Inspection on 01/11/05 for Bedrock Mews

This inspection was carried out on 1st November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bedrock Mews 03/10/07

Bedrock Mews 25/04/07

Bedrock Mews 17/01/07

Bedrock Mews 04/07/06

Bedrock Mews 26/07/05

Bedrock Mews 07/12/04

Bedrock Mews 16/07/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 1 New Road 1 New Road Stoke Gifford South Glos BS34 8QW Lead Inspector Jackie Hargreaves Unannounced Inspection 09:30 1 November 2005 st 1 New Road DS0000058581.V260187.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 1 New Road DS0000058581.V260187.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. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 1 New Road Address 1 New Road Stoke Gifford South Glos BS34 8QW 0117 9569473 01454 772171 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) Nightingale Care Homes Mr John Michael Gay Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 4 persons (male and female) aged 18 - 64 years with a learning disability. 26th July 2005 Date of last inspection Brief Description of the Service: 1 New Road (Springfield) is one of three homes operated by Nightingale Care Homes. The home was newly registered with the CSCI in February 2004 to provide accommodation and personal care to four adults with learning disabilities up to the age of 64. At the time of the inspection there were four male service users accommodated in the home with additional complex learning disabilities, mental health and behavioural needs. The home is situated in Stoke Gifford close to the Avon ring road and bus routes. There are retail outlets and shops close to the home. Bristol Parkway railway station is within easy reach of the home. The property was a four bedroom two storey semi detached house. Bedrooms are situated on the ground and first floor. Each bedroom has its own bathroom. Residents have full access to a lounge, kitchen and conservatory/dining area. Currently no residents have physical or sensory needs that required adaptations or equipment. There is a well maintained garden and a summerhouse. At the time of this inspection major building works were almost complete in order to provide a further two bedrooms. In addition the kitchen area had been reconfigured to provide superior facilities.An application to vary the conditions of registration was submitted to the Commission for Social Care Inspection for consideration when the work was completed. The application was successful and the home has extended in numbers. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector spoke with all except one resident on their return from their respective daytime activities. The person that the inspector was unable to speak with withdrew to their bedroom, having some anxiety about the Inspector’s presence. There was a review of the records and the Inspector spoke with staff and one of the proprietors. The report of this inspection was written by Michael Miles, from notes taken by Jackie Hargreaves at the time of the inspection. The Commission apologies for the delay in producing the report that is due to the Inspector’s extended leave, due to illness. What the service does well: What has improved since the last inspection? What they could do better: Residents would be better informed about the service if they were given copy of the service User’s Guide and they and their representatives would have a clearer understanding of the contractual obligations if they were provided with copies of Terms and Conditions. There would be better safeguards for residents if medication administration records were maintained accurately. In addition the staff competency checklist should be reviewed. The residents would benefit if there was a competent manager at the home and they would be afforded better protection if all staff complete a CRB declaration and have a ‘POVA (Protection of Vulnerable Adults) First’ Check prior to commencing in the home. In addition there should be improvements to the information given to prospective staff about their duties and an expansion of the reference request. The induction of new staff should be to the National training Organisation’s standards and there should be ongoing supervision and appraisal. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 6 Consulting with residents about the running of the home generally and in particular about food will ensure that they are provided with the food that they enjoy. In order to promote the privacy of one resident the home should explore ways of doing so. In addition the home should ensure the full privacy of all residents by removing the second locking facility from bedroom doors. 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. 1 New Road DS0000058581.V260187.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 1 New Road DS0000058581.V260187.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, 4, 5 Residents are admitted to the home based on a full assessment of need however the home fails to demonstrate that prospective residents are provided with information to enable them to make a decision about whether to move to the home and similarly to provide detailed statements of Terms and Conditions EVIDENCE: There have been no new admissions to the home since residents were admitted following registration. At the time of this inspection an extension to the premises was nearing completion in order to provide a further two places. There was evidence on file that demonstrated residents were admitted based on a full assessment by Social Services and the home was provided with a Care Plan. There was a settling in period before a review to determine whether a long-term placement was offered. The acting manager was aware of the need for full assessment of potential residents to ensure that the home is able to meet their needs and also to check that they will be compatible with existing residents. Prospective residents will have the opportunity to visit the home, prior to moving in, in order to meet with existing residents prior to a trial place being offered. