Inspection on 16/11/05 for Ashington House

This inspection was carried out on 16th November 2005.

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

Other inspections for this house

Ashington House 17/06/08

Ashington House 05/06/07

Ashington House 17/05/06

Ashington House 03/05/05

Ashington House 22/09/04

Ashington House 29/04/04

Ashington House 06/01/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Ashington House 402 Malden Road Worcester Park Surrey KT4 7NJ Lead Inspector James O`Hara Unannounced Inspection 16th November 2005 09:50 Ashington House DS0000013378.V263152.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 Ashington House DS0000013378.V263152.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. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ashington House Address 402 Malden Road Worcester Park Surrey KT4 7NJ 020 8330 7476 020 8330 7476 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) Ashington House Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The handbasin in one bedroom may be removed, to be reviewed at least annually. 3rd May 2005 Date of last inspection Brief Description of the Service: Ashington House is owned and managed by Allied Care, a private organisation. It is a large semi-detached property on the main road from New Malden to Worcester Park. It is situated close to local amenities and is a short distance from a large local park. The home offers accommodation to adults who have a learning disability, with challenging behaviour. Many of the service users have communication difficulties, and may express their feelings in unconventional ways. The service aims to provide six permanent placements in time. At the time of the inspection there were five permanent service users residing at the house. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. On the day of the inspection all but one of the service users were out on planned activities. There were a high number of requirements and recommendations set at the last inspection that took place on the 3rd of May this year. It was agreed with the home manager that the inspection would be concentrated on these. It was agreed at the last inspection that the home would be subject to a number of “Themed Visits” over the coming inspection year in order to support the home to implement a programme of continuous improvement. Evidence gathered from a “Themed Visit” carried out on 5th of July this year has also been included in this report. What the service does well: What has improved since the last inspection? What they could do better: There were eighteen requirements and five recommendations set at the last inspection. Nine requirements have been met, three no longer apply and two have been amended and re-entered into this report. All of the recommendations have been addressed. Four requirements remain unmet and particular attention should be afforded these. As a result of this inspection there are now ten requirements three recommendations. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 6 The overall impression when visiting the home is that the home manager continues to show commitment to improving the quality of care in the home however greater emphasis should be placed on recruiting staff with experience of working with service users who present with challenging behaviour so ensuring service users benefit from having a consistent approach to their needs. The home manager still needs to apply to the Commission to be registered to run the home. Now that one service user has moved from the home and another is due to move out early next year the home should to take the opportunity to ensure that any new service user admitted to the home is suitably matched to the needs of the current service users and the skills and abilities of the staff team. A “Themed Visit” has been arranged for the 16th of February for the Commission to look at the staffing standards. The home should also make sure that all staffing information is available in the home for inspection. The inspector would like to thank the home manager and staff for their support on the day of the inspection. 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. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 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 Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 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, 3, 4 and 5. The home provides prospective service users and their representatives with good information they need to make an informed decision about whether or not to use the service. The admission procedure indicates that their care manager and the home would carry out thorough assessments of prospective service users needs before they move in. Now that one service user has moved from the home and another is due to move out early next year the home should to take the opportunity to ensure that any new service user admitted to the home is suitably matched to the needs of the current service users and the skills and abilities of the staff team. EVIDENCE: During the themed inspection at the home on the 5th of July this year Standards 1-5 were inspected. It was noted that the homes Statement of Purpose had been updated using Schedule 1 of the National Minimum Standards as guidance. A Service User Guide had been developed using Regulation 5 National Minimum Standards as guidance. These had been completed in written word and widget form for the benefit of some of the service users. The homes admissions procedure is included in the homes Statement of Purpose. