CARE HOME ADULTS 18-65
8 Thorndale Road (Homefield College) 8 Thorndale Road Thurmaston Leicester LE4 8NQ Lead Inspector
Kim Cowley Key Unannounced Inspection 23rd February 2007 16:30 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 8 Thorndale Road (Homefield College) DS0000001671.V314334.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. 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service 8 Thorndale Road (Homefield College) Address 8 Thorndale Road Thurmaston Leicester LE4 8NQ 0116 2925340 01509 815696 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) www.homefieldcollege.ac.uk Homefield College Limited Vacant Post Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No one under the age of 16 years may be accommodated in the home. Date of last inspection 13.12.05 Brief Description of the Service: Number 8 Thorndale Road is a 5 bedroomed semi-detached house situated in the village of Thurmaston. The home accommodates four young people in single rooms, one of which is en suite, and there is a staff sleeping-in room. Downstairs there is a lounge, kitchen, and a lounge/dining room with patio doors leading onto an enclosed garden. The home is one of seven, which are annexed to Homefield College. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the need for greater independence. Young people at the college have been placed by the Learning Skills Council. These placements are generally term time only and limited to 2 or 3 years. However, some young people receive continued or additional funding from Social Services Departments and their placements can be for up to fifty-two weeks a year and may progress to become long term. The college (and implicitly the seven houses) provide placements for adults with learning disabilities and those who have autistic spectrum disorder and some challenging behaviours. The college does not provide for students who require nursing care. Fees range from £684 to £1411 per week during term time. 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted four hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to four students living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The inspector also interviewed the Acting Manager and a care worker. What the service does well:
Number 8 Thorndale Road provides a safe group-living environment for four young people who are known as students. The home has a lively and friendly atmosphere, and is clean, comfortable and well furnished. Bedrooms are personalised by their occupants and the students are proud of them and pleased to show a visitor round. All students at Thorndale Road are full-time further education students at Homefield College. They undertake a variety of classes including social and life skills, literacy and numeracy, and vocational courses. Away from the college, students take part in activities organised through Thorndale Road, for example, swimming, discos, youth and social clubs, shopping, and trips out. The home is well established in the local community. The Acting Manager said relationships with neighbours are good and students regularly visit the local pub where they play pool with other customers. Care staff are responsible for the cooking assisted by the students who take it in turns to help. The focus is on healthy eating, and students are taught to plan, shop for, and cook wholesome and nutritious meals. Students’ comments about the food included, ‘The food’s lovely’, ‘We do meal preparation – making our own meals. Staff watch us while we do this’, and ‘Sometimes I cook for myself and sometimes I cook for everybody.’
8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 6 The staff on duty at the time of the inspection appeared to have excellent relationships with the students. In discussion they were knowledgeable about the students’ needs and understood the importance of enabling them to lead independent lives. Students’ comments about the staff included, ‘The staff are funny – they make me laugh’, ‘If you need help or are worried you can go to the staff’, and ‘The staff are great.’ 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. 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 8 Thorndale Road (Homefield College) DS0000001671.V314334.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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Students’ needs are fully assessed prior to admission to ensure the home and college are suitable for them. EVIDENCE: The assessment process is thorough and takes into account any assessment undertaken at the student’s previous educational establishment. The Acting Manager is responsible for assessments, with input provided by College and home staff from different disciplines. Initially students have a one-day assessment at the College’s main campus when they take part in classes and meet staff and students. If the college appears suitable for them they come for a two-day assessment, including an overnight stay, at the main campus. If they are admitted to the College a further visit is made to the accommodation they are allocated, in this instance Thorndale Road. Records showed that assessments focus on achieving good outcomes for students and ensuring any particular needs they have can be met. Two students interviewed spoke positively about their initial introduction to the home. One said, ‘I came here to look round and then I stayed for my tea.’ 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 9 Another said, ‘I came to this house with my parents and looked round. I thought it was nice.’ 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Detailed care plans help staff to identify and meet students’ needs. EVIDENCE: Care plans are initially drawn up during the students first six-weeks at the college when they are continuously supervised and supported by staff. Those inspected were detailed and comprehensive and contained appropriate risk assessments. Students’ needs were addressed in full, including their interests, activities, and quality of life. The Acting Manager writes care plans in conjunction with college and home staff. Those care plans inspected had been reviewed at least every three months. Good risk assessments were in place. Detailed daily records are kept and used to inform care plans. Nursing needs are clearly set out. Care staff are expected to regularly refer to care plans so they can keep up with each students’ progress. 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 11 The students at Thorndale Road knew where their care plans were kept and got them out to show the inspector. One student said, ‘This is about me and what I can do.’ One aspect of care planning that particularly interested all the students was the home’s ‘Achievement Programme’. This involves students being given a yellow slip for each of their achievements in the home (for example domestic tasks or social successes). At the end of the week the slips are counted and the student with the most is made ‘Student of the Week’ and wins £5.00. This initiative appears to have a positive effect on all the students who talked enthusiastically about it. Care records showed that students are encouraged to make decisions about their daily lives, for example choosing what to eat and to wear. The Acting Manager said all the students could make these choices, but some needed help with more complex issues. When evening/weekend activities are being decided the students have to go with the majority vote. This can mean that a student who does not want to go out for the evening has to, because staffing levels do not allow them to stay at home or do something else. The Acting Manager said that when this happens, the student who did not get their choice decides the next activity. While this is understood, it is recommended that consideration is given to building more flexibility into the staffing rota so that if a student does not wish to take part in the chosen activity they do not have to. There is also a fixed time in the evening when students must go to their rooms. This also needs reviewing as it limits students’ choice and could be viewed as an ‘institutional practice’. 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Daily life and social activities enable students to lead full lives and grow in independence. EVIDENCE: All students at Thorndale Road are full-time further education students at Homefield College. They undertake a variety of classes including social and life skills, literacy and numeracy, and vocational courses. A range of work placements is available and college staff aim to encourage students to eventually live and work independently or in supported settings. The college has its own sweet shop in a local village and students also work there to gain experience of shop work and interacting with the public. Away from the college, students take part in activities organised through Thorndale Road, for example, swimming, discos, youth and social clubs, shopping, and trips out. Funding comes from their fees, contributions from parents or the students themselves, or, in some cases, bursaries provided by
8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 13 Homefield College. Activities provided in the home include a computer with internet access, videos, music, and gardening. At present no students attend places of worship, but the Acting Manager said that if a future student wanted to this could be arranged. The home is well established in the local community. The Acting Manager said relationships with neighbours are good and students regularly visit the local pub where they play pool with other customers. Students are given help and guidance with regard to friendships and personal relationships. At college they have ‘PSHE’ (personal, social and health education) classes, and at Thorndale Road staff provide advice where necessary. Staff at Thorndale Road and Homefield College are trained in these areas by a Learning Difficulties charity. If expert specialist help is needed a local Learning Difficulties Nursing Team can visit students the home. Care staff are responsible for the cooking assisted by the students who take it in turns to help. The focus is on healthy eating, and students are taught to plan, shop for, and cook wholesome and nutritious meals. Records are kept of all food served. On top of the catering budget each student has £10 per week, which he or she uses for one-to-one meal preparation sessions with staff. This helps them develop the skills to eventually cater for themselves. During the inspection dinner was served, consisting of spaghetti bolognaise, vegetables, and salad. The meal looked appetising and the students said they enjoyed it. Comments about the food included: ‘We can have anything for breakfast – we help ourselves.’ ‘We do meal preparation – making our own meals. Staff watch us while we do this.’ ‘The food’s lovely.’ ‘The staff all cook.’ ‘I like Italian food and we have that sometimes.’ ‘We have vegetables and meat.’ ‘My favourite meal here is spaghetti bolognaise.’ ‘Sometimes I cook for myself and sometimes I cook for everybody.’ 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home, and in the wider community, meet students’ health and personal care needs. EVIDENCE: Students in the home have differing personal care needs ranging from complete independence to needing prompting and supervision. Their individual plans clearly record their personal and healthcare needs and set out how they will be delivered. In discussions staff were aware of the need to be sensitive and discreet when helping students with their personal care. Students are registered with a local GP practice, although the Acting Manager said they would soon to moving to a different one which staff hope will provide a better service. One student is registered with a local dentist and chiropodist, while the others visit their own dentists and chiropodists when they go home for the holidays. Staff at the home and the college are trained in counselling and further support is available for students where necessary from learning disability nurses,
8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 15 psychiatrists and psychologists. The college also has its own speech and language therapist. All staff are trained in the safe handling of medication during their induction. The Acting Manager said that although an outside body doesn’t accredit their training, it is thorough and fit for purpose. Medication is securely kept, and appropriate records are in place for its receipt, administration, and disposal. One student administers some of their own medication. The home has a contract pharmacist who provides advice and guidance on request. 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Students feel able to talk to staff about any concerns they might have. EVIDENCE: The complaints procedure is in two versions: simple plain English, and printed symbols. All students and their relatives/representatives are given a copy and it is also in the college’s handbook, which is given to all students. Any complaints or concerns that students raise informally are recorded by staff on daily information sheets and then emailed to the Acting Manager for review. Students are encouraged to speak out if there is anything they are unhappy about. The Acting Manager said they could email or telephone her if they don’t want to approach the staff on duty directly. Most of the students have mobile phones and there is an inexpensive pay phone in the home. There have been no complaints since the last inspection. All the students knew what to do if they had a complaint. One said, ‘If I wasn’t happy about something I’d tell Julie (the Acting Manager), or I’d tell the staff on duty.’ Another commented, ‘If someone shouted at me I’d tell Julie.’ The students’ weekly house meeting also provides a forum for students to air their views, although the Acting Manager said that no criticism of individual students is allowed at this. 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 17 The college employs a specialist child/vulnerable adult protection trainer. All staff receive safeguarding training within three months of starting work and then annually. Written guidance on safeguarding is given to all staff in the form of handouts. This includes information on whistle blowing and what to do if abuse is suspected. 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students live in an environment that is comfortable and well maintained. EVIDENCE: Number 8 Thorndale Road provides homely and comfortable accommodation for the students. Communal areas and two bedrooms were inspected. Both had been personalised by their occupants who had chosen their own curtains, bedding, pictures and ornaments. The students who showed the inspector their bedrooms were proud of them and pleased to show them to a visitor. One student asked if a further easy chair could be provided in the lounge as at present there are only four seats, so staff members had nowhere to sit if they were spending time in there with the students. Consideration should be given to this suggestion. All areas of the home inspected were clean and tidy. Students are responsible for cleaning their own bedrooms, helped by staff, and jointly responsible for keeping communal areas clean. All students have been risk assessed with regard to using cleaning fluids and equipment.
8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 19 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Friendly and professional staff meets students’ needs. EVIDENCE: There is always a member of staff present when students are in the home. A senior member of staff (either the Acting Manager or a manager from the College) is on call 24/7 and lives within five minutes of the home. The staff on duty at the time of the inspection appeared to have excellent relationships with the students. In discussion they were knowledgeable about the students’ needs and understood the importance of enabling them to lead independent lives. Students’ comments about the staff included: ‘The staff are funny – they make me laugh.’ ‘If you need help or are worried you can go to the staff.’ ‘The staff are great.’ Staffing levels are increased one night a week when students take part in different activities outside the home. However on other nights and at weekends, students must go out in a group, as on most occasions there are not enough staff to allow them to split into smaller groups or take part in
8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 21 individual activities. (Please see ‘Individual Needs and Choices’ and ‘Recommendations’). Recruitment is carried out by the College and a thorough procedure is in place to help to ensure the people who work with the students do not put them at risk. The Acting Manager said that in selecting staff great emphasis is placed on choosing people who understand the need to enable students to live independent lives. She commented, ‘We are look for open-minded people who will treat the students with dignity and respect, rather than smother them or treat them like children. Our staff need to now how to protect the students and at the same time enable them, and also understand the purpose of our service which is to move people on.’ When staff are appointed they are allowed to start work under supervision following a successful POVA/POCA check. Once they have CRB clearance they are allowed to work unsupervised providing they have completed the necessary training. All new staff undergo a six-week induction, a LDAF foundation course, and NVQ Level 2. This is followed up with ongoing training provided both at the College and at outside venues. Courses include autism, report writing, and challenging behaviour. Staff have formal appraisals/supervisions every six months with the Acting Manager. 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Students live in a home that is safe and well managed. EVIDENCE: The Acting Manager has been with the College for 12 years and is a Registered Manager at one of the other homes attached to the College. She said she is in the process of applying to become the Registered Manager of Thorndale Road. Students’ views are central to how the home is run. They are consulted formerly every six weeks when they are asked if they are happy with the service and whether they have any problems or concerns. Their views are recorded and action taken if any areas of the service are not meeting their needs. In addition there is a students meeting at Thorndale Road every Sunday night. Here they can talk about any aspect of the service and made comments and suggestions. 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 23 Relatives/representatives are also encouraged to give their views on the service and are invited to visit at any time, talk to staff if they have any concerns, and attend reviews. Health and safety is a priority in the home and the premises have been risk assessed by the College’s designated health and safety officer. A quality assurance folder is used to keep track of the testing and maintaining of the premises and the equipment used there. Clear guidance is given to staff about safe working practices. 8 Thorndale Road (Homefield College) DS0000001671.V314334.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 X 2 4 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 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 4 X 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 YA7 Good Practice Recommendations It is recommended consideration is given to building more flexibility into the staffing rota so that if a student does not wish to take part in the chosen activity they do not have to. It is also recommended that the fixed time in the evening when students must go to their rooms is reviewed as it limits students’ choice. 2 YA24 It is recommended that consideration is given to a student’s suggestion that a further easy chair be provided in the lounge so staff members can sit comfortably with the students. 8 Thorndale Road (Homefield College) DS0000001671.V314334.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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