of the outcome and the date the complainant was informed of the outcome. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 18 Lord Street Care Home has available a variety of policies and procedures evidenced at the time of inspection for the protection of service users. These include an Adult Protection Policy based on the ‘No Secrets’ document that helps to protect service users from abuse or discrimination and a whistle blowing policy to inform staff of their responsibility in respect of any suspect abuse. Policies have also been developed in respect of service users monies, and that staff are precluded from the acceptance of gifts and involvement in the making of or benefiting from service user wills. A policy is also in place on the management of aggressive behaviour. Although it is understood that all staff have completed the ‘Skills For Care’ foundation standards that incorporate an adult abuse section, it is important that all staff have knowledge of the local protocol for reporting and subsequent investigation of any alleged abuse. Whilst at the time of inspection an Adult Abuse Policy was available that paid reference to the ‘No Secrets In Lancashire’ document, the actual ‘No Secrets In Lancashire’ document was not available to staff during the course of the homeowners holiday. It is strongly recommended that a copy of the ‘No Secrets In Lancashire’ document be kept with the Adult Abuse Policy to inform and remind staff of the procedures to be followed in the event of an abuse allegation. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 19 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) None of the seven standards were assessed at this inspection. EVIDENCE: None of the seven standards were assessed at this inspection. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 34 The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their roles. There is structured recruitment process for the appointment of new staff that helps to protect and safeguard service users. EVIDENCE: Through discussion with the coordinating manager, it was identified that there are eleven care staff working at Lord Street and the sister home, Durham Avenue. Although some members of staff have designated responsibilities in only one of the home’s, a number of care staff work different shifts in both homes during the course of the working week. Therefore in order to assess this standard, the staff group of both homes has been collated together. At present one member of the care staff team has achieved a National Training Qualification (NVQ) Level 3 award in care and a further member of staff is waiting for verification of this qualification. In addition, a further two members of the care staff team are currently undertaking Level 2 of this award. Discussion with a member of the care staff team regarding NVQ training confirmed that this member of staff was considering undertaking an NVQ course of study and other members of staff were receptive to undertaking NVQ 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 21 training in the future. It is anticipated that a least 50 of the care staff team will have achieved at minimum, NVQ Level 2 accreditation in the foreseeable future. Staff recruitment and selection follows a structured process at Lord Street Care Home, which is based on equal opportunities and in order to protect service users. All prospective employees are required to provide satisfactory references and any gaps in the employment record are explored. In addition, all newly appointed staff are required to have a POVA First/Criminal Records Bureau clearance before they actually commence employment at the home. However as previously discussed at the last inspection, all references must be written references and a second written reference is still required in respect of one member of staff. It is understood that the required written reference has now been re-requested. The recruitment process was confirmed as followed by a member of staff that was appointed earlier in the year. The staff member spoken with confirmed that he had been provided with a statement of terms and conditions of employment. Since the last inspection improvements have been made to the storage of information that is required to be maintained in the home. Secure facilities are now available to store confidential information including staff files. At the time of inspection the inspector was informed that a recently appointed member of staff was ‘shadowing’ experienced staff in a voluntary capacity until the full Criminal Records Bureau (CRB) clearance had been received. As discussed, and in accordance with the amended Regulation 19, The Care Homes Regulations 2001, a newly appointed member of staff can take up employment in the home before the full CRB clearance has been received as long as a POVA First clearance has been received and deemed to be satisfactory and all other clearances and references have also been received and deemed satisfactory. The new member of staff, if taking up employment, must then be subject to the requirements of the amended Regulation 18 until the full CRB clearance has been received. However, all volunteers must also have a satisfactory POVA / CRB check prior to having contact with service users accommodated and therefore the newly appointed member of staff should not be working with service users until at least the POVA First check has been received. Through discussion with coordinating manager, it is understood that the appointment of a new staff member is discussed with service users as to the suitability of the applicant from the service users point of view. Whilst this is good practice, consideration could also be given to service users actually being part of the interview panel whenever possible to enable the service users to ask questions relevant to themselves. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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 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) 37 & 41 The registered manager at Lord Street Care Home provides clear leadership, however the registered manager should undertake a nationally recognised care manager’s qualification in order to fulfil requirements. Records required by regulation are in the main up to date and accurate. However some documents require review to ensure the information provided remains accurate. EVIDENCE: The registered manager at Lord Street Care Home is competent and experienced to run the care home and has undertaken periodic training to expand and update existing skills and knowledge. However there is a requirement that the registered manager must also obtain a relevant management and care qualification at an advanced level. From discussion, it is understood that the registered manager is now registered on a relevant course of study and is waiting for a commencement date. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 23 At the time of inspection the records evidenced were in the main up to date and accurately recorded however some documentation observed relating to staff qualifications was inaccurate and should be amended. Service users are verbally informed at the time of admission that they can access and contribute to their own personal records however a number of service users have decided that they would like a family member to also have access to their personal file that is respected. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 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 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 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x 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 2 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 6 Lord Street Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x x x 3 x x F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 25 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 41 Regulation Schedule 2 Requirement All written references and clearances pertaining to staff and volunteer recruitment must be securred before the individual can work with service users. Timescale for action 30/05/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. Refer to Standard 16 22 23 32 34 37 41 Good Practice Recommendations The rules on smoking, alcohol and drugs should be clearly stated in the individual contract. It is recommended that a complaint form be devised to provide detail of the actual complaint and investigation process. A copy of the No Secrets In Lancashire document should be made available in the home and all staff should have knowledge of the local protocal in respect of alleged abuse. At least 50 of the care staff team should achieved at minimum an NVQ Level 2 in care. Consideration could be given to service user(s) being part of the interview panel in respect of staff appointments. The registered manager should have achieved a Level 4 NVQ qualification in care and management or equivalent by 2005. All records should be kept under regular review and F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 26 6 Lord Street amended as required to ensure the information remains current. 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ 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 6 Lord Street F57 F09 S10010 Lord Street V232148 210705 Stage 4.doc Version 1.40 Page 28 - 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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