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Inspection on 05/09/05 for Ashley Phoenix Unit

Also see our care home review for Ashley Phoenix Unit for more information

This inspection was carried out on 5th September 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The manager and her team are consistent in both their overview of residents needs, and by the recruitment and training of a staff who are interested and committed in providing high quality services to those residents in both units. The manager has a relaxed style of management and demonstrated a leadership style of confidence, and awareness of the many complex needs of the residents. Residents are able with the support of staff to make decisions about their lives, as far as their level of ability will permit. Appropriate forms of communication are used in this process.

What has improved since the last inspection?

Since the previous inspection care plans have been subject to review, and whilst some fine-tuning is still required, the structure is solid, and will be a template for future amendments and updating. Reviews are now held 6 monthly and are recorded. A new fire evacuation procedure has been developed for each individual resident. This initiative is commended.

What the care home could do better:

The Statement of Purpose needs to be updated, to include the new catering arrangements, and the impact this has on residents. The Residents guide also needs to be updated. The manager needs to be given copies of the contract between the RNID and the residents funding agency. Money management, and individual risk assessments, specific to individual residents should be recorded in their plan of care. The unit`s confidentiality policy should be shared with partner agencies. Staffing levels around mealtimes need to be kept under review. POVA training needs to be increased in order for a greater number of staff to undertake this vital training. The Manager needs to ensure that all staff read and fully understand the POVA procedure. Staff should be offered training on equal opportunity and racial equality. A greater number of staff need to receive training on Autism, epilepsy, and mental health awareness.

