Inspection on 21/05/07 for Coldwell Villa

This inspection was carried out on 21st May 2007.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Coldwell Villa 15/05/06

Coldwell Villa 18/05/05

Coldwell Villa 27/07/04

Coldwell Villa 04/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 71 Mersea Road Coldwell Villa Colchester Essex CO2 7QR Lead Inspector Ray Burwood Unannounced Inspection 21st & 22nd May 2007 10:00 71 Mersea Road DS0000017742.V340944.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 71 Mersea Road DS0000017742.V340944.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. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 71 Mersea Road Address Coldwell Villa Colchester Essex CO2 7QR 01206 574588 01206 574588 kp@essexautistic.org.uk ib@essexautistic.org.uk The Essex Autistic Society 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) Kim Janette Parsons Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 5 persons) 15th May 2006 Date of last inspection Brief Description of the Service: The home is owned and managed by the Essex Autistic Society (EAS). The home provides accommodation and care for up to 5 adults with learning disabilities. The property is located within walking distance of Colchester town centre, pubs, a post office, public transport and other amenities. The home was opened in 1994 and is a two storey family-sized house. The accommodation is domestic in style and scale. All five bedrooms are single with each bedroom having a wash hand basin. Toilets and bathrooms are shared. A small, well maintained garden is to the rear of the property, with garden furniture and a small pond. The range of monthly fees supplied to the Commission for Social Care Inspection (CSCI) on the 22/05/07 and charged by the Society is currently between £1,035.60 and £1,201.78. There are additional charges for activities during the evenings and weekends. Individual service users meet all personal clothing, and items such as magazines and haircuts. Holidays for service users are staffed accordingly with appropriate ratios. Staffing, transport, and food expenditure between 9.00am and 5.00pm are met by the Society. Information about the service, including inspection reports, are made available to prospective service users through a pack containing information about all of the services provided by the Society, the Statement of Purpose, a current Newsletter, and literature regarding the Societies Jigsaw Study Centre. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited Coldwell Villa on the 21st and 22nd May 2007 without telling the person in charge of the home he would be visiting. The inspector spent a total of three hours at the home. The inspector returned the next day to meet other people. He also: • • • • • • Spoke to more staff that work in the home. Looked at a number of files and paperwork. Examined information about what services the home provides. Talked to people who live at the home and the person in charge of the home. Talked to residents’ families about the care provided by the home. Looked around different parts of the home and the gardens. To help the inspector to write the report, the manager had sent the inspector information about the home. The manager also wrote to the inspector and told them what they thought the home did well and what improvements had been made. The inspector also used other information that they already knew about the home from surveys completed by residents and their families. If you would like to know how the home is looking after people who live there, you can read the inspectors report. You can ask the manager of the home for a copy, or contact the inspector. The person in charge of the home will give you the inspectors’ telephone number and address. What the service does well: These are some of the good things that the inspector found out about the agency: • • Coldwell Villa is a well-run home with a good manager and staff. The agency uses pictures to help some people to say how their needs should be managed, what activities they like, and places they like to visit. DS0000017742.V340944.R01.S.doc Version 5.2 Page 6 71 Mersea Road • • These pictures can also help people that live at the home to make decisions about things that are important in their lives. The manager meets with care workers on their own to make sure that they are happy working home, and what they need to do and how to do it, so that they can give the best support to people living in the home. What has improved since the last inspection? • The home’s information documents have been made better and include the training and experiences of the people who manage the home, and are written in a way that people can understand them. Care plan documents have been changed to include pictures to help people living at the home to have a say and make decisions about their care and support. • 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. The summary of this inspection report can be made available in other formats on request. 71 Mersea Road DS0000017742.V340944.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 71 Mersea Road DS0000017742.V340944.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Admissions to the home would only take place if the service is confident that staff have the confidence, skills and qualifications to meet the assessed needs of prospective residents. EVIDENCE: The home’s Statement of Purpose has been updated to reflect the manager’s registration with the Commission since the last inspection visit and their qualifications. Since the home’s last inspection one resident has transferred to one of the other Societies homes and has settled in well. The registered manager informed the inspector that transitional arrangements were in place for the visit to the home of a prospective resident on the day of the site visit. People currently using the service have lived at the home for some years and have recently had their needs re-assessed, covering all aspects of their healthcare, social and recreational aspirations. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 9 The manager said that further assessments and consultations are being considered regarding the future of some of the people living at the home and the possibility that some may be able to live semi-independently in the community in the future. From the information contained in the files examined, an assessment record of needs had been completed to establish how staff support people who live at the home and what additional support services are required to access community facilities and the environment. An assessment and management of risk had been carried out for each resident in terms of the environment. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People living at the home are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Plan examined were person centred and clearly detailed the care and support required for people living at the home. Changing needs and personal goals were also reflected on in plans seen. A key-worker system operates at the home to allow staff to work on a one to one basis and contribute to the care plan and reviewing process for people living at the home. Residents spoken with said they are able to make decisions independently if they wished within a risk management process, or through a consultative process that included group meetings and a close working arrangements with the staff that supported them on a daily basis. