Inspection on 07/07/06 for Boxgrove

This inspection was carried out on 7th July 2006.

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

Other inspections for this house

Boxgrove 06/06/07

Boxgrove 12/02/07

Boxgrove 17/10/05

Boxgrove 03/05/05

Boxgrove 26/01/05

Boxgrove 11/11/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Boxgrove Little Heath Road Tilehurst Reading Berkshire RG31 5TY Lead Inspector Marie Carvell Unannounced Inspection 7th July 2006 10:45 DS0000011190.V294858.R02.S.doc Version 5.1 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 DS0000011190.V294858.R02.S.doc Version 5.1 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. DS0000011190.V294858.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Boxgrove Address Little Heath Road Tilehurst Reading Berkshire RG31 5TY 0118 943 1019 0118 945 4669 boxgrove@choiceltd.co.uk 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) Choice Limited Ms Judith Ann Robertson Care Home 10 Category(ies) of Learning disability (10) registration, with number of places DS0000011190.V294858.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 2005 Brief Description of the Service: Boxgrove House is a purpose built care home for 10 adult men with severe learning difficulties. The home is situated on the outskirts of Tilehurst in Reading and is surrounded by open countryside. The home has an extensive garden which service users are encouraged to use and provides opportunities for horticultural activities. A separate day care building is situated on the site and provides a range of day care activities for service users. The staffing ratio is high to meet the complex needs of the service users. Staff have access to a wide range of training and the provider organisation have facilitated access to NVQ training for all staff. The current scale of charges as at July 2006 is between £1695.00 and £1995.29 per week. There are additional charges for toiletries, chiropody, meals out and holidays. DS0000011190.V294858.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been prepared using information provided on the preinspection questionnaire completed by the manager of the home: our inspection records held at the local office of the CSCI; two service user surveys and an unannounced site visit on the 7th July 2006 from 10:45am until 5:30pm. During the site visit time was spent with the manager, staff on duty and two service users, who were able to express their views about living in the home, staff were observed interacting with service users and providing care. A tour of the communal areas of the home and several bedrooms at the invitation of service users were seen. A sample of records required to be kept in the home were examined and included case tracking records of four service users. The manager had previously requested that the term resident is used instead of service users. At this visit the manager informed the inspector that the term service user should now be used. At the last inspection in October 2005, three requirements were made. These were that specified bathrooms must be in good repair, that the outside dustbin needed an appropriate lock, COSHH substances needed suitable storage and guidelines available and that training provided to all support staff on an annual basis. Two of the requirements have been complied with. In addition two recommendations were made, these were that all staff receive individual supervision and that accidents are monitored centrally. The recommendation relating to staff supervision has not been addressed. Full and detailed feedback was given to the manager at the end of the visit. What the service does well: The home has a comprehensive referral and admission process, which ensures the prospective placements, are appropriately planned. Service users take part in a wide range of activities in the community and in house, staffing levels are high to achieve this. All service users have a daily activity schedule that is flexible to meet the wishes of the service user. One service user said that he enjoyed gardening, assisting with the watering of the numerous flower tubs and BBQs, another service user using Makaton and with assistance from staff expressed his wish to visit a local church and travel on a bus. DS0000011190.V294858.R02.S.doc Version 5.1 Page 6 During this visit staff were observed to interact with service users in an appropriate and relaxed manner. One service user told the inspector that he liked living in the home. What has improved since the last inspection? What they could do better: The home’s Statement of Purpose and Service User Guide need to be updated, as some information is out of date. Plans of care and risk assessment need to be updated and in place. There was little written evidence available during this visit to demonstrate that the care needs of service users were being met. Menus and records of food provided to service users need to be developed. Due to the lack of care planning documentation it was not possible to evidence that personal care is given in the way service users prefer or if the physical and emotional needs of service users are met. Staff require training in mandatory subjects including POVA and the home’s whistle blowing policy. Service users financial records are not maintained in accordance with the home’s policies and procedures. DS0000011190.V294858.R02.S.doc Version 5.1 Page 7 There is an urgent need to maintain the home in a clean and hygienic state. Not all staff receive regular supervision. 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. DS0000011190.V294858.R02.S.doc Version 5.1 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 DS0000011190.V294858.R02.