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 9 There was no information available in the home in the form of a service users’ guide. The inspector was advised that this is kept at the organisation’s headquarters office at Bedrock Lodge. A copy of the guide needs to be available in the home and a copy must be sent to the Commission for Social Care Inspection. There were no statements of Terms and Conditions of residency on file in the home. Again the inspector was told that these are kept at Bedrock Lodge. Copies of these must be kept in the home and supplied to residents. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 Whilst the home encourages residents to make decisions about their lives it fails to evidence that their needs are assessed and to consult with them about the running of the home. EVIDENCE: All care files were examined by the inspector. These were noted to be well organised with information divided into sections relating to Personal Details, Background, Assessments, Care Plans, Risk Assessments, Medication Profile and Correspondence. All care files were examined and it was noted that care Plans were not fully comprehensive. At the last inspection a new care planning system was in the process of being introduced however there had been no progress since that time. There were good examples in care records of how the home involves residents in their care and support but less so on how the home is run. Discussion with residents and staff along with information held on file evidenced when residents made decisions about what to do in the home and where to go 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 11 outside of the home. Residents confirmed that they were consulted about the extension of the home however there is no meaningful discussion with residents about the food provided which is organised by the owner of the home. It is recommended that residents are consulted about the menu and other aspects of the running of the home. Staff told the Inspector that they are able to go out in order to support residents at their chosen times with one staff member saying “we go out when the resident wants to”. This was confirmed in discussion with the residents. The Inspector observed open, relaxed communication between staff and residents. Staff appeared to know how to communicate with residents to enable them to express their opinions and requests. A key-worker system operates in the home where designated staff have been required to assist with the management of care of particular residents. Residents stated that they liked their key-workers. 1 New Road DS0000058581.V260187.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): 15, 16, 17 Residents have opportunities to maintain relationships however the telephone system in the home may be restrictive. Their rights are promoted but the door locking system could pose an infringement on their right to privacy. Whilst they are offered wholesome food that they enjoy, consulting about the food provided would ensure that they like. EVIDENCE: Observation of relationships between staff and residents indicated that the staff ‘know’ the residents well indicating a good rapport and positive ‘respectful’ relationships. Staff demonstrated a good knowledge of the residents’ individual ways of communicating and their changing behaviours. Residents have access to all areas of the home and their bedrooms doors were lockable to enable them a level of privacy. However a second locking facility has been fitted to doors in the home and the Inspector was unable to establish a legitimate reason for this that did not impinge upon residents’ rights to full privacy. It is required that this is removed and an alternative is considered if the system is used for security purposes. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 13 Contact with relatives is encouraged and maintained. Residents stated that they see their families on a regular basis with staff transporting them and supporting them to do this. Staff are pro-active in making this happen and encourage residents to invite their relatives to the home. Residents are able to ‘entertain’ their relatives in private in their bedrooms or more openly in the conservatory. It is not easy for residents to maintain telephone contact if a resident needs help to do so as the home has a pay-phone for residents use. Calls can be made more privately in the office if required. Residents go out into the local community on a daily basis. This is either for pre-arranged activities or to local cafés, shops or to the Leisure Centre. There are weekly social events and some ‘project work’ brings residents into contact with other people. Residents are supported in daily routines including preparation of the evening meal and clearing away afterwards. Daily routines are arranged around the need and choices of the residents and their personal development. Residents said that they do not choose their main meals and it was explained that menus and food purchases were organised by the owner of the home. The meal served during the inspection was substantial and enjoyed by the residents. Staff informed the Inspector that alternatives to the menu were offered and that residents exercised choice regarding meals and snacks. It is recommended that residents be consulted more generally about the menu in order to promote a sense of choice. One resident has Diabetes and a special menu was provided for this person with guidance and supervision provided by staff to ensure that the correct diet is maintained. There were adequate supplies of food in the home. