Inspection on 24/07/06 for 7 Eworth Close

This inspection was carried out on 24th July 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7 Eworth Close 03/09/09

7 Eworth Close 24/07/07

7 Eworth Close 01/11/05

7 Eworth Close 19/07/05

7 Eworth Close 22/09/04

7 Eworth Close 16/03/04

7 Eworth Close 03/11/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Eworth Close (7) 7 Eworth Close Grange Park Swindon Wiltshire SN5 6BT Lead Inspector Bernard McDonald Key Unannounced Inspection 24th July 2006 09:45 Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eworth Close (7) Address 7 Eworth Close Grange Park Swindon Wiltshire SN5 6BT 01793 878169 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) mariaarthur18@yahoo.co.uk Ian Charles Mrs Maria Arthur Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than five service users with learning disability at any one time Date of last inspection 1st November 2005 Brief Description of the Service: 7 Eworth Close is a modern two storey house with a large garden. The home offers care and accommodation to both men and women who have a learning disability. The service replicates principles of ordinary living and strives to provide services that take account of ‘social role valorisation’ principles that include choice, dignity, respect and community presence. Each service user has their own bedroom and share communal areas. The service is designed for people that can manage stairs and want to live with others. Any behaviour’s must be manageable within a small domestic environment. The home, which is located in the Grange Park area of Swindon, is a partnership that trades as Ian Charles. They have one other similar care home nearby. There is a full time manager and a small staff team. Typically there is one person on duty throughout the day with an additional member of staff on duty between 10.30am and 8.00pm. At night time the staff take in turns to sleep at the home and to be available to assist with any night time needs or emergencies as they arise. Service users are expected to engage in day activities during the week. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was completed in seven hours over two days. The first day of the inspection was unannounced and the second day was by appointment with manager. The views of service users, their relatives, health practitioners and care managers were obtained. No adverse comments about the service were received. Three service users care plans were examined in detail. Four service users were spoken to over the two days of the inspection In addition staff recruitment records and health and safety documents were examined. Three care staff were interviewed in private. The range of fees for the service is £500 to £700 per week. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. What the service does well: What has improved since the last inspection? Since the last inspection staff have received training in the safe handling of medication. Recruitment practices have improved. The recruitment records of the three recently appointed staff were examined which were found to contain Criminal Records Bureau checks, personal references and proof of identity to demonstrate safe recruitment practices are now being followed. The manager has developed a staff training and development plan to ensure staff receive the training they need. Risk assessments have been reviewed and fire safety practices are taking place a minimum of every three months. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5. The home is making every effort to ensure service users have sufficient information about the service and the terms and conditions of their stay. The Quality rating in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: No service users have been admitted since October 2003. Previous inspections have found the home was ensuring service users needs are assessed prior to admission. The home has provided service users with a statement of purpose and a service user guide. These documents have been developed using pictures and text to enable service users understand their contents. Service users are provided with a standard form of contract from the purchasing authority. An addendum to the contract has also been provided by the home. Two service users confirmed they had seen their contracts and that the terms and conditions of their stay had been explained to them. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. Service users care plans reflect their needs and demonstrate how they are supported to make decisions about their lives. The home is supporting service users to take responsible risks. The Quality rating in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Three service users case files were examined in detail. Each service user had a clearly written person centred plan. All care plans had been reviewed in the past six months to ensure the care plans remains appropriate to their needs. Discussion with two service users confirmed they had been involved in the development of their care plan. One service user confirmed they had attended their recent care review. Comments received from relatives confirmed they were always kept informed of important matters affecting the care of their relative. One service user with limited communication smiled when asked if they liked living at the home. Aids to assist with communication are reflected in the care plan and direct staff on how to encourage service users to make choices in their lives. Documentation was available to demonstrate service users with communication difficulties had been referred to the speech and language therapist. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 10 In addition goals and outcomes are being reviewed as part of the care review. Discussion with staff demonstrated an understanding of the needs of service users and what action they need to take to ensure they receive the support they need. Comments received from the service users care manager confirmed staff are responsive and efficient and the needs of service users are being met. Where the care plans restrict service users movements or choice a risk assessment is completed. The assessments had been reviewed in the past twelve months. All care plans provided clear details on how to encourage service users to make choices. One service user confirmed they had obtained a bus pass to enable them to use public transport. The service user stated they could now choose to go out on their own without staff having to take them. Two service users stated they have regular house meetings and were able to show the inspector the minutes of the meetings that had been held. One service user confirmed that they plan the month’s menu at these meetings. Another service user said they had also discussed where to go on holiday. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. The home is making every effort to ensure service users have opportunity to participate in appropriate leisure and social activities. Visitors are made to feel welcome and the meals are varied and nutritious. The Quality rating in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Service users care plans demonstrate how they wish to be supported during the day. One service user confirmed they had made a choice to consider supported employment. Another service user currently works two days a week. No service users attend full time day care. Records examined show that opportunities are being provided for all service users to access local leisure activites. One service user stated they had recently been to the cinema and had been out for a meal with staff. Care plans demonstrated consideration has been given to addressing service users spiritual needs. One service user stated they enjoyed going to church every Sunday. While another service user stated they did not want to go to church. Discussion with staff confirmed visitors are welcome at anytime. One service user stated their relative had visited at the weekend. Comments received from Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 12 a relative also confirmed they could visit the home at anytime and were always made to feel welcome. Discussion with the manager confirmed there are plans to take service users away on holiday this year. One service user said they had helped to choose the holiday and were looking forward to going away. The menu is planned a month in advance. One service user described the food as “lovely” and other service user said it was “good”. The care plan of one service user demonstrated a referral had been made to the dietician due to their poor appetite during a period of ill health. Discussion with staff confirmed service users are encouraged to eat their meal together as the time is used a social occasion to discuss the days event. If someone chose to eat elsewhere they could. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. The home is striving to ensure service users receive the support they require and that their health care needs are safely met. The Quality rating in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Service users care plans provide clear details on how they wish staff to support them. Discussion with staff confirmed service users are encouraged to participate in household tasks. On the two fieldwork visits service users were observed helping to clean their rooms and helping with their personal laundry. One service user stated, “ I don’t mind” when asked if they liked cleaning their room. Two service users confirmed they could choose what time to go to bed, what time to get up and what they want to wear. One service user requires support to make choices and the care plan provides details on how choices should be offered. There is one male member of staff who supports service users of the same gender. He is not required to provide personal care to female service users. Two service users confirmed staff provides support to enable them to attend health care appointments. One service user confirmed they had recently been to their G.P. Another service user confirmed they had been to the dentist. Records examined confirmed service users have access to a range of specialist health care services including, speech and language therapist, dentist, Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 14 opticians and psychiatric services. Comments received form health practitioners confirmed staff have a clear understanding of service users care needs and any specialist advice that may be given is incorporated into the care plan. Following a requirement at the last inspection all staff have enrolled on a distance learning course on the management and safe handling of medication. Discussion with staff confirmed they found the course informative and that it raised their awareness on administering service users medication. Records examined showed that medication was being accurately recorded when it is administered to service users. A separate record is also kept on medication received at the home and returned to the pharmacy. In addition a check on the stocks of medication held at the home is completed every week. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Service users feel safe but improvements are needed to ensure every complaint is recorded. The Quality rating in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: One service user commented they would tell the manager if they were unhappy about anything. Another service user commented they would tell the staff if they had a complaint. Both service users stated they were happy living at the home. A copy of the complaints procedure was on display at the entrance to the home. Feedback from relatives and care managers confirmed they were aware of the homes complaints procedures. Discussion with the manager confirmed no complaints had been received since the last inspection. However since the last inspection there has been one adult protection meeting following a complaint. The inspector is aware the outcome of the investigation found the complaint was not upheld and there was no action taken. There was no record of the complaint or the investigation, which is a breach of the homes complaints procedure. All but two members of staff have completed abuse awareness training and copies of the local “no secrets” guidance was available at the home. Discussion with staff demonstrated an awareness of what action to take to report any concerns affecting the welfare of service users. One service user stated they “felt safe “ living at the home. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 30. The home is clean, tidy and odour free but more attention needs to be given to ensure minor repairs are quickly responded to. The Quality rating in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Accommodation is provided over two floors with two bedrooms on the ground floor and three bedrooms on the first floor. The home was clean and comfortably furnished. One service user said they “liked their room” and had everything they needed. Discussion with the manager confirmed there are plans to provide an additional bedroom with en suite bathroom on the first floor. In addition there are plans to provide a new bathroom on the ground floor with a walk in shower and also upgrade the first floor bathroom. A tour of the building found that the water supplies to all bedroom sinks were either not connected or had only hot water. One bedroom had a drawer that was broken and a floor covering that was worn. Discussion with the provider confirmed this work would be completed as part of the refurbishment plan. The washing machine is situated under the work surface adjacent to the dining area. There are additional laundry facilities situated in the laundry. Service users are supported with their personal laundry to promote independent living skills. One member of staff stated that no soiled linen is Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 17 brought through the kitchen area. To further reduce the risk of infection it is recommended the home purchase red alginate bags. The home has obtained a copy of the new infection control guidelines but has failed to ensure staff receives infection control training as required at the last inspection. This requirement must now be met within the revised timescale. