Inspection on 31/01/08 for Brewery House

This inspection was carried out on 31st January 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Brewery House 28 Brewery Drive Halstead Essex CO9 1EF Lead Inspector Mrs Bernadette Little Unannounced Inspection 31st January 2008 13:45 Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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 Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brewery House Address 28 Brewery Drive Halstead Essex CO9 1EF 01787 472046 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) meadowview_res@btinternet.com Mrs Isabel Mabhena Mrs Isabel Mabhena Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC. to service users of the following gender: Either. whose primary care needs on admission to the home are within the following categories 2. Learning disability - Code LD. The maximum number of service users who can be accommodated is: 2 N/A Date of last inspection Brief Description of the Service: Brewery House is a care home providing personal care and accommodation for up to two people with a learning disability. The premises are a terraced two storey house situated in a quiet residential cul de sac within walking distance of Halstead town centre, in North Essex. There are two single bedrooms for resident use, neither of which have ensuite facilities, and a main bathroom on the first floor. The third bedroom is being used as an office. The house is of modern design, containing a small kitchen, lounge/ diner and downstairs toilet. The home has been tastefully decorated in a modern style. The lounge leads out to a fenced decking area and small-grassed area beyond. Residents have access to shared transport to facilitate access to the local community. Street parking is available to the front of the property. The weekly fees range from a baseline of £662 and up to £2000 per week. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This site visit was undertaken as part of the first key inspection of Brewery House and four hours were spent at the home. Time was spent with both of the people living at the home, as well as with the manager and other staff available at the time of the site visit. A tour of the premises was undertaken and records, policies and procedures were sampled. Records for both residents were case tracked. Prior to the site visit, the manager/provider had submitted an Annual Quality Assurance Assessment (AQAA), detailing what they do well, what could be done better and what needs improving. Prior to the inspection, surveys were sent to the home for distribution to interested people, including relatives and staff. Responses were received from a relative, from both residents who were supported by their keyworkers to complete the forms, from two staff and also from a care manager. Information from all of these documents is reflected within the body of the report. Discussion of the inspection findings took place with the manager and staff during the inspection and the help given by residents and staff was appreciated. What the service does well: Brewery House offered people who live there good opportunities to participate in meaningful activities and exercise choices so that they could have a fulfilling lifestlye. The premises were homely and nicely furnished giving the residents a pleasant living environment. The size of the service allows residents and staff group to get to know each other so that residents have opportunity for consistency of care and to build relationships. The management style includes all the people at the home and residents, relatives and other stakeholders will be given opportunity to express their views on the care provided. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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 Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into Brewery House will have their needs assessed to ensure that the staff team are able to meet them. EVIDENCE: In surveys and discussion, residents said they had had enough information about the home before they moved in to help them make a decision about living there and that they were asked if they wanted to move into the home. The manager’s annual quality assurance assessment (AQAA) states that an initial social services assessment would be obtained and that she would then complete an in-depth assessment prior to admission that would include the person. Assessment records on both files showed that this had taken place prior to the people coming to live at the home. Assessments covered all aspects of the person’s abilities, needs and wishes and some areas were supported by a pictorial format to make them the easier to understand. One assessment had been signed by the resident to evidence their involvement. Records looked at showed that people living at the service had had the opportunity to visit prior to admission as part of a planned admission process. This helped them to decide whether they liked the home and helped the home to assess if they could meet the persons needs. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 9 The care manager who responded to the survey confirmed that the assessment arrangements at Brewery house ensured that accurate information is gathered and that the right services planned and given to individuals. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provided detailed information to assist staff to consistently meet residents’ assessed needs. Residents can expect to be encouraged to retain independence skills and take risks according to their individual abilities. EVIDENCE: Care plans were available and were written with a person-centred approach, showing that the person’s individual abilities, needs and wishes had been considered and respected. They included a photograph to help with identification and one care plan was signed by the resident. Some parts were in a pictorial format to help with understanding. Care plans covered a wide range of areas including nutrition, behaviour, personal care support, household chores, community access, healthcare, finance and communication, so that staff had all the information to support people in their preferred way. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 11 Care plans also showed that residents made decisions and choices in their lives that were supported by risk assessments. Some information on successfully supporting the resident in managing behaviours had been provided by the previous place the person lived and confirmed as still relevant by a healthcare professional. Fifteen risk assessments were seen on one file to support positive outcomes in many areas of daily living and maintaining both independence and safety for the resident and those who spent time with them. This included going into the community, using the vehicle, using the kitchen or unsupervised bathing. It was noted that one assessment was not relevant for this care setting and the manager was advised to review and update this. Restrictive locks were fitted to the kitchen and lounge to limit access at some times for a resident, as part of the support they needed to manage their behaviour. This was documented in their support plan and risk assessment. The other resident had a key and a written keycode for the rooms to allow them access as they chose. Staff spoken with were aware of the content of the care plans and residents’ personalities and support needs. Staff had signed the risk assessments to show that they had read and were aware of them and the management strategies in place to support the residents effectively. Evidence of skilled and calm staff practice in managing behaviour in line with the care plan was observed. The staff surveys confirmed that they felt they had good access to the care plan documents to enable them to support residents consistently. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Brewery House can expect to participate in activities and to access facilities in the local community that are appropriate to their needs, be supported to maintain relationships and to benefit from a nutritional and varied diet. EVIDENCE: People living at Brewery House accessed a range of activities dependant on individual abilities, behaviour challenges and interests. This was supported by increased staffing levels as identified in the relevant section of the care plan and enabled residents to go out of the home on a regular basis. Daily records showed participation in activities both in and outside the house including college, clothes shopping, cinema, library, voluntary work, going to the post office or the supermarket as well as food preparation, laundry, cleaning their room or watching television. A vehicle to support community access was Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 13 available and is shared with two other very local homes registered to the same owner. A resident advised that they had thoroughly enjoyed a recent holiday. Residents at Brewery House had opportunities to build and maintain relationships to promote their emotional wellbeing. The AQAA stated that the home has an open door policy for family/visitors. Staff and residents spoken with confirmed that contact with family is supported and encouraged with residents having visitors at Brewery House or going to stay with relatives. Residents were confident to approach staff with queries and to express views. Staff responded to residents in a respectful way, explaining agreed plans and boundaries and offering opportunity to make choices. Staff used residents preferred names, which respected resident choice. A resident confirmed the manager’s information in the AQAA that they had recently voted in a local election, showing support for resident rights and responsibility in everyday life. The manager advised that a meeting had been arranged for a resident with the local advocacy service. Ample foodstocks were available. Residents confirmed they were involved in the weekly menu planning. A record was kept that noted any changes to this and recorded resident intake. Residents spoken with said that they liked the food served. One resident chose not to eat the meal prepared and used the kitchen to prepare an alternative within their written limitations. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive good personal, healthcare and emotional support based on their individual needs and to have their medication managed safely. EVIDENCE: The AQAA confirmed that support is provided by same gender staff and that each resident has an identified keyworker, who provides a consistent care relationship to oversee their specific support needs. Keyworkers were identified on resident files, were known to residents and were involved in reviews of the resident’s placement and support plan. Care management records contained a healthcare and medication management plan to support resident wellbeing and residents spoken with said they had access to healthcare professionals as necessary. One resident explained how staff had supported them to use dental services and the other advised that they regularly see the chiropodist. The AQAA noted that a resident has been supported to give up smoking with help from staff and the stop smoking clinic, and this was confirmed in discussion. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 15 The survey from the care manager stated that individual healthcare needs are properly monitored by staff at Brewery House and attended to appropriately. The management of medication was reviewed. A monitored dosage system was used. A profile was available for each resident that shows the medications they are prescribed and there were photographs to help with identity. Records were well maintained and showed that residents receive their medications correctly. A list of staff deemed competent by the manager to administer medication was available along with sample signatures/initials. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents at Brewery House had access to a complaints procedure and felt confident to raise concerns. People living at the home are safeguarded by the knowledge and skills of staff, who are supported by relevant training. EVIDENCE: The home has a complaints procedure in place, which was available in a pictorial format appropriate to the resident group and seen to be easily accessible in the house. The formal complaints procedure would benefit from having clear timescales so people using it can know what to expect. The commission has not received any complaints about this service. The manager confirmed that they had not received any complaints. The AQAA advised that information on local advocacy services has been made available to residents. Residents spoken to were clear who they would raise any concerns with and heard to express their views clearly and be listened to. The survey from a relative said they did not know how to make a complaint about the care provided but that the service had sometimes responded appropriately if they had raised concerns about the care. The manager had up to date adult protection procedures in place so staff have information to help them to safeguard people living at the home. The whistleblowing procedure was not signed by any staff to evidence they had read it, in line with the manager’s procedures. Guidance from one funding Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 17 authority was available on their procedures and the manager advised that this had also been requested from the local authority. Training records demonstrated that staff had had recent training on protecting vulnerable people, which was confirmed by staff spoken with. A staff member spoken with was clearly able to identify abuse issues and competently describe how to report this to safeguard residents. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and homely environment that meets their needs. EVIDENCE: Brewery House is an ordinary family style property and promoted community presence for the people living there. It was comfortably furnished. The paintwork in some areas and the pale cream stair carpet needed attention to ensure a well maintained environment for the residents. Residents confirmed they could choose to spend time in the communal lounge/diner or their own room. One resident was happy for their bedroom to be viewed, the other resident did not wish their room to be seen. Bedrooms doors were not fitted with appropriate style locks to support privacy and dignity while protecting resident safety. A resident had their own television and had been able to personalise their own space. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 19 Residents spoken with said they were satisfied with the facilities the premises provided, but one person said they are a hoarder of things and would like a shed as their bedroom was now full up. One person said that their bedroom was comfortable and warm and that they liked it. The AQAA identified that staff needed to attend training on infection control. The manager and staff spoken with advised that this had occurred on the day prior to the site visit to support the management of good hygiene for all at Brewery House. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents of Brewery House can expect to be supported by a staff team that will work positively with them to promote good care outcomes. The records on staff recruitment, induction and training practices do not best safeguard service users. EVIDENCE: The manager advised that National Vocational Training was being arranged for two staff at Brewery House and the first meeting arranged for the month following this site visit. The manager stated that one of the things the service does well is have robust recruitment practices in place, but this was not fully evidenced. Recruitment files were sampled for two staff. One contained much of the required information, including references and a current criminal record bureau check, to ensure that staff were appropriate people to work with residents. It did not include a full employment history, evidence of a povafirst check, a job description or statement of terms and conditions. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 21 The other file had no photograph, application/employment history, povafirst check, current criminal record bureau check or references. The manager stated that these had been obtained but were not currently available for inspection. Evidence of formal induction that shows that staff have been assessed and supported to meet the needs of the residents was not available. The manager stated in the AQAA that they had ‘initiated Skills for Care induction standards to all staff’. In discussion the manager stated that she was trying to work these in with the planned NVQ training and that first section of the common induction standard was being covered currently. Staff files showed no evidence of planned induction and training, however the staff member spoken with stated that they had had a three day induction during which time they read all policies and procedures and then had two days shadowing another staff member before supporting residents. Staff surveys indicated that staff induction was still ongoing and staff were being given training opportunities relevant to their role. Training files sampled for three staff showed that they had had recent training in protecting vulnerable people, managing challenging behaviour, epilepsy awareness and medication. A staff member advised that staff had also recently attended training on infection control and first aid although certificates were not yet available. There was no evidence of fire or food hygiene training on the staff files sampled. Staff spoken with or those who commented by survey said they had good support from the manager, with good communication systems like handovers and fortnightly staff meeting, which supports both staff and the residents. Observed interactions between staff and residents were friendly and respectful. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Brewery House can expect competent leadership from the manager, whose actions to develop quality assurance systems will support the home to develop taking the view of residents and other interested people into account. EVIDENCE: The manager works at Brewery House five days each week and is part of the care staffing levels. This allows her to be available to both residents and staff and to know how the home is operating. The manager has undertaken training in topics relevant to resident need such as moving and handling, fire safety, food hygiene and medication management. The AQAA identifies her plan to complete National Vocational Qualification to Level 4 in care and management to support her to manage the service more effectively Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 23 Many aspects of the management and administration were organised and effective for the benefit of residents and staff. While it is acknowledged that the service had been operational for only a few months, the manager now needs to formalise some policies and procedures in practice, such as staff signing that they have read relevant documents, evidence planned induction, produce an individual training assessment for each staff and an overall training plan. Advice was also provided on notifications that need to be made to the commission, for example in the unexplained absence of a resident. The manager stated in the AQAA that surveys will be sent to relatives and professionals as part of the quality assurance system to gain the views of all those involved with the home. A resident’s review notes recorded “I am happy with the service from the carers”. Residents maintained their own bank accounts, with personal allowances being retained safely in the home. Records of residents’ finances sampled tallied. Records were supported by receipts where appropriate and were audited weekly for additional security. Withdrawals were signed by one staff member and not by the service user. Guidance was provided on offering service users this right/responsibility where it can be safely assessed as appropriate or two staff signing as an additional safeguard. No obvious health and safety issues were noted during this site visit. Other aspects such as maintenance and premises audits will be considered at future inspections. Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 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 X 2 3 3 X 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 x 34 2 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X 3 3 x Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 YA34 Regulation 19(1) Sch 2 Requirement So that service users are safeguarded, a robust recruitment procedure must be used by the registered provider, and supporting records must be obtained. So that service users needs are met and service users and staff are safeguarded, staff must be provided with training appropriate to the work they do and to the needs of service users. Records of all staff training, including induction training, must be available in the home. Timescale for action 31/01/08 2. YA35 18 17(2) Sch 4 31/01/08 Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 26 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 YA24 Good Practice Recommendations A routine maintenance programme should be in place so that the home is kept as a pleasant environment for the people who live there. This refers to the cleaning of the stair carpet and the decoration in some areas. Residents should be able to lock their bedroom doors subject to risk assessment, to support their privacy. To develop staff skills in supporting residents, staff should undertake NVQ training. 2. 3. YA26 YA32 Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Brewery House DS0000070340.V355131.R01.S.doc Version 5.2 Page 28 - 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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