CARE HOME ADULTS 18-65 Ashley/Phoenix Unit RNID Poolemead Centre Watery Lane Twerton Bath BA2 1RN Lead Inspector Gillian Underhill Announced 5 September 2005 th 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 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 Stationary 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. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashley/Phoenix Unit Address RNID Poolemead Centre Watery Lane Twerton Bath BA2 1RN 01225 332818 01225 480825 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) RNID Mrs Julie Kim Sheppard PC Care home only 11 Category(ies) of SI Sensory Impairment,11 registration, with number of places Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 11 persons aged 18 to 64, requiring personal care. Date of last inspection 31-Mar-2005 Brief Description of the Service: Ashley/ Phoenix Units are situated on the first floor of the central Poolemead building and provides support and care for adults with a single or duall sensory loss, and associated learning disabilities.The building is divided into two areas,Ashely and Phoenix,with 11 bedrooms in total. Each sererate area has a lounge,kitchen and dining space.There is no structural barrier between the areas,but ,each provides for a specifc group of service users.Staff employed are designated to work either in the Ashley or Phoenix unit. A new patio and garden has recently been constructed, which provides external space for service users to spent time in a relaxed and pleasant enviornment. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over a one-day period, and consisted of the examination of most of the key standards which relate to the practice of the unit. Care plans of residents, and other revelevant documentation offered up details and information concerning administration and care management processes. A number of staff were consulted, and asked to confirm the work ethos and management support they received from the senior management team. Because of the level of disability of the residents, none were directly consulted, but were observed during the course of the day in order to judge how settled they were, and also how much encouragement they received in order to lead their lives as independently as possible. Each person appeared to be very settled and happy. What the service does well: What has improved since the last inspection? Since the previous inspection care plans have been subject to review, and whilst some fine-tuning is still required, the structure is solid, and will be a template for future amendments and updating. Reviews are now held 6 monthly and are recorded. A new fire evacuation procedure has been developed for each individual resident. This initiative is commended. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 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. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 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 standard(s) 1 & 5 Once the residents guide and statement of purpose are updated, prospective residents and their relatives will have the information they require to make an informed choice about there they live, and the service they will receive. Because of the risk factor involved in food cooking, during the weekends residents are not always able to participate in this activity; therefore this should be clearly documented in the unit’s statement of purpose. On receiving the residents contact between the RNID and the funding agency, the manager will be aware of the specific terms of conditions for those resident in the unit. EVIDENCE: The manager produced the unit’s Statement of Purpose, which was updated in June 2005 and is a fairly comprehensive document, but details of the new catering arrangements have yet to be added. Also the residents handbook, which is in widget format, and refers to the licence agreement, was out of date. A copy of the contract between the funding agency and the RNID, specific to the residents terms and conditions has still not been issued to the manager. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 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 standard(s) 6, 7 &10 Care plans are being developed in line with the recommended practice, but money management, and individual risk assessments specific to the individual should be included in this documentation. Six monthly reviews ensure staff are aware of any changing needs of residents, and of their current level of ability. Residents are able with the support of staff to make decisions about their lives, as far as their level of ability will permit. Appropriate forms of communication are used in this process. All staff are aware of the unit’s confidentiality policy, but the manager has been advised to share this information with partner agencies. EVIDENCE: Four residents care plans were examined and were found to contain both short and long terms goals of the residents. Some fine tuning is required, such as including money management, and risk assessment associated to the kitchen activities in each care plan, but other wise every effort is made to provide all necessary information. Evidence files also need to be kept up to date. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 10 Regular reviews are now carried out and recorded on a 6 monthly basis, and a new format has recently been introduced for this purpose. Very little information has been provided in a symbol format, but reference of objects, pictures, and hands on hands signing are all methods used to communicate with residents who have limited communication skills. None of the residents look after their own personal allowance, but some do have a limited amount of cash returned to them each day in order to purchase small items of shopping. There is a policy for residents money, updated in May 2005, which most staff has signed to say they have read and understood the content. The residents mobility allowance is paid directly into their building society account. New staff are advised of the unit’s policy on confidentiality during their induction and during individual supervision sessions. All records are securely stored in the main office. To date partner agencies have not been given a copy of the unit’s confidentiality policy. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 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 standard(s) 11, 14 & 17 Staff enable residents to have opportunities to maintain and develop social, emotional, communication and independent living skills. Arrangements are also made to ensure that residents have access to, and choose from a wide range of appropriate leisure activities. The activity coordinator was reminded to ensure that all types of activities arranged for residents are recorded, but apart from this residents benefit from the activities arranged by a designated staff member. Nutritious, varied and balanced meals are provided but the risks of residents’ involvement in preparing meals need to be addressed through higher staffing at such times or removed by ceasing such involvement. EVIDENCE: The manager explained that each resident is able, and encouraged to maintain their independent lifestyle, by prompting, and by working within their agreed Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 12 routines with the support of staff. Each person is encouraged to participate in all aspects of life on the unit if this is feasible. None of the residents receive any assertiveness/confidence training. Currently none of the residents express any wish to have their spiritual needs fulfilled. An activity organiser has been employed for 30 hours per week, and arranges with staff a host of events and activities for residents. Although the manager said residents have no hobbies as such, they do enjoy the new garden/ patio area, and also the sensory Jacuzzi bathrooms. They also like puzzles, shopping, and generally spending time with staff. A holiday in Disney Land / Paris, is being arranged for 2 residents, and already 7 residents have enjoyed holidays in Majorica, knightsbridge, and London.Numerours day trips have also been arranged throughout the summer months. Both units are self-catering, and when asked staff said they felt residents were afforded more choice at meal times, and flexibility, in terms of the times meals are taken. On observation of the duty rota no additional staff have been provided around meal times. When asked the senior staff said that there are some associated risks with food preparation and cooking of meals particularly at weekends, and because of this residents are strongly encouraged to remain out of the kitchen area. If the unit’s care philosophy is to promote greater independence for residents with regard to food preparation and cooking of meals, then staffing levels will need to be increased around meal times, if this is not the case then the Statement of Purpose must clearly stipulate that particularly during the weekends residents are not able to assist with cooking. When asked staff said the kitchen equipment is appropriate for the task of preparing, cooking and storing food. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 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 standard(s) 19 & 20 The manager ensures that the healthcare needs of residents are continually assessed, by vigilant staff who are able to recognise any change in their patterns of behaviour or well being, and take any necessary action required. Residents are protected by the unit’s medication administration policies and practices. EVIDENCE: Only one-resident has been taken to hospital in the past 12 months, and records maintained recorded only minor incidents/accidents which did not require any external professional intervention. Only one-resident is a “suspect” diabetic, and staff regularly check his blood sugar levels and monitor and record the outcome. Staff say they monitor residents health by being aware of their usual patterns of behaviour, this assists them in determining if individuals are feeling unwell, anxious or unhappy. All visits from, or to health care professionals are recorded into each individual resident file, then into their plan of care if necessary. An Aromatherapist visit the units weekly, and the residents pay for such visits. For the future staff are to receive training on Aromatherapy massage. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 14 During the inspection medication on the Phoenix unit was examined. MAR sheets were found to be in good order, with signatures of staff on each drugs administration of medication recorded. There were no unwanted /medication in the drugs cupboard. No- one on the unit self medicates. All staff had signed to confirm they had read and understood the medication policy and procedure, and medication training for staff is on going. Photographs of residents have been placed on the front of the individual MAR sheets. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 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 standard(s) 22, 23. The RNID has a robust system for dealing with all complaints. No issues were evident or communicated during this inspection to indicate that residents, relatives, or their key-workers are dis-satisfied with the service delivery. There is a comprehensive policy and procedure in place for the Protection of Vulnerable Adults, which all staff on the unit should read in order for them to have greater clarity on the action they should take in the event of an allegation of abuse being made while they are on duty. The manager is committed to ensuring all staff receive POVA training, but the availability of training is not commensurate with the number of staff employed. Discussions should be held on the possibility of accessing more training “Ad Hoc”, rather than a rotating 6 monthly training sessions. EVIDENCE: Residents or their relatives have made no complaints since the last inspection. There is a complaints policy and procedure, which is in symbol format. When asked, staff said they were fully aware of the complaints procedure, and knew what they should do, if any one on the unit made a complaint, or suggestion for improved practice. Relatives have been given a copy of the complaints procedure, but the manager said this was some time ago. During the last inspection, training records identified only 4 staff that had received POVA training. During this inspection nine staff have yet to undertake this course. When asked about the availability of training the manager said that POVA training courses only come around every 6 months, during which time some staff may have left, and new staff would have been employed, hence the anomaly in training opportunities. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 16 New recruits do not start work until CRB disclosures have been returned. During this inspection the disclosures for 2 new staff were checked, and entered into the appropriate log. A small number of staff consulted were not altogether familiar with the POVA procedure, should an allegation of abuse be made while they were on duty. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 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 standard(s) 27, 28 & 30 Adequate bathroom and toilet facilities for residents have been installed in both units. Comfortable and accessible shared space has also been provided, and this space includes a safe patio and garden area. The units are clean, hygienic and free from any offensive odours. EVIDENCE: There are no ensuite facilities in bedrooms, only hand-wash basins. All bathrooms and toilets have locks fitted. On the Phoenix side there are 2 toilets and 2 baths. On the Ashley side there is one separate toilet and bath, plus one toilet and bath, the space of which has recently been knocked into one. There is a newly created garden and patio area for residents and staff. There is a washing machine in the kitchen, and adequate communal space. There are no wheel-chair users. Staff have been provided with lockers. The units were clean and odour free, and EHO has visited in order to inspect the cooking arrangements and facilities. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 & 36 The RNID operates satisfactory recruitment and selection procedures, which are thorough and in line with requirements. The staff training programme is comprehensive and the RNID has a genuine commitment for all staff to receive training, specific to the needs of the resident group, however residents may benefit if a greater number of staff received training on the management of epilepsy, autism and mental health awareness. Residents benefit from a group of staff that are well supported and supervised. EVIDENCE: The manager said that 2 new recruits did not start work until their CRB disclosures were returned, and that each person was subject to a 3-month probationary period. Two staff files were examined and were found to contain all required documentation for the employment of new recruits, which included two written references, details of previous employment and I.D. When asked staff said they had received the RNID terms and conditions. The training matrix evidenced that staff had received training on challenging behaviour, blind-deaf communication, deaf & disability awareness and Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 19 medication. A smaller number had received Autism awareness & epilepsy training. None of the staff had been offered Equal opportunity, and Racial equality training. When asked the manager said that all staff have an individual staff training and development assessment, but evidence of this was not examined during the inspection. Four supervision records were examined, and dates of those sessions were regular and on going. Senior staff had received training on supervision techniques. Team meetings are held, and there were records for these on 9/6/05, 28/7/05 & 2/9/05. One of the meetings covered residents issues. Each person was respectful of the senior management team, and said they receive the necessary support to discharge their job responsibilities and associated tasks accordingly. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 & 42 Residents benefit from the atmosphere created by a confident team of workers, and a manager with strong leadership skills. The processes of managing the units appear to be open and transparent. The manager makes every effort to promote and protect the health & safety of residents and staff, but although questionnaires, which are used to identify the knowledge of staff on what they should do in the event of a fire, this should be supported by fire drills. EVIDENCE: The atmosphere on both units was positive, with staff committed and focused on the support and care of the residents. The manager demonstrates excellent leadership skills, and her two senior staff are supportive and clearly able to play a lead role in staff management and all administrative tasks; this was evident in the quality of documentation and record keeping. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 21 A number of health and safety issues were examined during the inspection. One staff member has been given responsibility for all COSHH assessments. Night staff regularly check water temperatures in bathrooms and the kitchens. Hot water thermostats have been installed in residents bedrooms. A record of the central heating servicing was not examined. Risks assessments have been completed on equipment in the units, and tests on electrical equipment have been carried out. The units accident book was examined, and details of accidents to residents were well documented, with copies placed in their individual case file. On examination of the fire log there was evidence that 15 staff had received fire instructions [training] between August & September 2005. With regard to fire drills, a questionnaire had been used for this purpose. One fire alarm was recorded under the guise of a fire drill, which involved 7 staff who were on duty at that time. A new fire evacuation procedure has been developed for each individual resident. All staff has been asked to read this information and sign confirming they have understood the contents. This initiative is commended. Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 22 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 x x x 1 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 x x 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashley/Phoenix Unit Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 2 x D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 23 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. 2. 3. 4. 5. Standard 1 1 5 33 Regulation 4 5 5 18 Requirement Statement of purpose to be updated Service users guide to be updated Manager to receive copies of service users contracts between funding agency and RNID Staffing levels at weekends to be kept under review. Timescale for action 30/11/05 30/11/05 30/11/05 FROM 5/9/05 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. Refer to Standard 6 10 23 23 35 Good Practice Recommendations Care plans to include money management, and risk assessments specific to the service user. Partner agencies to be issued with a copy of the units policy on confidentiality An increase in POVA training sessions to be arranged for staff. All staff to read and sign the units POVA procedure. A greater number of staff to receive training on epilepsy,autism, and mental health awareness.Equal opportunities and racial equality training should also be made available. D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 24 Ashley/Phoenix Unit Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 25 Commission for Social Care Inspection 300 Aztec west Almondsbury South Gloucestershire BS32 4RG 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 Ashley/Phoenix Unit D05_D56_S40650_AshleyPhoenix_V239681_050905_Stage4.doc Version 1.40 Page 26 - 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!