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are assessed prior to admission and are given the opportunity to visit the home before moving in. EVIDENCE: The homes Statement of Purpose and Service User Guide need updating, as information relating to the manager is out of date. The manager confirmed that relatives and purchasing authorities are given information about the service when requested. There has been no new service users admitted to the home since the last inspection. Previous inspection information indicated that all service users have a full assessment undertaken prior to moving into the home. The home has a comprehensive referral and admission process. DS0000011190.V294858.R02.S.doc Version 5.1 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 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. There was little written evidence seem during this visit to demonstrate that these standards are being met. EVIDENCE: Four service user files were case tracked during this visit. Care plans seen were either blank or incomplete. New care planning documentation had been introduced in June 2006 and the manager said that staff were updating the information to be recorded. Risk assessments were found to be overdue for review, in some cases as much as seven months. Daily records are maintained, although as no care plans were available, it was not possible to ascertain whether service users needs are being identified and met. Eight of the ten service users are not able to verbally express their wishes, the manager said that it was difficult to identify service users wishes and needs and was dependent on staff being able to understand non verbal signs and behaviours. The manager, for this reason, returned eight of the ten service user surveys to CSCI blank. In discussion with staff on duty and observation of staff interacting with service users, staff were confident that they were aware of and able to DS0000011190.V294858.R02.S.doc Version 5.1 Page 11 meet the needs of all service users. A key worker system is to be introduced once new care plans and updated risk assessments have been completed. DS0000011190.V294858.R02.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are able to take part in age, peer and culturally appropriate activities within the local community. Personal relationships with friends and family are promoted. Service users rights appear to be respected. Menus and food choices are being developed. EVIDENCE: Service users take part in a wide range of activities in the community and in house. One service user said that he enjoyed gardening, assisting with the watering of the numerous flower tubs and BBQs, another service user using Makaton and with assistance from staff expressed his wish to visit a local church and travel on a bus. During this visit several service users accompanied staff to local shops, other activities were being planned on a one to one basis and during the afternoon a musician entertained service users. Four service users were involved in a variety of activities in the day care building. Staff were observed to interact with service users in a appropriate and relaxed manner. DS0000011190.V294858.R02.S.doc Version 5.1 Page 13 From discussion with staff and written evidence, service users are encouraged to maintain regular contact with relatives. Staff assist with transport and accompanying service users as necessary, this is appreciated by relatives. Service user bedrooms were seen to be personalised and expressed the interests and hobbies of the service user. The inspector, from observation, gained the opinion of a good rapport between service users, staff on duty and the manager. Service users appeared to be comfortable and relaxed and two service users were welcomed to join the staff team for the afternoon staff handover meeting. Daily routines are flexible to meet the needs of the service users; this to some extent is dependent on staffing levels and other events in the home. A new cook has been in post since the end of June 2006, and works 8am until 2pm for five days per week. Staff cook all meals at the week end and evenings. Menus sent to the CSCI, requested prior to the site visit demonstrated that frequently toast and toppings were served for two meals in a day, several times a week and on occasions the evening meal consisted of “Pot Noodles”. The manager confirmed that menus are being developed. Menus seen did not sufficiently evidence that a well balanced diet was being provided to service users. However, evidence was available of fresh fruit, vegetables and meat being purchased. The manager agreed that in addition to developing menu plans, records would be maintained on a daily basis of food eaten by individual service users and a request would be made for a dietician to give advice about dietary needs. DS0000011190.V294858.R02.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. There was little written evidence seem during this visit to demonstrate that service users receive personal support in the way they prefer and require. Health care needs are provided by the local GP surgery. Medication storage, administration and recordings are satisfactory. EVIDENCE: From examination of service user files and discussion with the manager and staff on duty, it was evident that healthcare professionals visit the home on a regular basis. However, as stated in standard 6,7 and 9, daily records are maintained, although as no care plans were available, it was not possible to ascertain whether service users needs are being identified and met. The organisation has recruited an assistant psychologist who is to provide support to service users and staff for two days per week, it is not clear when this service will commence. All staff who administer medication receive medication training. Medication storage, administration and recordings are satisfactory. Two members of staff carry out medication administration. Since this visit the manager has advised CSCI that procedures for the administration and storage of medication for DS0000011190.V294858.R02.S.doc Version 5.1 Page 15 service users, whilst away from the home have been updated and developed following advice from the community pharmacist. DS0000011190.V294858.R02.