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 9 The home manager had contacted all of the service users care managers to arrange for placement and needs assessment reviews. All of the service users care managers contacted the home and arranged for assessments to be carried out. Following a number of concerns raised by local residents about noise levels the home served notice on one service user, whilst Ashington House provided a safe and supportive environment for him the home decided in the circumstances it could no longer meet his needs. Another service user had his placement needs assessed by his care manager and he is due to move to a home more suited to his needs in January 2006. During the themed inspection the home manager and the area manager stated that no new service users would not move into the home until they had a full care manager needs assessment carried out. Recently a new service user moved to the home however the area manager contacted the Commission regarding the service user moving into the home before the agreed timescales. The home must ensure that it follows its own procedure for admitting service users as stated in the Statement of Purpose and that the home remind prospective service users and their representatives that the home adheres rigidly to this procedure. The home manager has applied to the Commission for a variation to the homes registration because the home plans to admit a service user over the age of 65. The home manager is awaiting a needs assessment from the service users care manager so that she can decide if the home is able to meet his needs. If the home manager decides that the new service users placement should go ahead she must explain in the application how the home will meet his needs as he is over the age of 65. As the service user is out of category the home manager will need to send a copy of the service users care manager needs assessment to the Commission prior to an application being processed. All service users have a contract. Ashington House DS0000013378.V263152.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, 9 and 10. Service user Lifestyle Plans (Person Centred Plans) are comprehensive and include detailed information on the service users needs. There is evidence that service users are fully involved in completing their own plans so that they can express their wishes and personal goals for the future. EVIDENCE: The home manager produced evidence that service users meetings now take place at the home. Service users meeting minutes indicated that they discuss issues affecting them in the home. This meets the requirement set at the last inspection. All service users now have a Lifestyle Plan. This follows the Person Centred Plan approach. The plan is completed indicating that the service user is fully involved. These plans are very comprehensive and include detailed information on the service users needs and personal goals. The plans are reviewed every six months. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 11 The home manager stated that service users risk assessments have been completed with the support of Kingston’s Psychologist of Learning Disability Roselands Clinic. The home manager stated that a section of the service users Lifestyle plans entitled “My Safety and My Security” is were service users discuss risks to themselves. This meets the requirement set at the last inspection. The requirement that the home manager ensure that risk assessments are completed for service users to securing their rooms has yet to be met. As recommended at the last inspection the amount of working documentation located in communal areas of the home has been reduced however it was noted that some still remains on the wall outside the service users living room. The home manager said that this information was generally for bank and agency staff that would not be aware of some of the homes procedures. It is recommended that the home develop an agency file that includes the homes procedures so that documentation can be removed from the wall outside the service users living room. Ashington House DS0000013378.V263152.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): 16. Standards 12, 13, 14, 15 and 17 were assessed as met at the last inspection. EVIDENCE: Two requirements were set at the last inspection that the home monitors when, where and why a service user screams in order to evidence the reduction in the service users behaviours and that the home manager should record why a service user no longer attended hydrotherapy sessions. This service user has moved from the home so these requirements no longer apply. It was noted during this inspection and previous visits to the home that staff and managers treat service users with dignity and respect. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 21. Personal care is carried out in a way that service users prefer so that dignity and choice are maintained. The home has sought and recorded the wishes of the service users and their relatives regarding death and dying. EVIDENCE: The service users wishes on how they are supported with personal care this is outlined in detail in the Lifestyle plan. The home manager sent a letter to all service users families regarding the wishes of the service users upon death and dying. All of the service users relatives replied to the home and information regarding the service users wishes is now recorded in the service user Lifestyle plan files. This meets the requirement set at the last inspection. During the themed inspection in July this year it was noted that care plans indicated staff training needs; staff were attending training on Autism, Epilepsy and Physical Intervention. The home and the Challenging Needs Team had drawn up guidelines for staff to follow in the event of service users presenting challenging behaviours. