Inspection on 14/11/05 for Ballards Ash Farm

This inspection was carried out on 14th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ballards Ash Farm 09/01/07

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Ballards Ash Farm Ballards Ash Farmhouse Brinkworth Road Wootton Bassett Swindon Wiltshire SN4 8DS Lead Inspector Bernard McDonald Unannounced Inspection 14th November 2005 09:45 Ballards Ash Farm DS0000063486.V262451.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 Ballards Ash Farm DS0000063486.V262451.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. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ballards Ash Farm Address 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) Ballards Ash Farmhouse Brinkworth Road Wootton Bassett Swindon Wiltshire SN4 8DS 01793 840807 Choice Limited Mrs Barbara Ann Wild Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One service user named in the application can be accommodated under the age of 18 years. While named service user is under 18 years the age range of service users accommodated must not exceed 25 years. Date of last inspection Brief Description of the Service: Ballards Ash Farm is one of a number of homes owned and managed by Community Homes of Intensive Care and Education (CHOICE). The home is situated on the outskirts of Wootton Bassett and accommodation comprises of nine single bedrooms with en suite facilities. Ballards Ash provides medium to long-term care to adults with learning disabilities and complex needs. The home accommodates younger people of either sex, whose maximum age does not exceed twenty-five. The aims of the service are to promote the rights of residents in a secure, supportive stimulating and homely environment. There is a minimum of four staff on duty throughout the waking day, in addition there are two waking night staff. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of the service since their registration. The unannounced inspection lasted over seven hours, during which time the manager was available to provide assistance. For the purpose of this report service users will be referred to as resident’s, a term that resident’s prefer. The inspector met with all residents but was unable to effectively communicate with them to fully obtain their views on the care they receive. On the day of the inspection there was five residents living at the home and four vacancies. Opportunities were also provided to meet with staff in private and small groups. The inspector examined all resident’s care plans, risk assessments and daily notes. In addition the inspector examined three staff recruitment records and the health and safety procedures. What the service does well: The admission of residents is being effectively managed. The transition arrangements that are in place ensure residents receive individual support determined by their needs in the move to the home. The use of a transition team enables the resident to be supported by staff from Ballards Ash, in the resident’s own environment, prior to moving. The benefits to residents are that the move is made easier as they get to know staff before commencing their trial placement. The process also helps to reduce resident’s anxieties, as they are supported by people who are familiar to them when they “test out” the home. One resident did confirm that they had visited the home prior to moving in. The home has developed clear guidelines for managing resident’s difficult and challenging behaviour with support from CHOICE assistant psychologists. This enables the interventions required by staff are sufficiently robust to ensure a consistent approach is adopted in any interventions that may be required by staff. There is an enthusiastic staff team who have a good understanding of residents needs and what action they would take to safeguard residents. The home is ensuring residents health needs are being met and that they have access to wide range of health services as determined by their needs. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 6 The home is making a good effort to develop tools to assist with residents communication needs. This has resulted in a number of documents such as the service users guide and complaints procedure being developed in a format using symbols and pictures to enable residents understand their contents more easily. The accommodation provided at the home is of a high standard and provides residents with a single bedroom with a choice of en suite facilities suited to their needs. Where aids and adaptations are required to promote residents independence these have been provided. What has improved since the last inspection? What they could do better: The inspection has identified five requirements and four recommendations in areas that need to be improved. Information that is currently available at the home regarding resident’s needs should be collated into a working document to ensure all residents have a care plan that fully reflect their needs. Risk assessments need to be updated to ensure any changes to resident’s risk assessment are fully documented to ensure the safety of the resident. In addition health and safety risk assessments need to be developed on safe working practices. The home needs to demonstrate safe recruitment practices are being followed and ensure the documentation that is required for inspection is available. The manager has faced a number of challenges since the home was opened especially in relation to staffing levels. The outcomes of the inspection were discussed with the manager. It is apparent the manager does have insight into the areas that need to be improved but has not had sufficient time to address these areas due to providing support to the staff team to ensure residents needs are met. It is envisaged that once the staffing issues are addressed the Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 7 manager will have time to address the requirements and recommendations contained in the report. 