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Record systems in the home do not demonstrate that residents who are unable to take charge of their own medication are protected from mishandling of medication. EVIDENCE: Records in the home indicated that the medication administration systems were checked by the Pharmacist on 1 March 2005. None of the residents take charge of their own medication. The Pharmacist supplies medication in a monitored dosage system. Medication Administration Records (MARs) were checked and it was noted that medication administered to residents had not been signed for on several occasions. It is required that MAR sheets are maintained accurately in order to demonstrate that there has been no mishandling of medication. There was a medication administration competency assessment for staff that had been signed to indicate that this had been reviewed however there was no indication of what had been re-assessed. It is recommended that this is reviewed to show what aspects of competency have been re-assessed. 1 New Road DS0000058581.V260187.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 Whilst the residents did not express any concerns during the inspection, they are not afforded opportunities to contribute to the way the home is run. EVIDENCE: Each of these standards were assessed at the last inspection and were found to be met. There has been no change and procedures were in place. There were no complaints recorded and the residents did not express any dissatisfaction during the inspection. However the home should be more proactive in enabling residents and staff to make changes as a result of having their views heard for example with regard to food choices and running of the home. There was evidence in the home that Protection of Vulnerable Adults (POVA) training is ongoing with internal policies and procedures in place along with the local Multi-Agency Policy and Procedure. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 16 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, 26, 30 The home was clean and suited to the residents needs however there were some repairs and attention to furnishings to bring the home to a satisfactory standard. EVIDENCE: 1, New Road is a two storey semi-detached property of domestic style that is within easy reach of local facilities and public transport routes. The premises are considered suitable for the provision of residential care for four people. An application has been made to the Commission for Social Care Inspection to vary the conditions of registration of the home to enable a further two people to be accommodated. To achieve sufficient accommodation an extension to the home was built in order to provide a further two bedrooms, additional ‘shared’ communal space and changes to the kitchen area. Existing and ‘new’ bedrooms have en-suite facilities. The home was clean and there was good evidence that efforts had been made to minimise disruption during the building works in order to maintain the safety of the residents and to keep the home clean. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 17 During the inspection the building works were inspected by a building Control Officer and the Proprietor was informed that all work was satisfactory and that a ‘Completion Certificate’ would be issued. Prior to registration conditions being varied a visit by the Environmental Health Officer would be needed. None of the residents had specific needs in respect of their mobility that required adaptations to the home or specialist equipment. The garden area was maintained and there was evidence that it was used by each of the residents. One of the residents had a broken bath that the Proprietor advised would be replaced. In another resident’s room there were no curtains and staff stated that this was because the occupant of the room keeps removing them. It is recommended that alternative solutions be explored with the resident in order to maintain their privacy. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 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 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): 34, 36 The home’s recruitment practice fails to demonstrate the protection of service users and the lack of formal supervision questions whether the staff are sufficiently equipped to meet the residents needs. EVIDENCE: There was a full complement of staff and sufficient staff on duty to support the residents and provide individual attention as required to meet their personal care needs and to allow time to be spent with them according to their wishes. Recruitment records were examined and it was noted that there was a new application for the position of Home Support Worker. The application form indicated that the person was under the age of eighteen years and the Assistant Manager was reminded that if appointed the person would not be able to assist with the personal care of the residents. The recruitment process needs to be revised to make it clear to applicants under the age of eighteen years that their role will not include personal care. On examination of the records for a recently recruited member of staff it was noted that there was a Criminal Records Bureau (CRB) check that had been obtained in connection with previous employment and there was no evidence that a new disclosure application had been made. The Inspector was advised that this was being held at the organisation’s head office. It is required that a 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 19 CRB disclosure application is made prior to appointment and that a ‘POVA first’ check is carried out before each new staff member commences employment. There was evidence of the person’s identity held on file in the form of a copy of birth certificate, driving license and passport. References obtained only referred to dates of employment and did not ask the referee’s opinion as to the suitability of the person to work in the home. It is recommended that the reference request is expanded to ask this and that references are verified by telephone as a matter of good practice. Induction, that includes fire safety, is carried out however this should be to the National Training Organisation’s (Skills for Care) standards. The supervision file for one member of staff was reviewed. It contained a ‘Supervision Contract’ and dates for meetings. None of these had taken place and the person had not been supervised by either the manager, or by the proprietor. Personal Development Plans were in place however these were in the form of an assessment rating the person’s ability from ‘poor’ to ‘very good’. The records should include more input from the member of staff regarding what they feel that they need in order to progress and achieve their personal and the home’s objectives. This should promote ownership of their work and ensure that they feel valued and motivated. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 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 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, 42 The lack of an on-site manager affects the running of the home and the health and safety of residents would be better protected if staff updated their training in first aid. EVIDENCE: At the last inspection there was strong evidence that the registered manager of the home, who is also proprietor, was not spending sufficient time at the home in order to provide adequate leadership and direction to the staff team. Management responsibilities were then delegated to the Assistant Manager however at the time of this inspection, this person was on extended leave. A new Assistant Manager had been appointed and there was still no evidence of visible accountable management by a registered manager. The Proprietor advised that he would be spending at least thirty hours each week in the home until a new manager has been recruited. The organisation must ensure that this service has a qualified, competent manager that is working in the home a sufficient number of hours to run the 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 21 home for the benefit of residents and in order to comply with the care Homes Regulations 2001. The absence of effective management is not ensuring that residents’ views are directing the running of the home or that staff are being enabled to affect the way services are being delivered. Procedures for promoting the safety of residents were held on file. Those examined included Health and Safety, Fire safety, Maintenance of Equipment, Accidents and First Aid. Five staff had completed basic Health and Safety training as part of their induction. Portable electrical appliance testing was carried out in July 2005 and fire records were up to date. Minor accidents and incidents were recorded and more serious accidents and incidents affecting the well-being of residents had been reported to the Commission for Social Care Inspection as required. Training records showed that all staff had completed basic first aid training however only one member of staff had a current first aid certificate. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 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 1 3 X 3 1 Standard No 22 23 Score 2 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 3 1 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 2 17 Standard No 31 32 33 34 35 36 Score X X X 2 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 New Road Score X X 1 X Standard No 37 38 39 40 41 42 43 Score 1 X X X X 2 X DS0000058581.V260187.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 5 Requirement A copy of the Service Users’ Guide must be available in the home and a copy must be sent to the Commission for Social Care Inspection. Copies of Statements of Terms and Conditions must be kept in the home and supplied to residents. The second locking facility that has been fitted to doors and impinges upon residents’ rights to full privacy is removed and an alternative is considered if the system is used for security purposes. That MAR sheets are maintained accurately in order to demonstrate that there has been no mishandling of medication. The recruitment process to be revised to make it clear to applicants under the age of eighteen years that their role will not include personal care. Timescale for action 01/05/06 2 YA5 5 01/05/06 3 YA7 23 01/05/06 4 YA20 13 31/10/05 5 YA34 19 01/05/06 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 24 6 YA34 19 That a CRB disclosure application is made prior to appointment and that a ‘POVA first’ check is carried out before each new staff member commences employment. That this service has a qualified, competent manager that is working in the home a sufficient number of hours to run the home for the benefit of residents and in order to comply with the Care Homes Regulations 2001. 31/05/06 7 YA37 8 01/07/06 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 YA20 Good Practice Recommendations That the Medication Competency Assessment is reviewed to show what aspects of competency have been reassessed. That residents are consulted about the menu and other aspects of the running of the home in order to promote a sense of choice. That alternative solutions are explored with the resident who removes curtains from the bedroom window in order to maintain their privacy. That the reference request is expanded and that references are verified by telephone as a matter of good practice. Induction should be to the National Training Organisation’s (Skills for Care) standards. That all staff receive supervision meetings at the specified frequency. 2 YA17 3 YA26 4 YA34 5 6 YA35 YA36 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 25 7 YA36 Personal Development Plans should include more input from the member of staff regarding what they feel that they need in order to progress and achieve their personal and the home’s objectives. 1 New Road DS0000058581.V260187.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos 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 1 New Road DS0000058581.V260187.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. 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