Inspection on 14/06/06 for 86 Travis Gardens

This inspection was carried out on 14th June 2006.

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

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

Other inspections for this house

86 Travis Gardens 22/11/05

86 Travis Gardens 03/02/05

86 Travis Gardens 30/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Snydale Care Home

Whitwood Hall

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

CARE HOME ADULTS 18-65 86 Travis Gardens 86 Travis Gardens Hexthorpe Doncaster South Yorkshire DN4 0DP Lead Inspector Valerie Hoyle Key Unannounced Inspection 14th June 2006 11:00 86 Travis Gardens DS0000053274.V296643.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 86 Travis Gardens DS0000053274.V296643.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. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 86 Travis Gardens Address 86 Travis Gardens Hexthorpe Doncaster South Yorkshire DN4 0DP 01302 859510 NONE NONE 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) Craegmoor Homes Ltd Ms Kay Bliss Care Home 12 Category(ies) of Learning disability (12), Physical disability (12) registration, with number of places 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To allow a named service user to remain at the home using an emergency stay bed. One specific service user over the age of 65, named on variation dated 26th April 2006, to continue to receive respite care at the home. 22nd November 2005 Date of last inspection Brief Description of the Service: The service provided at the home is in partnership with Doncaster Metropolitan Borough Council (owner of the property) and is managed by Craegmoor Healthcare Services. The home provides a respite service for up to twelve adults with a learning disability including those with a physical disability who require personal care. Service users can have up to 42 nights respite a year and the admission can be booked up to three to four months in advance. The home is a modern purpose built building situated within a small complex consisting of two other quite separate establishments, one a resource centre for people with a learning disability and the other a long stay residential care service for adults with a learning disability. The accommodation comprises of 12 single bedrooms 8 on the ground floor and 4 on the first floor. There is no lift to the first floor and so only the more able service users are allocated a room on the first floor. Information gained on the 14th June 2006 indicates that the current fees are £566 per week. Additional charges include some meals whilst out of the home and personal toiletries. The home provides information to guests and their relatives prior to admission into the home. Service Users Guides are available on request from the manager. The last published inspection report is available on request and a copy is available in entrance for visitors to read. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over 6 hours where a partial tour of the building was undertaken. The inspector examined two guests (service users) care plans and supporting documentation. Three staff and five guests was spoken to during the visit. The registered manager assisted with the process while examining records, policies and procedures. Seven of the twelve registered beds were occupied during this visit. A guest who had been admitted as an emergency stay occupied one of the beds. The registered manager has provided information via pre-inspection questionnaire and a number of CSCI ‘have your say’ questionnaires were sent to guests in their own homes to gain their views on the service. However none had been returned at the time of the visit to the service. One relative was spoken to on the telephone to gain their views on the respite services provided at the home. What the service does well: The home provides a valuable service to guests and enables their carers to take a welcome break. Guest said they always enjoyed their stays at Travis gardens, in particular meeting new friends and spending time in the pursuit of leisure activities. Two guests said they enjoyed going out for a pizza together and going to the bowling alley. Assessment of guests ensure appropriate care is provided and arrangements for guests to visit prior to their stay is important to enable them to meet other guests for tea, and see the room they will be occupying. One guest said they liked to arrange their stay to coincide with a friend so they can spend time together. Staff have the skills and knowledge to skills to support guests during their stay at the home including attaining above the required 50 NVQ qualified to levels two and three. The staff team is well motivated and have worked at the home for a good length of time. Staff spoken to say they are working together to improve the experience of the guests who visit the home, including revising guests care plans. The manager is well respected by the guests and staff and she sets high standards to promote the rights and choices of individuals. She has the skills and knowledge to manage and support staff, and continues to work towards achieving the required management qualifications. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 86 Travis Gardens DS0000053274.V296643.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 86 Travis Gardens DS0000053274.V296643.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 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. The Statement of Purpose is currently being updated, to include additional information and reflect changes to key personnel. Information is made available to service users (guests) prior to admission and they are encouraged to visit the home and meet other guests. Service users (guests) are not admitted into the home without a full needs assessment taking place by the registered manager, to ensure their needs can be met. EVIDENCE: The registered providers are currently updating the Statement of Purpose to include details of the use of emergency beds. It includes procedures for the monitoring of guests who use this service (emergency stays). The registered provider has agreed to limit the amount of emergency beds so that planned stays are not affected. The revised Statement of Purpose must include the details of the newly appointed Responsible Individual and consider how the information could be developed to make it more user friendly, including pictures for those who may find reading the written word difficult. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 9 The service users guide provided to all guests could be improved and the manager said she was looking into ways to be more specific to respite services. There is a comprehensive assessment used to assess the needs of prospective guests who spend time at the home. Two assessments and discussion with staff confirmed this arrangement. Any assessment by staff is carried out with skill and sensitivity. The service is highly efficient in obtaining a summary of any assessment undertaken through the care management arrangements and insists on receiving a copy of the care plan. New guests are always encouraged to visit the home for tea and meet other guests and staff before making decisions about if they want to use the respite services. Staff are qualified and skilled to meet the specialist needs of a prospective guest. Staff are well briefed on the needs of new guests. Each care plan reflects the needs of the individual taking into account their cultural, religious and social preferences where this is appropriate. 