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. Ballards Ash Farm DS0000063486.V262451.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 Ballards Ash Farm DS0000063486.V262451.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): 2, 4. The home ensures resident’s needs are assessed prior to admission. Transition plans ensure residents have every opportunity to try out the home prior to moving in. EVIDENCE: The inspector examined the initial assessments of all residents. All assessments provided clear details on how the needs of residents will be met at the home. Interventions required on the part of staff to manage resident’s difficult and challenging behaviour were clearly documented and paid particular attention to the rights of residents. Discussion with staff demonstrated a good understanding of the needs of residents and what role they play in ensuring residents safety both inside and outside of the home. One resident who is “looked after” under The Children Act 1989 had a placement plan outlining the resident’s needs and objectives of the placement. Resident’s records contained details regarding their transition to the home. Discussion with staff confirmed they had opportunity to meet residents in their own environment to build up relationships and make the transition to the home Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 10 easier. Residents are able to visit the home, share a meal and stay over night as part of the transition plan. One resident did confirm they had opportunity to visit the home prior to moving in and had a choice in the décor of their bedroom. Discussion with the manager confirmed residents are offered a trial placement as part of the move to the home. The length of the trial placement is determined by the needs of the resident. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 11 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. The home is failing to ensure residents assessed and changing needs are reflected in their care plan. The home is making every effort to ensure residents are supported to make decisions about their lives, but need to ensure risk assessments are updated. EVIDENCE: The inspector examined the care plans of all residents. One residents care plan has been developed using signs and symbols to identify things that are important to them. The placement plan, required under the Children Act identified the resident does not want to continue on further education following their move to the home. There was evidence of good practice where the home has used signs and symbols as a tool for explaining to resident’s personal information held at the home. Residents did not have a working care plan, however, there was a wealth of information on resident’s needs, behaviour guidelines and risks. This information was from the resident’s transition plan and although initially Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 12 reviewed after six weeks the information has yet to be collated into a care plan that clearly focuses on the needs of residents and outcomes to be achieved. Behaviour guidelines are in place to manage difficult and challenging behaviour and a separate record is kept of any physical interventions used. Risk assessments have been developed but need to be updated and reviewed. The inspector found some risk assessments that were in place were not being followed. The manager confirmed these had been discussed with staff and psychologists and confirmed some risks to residents have changed since their move. It is a requirement that risk assessments are updated to reflect any risk to residents and to ensure their safety. The manager confirmed residents meetings are being developed to enable resident’s express their views on the service they receive. Notes of the meetings were available for inspection. Throughout the inspection staff were observed offering choices to residents as part of their daily routine. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. The home is making every effort to ensure residents are provided with opportunities to access appropriate activities in their local community. The home is supporting residents to maintain contact with people who are important to them while respecting their rights as individuals. The home is striving to ensure residents are provided with a healthy balanced diet. EVIDENCE: This is a new and developing service that is just beginning to explore daytime opportunities for residents. The manager confirmed staff are investigating appropriate college courses for residents. In addition residents interests and hobbies they were involved in prior to moving are being explored. Options being considered include horse riding, cinema and tenpin bowling. A feature of the service is that staff are able to support residents in the wider community and they clearly see this as part of the role of support worker. There are plans to support residents on holiday next year and consultation is already taking place with residents about what sort of holiday. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 14 Discussion with staff confirmed visitors are welcome at anytime. The inspector has received a number of comment cards from the relatives of residents who confirmed they are made welcome at the home and have a choice of where to meet their family member. The manager has identified the need to provide information and guidance on matters relating to personal relationships for residents. It is envisaged this will be developed over the coming year. All resident have been provided with a key to their bedroom, though in reality the key is seldom used. It is policy at the home that residents receive their mail unopened. This practice was observed during the inspection when one resident received a letter from a family member. Staff were available to provide support to enable the resident understand the contents when they were asked. Interactions observed between staff and residents were positive, relaxed and age appropriate. There is a no smoking policy at the home and at the time of the inspection no residents smoked. The inspector shared the lunchtime meal with residents. There was a choice of sandwich or cooked snack. The main meal of the day is provided in the evening. Resident’s have a choice of where to eat their meal and two residents choose to eat their meal in a separate room. The mealtime was relaxed and where resident required support with their meal, staff provided this in a discreet and unobtrusive manner. The cook confirmed she was aware of resident’s likes and dislikes and although the main meal did not offer a choice of main course it was confirmed that an alternative would be provided. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 15 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. Residents care plans do not provide sufficient information to demonstrate residents receive personal support in a way they prefer, however, resident’s healthcare needs are being addressed and medication is being safely administered. EVIDENCE: Discussion with staff demonstrated awareness on how residents should be supported. The deficits already identified in residents care plans means this awareness has been passed on through word of mouth and is not recorded as part of the care plan. One resident has been provided with an assisted bath and medical bed as an aid to improve independence and safety. Discussion with staff confirmed they had been trained in their use. The manager confirmed that all residents have been registered with the General Practitioner (GP). Residents have access to a wide variety of health practitioners including, dentist, optician, continence advisor, speech and language therapist and psychologist. As part of the registration process the CSCI pharmacist visited the home to provide advice on the safe storage and handling of medication at the home. The manager confirmed the requirements made at this inspection had been completed. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 16 The inspector found medication was being clearly recorded when received at the home and administered to residents. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. The home is making every effort to ensure residents views are listened to and that they are protected from abuse. EVIDENCE: The manager stated the home has received no complaints since registration. The inspector has received a number of comment cards from the relatives of resident that indicated they are more than happy with care being provided. Residents have each been provided with a copy of the complaints procedure in a picture format to ensure they are aware of how to raise concerns. Since registration the Commission has been informed of two incidents that affected the well being of residents. In both cases the home took swift and appropriate action. The Commission was satisfied with the outcomes of both investigations. Discussion with staff demonstrated an excellent understanding of what constitutes abuse and what action they would take to report any concerns regarding the welfare of residents. Staff confirmed they had received training in abuse awareness and child protection procedures. The manager confirmed the home was holding money on behalf of residents. Examination of the records demonstrated the home was accurately recording all money held on behalf of residents. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. Residents have been provided with a high standard of accommodation that is clean, comfortable and safe. EVIDENCE: Ballards Ash Farm is situated on the outskirts of Wootton Bassett. Situated in a rural location, the home has it’s own transport to ensure residents have easy access to the local and wider community. The property has been extensively refurbished and provides residents with a high standard of accommodation. Residents have their own large single bedroom with en suite facilities with a choice of walk-in shower or bath. The home provides separate day care facilities and has a sensory room that residents can use at anytime. There is also a separate lounge and dining area. The inspector found the home was clean, tidy and free from odour. To the rear of the property there is a large secure garden. The laundry facilities are sited in a separate room on the ground floor, which ensures soiled linen is not carried through any food preparation areas. Facilities include a commercial washer that meets disinfectant standards. In addition there is a commercial tumble dryer. Discussion with staff confirmed these are sufficient for the needs of the home. Ballards Ash Farm DS0000063486.V262451.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, 33, 34, 36. Resident’s are supported by an enthusiastic staff team who feel supported in their work. However the home is failing to demonstrate safe recruitment practices have been followed and that staff are appropriately supervised. EVIDENCE: Discussion with staff confirmed they have received training specific to their role as support worker. Staff confirmed they had received training in managing aggression, challenging behaviour, physical intervention as well as, mandatory training in manual handling, food hygiene and first aid. At the time of the inspection only 33 of support staff had a qualification at NVQ level 2.The inspector found that staff were enthusiastic in their work and wanted to complete NVQ training as soon as possible. It is however CHOICE policy that this training is not provided until staff have completed their six months probation period. It is recommended that the home provide an action plan on how it will ensure 50 of support staff are trained to a minimum National Vocational Qualification (NVQ) level 2. The manager confirmed the home has had difficulties recruiting permanent staff, in addition staff have also left. This has resulted in the home having to use agency staff. In an effort to reduce the impact on residents the manager as tried to ensure the same agency staff are used when they are needed. The existing staff team have also provided extra cover when necessary. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 20 The manager confirmed that the home has taken action to reduce the number of agency staff and a day care co-ordinator is due to start work in a few days. The manager stated a further three members of staff have been recruited subject to satisfactory Criminal Records Bureau (CRB) checks being received. Discussion with staff confirmed regular staff meetings are being held. However formal staff supervision has yet to be implemented, although staff and the manager confirmed this is due to commence over the coming month. Staff did confirm that they felt supported in their work and the manager was always available for advice and support. The majority of staff felt there was a good working atmosphere at the home and a good team spirit. The inspector would agree with these statements as staff were found to be enthusiastic in their work and had developed a good rapport with residents. The inspector examined three staff recruitment records and found they did not contain the necessary information to demonstrate safe recruitment practices are being followed. A particular concern was that staff records did not contain evidence that a satisfactory CRB check had been received. The manager confirmed that these records had been received by CHOICE but they had not yet been forwarded to the home. It is a requirement that these are available for inspection. Ballards Ash Farm DS0000063486.V262451.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, 39, 42. The manager has made every effort to ensure residents benefit from a well run home. There needs to be a more robust approach to fire safety training and ensuring health and safety risks are identified and as far as possible eliminated. EVIDENCE: The manager has been in post since June 2005 and was subsequently approved as the registered manager following a “fit person” interview at CSCI. The manager has almost finished NVQ level 4 in care and is registered for the registered managers award. The manager has faced a number of challenges during the first months of the home opening. This has resulted in the manager working excessive hours in the role of support worker to cover the staff vacancies and reduce the number of agency staff working at the home. The impact on the service is that time spent on providing staff cover has resulted in the manager not being able to fulfil the role of manager. It is recommended that the manager has sufficient time off rota to effectively manage the home. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 22 This is the first inspection of the home and a quality monitoring system has yet to be implemented. The inspector found not all risk assessments are in place for safe working practices and it is a requirement that these are completed. The last recorded fire practice was held in September 2005 and records demonstrated these were being held every three months. Less evident was fire safety training for staff and it is recommended that this be provided every three months. COSHH risk assessments are in place and chemicals are held secure in the laundry room. Ballards Ash Farm DS0000063486.V262451.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 X 3 X 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 3 2 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ballards Ash Farm Score 2 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X 2 X DS0000063486.V262451.R01.S.doc Version 5.0 Page 24 First Inspection. 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 YA6 Regulation 15(1) Requirement Timescale for action 01/01/06 2 YA9 3 YA18 4 YA34 5 YA42 The registered person must ensure all residents have a written care plan that clearly specifies how the needs of residents are to be met at the home. 13(4)(a) The registered person must (b)(c) ensure residents risk assessments are updated and reviewed when the risk to the resident changes. 15(1) The registered person must ensure residents care plans include information on how their personal care needs should be met. 19(1)(a)(b) The registered person must (i)(c) ensure all records as specified in Schedule 2 of the Care Homes Regulations 2001 are available for inspection. 13(4)(a)(c) The registered person must ensure health and safety risk assessments are completed at the home. 01/01/06 01/01/06 01/01/06 01/01/06 Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 25 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 Refer to Standard YA32 YA36 YA37 YA42 Good Practice Recommendations The registered person should consider how it will ensure 50 of support staff is trained to NVQ level 2. The registered person should ensure staff receive formal supervision a minimum of six times a year. The registered person should ensure the manager is given sufficient time off rota to manage the home. The registered person should ensure staff receive fire safety training every three months. Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Ballards Ash Farm DS0000063486.V262451.R01.S.doc Version 5.0 Page 27 - 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!