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. There is a complaints procedure in place and available in appropriate formats for service users. The majority of staff have not received training in procedures to protect vulnerable adults from abuse. EVIDENCE: There is a procedure on the reporting of complaints. The manager confirmed that no complaints have been received since the last inspection and no complaints have been received by CSCI about this service. From staff training records and staff training development plans, updated by the manager on the 26th June 2006, the majority of staff have not received or require refresher training on the protection of vulnerable adults from abuse. Staff spoken to were unaware of the organisations policy on adult protection/suspected or actual abuse or the policy on whistle blowing. The manager manages service user’s financial records and bank accounts. Records of debits and credits were poorly maintained. Monies drawn out of service user accounts are frequently not recorded for some considerable time in the service user’s records. Balances of monies held in safekeeping were incorrect, as staff are frequently given money to purchase goods on behalf of service users, without being recorded. It was noted that a receipt for £74.00 was outstanding from May 2006. This standard was subject to requirement at the May 2005, inspection. The manager is to update the homes procedures in accordance with the organisations policies and procedures for handling service users monies. DS0000011190.V294858.R02.S.doc Version 5.1 Page 17 DS0000011190.V294858.R02.S.doc Version 5.1 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 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. This standard was subject to requirement at the last inspection. The home is generally comfortably furnished and decorated. EVIDENCE: Requirements made at the last inspection relating to bathrooms needing attention and COSHH storage have been addressed. Many of the service users have behaviours that challenge the service and can be destructive. Several areas of the home require maintenance; the manager said this had been requested. Several areas of the home smelled strongly of stale urine. Several rooms were in need of a clean and carpets vacuumed. One service user’s bedroom had a large rug, which was a trip hazard; the easy chair was missing its cushion and smeared with faeces. Carpets in the lounges were badly stained and sticky with dropped liquid medication. It was not evident that bathrooms or toilets had been cleaned as several toilets had pools of urine around the base. One toilet was so unpleasant that the manager advised the inspector that staff purchased, at the service users expense, air fresheners to mask the odour. After discussion the manager has agreed to refund to the service user the cost DS0000011190.V294858.R02.S.doc Version 5.1 Page 19 of the air fresher. One toilet had a used glove left on the floor, as no bin was available. Only the bathroom and toilet used by staff had liquid soap, paper towels and toilet paper. Several shower units including en-suite shower units were unusable and require assessment from an occupational therapist. During the inspection the manager was given verbal permission from the organisations health and safety manager, to arrange for soap, paper towel and toilet paper dispensers to be installed. The home does not employ a dedicated cleaner; a part time member of staff who also works as a support worker undertakes the housekeeping/laundry tasks. At other times staff on duty undertake these duties, the home does not have a daily cleaning schedule. The manager confirmed that staff have not had Infection control training, this was highlighted when a member of staff was observed attending to service users personal care needs whilst wearing the same pair of gloves. DS0000011190.V294858.R02.S.doc Version 5.1 Page 20 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): 32,34,35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Staffing levels are maintained to meet the needs of the service users. Standard 35 was subject to requirement at the last inspection and has not been complied with. Standard 36 was subject to recommendation and has not been addressed. EVIDENCE: The home has a satisfactory policy for the recruitment of staff and the manager confirmed that required checks are completed prior to staff working in the home. Eleven of the twenty seven staff in post have completed NVQ level II and an addition six members of staff are nearing completion. A requirement was made at the last inspection that training is given to all staff on an annual basis; this has not been complied with. The home’s training audit completed on the 14th March 2006 and staff training development plan updated on the 23rd June 2006, evidenced that staff require training or refresher training in moving and handling, fire safety, first aid, food hygiene, infection control and protection of vulnerable adults from abuse. The home currently has vacancies for one part time and three full time support workers. An experienced senior support worker and a support worker have recently joined the staff team. The manager returned the day prior to this visit from a recruitment drive in Poland. DS0000011190.V294858.R02.S.doc Version 5.1 Page 21 Staff on duty confirmed that the staffing levels are sufficient to meet the needs of the service users; there is generally five