86 Travis Gardens DS0000053274.V296643.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, 9 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, examination of documents and discussion with staff. The home continues to promote philosophies to enable guests (service users) to meet their full potential, with care plan instructions and comprehensive risk assessments to maximise their safety and protection. Guests are supported and encouraged to make decisions about their lifestyles ensuring continuity from time spent at Travis Gardens and their own homes. EVIDENCE: The service has a strong belief that it is essential to involve guests in the planning of care that affects their lifestyle and quality of life. Each guest has a care plan that has been agreed with him or her. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 11 Staff said they are continuing to make improvements to how the plan is written ensuring it supports the guest while they are staying at the home. Two care plans examined confirmed that improvements have been made, although the plans were a little difficult to follow and could be improved by separating the file, keeping the most up to date information as a working file. The home has regular contact with relatives before each stay to ensure any changes to support guests can be implemented. One relative spoken to prior to this visit said the care provided at the home was very good and staff were kind. The registered manager said it is hoped that person centred plans will be shortly introduced and these will be in a format appropriate to the individual. The plan also includes a risk assessment. Areas have been identified where staff are willing to support guests to take some risks, which may have an impact on their rights. Staff have skills and ability to support and encourage guests to be involved in the ongoing development of their plan and make the process interesting, one guest said she/he knew how the information helped staff to understand what help she/he needed during their stay at the home. 86 Travis Gardens DS0000053274.V296643.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, 15, 16, 17 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, discussion with relatives, guests and staff Social and leisure activities are provided at the home for guests, to maintain and develop independent living skills, supported by an informed staff group. Guests are helped to maintain links with family members and follow routines outside of the home, although relatives usually take the opportunity to take a holiday break, while guests are in Travis Gardens. Dietary needs of guests are well catered for with a varied selection of food available that meets resident’s tastes and choices. EVIDENCE: The manager provides transport to help guests pursue leisure activities outside of the home during their respite stay. Bowling and trips to the pub for a meal were popular with the current guests at Travis Gardens. One guest was looking forward to going out with his/ her father for tea. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 13 Two guests, who generally arrange their stays at the same time, said they had enjoyed going out for a pizza for their lunch. Staff confirmed arrangements to integrate guests into the community and said it was an important to offer this service, so that they are able to develop social skills. Information provided on the pre-inspection questionnaire indicates guests can participate in outings to the coast, shopping trips and outings to the local pub, and bowling. The provision of respite care at the home means that guests return to their families after their stay, and therefore staff are aware of the importance of maintaining routines to ensure continuity of care for when they return to their own home environment. Guests are encouraged to help with tasks around the home such as laying the tables for meals and helping clear away the pots and help with the dishes. The inspector observed guests returning from day centres and settling into routines including having an evening meal. Several choices were offered including a hot and cold meal. 86 Travis Gardens DS0000053274.V296643.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, 20 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, examination of documents and discussion with staff. Staff provides sensitive personal support to ensure privacy dignity and independence is maintained for all guests. Medication policies and procedures are generally well managed and staff have the necessary skills to administer the medication to guests. EVIDENCE: Guests retains their own GP whilst staying at the home, although an emergency arrangement can be made if needed. Records examined and discussion with the senior on duty confirmed guest’s healthcare needs are met. Guest are escorted to medical appointments by staff and comprehensive records are completed ensuring information is shared with those who care for the individual. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 15 The home strongly promotes independence and those residents assessed as being able are encouraged and facilitated to keep, and take their own medication. Guests and their carers are responsible for ensuring that sufficient medication is sent to the home while receiving respite. The home has a sustained record of full compliance with the administration, safekeeping keeping and disposal of controlled drugs. Care staff have the required accredited training. The need to respect guest’ privacy and dignity when delivering health and personal care is a key principle of the homes aims and objectives. Staff are aware that this also applies to all areas of the guest’s life. Guests are consulted and can decide which staff members they want to help them with their personal care. The staff group is balanced to enable choice of male, female and age related preferences. 86 Travis Gardens DS0000053274.V296643.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, 23 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Guests are provided with information to enable them to raise concerns about the home and their care. Adult Abuse Policies and procedures and training of staff on abuse ensure the protection of guests from abuse EVIDENCE: The service has a complaints procedure that is up to date, very clearly written, and is easy to understand. It can be made available in a number of formats (on request) to enable anyone associated with the service to complain or make suggestions for improvement. The complaints procedure is widely distributed, and has a high profile within the service. Guests and others associated with the home demonstrate a good understanding of how to make a complaint and they are very clear of what can be expected to happen if a complaint is made. Unless there are exceptional circumstances the service always responds within the agreed timescale. The policies and procedures regarding protection of guests are of a high quality and are regularly reviewed and updated. The service is clear when incidents need external input and who to refer the incident to. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 17 Training of staff in the area of protection is regularly arranged by the home. There are a low number of referrals made as a result of lack of incidents, rather than a lack of understanding when incidents should be reported. 