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 14 Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Local residents made a number of complaints regarding a service user that lived at the home. This service user has moved on. The home manager is keen to developed positive communication with local residents and hopes that any future concerns can be resolved quickly. The home has dealt with issues regarding protection of vulnerable adults in an appropriate manner. EVIDENCE: As required at the last inspection the home manager has kept the Commission for Social Care Inspection informed of all complaints received at the home from local residents and actions taken by the home to address these complaints. During the last inspection it was noted that one service user expressed himself by screaming. This caused local residents to raise their concerns with the Commission for Social Care Inspection and their local Member of Parliament. Following further concerns raised by local residents about noise levels the home served notice on the service user, the home decided in the circumstances it could no longer meet his needs. The home manager stated that she has sent a copy of the home’s complaints procedure to all of the relatives of service users. There has been two occasions since the last inspection that the home has initiated its procedures for the protection of vulnerable adults. Appropriate actions were taken and the home worked with the local authority to ensure that service users were so far as reasonable practicable protected from abuse, neglect and/or harm. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 16 Ashington House DS0000013378.V263152.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, 27, 29 and 30. There have been some improvements to the home since the last inspection an effort has been made to ensure that service users live in a more homely and comfortable environment. Further improvements are planned. EVIDENCE: The home manager has obtained new settees and pictures for the lounge the home manager said that she now plans to purchase a rug and some curtains. There is a definite improvement. The requirement that the home manager ensure that appropriate furnishing such as settees, pictures and a rug is purchased for the lounge is partially met and is amended to the home manager must ensure that a rug and curtains are purchased for the lounge. As required at the last inspection the home manager has ensured that the service user who displays inappropriate behaviour has had his bedroom windows partially covered with plastic screening so as to aid his privacy and reduce the risk of offending local residents. The home manager said that the requirement that those service users who have sinks in their bedrooms and have not been risk assessed as being at risk having a sink in their bedroom, must have their sinks reconnected has yet to be addressed. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 18 A requirement was set at the last inspection that the home must ensure that the bath is replaced with an accessible shower, according to the recommendations of the occupational therapist and health professionals, according to the service users needs, involving service users in the redecoration of the room. The home manager said that the home is still awaiting a report from the occupational therapist so that the work can go ahead. The requirement stands. The requirement was set at the last inspection that the home manager must ensure that the home is reassessed by an occupational therapist, regarding the needs of all the service users living at the home, and that the capacity of the homes environment to meet the needs of service users is made clear in the Statement of Purpose has been amended. The home manager must ensure that the home can meet the needs of any prospective service users; this should include care managers needs assessments and if appropriate an occupational therapist assessment. It was observed that the paintwork on the doorframes and skirting on the ground floor are badly chipped. It is recommended that the doorframes and skirting are repainted. It has also been observed of a number of visits to the home that the door leading to the front door is often wide open. The home manager must ensure that the locking system on the door leading to the front door is investigated to see if it is broken and mended or replaced if need be. Ashington House DS0000013378.V263152.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): 31, 32, 33, 34 and 35. Greater emphasis should be placed on recruiting staff with experience of working with service users who present with challenging behaviour so ensuring service users benefit from having a consistent approach to their needs. EVIDENCE: A requirement was set at the last inspection that the home manager must apply to the Criminal Records Bureau for portability of the deputy managers Criminal Records Bureau Check. The deputy manager no longer works at the home so the requirement no longer applies. All staff files now include a recent photograph as required at the last inspection. The home manager produced Criminal Records Bureau Checks for eleven of the fifteen staff employed at the home. The home manager said that all staff has completed a check however she could not find four of these on the day of the inspection. The home manager must inform the Commission when the Criminal Records Bureau Check for the four members of staff is available in the home and arrange a date for these to be examined. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 20 A requirement was set at the last inspection that the home manager must ensure that the members of staff who do not yet have full Criminal Records Bureau clearance are supported/shadowed on a one to one basis by an established member of staff at all times the home manager is required to continue this arrangement until their Criminal Records Bureau Checks are received by the home. The home manager stated that this requirement was carried out. A discussion followed regarding the employment of staff in care homes with only a POVA check. The following was given as advice only to the home manager. Employers must always ensure that new staff has all documentation as stated in Schedule 2 of the National Minimum Standards before starting work with vulnerable people. POVA First is only to be used were the lack of staff places the service users health and welfare at critical risk. A number of conditions need to be in place if staff is to start work with POVA clearance only. • • • The employer must write to the Commission requesting and have agreement that staff