staff on duty throughout the day, with four staff on duty during the evening and two staff on night duty. The manager is on duty from 8 am until 5 pm, Monday to Friday, although this is dependent on the needs of the service. Regular agency staff cover staff vacancies. Staff handovers are held at least three times per day, the inspector observed the afternoon handover. Staff were familiar with the needs of service users and the evening tasks were delegated by the senior member of staff on duty for that evening. In discussion with staff it was clear that they felt supported by colleagues and all expressed their appreciation of the support and encouragement given by the manager. At the last inspection a recommendation was made that all staff receive individual supervision, at least six times per year, this was also raised in the May 2005 report. This has not been addressed. In addition to the manager, four senior staff have supervisory responsibility. However, the organisations policy on staff supervision is not being met. Some staff are receiving regular supervision, whilst other have not received any this year. Staff meetings are held on a regular basis and are minuted. DS0000011190.V294858.R02.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home’s health and safety policies and procedures have recently been updated. However, the majority of staff have not yet read these documents. Standard 42 was subject to recommendation at the last inspection and has been addressed. EVIDENCE: The manager was registered with the CSCI earlier this year; she is a RNLD and is currently undertaking the Registered Managers Award. Staff spoken to felt that the home was well managed. One service user said that he liked living in the home. Reports on the conduct of the home are written on a monthly basis and these visits are conducted by the administrative assistant to the operation manager. The inspector was advised that the operations manager last visited the home in February 2006. DS0000011190.V294858.R02.S.doc Version 5.1 Page 23 There is a development plan for the home, completed in March 2006, with a review date for September 2006 and a quality assurance review, which was undertaken in January 2006. Policies and procedures have been recently updated, the majority of staff have not familiarised themselves with these documents. Health, safety and fire maintenance checks are maintained and up to date. An environmental health officer has recently visited the home, some requirements were made. Staff require training in all mandatory subjects. At the last inspection a recommendation was made that all accidents are monitored centrally. This has been addressed and accident records are well maintained. DS0000011190.V294858.R02.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 1 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 x 3 x 2 x 2 3 x DS0000011190.V294858.R02.S.doc Version 5.1 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4 Requirement That the home’s Statement of Purpose and Service Users Guide are updated. A copy of these documents must be sent to the CSCI. That the manager ensures that all service users have a plan of care. That the manager advises the CSCI of what action has been taken to meet this standard. That the manager ensures that all risk assessments are reviewed and updated as necessary. That the manager advises CSCI of what action has been taken to meet this standard. That the manager advises the CSCI of what action has been taken to meet this standard. That the manager ensures that the physical and emotional need of service users are identified and included in plans of care. That the manager ensures that all staff are familiar with the home’s policies on adult DS0000011190.V294858.R02.S.doc Timescale for action 07/10/06 2. 3. YA6 YA7 15 12 01/11/06 21/09/06 4 YA9 13 06/09/06 5 6 7 YA17 YA18 YA19 16 12 13 21/08/06 21/08/06 21/08/06 8 YA23 13 21/09/06 Version 5.1 Page 26 9 YA23 17 10 YA30 23 11 YA35 18 12 YA36 18 13 14 YA39 YA41 12 12 protection and whistle blowing and attend training on protection of vulnerable adults from abuse. That the manager advises CSCI of what action has been taken to ensure that records of service users monies held in safekeeping are accurately maintained and in accordance with the home’s policies and procedures. This was subject to requirement in May 2005. That the manager advises CSCI of what action has been taken to ensure that the home is clean and hygienic. That a copy of the home’s cleaning schedule is sent to CSCI. That the CSCI is advised of action taken to provide all staff with training in moving and handling, fire safety, first aid, food hygiene, infection control and protection of vulnerable adults from abuse. This is a repeat requirement. That the manager advises CSCI of action taken to ensure that all staff are appropriately supervised and meets the home’s supervision policy. This was subject to recommendation at the last inspection. That the manager advises CSCI of what action has been taken to seek the views of service users. That the manager ensures that all staff are familiar with the home’s policies and procedures. 21/08/06 21/08/06 11/09/06 11/09/06 29/09/06 29/11/06 DS0000011190.V294858.R02.S.doc Version 5.1 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA30 Good Practice Recommendations That consideration is given to employing housekeeping staff to ensure that the home is kept clean, fresh smelling and hygienic. That the manager consults an occupational therapist regarding the shower cubicles, which are currently unusable. 2 YA24 DS0000011190.V294858.R02.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 DS0000011190.V294858.R02.S.doc Version 5.1 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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