Inspection on 29/08/06 for Althea Park House

This inspection was carried out on 29th August 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Drake Lodge Care Home

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

CARE HOME ADULTS 18-65 Althea Park House 51 Stratford Road Stroud Glos GL5 4AJ Lead Inspector Mr Adam Parker Announced Inspection 29th & 30 August 2006 09:30 th Althea Park House DS0000063826.V311365.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 Althea Park House DS0000063826.V311365.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. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Althea Park House Address 51 Stratford Road Stroud Glos GL5 4AJ 01453 767096 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) Althea Park Specialist Services Ms Susan Mary Simmons Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home accommodates people only between the ages of 15 and 21. No service user under the age of 18 years shares a bedroom with any service user over the age of 18. Any bedrooms that are shared must be through the choice of the individuals involved and consent to do so be written into service user placement plans. The Manager of the home must provide a monthly update of admissions and discharges to the home including name and date of birth. This is the first inspection as an adult care home. Date of last inspection Brief Description of the Service: Althea Park House is a care home with nursing which provides a specialist service for up to 8 female service users with eating disorders. The home provides for service users who have usually had experience of treatment in other settings. The home uses a multi-disciplinary team to offer a therapeutic approach entitled ‘Therapy in the Living’ which is used alongside other more widely recognised interventions for eating disorders. The home provides a variety of communal space and outbuildings are available for therapeutic work. At the rear of the home is the Althea Park Education Unit which is registered and inspected with Ofsted. The home is situated just outside of the centre of Stroud. The home is also registered with the Commission for Social Care Inspection as a Children’s Home. This report relates to the home’s registration as a Care Home for adults and is the first inspection following registration in 2005. Current fees are £3275.00 per week paid by placing authorities with no additional costs to service users. The home makes information about the service, including CSCI reports available to service users through a service user guide and statement of purpose available in the home. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. As well as a visit to the service over two days, comment cards were received from a General Practitioner, a service user’s relative and staff in the home. In addition a visit was made to the local office of the provider to check recruitment files and training information. What the service does well: What has improved since the last inspection? Not applicable, this is the first inspection. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Althea Park House DS0000063826.V311365.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 Althea Park House DS0000063826.V311365.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 good. This judgement has been made using available evidence including a visit to the service. Service users have a full assessment completed prior to admission in order to ensure that the home can meet their needs within the specialist therapeutic care provided. EVIDENCE: The care files for two service users were examined. They had been admitted to the home prior to its registration as an adult care home. Comprehensive information had been obtained prior to admission from funding authorities and from a previous placement. This included a hospital discharge summary and documentation about Care Programme Approach arrangements. Current practice with regard to assessments was discussed with staff and management of the home and an example was seen. This involved a written summary of the home’s own assessment and outlined the reasons why the service user would benefit from a placement in the home. The home does not admit service users who are self-funding. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Service users are regularly and actively consulted about their care plans to ensure that their needs and personal goals are met in line with the therapeutic care given in the home. Service users are actively supported by staff to make decisions about their lives within any limitations of their therapeutic care. Service users are supported to take risks in line with their therapeutic care and following thorough risk assessment and planning. EVIDENCE: Service users had comprehensive care plans for their current needs. These plans had been drawn up with the involvement of the service user and were individualised and specific to needs. In line with the service provided care plans addressed needs such as meal support as well as education and work opportunities. In addition care plans were linked to any relevant risk assessments. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 10 Plans were reviewed on a regular basis with the involvement of the service user. The process enabled the service user to discuss any issues that that they may have, bringing an agenda to the review meeting. One example seen was signed by the service user. Service users make use of a review book as a means of recording issues that they may wish to raise at a review meeting. Where appropriate, planning linked in with the Care Programme Approach (CPA) process and there was evidence of service users being fully involved in this. Examination of care planning documentation showed that service users were supported to make decisions about their lives particularly in areas such as education, employment and relationships with people outside of the home. One recorded example showed how a service user had been supported in making a decision about a holiday. During the inspection visit staff were providing service users with information and support to make decisions about their lives. Any limitations on service users’ choice was documented and was in line with the therapeutic care given in the home. All adult service users in the home manage their own finances. The home obtains full information about any identified risks to service users prior to admission, this leads to a thorough and robust assessment of all risks. Service users are supported to take responsible risks as part of their therapeutic care in line with risk assessments and care plans. One example being where a service user had been provided with a personal alarm for use outside of the home. Documentary evidence was seen of how the home responded to the unexplained absence of a service user in line with written procedures. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The home’s therapeutic programme encourages service users to take part in appropriate activities in the local community in order to build self-esteem and aiding recovery. Service users are able to maintain relationships with family members and form new relationships with people outside of the home. Within the limitations of therapeutic care provided service users’ rights and responsibilities are recognised and respected. In line with the nature of the service provided, service users’ nutritional needs are catered for through thorough assessment, planning and involvement. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 12 EVIDENCE: Service users are supported to pursue education and to take up opportunities for work in line with their care plans. One service user had completed a college course and had been working part-time in retail. Another had been supported with issues around leaving one job and finding another. Service users are able to use the facilities and support provided by the Althea Park House Education Unit situated at the rear of the home and this has resulted in successful results with examinations. Service users are encouraged to make use of facilities in the local community. One service user was using the leisure centre, which is situated close to the home, on a weekly basis. Service users also make use of public transport with a bus route running by the home and access to rail transport in Stroud. Staff are able to support service users on a flexible basis where required including evenings and weekends. Evidence was seen in care plans of good practice in relation to service users being supported to maintain family relationships and to meet people and form relationships outside of the home. Doors to service users’ rooms are fitted with a lock for privacy although this can be overridden by staff in the event of an emergency. Service users have access to all communal areas of the home and the garden. Service users are responsible for cleaning their own rooms and for doing their own laundry. In the past some service users keep rabbits as pets and although this is not current practice, the home has facilities such as hutches and runs should these be needed. The home places great emphasis on providing service users with a healthy and nutritious diet. All menus for service users are individualised with service users having involvement in planning these on a weekly basis. There are three meals and three snacks provided in a day with the main meal being a unit meal based on a choice of two meals, another option is available if the unit meal has a service user’s recorded food dislikes in it. Meals are usually taken in the dining room which is large enough to accommodate staff providing support according to the individual service user’s plan. In some circumstances meals may be taken in other rooms in the home. Meals were observed to be well presented and were covered prior to serving. Individual preferences regarding the presentation of meals are recorded and provided for. Nutritional needs are assessed on an ongoing basis and any risks associated with low weight are thoroughly assessed and reviewed. Part of the therapeutic care provided is in seeking normalisation with eating and preparing food, one service user prepares her evening meal on six evenings a week. In this case the service user was provided with information Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 13 to follow in relation to calorie content to ensure that the meals are sufficient to maintain weight. In addition records gave evidence of service users taking meals outside of the home in preparation for the time when they eventually leave. Althea Park House DS0000063826.V311365.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. This judgement has been made using available evidence including a visit to the service. Personal guidance or support is in line with any limitations set by service users’ therapeutic programmes. The health needs of service users are well met with service users encouraged to gain some independence in meeting these needs. Some improvements need to be made to the medication storage arrangements in the home in the interests of service users’ health. EVIDENCE: Consistency of support is ensured through designated key workers. Any restrictions on getting up, going to bed, mealtimes and activities are in line with service users’ therapeutic programmes and documented in care plans. The provider employs a specialist medical advisor who regularly visits the home and provides liaison with general practitioners where necessary. Evidence was seen in care plans of how service users are supported with any health issues including those not associated with an eating disorder. Service users are registered with a local GP practice and are encouraged to book and Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 15 attend their own appointments where appropriate. Service users can access a dentist based at the local health centre. The arrangements for medication storage, administration and recording were checked. Although some recording of storage temperatures had been done, this was sporadic and insufficient to determine if medication was generally being stored at the correct temperature although there were some temperatures recorded that were higher than required. The home has a cooling device in the medication storage room although this was not operating during the inspection visit. The recording of medication administration and of medication entering and leaving the home was in good order. Medication refusals by service users had been recorded consistently. Consent to taking medication had been recorded in care plans. It was noted that bottles of liquid medication had been dated on opening which is good practice. Some handwritten entries in medication administration sheets had not been signed or dated by the staff making the entries. Service users were self administering some or all of their medication following appropriate risk assessments. Staff administering medication have completed training in conjunction with the supplying pharmacist who also visits the home to examine medication procedures and produces a report. Althea Park House DS0000063826.V311365.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 . This judgement has been made using available evidence including a visit to the service. Service users have access to information about the complaints procedure should they need to access this so that their views are listened to. The policies and procedures of the home along with staff training ensure that service users are protected from abuse. EVIDENCE: Service users have access to the complaints procedure through the service users guide which is given to each of them on admission into the home. This includes a form on which to record a complaint. The home holds daily community business meetings where any issues can be discussed before they develop into problems and complaints. Where a complaint is received this is documented in a complaints log and one example of this was documented for a complaint from a service user in the home. Due to the dual registration of the home as a Children’s Home and a Care home, staff receive training in both child and adult protection issues. Information on local adult protection procedures and contacts would further enhance the ability of the home to deal with any such issues in the future. The home has policies for responding to suspicion or evidence of abuse. The home has a ‘whistleblowing’ policy in line with the Public Interest Disclosure Act 1998. In the past the provider has demonstrated how it responds to suspicion of evidence of abuse. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 17 Following some thefts at the home has improved the nature of secure storage for service users with a central but individualised storage facility available as well as lockable storage in service users rooms. Althea Park House DS0000063826.V311365.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. This judgement has been made using available evidence including a visit to the service. Service users have the benefit of living in a safe, comfortable environment which is domestic in character. The home is maintained in a clean and hygienic state in the interests of service users. EVIDENCE: A tour of the premises showed that the home had been well maintained with some recent redecoration in communal areas. Service users are consulted and play a large part in choosing the decoration of both individual and communal rooms with these consisting of a dining room, a lounge on the middle floor and two rooms on the top floor. In addition there are two outbuildings that may be used for therapy sessions or for communal purposes. A school operated by the provider is situated at the rear of the home. The premises of the home is in keeping with the local community and is situated just outside of Stroud, close to the leisure centre, college and a large park. A regular bus service into Stroud runs by the home. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 19 The home employs a cleaner for communal areas and service users generally take responsibility for cleaning their own rooms. A laundry is provided for the use of service users where they can also iron their clothes. On the days of the inspection visit the home was noted to be clean. Althea Park House DS0000063826.V311365.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 good. This judgement has been made using available evidence including a visit to the service. The home’s training programme ensures that service users are supported by appropriately trained and competent staff. Despite one shortfall in obtaining required information, service users are protected by the home’s thorough and robust recruitment practices. EVIDENCE: Staff starting work in the home have structured induction training lasting six weeks which is mainly based at the service providers offices in Stroud but also includes ‘shadow shifts’ at the home where the staff member is supernumerary to the staff team. Staff are issued with an induction pack, this is comprehensive and appropriate to the needs of service users in the home. While covering many of the areas in the Common Induction Standards for Social Care for adults it is not specifically clear how the induction covers the common induction standards and it is recommended that this should be made clearer in the document. Training and development is included in the home’s Quality Improvement Plan and all staff members have a training and development file. In addition training and development needs are identified in an individual performance and development review. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 21 Some staff have attended a national professional forum relating to eating disorders and have also attended international conferences on the subject. There is an ongoing training programme that enables staff to develop the skills and attitudes needed for working with the service users. In addition to this a regular clinical meeting is held where staff can discuss clinical issues and aid the development of the skills required for working with the service users. At the time of the inspection the home had achieved over 50 of care staff with a qualification at NVQ level 2 or higher and there were further staff currently undertaking the training. Positive comments were received from staff surveys sent to the home by the Commission regarding how the staff work as a team to meet service users’ needs. The home normally has robust recruitment practices with all required documentation and information being obtained prior to employment commencing. However with one example looked at, written verification about why an applicant had left a previous post in care had not been obtained. This shortfall was partly caused by the previous employer declining to complete the standard reference form supplied by the provider. Recruitment files are not held in the home but were checked on a visit to the offices of the provider in Stroud. Althea Park House DS0000063826.V311365.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. This judgement has been made using available evidence including a visit to the service. Despite recent changes in the management arrangements, service users have the benefit of living in a well run home. A quality assurance system is in operation, with service users’ views being sought for inclusion in the home’s quality improvement plan. In general the health and safety of service users is promoted and protected although there is a need for some further work in this area. EVIDENCE: The home has a registered manager although currently she is undertaking a service manager role with the provider. The current acting manager for the home is in the process of applying for registration with the Commission. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 23 The acting manager is a qualified occupational therapist and is currently undertaking an NVQ level 4 in management. She was previously a senior practitioner and deputy manager at the home. In addition she has experience of working in other eating disorders services in the past. The home has a quality improvement plan. This was conducted in response to a clinical governance audit conducted at the home in 2006. This did not include the views of service users although surveys have now been sent to them and should inform the quality improvement plan in the future. Surveys had been undertaken on behalf of the provider by an independent marketing group, this had been directed at authorities funding service users placements in the various care homes operated. Service users were told about the inspection in a meeting prior to the visit and the inspector had the opportunity to speak to one of the service users. Staff in the home receive training in relevant safe working practices with recent training in the areas of food hygiene and infection control. Heating and electrical systems and appliances had been serviced and maintained. Work had been done in the home by a specialist consultant regarding reducing any risks associated with Legionella. A risk assessment has not been completed relating to the security of the premises. Window restrictors are fitted to the windows in the middle and top floor of the home, these did not feature in any maintenance checks and it is important that these are checked on a regular basis. Althea Park House DS0000063826.V311365.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 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 N/A 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 N/A 3 X 3 X X 2 X Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 25 Not applicable 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 YA20 Regulation 13 (2) Requirement The registered person must ensure that medication storage temperatures are monitored sufficiently to ensure that appropriate storage temperatures are maintained. The registered person must ensure that all the information and documents specified in Schedule 2 of the Care Homes Regulations are obtained before a person is employed to work at the home. The registered person must ensure that regular checks are made on the functioning of window restrictors. The registered person must ensure that a risk assessment is completed regarding the security of the premises. Timescale for action 30/11/06 2. YA34 19 (1) (b) Schedule 2 30/11/06 3. YA42 13 (4) (c) 30/11/06 4. YA42 13 (4) (a) & (c) 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 26 No. 1. 2. 3. Refer to Standard YA20 YA23 YA35 Good Practice Recommendations Handwritten entries in medication administration records should be signed and dated by the staff member making the entry and the staff member checking this. The home should obtain information on local adult protection procedures and contacts. The staff induction pack should show where the induction process meets the Common Induction Standards for Social Care Althea Park House DS0000063826.V311365.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Althea Park House DS0000063826.V311365.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. 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