start work at the home with POVA clearance only. The home must explain to the Commission the critical risk to the service user/s. The employer must provide evidence that all other documentation as stated in Schedule 2 of the National Minimum Standards has been obtained for the new staff. The employer must ensure that new staff do not work alone with service users. The employer must ensure that the new staff has an identified senior member of staff to supervise them on each shift. The employer must ensure that the new staff completes induction training during this period. • • • As previously stated the deputy manager has left the home two members of staff have been redeployed to other parts of the organisation. At a recent senior strategy meeting the area manager stated that Allied Care was in a process of negotiation with Trinity Training Company with the view to implementing a programme of recruiting staff with a history of working with service users who present with challenging behaviour and who can demonstrate their initiative when working in an environment with a diverse service user group. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 21 The home manager said that no new staff has been recruited to work in the home. The home manager must ensure that the home recruits staff with experience of working with service users who present with challenging behaviour. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 43. Standard 42 was assessed as met at the last inspection. The management of the home continues to show commitment to improving the quality of care in the home however the main objective must be to build a qualified and experienced staff team. The organisation should appoint a manager to run and the home so that service users offered a consistent approach to their needs and aspirations and staff are confident that they will continue to be well managed and supervised. EVIDENCE: A requirement was set at the last inspection that the organisation must appoint a manager to run and the home the manager must be registered with Commission for Social Care Inspection. The home manager stated that she had applied for Criminal Records clearance and that she had completed the registered managers application. Once she receives her Criminal Records Bureau Check she will send them to the Commission For Social Care Inspection. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 23 The home manager is currently completing the Registered Managers Award. A copy of the organisations business plan indicating that the home is financially viable for the purpose of achieving the aims and objectives set out in the Statement of Purpose was sent to the Commission as required at the last inspection. Monthly Regulation 26 visit reports have been sent to the Commission For Social Care Inspection as required at the last inspection. Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 2 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 2 X 2 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashington House Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X X 3 DS0000013378.V263152.R01.S.doc Version 5.0 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 YA29YA29 Regulation 23(2) J Requirement Those service users who have sinks in their bedrooms and have not been risk assessed as being at risk having a sink in their bedroom, must have their sinks reconnected. The home must ensure that the bath is replaced with an accessible shower, according to the recommendations of the occupational therapist and health professionals, according to the service users needs, involving service users in the redecoration of the room. The organisation must appoint a manager to run and the home the manager must be registered with Commission for Social Care Inspection. The home manager must ensure that risk assessments are completed for service users to securing their rooms. The home must ensure that it follows its own procedure Timescale for action 31/07/05 2. YA27YA27 12(3)&23(3) d & n. 31/07/05 3. YA37YA37 10(1) 31/07/05 4. YA29YA29 13(4)a. 31/07/05 5. YA4. 4 (1) 31/01/06 Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 26 6. YA24 23. 7. YA29 14 and 23. 8. YA34 19 (1) b. 9. YA32 18 (1) 10. YA24 23. for admitting service users as stated in the Statement of Purpose and that the home remind prospective service users and their representatives that the home adheres rigidly to this procedure. The home manager must ensure that a rug and curtains are purchased for the lounge. The home manager must ensure that the home can meet the needs of any prospective service users; this should include care managers needs assessments and if appropriate an occupational therapist assessment. The home manager must inform the Commission when the Criminal Records Bureau Check for the four members of staff is available in the home and arrange a date for these to be examined. The home manager must ensure that the home recruits staff with experience of working with service users who present with challenging behaviour. The home manager must ensure that the locking system on the door leading to the front door is investigated to see if it is broken and mended or replaced if need be. 31/01/06 31/01/06 16/11/05 16/11/05 31/01/06 Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 27 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 YA2 Good Practice Recommendations As the service user is out of category the home manager will need to send a copy of the service users care manager needs assessment to the Commission prior to an application being processed. It is recommended that the home develop an agency file that includes the homes procedures so that documentation can be removed from the wall outside the service users living room. It is recommended that the door frames and skirting are repainted. 2. YA10 3. YA24 Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Ashington House DS0000013378.V263152.R01.S.doc Version 5.0 Page 29 - 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!