86 Travis Gardens DS0000053274.V296643.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, 30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, including a tour of the building. The home provides a generally well-maintained safe environment suitable for guests, although the dishwasher requires urgent repairs to prevent the possibility of accidents due to using very hot water to sterilise crockery. The home provides a clean and hygienic environment to maintain the health and safety of guests. EVIDENCE: A partial tour of the building found it clean and free from odours. The home provides a number of rooms to enable guests to pursue life skills, including two main lounges and dining facility. All rooms are well equipped and bedrooms meet the spatial requirements. The registered manager said some decoration to bedrooms is now needed and this will take place on a rolling programme. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 19 The registered manager said the dishwasher in the kitchen is out of order and requires replacing. It is essential to the health and safety of guests that this equipment is replaced, as staff are currently having to sterilise all kitchen utensils using very hot water. This system is unsafe as the kitchen area is accessible to guests who may not understand the danger from hot water. The registered manager must ensure that a risk assessment is established to prevent harm to guests until a new dishwasher can be obtained. Some of the kitchen units are in poor repair and could endanger guests if drawers and cupboards are unsafe. Attention is also required to areas where the laminate is raised resulting in an unhygienic surface. This requires the attention of the owners of the premises. The home stands within a small complex and has an enclosed area that is lawned and has seating available. 86 Travis Gardens DS0000053274.V296643.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, 35 Quality in this outcome area is excellent. The judgement has been made using available evidence including a visit to this service, and interviews with staff. Staff have the skills and knowledge to fulfil their roles within the home. A stable staff group ensures continuity of care by staff that knows the guests. Recruitment policies are followed ensuring the safety and protection of guests. EVIDENCE: Staff rotas examined demonstrated there is sufficient staff to meet the needs of service users. The registered providers have responsibility for ensuring references and CRB checks are obtained prior to commencement of employment. Examination of staff files demonstrated all the required checks had been obtained. The registered manager is currently recruiting two new care assistants to ensure adequate cover can be maintained. There is a senior structure in place with a manager, deputy and senior carers on each shift. The remaining staff are designated as support workers. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 21 Staff is encouraged to register and undertake formal NVQ training and the senior carers have attained NVQ level 3. Staff are commended for attaining the required 50 NVQ qualified staff. A training matrix is used to demonstrate staff receives statutory training to enable them to meet the complex needs of guests. The service sees induction and any probationary period as being an extension of recruitment. There is little use of any agency or temporary staff but where they are used there are well thought out systems for their induction and support. The registered providers have recently introduced a new induction programme, and the manager intends to test the programme on all new staff. 86 Travis Gardens DS0000053274.V296643.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, 42 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the guests. The registered manager is able to demonstrate that they actively seek the views of guests. Staff and guests follow health and safety procedures and records provide evidence of servicing of essential equipment. EVIDENCE: The manager continues to work towards attaining the required qualifications and is experience and competent to run the home. She works to continuously improve services and provide an increased quality of life for guests. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is service user focused and leads and supports a strong staff team who have been recruited and trained to a high standard. 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 23 The manager is aware of current developments both nationally and by CSCI and plans the service accordingly. A quality assurance survey is undertaken by the home every twelve months to gather the views of guests and their families. The registered providers collate the data and return it with information about how the service is viewed. Examination of the surveys and discussion with the manager demonstrates an understanding of quality assurance methods, although there was no clear evidence of how the results of the surveys are published, or where improvements to the service is needed. The registered manager may want to consider developing a stakeholder survey that is specific to those who use respite services. The survey should be written in a format that is suitable for service users who have a learning disability, and may have difficulty understanding the written word. The home works to a clear health and safety policy, all staff are given a copy, and regular random checks take place to ensure they are working to it. The home has a good record of meeting relevant health and safety requirements and legislation. Records are of a good standard and are routinely completed. Where issues have been identified, for example, in care plans, these have been acted upon successfully to ensure guest care is not compromised. Guests are aware of safety arrangements and have confidence in the safe working practices of staff. 86 Travis Gardens DS0000053274.V296643.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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X 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 2 X 3 X X 3 X 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 23 Requirement The registered provider must replace the broken dishwasher to ensure the safety of guests The registered manager must ensure that a risk assessment is established to prevent harm to guests until a new dishwasher can be obtained. The registered provider must ensure that the kitchen units and laminate surface repaired and in good working order 2 YA37 9 The manager must achieve NVQ4 in management and care. 01/10/06 Timescale for action 01/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA1 Good Practice Recommendations The registered provider should consider making information available to guests more user friendly DS0000053274.V296643.R01.S.doc Version 5.2 Page 26 86 Travis Gardens 2 YA39 including the Statement of Purpose and Service Users Guide The registered manager may want to consider developing a stakeholder survey that is specific to those who use respite services. The survey should be written in a format that is suitable for service users who have a learning disability 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 86 Travis Gardens DS0000053274.V296643.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!