CARE HOME ADULTS 18-65
Arbour Street, 53 53 Arbour Street Southport Merseyside PR8 6SQ Lead Inspector
Mrs Elaine White Unannounced Inspection 13th October 2005 09:30 Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 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 Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 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. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Arbour Street, 53 Address 53 Arbour Street Southport Merseyside PR8 6SQ 01704 532441 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) Speciality Care (Rest Homes) Limited Mrs Jean Mulhearn Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 4 Date of last inspection 13th October 2004. Brief Description of the Service: 53, Arbour Street is a large semi-detached property, which has been converted into a small care Home, which provides personal care and support for up to 3 residents with a learning disability. 2 residents were present throughout the inspection. 1 resident has moved onto a further placement. The home is registered as a ‘home for life’ with Speciality Care (Rest Homes) Limited, and is managed by the acting manager Mr Werner Myburgh. The home is yet to appoint a registered manager who has been approved by the Commission of Social Care Inspection. Margaret Hill is the Regional Director and Responsible Individual. The home is situated in a residential area, which is located close to the town centre of Southport. The local amenities are accessible via local transport services and include cinema, swimming pool, shops, pubs, restaurants and parks. The home provides a homely domestic setting for the 2 young adults resident. Each has their own bedroom and communal facilities include two lounges, dining area and kitchen. Minimum of 2 care staff, provide support at present, however the staffing levels are to be reduced as from Monday 17th October 2005, in view of only 2 residents placed in the home. Each residential placement is based on an individual needs assessment, individual care plan and activity programme. SERVICE INFORMATION
Conditions of registration: 1. 2. Service users to include up to 3 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over one day for duration of six hours. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. A tour of the premises took place and the 2 residents were present and spoken with. General observations were made throughout the inspection. Care records and other home records were viewed and discussion took place with the acting manager and a member of the care staff. Comments were obtained from a relative on the care and support provided. What the service does well:
The residents are presently provided with support from 2 care support workers however this is to be reduced to 1 care worker as from 17th October 2005 and is to be monitored closely by the service provider. The support workers are to consist of all male staff. The home is comfortably furnished and spacious. Each resident has their own room and there are two communal lounges available, a dining area and kitchen, which provide sufficient space for the residents accommodated. An activity programme is in place, which provides access to the facilities in the local community. One of the residents uses the home’s computer however the provision of his own personal computer would enable him to have unlimited access and develop his skills. Residents are encouraged to maintain contact with family members and one resident regularly visits his mum for short breaks and has contact via the home’s telephone. A relative spoken to said, “My son visits me for one night every 8 weeks and he is always happy to go back to Arbour Street. I ring him every other night”. Reviews viewed confirmed that the relatives are satisfied with the care and support provided. Care plans are reviewed monthly and signed by the acting manager and updated to reflect changing need. Risk assessments are in place and a protocol for staff is in place in view of the residents learning disability needs. Health care needs are recorded and access to health care professionals is available. Residents and staff meetings take place to discuss the day-to-day running of the home and are recorded. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 6 One relative commented, “I have seen improvements since Werner (acting manager) has been in place. The home has always been nice but now it is clean. I called in today and it was immaculate”. The home achieved the home of the month award from Craigmore Care in June/July 2005. What has improved since the last inspection? What they could do better:
The 2 young adults resident have activity programmes in place, which confirms they have access to the facilities of the local community. Both residents benefit from a structured and varied plan and staff feel that this is restricted due to
Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 7 the limited access to the transport provided by the college. This would enable the residents to access activities outside the Southport area. The residents are both in long-term placements and are yet to receive a holiday outside the home, which they should help to choose and plan. A full tour of the premises highlighted areas of improvements, which are required to improve the standard of the home. These include - replacement of furnishings, decoration and repairs addressed. These are highlighted within the body of the report. The rear garden wall needs resurfacing and a front gate fitted. Medication records checked showed that omissions had been made in administration. This was brought to the attention of the manager and recommendations and requirements made to improve the safe handling of medication at the home. Discussion with staff on duty and one relative raised an issue that staff employed who speak English as a second language can cause difficulties around communicating the needs of the residents, dealing with emergencies, relatives and other professionals. One relative said, “If they can’t communicate with me how can they communicate with the residents”. “Staff interviewed said, “Staff with communication difficulties are often recruited and this can be a problem especially when relatives ring ”. Both residents have communication difficulties. There is an ongoing staff turnover, which fails to provide continuity of care. 4 managers have been employed in the past 3 years. Staff interviewed commented, “Staff often leave and are not replaced”. The home should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Discussion with the manager confirmed that the home aims to provide a ‘core’ group of male staff when they are reduced to one carer. Staff interviewed commented, “It would be great” if the residents were to become involved in the recruitment and selection of staff. 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. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 8 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 Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 9 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. The home’s statement of purpose is not up to date and fails to outline the services provided. Assessment documentation is in place to ensure the home can meet health and general needs of prospective residents. EVIDENCE: Current residents have lived at 53, Arbour Street for many years and there have been no new admissions to the home since the last inspection. Their needs are continually assessed to update their plan of care. The assessment covers health and personal care, risk assessments, social background and likes and dislikes. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 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): 6,7,8,9,10. Residents health, personal and social care needs are addressed in care plans and the health care needs are met effectively. Residents are involved with decision making in the home through reviews and resident meetings. They choose how they wish to spend their day and risk assessments are in place to support their lifestyles. Information is securely stored to ensure confidentiality. EVIDENCE: Residents’ care files record their health and general care needs. Files were organised and easy to read. Care plans evidenced ‘pen portraits’ regarding all aspect of personal care, health and general needs, communication and behaviour. Skin care, hygiene, sleep pattern, weight and nutrition are recorded. An annual health check is also completed. The information recorded had been reviewed regularly. A file viewed also evidenced a formal review conducted recently with the resident, acting manager, relative and social
Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 11 worker. The review confirmed their satisfaction with the care provided. Residents and staff were seen to communicate effectively. Resident meetings take place and minutes were seen. Residents are included in deciding menus and activities. Policies on confidentiality are in place and records securely stored. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 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): 12,13,14,15,16,17. Residents’ leisure pursuits and access to facilities and opportunities should be extended based on their assessed needs and interests. Staff provide support to maintain contact with relatives, friends and peer groups. A variety of nutritious meals are provided in a relaxed environment. EVIDENCE: Activities provided within the local community include, golf, cinema, bowling, walks, resource centre and shopping. Staff and residents spoken to and photos viewed confirmed their enjoyment of these. Staff commented that activities are restricted to the local area. The use of the college transport is not always available to provide the resident’s access to activities outside the local area. When transport was available the residents enjoyed a trip to the safari park. The reduction in the staffing levels may lead to a restriction in the choice of activities the residents participate in as each resident requires supervision outside and they will be unable to access these individually. This will need to
Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 13 be taken into account by the management when monitoring this staff reduction. Residents mix with peer groups at the weekly disco and often visit other ‘houses’ where their friends live to have Sunday lunch. Residents are encouraged to maintain contact with their relatives. One resident is in regular contact by phone and spends short breaks with his mum. His relative was spoken to and confirmed, “My son visits me every 8 weeks and I ring him every other night”. One resident uses the home’s office computer and would benefit from having one for personal use. Staff commented that this “would help to develop his skills”. The residents are unable to seek employment due to their learning disability. A varied and nutritious menu is in place and alternatives provided. The residents help to shop and prepare meals. Meals are provided in a relaxed and comfortable dining room. The home was well stocked with plenty of fresh food. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 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. Staff provide personal care and support in a respectful manner. Resident’s health needs are assessed, planned and met effectively within a plan of care and residents have access to their own GP and other health professional where appropriate. Medication procedures need to be more robust to ensure safe handling of medication. EVIDENCE: Care files viewed evidenced visits by GPs and other community based services and health professionals. The residents receive prompting and guidance from staff regarding their personal hygiene. Care plans evidence short, medium and long-term targets are set, which are reviewed regularly. Residents’ weights are recorded and monitored. A protocol is in place for staff to follow in view of the residents’ learning disability and their need for routines to be followed. Medication policies and procedures are in place however medication sheets checked showed that an administration had been signed for but the dose was not given. This was brought to the attention of the acting manager during the
Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 15 inspection and is included in the requirements of this report. The induction programme includes medication advice, however further training in safe handling of medication is recommended. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 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. A complaints procedure is in place. The home has abuse policies and procedures to safeguard the residents and staff. EVIDENCE: The complaint procedure is displayed in the home. No complaints have been recorded since the last inspection. The home has an abuse policy and POVA (protection of vulnerable adults) training is now included in the home’s training plan. Staff spoken to confirmed their understanding of the complaints and abuse procedures. Comments included, “I wouldn’t hesitate to report any incident”. One staff member wished to express that if there are staff concerns and these are brought to the attention of the management “they don’t follow them up”. This is highlighted within the recommendations of this report and is the responsibility of the management to follow these issues through with the staff concerned. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30. The home is comfortable, spacious and clean. Repairs and improvements should be addressed improve the standard provided. EVIDENCE: Arbour Street is a converted house. The home has three bedrooms, two lounges, dining room, kitchen, staff room, staff bathroom and residents’ bathroom. The bedrooms have personal possessions including electrical equipment, pictures and photographs. New furniture has been provided for one resident and two new beds purchased however a new armchair and decoration is required for the other residents’ room to improve the standard. The landing is in need of decorating. One lounge has comfortable armchairs, TV and DVD player, however the carpet is in need of replacement. The second lounge would benefit from a new carpet and comfortable chairs. Meals are served in the spacious dining room. Radiator covers are in place in some rooms and this work is ongoing. Discussion with the manager confirmed that repairs and maintenance have been reported and are yet to be addressed. These include – boiler repair, new sinks and bath taps in staff bathroom, as both are leaking and this is draining the water system. The leak in resident’s bathroom needs repairing as this is affecting the staff bathroom lighting, which is not working. The staff bathroom
Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 18 is in need of decoration in view of this. The window is in need of replacing in the ‘drying’ room to provide ventilation, as recommended in the fire report. This room also needs decorating. There is a small garden to the front and an enclosed garden to the rear. A front gate is yet to be replaced and the rear garden wall needs resurfacing. The staff have made improvements in tidying up both gardens since the last inspection. The front door is kept locked for security purposes. The residents do not have keys to their rooms or the home. Staff and residents tend to the laundry daily and also carry out housekeeping duties. All areas were very clean. A relative commented, “The home is immaculate since Werner has taken over as manager. It is a very nice house”. Fire drills take place and records kept. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 19 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): 32,35,36. Sufficient numbers of staff are presently working to meet the needs of the residents. Training is given to staff to ensure they are competent in their role. Staff employed who speak English as a second language can cause difficulties around communicating the needs of the residents, dealing with emergencies, relatives and other professionals. Supervision is in place for staff employed. EVIDENCE: Discussion with staff and acting manager confirmed that there have been concerns raised regarding staffing issues at the home. Staff spoken to say these are yet to be addressed by the management. Records viewed demonstrated that staff employed have raised concerns regarding lack of responsibilities undertaken by the staff. Discussion with staff on duty and one relative raised an issue that staff employed who speak English as a second language can cause difficulties around communicating the needs of the residents, dealing with emergencies, relatives and other professionals. One relative said, “If they can’t communicate with me how can they communicate with the residents”. “Staff interviewed said, “Staff with communication difficulties are often recruited and this can be a problem especially when relatives ring ”. Both residents have communication difficulties. Records viewed and discussion with staff confirmed supervision is in place.
Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 20 2 staff are presently employed to cover the home, however this is to be reduced to one on the 17th October due the reduction in residents from 3 to 2. The staff are to consist of a small core group of 4 male carers. The acting manager confirmed that this is to be monitored closely by the management. A relative commented on the reduction in staffing levels, “I will only have concerns when Werner is not there”. A training programme is in place and discussion with staff confirmed this. Staff spoken to and records viewed confirmed supervision is in place. Staff meetings are held and records maintained. One member of staff commented, “Werner is excellent and provides lots of support”. Staff personal records were not viewed at this inspection as they are stored centrally and will be requested for viewing at the next inspection. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 21 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): 37,38,40,41,42,43. Policies and procedures are in place, reviewed annually and are available to staff. General records are maintained to ensure the health, safety and welfare of the residents, however an up to date electrical certificate but be obtained. The home is yet to appoint an experienced, qualified manager who has been approved by the Commission for Social Care Inspection. The acting manager creates a positive and inclusive atmosphere. EVIDENCE: The home is yet to appoint a manager who has been approved by the Commission. There have been 4 managers employed in the home over the last 3 years. A resident and a member of staff interviewed spoke positively regarding the present acting manager. “Werner is excellent”, (Staff). “Werner is wonderful”, (Relative)”. Since the last inspection the manager has improved the organisation of the records and the hygiene standards of the home. Safety contracts for gas, portable appliances, insurance and fire prevention equipment are in date. The electrical certificate was found to be out of date. An up to date
Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 22 one must be supplied and a copy of this forwarded to the Commission. Fire alarms are tested weekly ‘in house’ and staff receive fire awareness training and drills. Risk assessments are in place and kept up to date. Accident records are maintained. The inspector was informed that an incident took place in June 2005, which involved a member of staff and a resident. No notification has been received at the Commission to confirm this. The home is required to notify the Commission of all serious incidents. Meetings are held regularly for staff and residents to voice their opinions. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 23 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 2 3 2 3 2 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Arbour Street, 53 Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 3 2 3 DS0000005233.V259421.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4 Requirement The home shall provide a statement of purpose stating the aims and objections of the home (This requirement is outstanding from the last inspection). The home shall ensure that all medication is recorded when administered. The home shall ensure that the repairs are completed, these include – leak in residents bathroom, (which is affecting the staff bathroom and electrics) repair boiler, leaks in staff bathroom taps (which is draining water system) and repair rear garden wall surface. The home shall ensure that furnishings are replaced and decoration is made to improve the standard provided, these include – radiator covers fitted throughout, new armchair in residents bedroom and furniture in small lounge, new carpets in lounges, replace window in ‘drying area’ for ventilation, and decorate landing, staff bathroom, kitchen and
DS0000005233.V259421.R01.S.doc Timescale for action 31/12/05 2 3 YA20 YA24 13 23 30/11/05 31/12/05 4 YA20 23 31/03/06 Arbour Street, 53 Version 5.0 Page 25 5 YA37 9 6 7 YA42 YA42 23 37 1residents bedroom. Replace cracked kitchen tiles and chipped worktop. Fit front garden gate. The home must appoint a 31/12/05 manager who has been approved by the Commission for Social Care Inspection (This requirement is outstanding from the last inspection). The home must provide an up to 30/11/05 date electrical certificate. The home should notify the 30/11/05 Commission for Social care Inspection any serious event. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 8 Refer to Standard YA8 YA12 YA14 YA14 YA14 YA20 YA22 YA32 Good Practice Recommendations The residents should take part in the recruitment and selection of staff. The residents would benefit from the purchase of a computer for their own use. The residents should have the option of a minimum 7-day holiday, which they help to choose and plan. Access to the college transport would enable the residents to take part in trips outside the local area. The reduction in the staffing levels should not restrict the choice and range of activities available to the residents. The staff should be provided with ‘safe handling of medication’ training. Employees should be confident that complaints made by them to the management are responded to. The recruitment and selection of staff should take into account their responsibility for communicating the needs of the residents, dealing with emergencies, relatives and other professionals. Arbour Street, 53 DS0000005233.V259421.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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