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 The home is ensuring safe recruitment practices are followed and staff receive accredited induction training but more attention needs to be given to specialist training in relation to the needs of adults with learning disabilities. The Quality rating in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Three staff recruitment records were examined. Records show that the home has completed the necessary recruitment checks prior to staff being appointed. Records include a satisfactory Criminal Records Bureau check (CRB) two written references and proof of identity. A copy of the terms and conditions of employment were held in the home. All staff receive induction training that is “skills for care” accredited. Induction records and a certificate to demonstrate satisfactory completion of “working in care” induction standards were available for inspection. One member of staff confirmed they had completed induction training and was able to shadow more experienced staff on different shifts. Since the last inspection the manager has developed a staff training and development plan and a training needs analysis. Due to recent staff turnovers no staff have completed the National Vocational Qualification (NVQ) in care. The manager reported that four members of staff are due to enrol for NVQ training later in the year. However there appears to be a lack of training related directly to the needs and principles of supporting adults with learning Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 19 disabilities. The manager reported they are currently exploring Learning Disability Award Framework (LDAF) training for staff that are new to the service. The staff team reflects the culture and gender of service users. The advantage of one male member of staff ensures that male service users can be supported with their personal care with a member of staff of the same gender. Staff confirmed they receive regular supervision. However more emphasis needs to be put on staff meetings, as they are not occurring as often as they should. The rota shows that there are normally two staff on duty during the day. This enables one member of staff to support service users in the community. There are currently two vacancies for support workers. The manager reported these posts have been filled but they are currently waiting for the necessary recruitment checks. Comments received from the relatives of service users confirm there is an improvement in the staffing levels and that staff are always friendly. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. The manager is experienced and is making every effort to ensure service users live in a safe environment. The slow progress made in developing a quality assurance system means the success of the home in meeting their aims and objectives cannot be measured. The Quality rating in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The manager has been in post for over eight years and has over twenty years experience of working in learning disability services. The manager has almost completed the registered managers award and in addition is also completing the NVQ assessor award. Since the last inspection one member of staff has been given the responsibility of completing the quality assurance review. Examination of the quality assurance survey showed that some progress has been made. The relative of one service user had replied to the survey but only two service users had been asked to complete the survey. It was a requirement at the last inspection that a report on the outcome of the quality review must be sent to the Commission. In view of some progress being made the Commission has agreed to extend Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 21 the timescale for compliance. Failure to meet the requirement within the revised timescale will result in the Commission considering enforcement action. Discussion with service users demonstrated an awareness of what action to take in the event of a fire. Records show fire safety practices are taking place a minimum of four times a year. Radiators are not guarded and water is not regulated. Risk assessments have been updated. Control of Substances Hazardous to Health (COSHH) product information sheets and risk assessments are in place. Due to staff changes not all staff have received training in safe working practices. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 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 2 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 1 X X 2 X Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA22 Regulation 17(2) Schedule 4. 23(2)(b) Requirement The registered person must ensure a record is kept of all complaints received at the home. The registered person must repair or replace the floor covering in the ground floor bedroom. The registered person must repair or replace the chest of drawers in the ground floor bedroom. The registered person must ensure all sinks in service users bedrooms have hot and cold running water. The registered person must ensure staff receive training in infection control. This was a requirement at the last inspection. The timescale given was 01/04/06 The registered person must ensure staff receive training in meeting the needs of adults with learning disabilities. The registered person must provide the Commission DS0000003195.V303401.R01.S.doc Timescale for action 01/09/06 2. YA24 01/10/06 3. YA26 23(2)(b) 01/10/06 4. YA26 23(2)(j) 01/10/06 5. YA30 13(3) 01/12/06 6. YA32 18(1)(c) (i) 01/12/06 7. YA39 24(2) 01/12/06 Eworth Close (7) Version 5.2 Page 24 with a report of their quality review. This was a requirement at the last inspection. The timescale given was 01/04/06 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. 2. 3. 4. Refer to Standard YA23 YA33 YA35 YA42 Good Practice Recommendations The registered person should ensure all staff receive training in abuse awareness. The registered person should ensure staff meetings are held a minimum of six times per year. This was a recommendation at the last inspection. The registered person should ensure staff new to learning disability services completes LDAF training. The registered person should ensure staff receive training in safe working practices. Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Eworth Close (7) DS0000003195.V303401.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!