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 11 General and specialist risk assessments were seen on individual files inspected and help ensure that staff were aware of any issues that may restrict people living at the home from certain activities both in the home and in the community. Some of the resident’s who were spoken with during the site visit confirmed they were involved in formulating their care plans, and had access to an advocate if they wished to have an independent person speaking for them. There was evidence that relatives or representatives agreed and signed care plans and/or were involved in the planning process for those individuals who could not advocate for themselves. Some of the people living at the home are able to manage their own financial affairs. Records were in place with expenditures agreed with the registered manager and receipts submitted to Head Office for approval and clearance. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People living at the home are able to make choices about their life style and are supported to develop their life skills. Social, educational and recreational activities meet individual expectations. Links with the community are well managed, support and enrich the social opportunities of people living in the home. The meals are good with evidence that people living at the home are involved in the process and are offered quality meals and choice. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 13 EVIDENCE: From information gained through notices around the home, including residents’ accommodation, it was evident that the society has a strong commitment to enabling, organising and supporting programmes of educational, social and recreational opportunities for people who live at the home. On the day of the site visit the programme of activities confirmed the movements of the residents and the staff who were supporting them. Care plans seen contained details of activity planning and recording. These details included the likes and dislikes of individuals. One person who was unable to communicate attends the societies Study Centre and participates in mostly recreational activities. Three of the people living at the home attend the local educational college and the societies Study Centre where they participate in a range of activities and projects. One person living at the home is employed in a shop in the town for one day per week. On the day of the site inspection it wasn’t possible to speak to this person. Another resident who requested some time with the inspector spoke about his visits to antique fairs and allowed the inspector to look at his collection. Overall, people living at the home access a wide range of educational, social and leisure pursuits, some are able to participate in activities without being supported by staff, such as shopping and visits to friends in the community. Links with relatives is maintained by two residents with others spending weekends with friends. One member of staff explained that their partner who is fund raising for the home by cycling from John O’Groats to Lands End and hopes to raise money for the residents fund. The home continues to operate a structured menu planning system where it is changed every four weeks following consultation with residents. The main meal of the day is taken at teatime and is flexible to meet the needs of residents evening activities. People living at the home do the food shopping and meal planning at the weekends with the support of the staff. Residents spoken with said the food was good and they enjoyed being involved in the preparations. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People living at the home receive good personal and healthcare support that meet individual needs and promotes their wellbeing. The medication arrangements in the home are well managed and ensure the good health of service users living there. EVIDENCE: Residents’ care plans seen included healthcare and dietary requirements with records in place to evidence referrals, visits and outcomes of visiting healthcare professional’s. Also, resident’s visits to General Practitioners and hospital appointments. Personal support is responsive and tailored to the needs and wishes of people living at the home, reliable and person centred. People living at the home were observed during the site visit to respond to staff on duty in a positive manner and appeared to be happy with the support arrangements provided. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 15 One person living at the home was in the process of having reflexology during the inspection. Following the session the reflexologist spoke with the inspector and said Coldwell Villa was a lovely home and they enjoyed providing the service for residents. The registered manager said the societies Clinical Psychologist had completed the re-assessment of people living at the home with some care plans reviewed and information made available to all staff of agreed changes. Staff spoken with explained that people living at the home were generally fit, healthy and did not need any technical aids or specialist support. The society has published a leaflet with a range of guidelines for Healthcare Professionals explaining what autism is and how they should respond to people with autism; what to do; what not to do and what to be aware of. The society has also produced a passport card for people with autism who may come into contact with the police or emergency services. None of the people living at the home were responsible for their own medication. The registered manager explained that there had been no changes to the home’s medication policy and procedures since the last inspection visit. Medication records examined were fully completed, contained the required entries, and had been signed by appropriately trained staff. The Responsible Person undertakes regular management checks during Regulation 26 visits that are carried out monthly. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. EVIDENCE: The service has a complaints procedure that is made available to people who live at the home and is clearly written and easy to understand. The complaints procedure is prominently displayed in the home. There had been no complaints received by the home or the Commission for Social Care Inspection (CSCI) since the last inspection visit. The home’s Adult Protection policy and procedures, including Whistle Blowing, were comprehensively detailed. Further guidance for staff was included in a copy of the Essex Vulnerable Adults Protection Committee booklet. All staff had undertaken staff training in Adult Protection and Challenging Behaviour; staff confirmed this when they spoke to the inspector. They also indicated that they would be able to respond to incidents and who to refer them to. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 17 Previous to this inspection concerns were raised about someone living at the home by their sponsoring authority following reports made from someone living near to the home. A Protection of Vulnerable Adult (POVA) referral was made to the Social Services (Learning Disability Team) and a meeting was arranged. A decision was made that it was not a POVA issue. The resident concerned tended to visit local shops and outstay their welcome to the extent that proprietors felt it interfered with their business. A review of medication was undertaken and staff additional support has curtailed the activity responsible for the concerns. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 24. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment that provides them with an attractive and homely place to live. EVIDENCE: A tour of the premises was undertaken with the registered manager and confirmed that the home provides a physical environment that is appropriate to the needs of the people living there, and enhances their independence. One resident agreed to show the inspector their bedroom and said they liked the large room and the security of having a key to lock the door when out at college or activities. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 19 All areas were decorated to a good standard and bedrooms were seen to contain personal items and fittings and were clean and tidy. No offensive odours were noted during the tour of the home. Communal areas are comfortable, furnished to a good standard and meet the National Minimum Standards. The home’s laundry facilities are domestic in style and suitable for the needs of people living at the home. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home provides an experienced and qualified staff team in sufficient numbers to ensure that service users’ assessed needs are met. The home’s staff supervision process could be further improved if those responsible were trained in the skills necessary. The home operates a robust recruitment process that helps to ensure the safety of people living in the home. EVIDENCE: Staff training continues to be supported by the Society both internally and externally. Training needs of staff continue to be identified through supervision sessions and the Societies induction programme. Currently the home is below the required 50 of staff qualified to NVQ Level 2 or 3. Five staff are currently working towards their NVQ qualifications with three staff having completed their NVQ training. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 21 The home works within a multi-disciplinary framework and people living at the home benefit from the support of a Clinical Psychologist and a Speech Therapist. Staff spoken with agreed with comments made by staff from the Societies other home close by that healthcare professionals employed by the Society provide them with the advice, support and specialised training that they found beneficial to the work they undertake with people living at the home, particularly regarding communication techniques. The registered manager discussed the staffing arrangements of the home as improved with some movement of staff between homes since the last inspection visit. Additional staff is made available at weekends with rotas being flexible to fit around the lifestyles of individuals and occupancy levels. During this inspection visit it was noted that there was sufficient staff on duty both in the morning and afternoon to ensure that people living at the home were adequately supported. The home’s recruitment process was examined and files seen contained all of the required information and checks before the society employs new staff. Staff files seen included relevant qualifications, contracts and supervision notes. The registered manager and senior support staff undertake staff supervisions with appropriate records kept. The registered manager explained that supervision skills training has been requested but is still outstanding. All staff spoken with confirmed that they receive formal supervisions. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home is managed in a way that recognises residents’ individual needs and supports their independence and aspirations. There is guidance and direction to staff to ensure that people using the service receive a good quality of care. The systems for consultation are good with a variety of evidence that indicates that residents’ views are sought. Residents’ personal wellbeing and safety is promoted through staff training, comprehensive policies, procedures and regular health and safety checks. EVIDENCE: Since the home’s last inspection visit the manager has been registered with the Commission following a successful interview at the local office. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 23 The manager also manages another small home nearby for people with a learning disability/autism. The registered manager is experienced in working with people with a learning disability/autism and has progressed through the Societies ranks to management responsibilities. The manager is currently undertaking the Registered Managers Award (RMA) and is due to complete the training in 2007. Discussions with staff and people who live at the home during the site inspection was positive about the management of the service and the support and good communication always being at hand. Staff also commented on the managers’ commitment to working towards improving services with a strong focus on equality and diversity. The manager confirmed that they undertake training to update their knowledge and skills. The home’s quality assurance report is contained in the Societies Quality Assurance Audit and report undertaken by ‘Autism Accreditation’ on behalf of the Essex Autistic Society. Although grouped with other Society homes, the report is specific to Coldwell Villa. Further development in the quality assurance system is outlined in the home’s recent Action Plan, and includes confidential questionnaires to relatives, advocates and professionals. Quality assurance survey forms have been designed and produced by the Society in pictorial form for the benefit of those people living at the home who require assistance with understanding the forms. Health and safety issues within the home are well managed with appropriate training completed by all staff. All relevant checks, servicing of equipment and insurance cover is in place with appropriate records kept up to date. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 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 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 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 3 X X 3 X 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 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 YA36 Regulation 19(5)(b) Requirement The Society must ensure that staff who carry out supervision duties have received the appropriate training. (Previous timescale of 31/07/06 not met). Timescale for action 30/09/07 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 person should ensure that the appropriate number of staff (50 ) achieve National Vocational Qualification (NVQ) Level 2 or equivalent. 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 71 Mersea Road DS0000017742.V340944.R01.S.doc Version 5.2 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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