Inspection on 11/09/07 for Careview Services

This inspection was carried out on 11th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Careview Services 20/02/07

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Careview Services 75 Birmingham Road West Bromwich West Midlands B70 6PY Lead Inspector Ms Linda Elsaleh Unannounced Inspection 11 12 & 14 September 2007 10:30 th th th Careview Services DS0000067429.V343280.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 Careview Services DS0000067429.V343280.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. Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Careview Services Address 75 Birmingham Road West Bromwich West Midlands B70 6PY 0121 532 6790 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) Care View Services Limited Kaldip Kaur Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Any service user with a physical disability must be accommodated in the ground floor bedroom only. The Home may accommodate one named service user over the age of 65 years. 20th February 2007 Date of last inspection Brief Description of the Service: Careview is an older terraced property, which has been completely refurbished to a high standard. The home offers care to five adults between the ages of 18 to 65 and one adult over 65 who have a learning disability. The accommodation is provided over 3 floors. There is a large lounge and dining room on the ground floor, with a domestic style kitchen and small laundry. All bedrooms are single and provided with an en suite toilet and shower or bath. There is one bedroom on the ground floor, which meets the needs of a service user with a physical disability. There are 3 bedrooms on the first floor and 2 on the second floor. A stair lift has been installed, although this is not currently in use. The stairs to the second floor are steep. To the rear of the property is a small, very attractive and private garden. Transport is provided to assist service users to attend Day Centres during the week. The home’s aims are: To provide high quality individualised care for our Service Users and To encourage and support independent living as far as possible. Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out during different times on 11th 12th and 14th September 2007. The purpose was to assess the home’s performance against the key standards in the National Minimum Standards for Care Homes for Adults and report on the progress made to address previous requirements. The inspector’s findings are based on the information received by the Commission for Social Care Inspection, examination of relevant records and documents kept at the home and discussions with the manager and staff. Observations were made of the interaction between staff and service users and brief conversations took place with some service users throughout the visit. The atmosphere within the home was relaxed and friendly. A tour of the premises found it to be furnished to a good standard. The home was clean, tidy and free of odour. Service users, relatives and staff commented positively on how the home is run. What the service does well: What has improved since the last inspection? Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 6 The manager continues to review the presentation of documents, such as the Statement of Purpose, Service User Guide and care plans, in order to produce information in formats that service users are able to understand. The home has revised its referral process to ensure care management assessments are obtained from the funding authority. Arrangements are in place for service users to receive regular specialist healthcare checks. Staff are supported to obtain recognised qualifications and attend periodic client-centred training courses. A programme for health and safety training has been produced and implemented. 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. Careview Services DS0000067429.V343280.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 Careview Services DS0000067429.V343280.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): 1, 2 & 5 Quality in this outcome area is good. Services users are provided with information they need to make an informed choice about where to live. Improvements have been made to the home’s referral process to ensure care management assessments for prospective service users are obtained from the funding authority. Each service user should be provided with a contract that specifies the agreed conditions of residency. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide have been reviewed and translated into pictorial form. The manager stated a further review of these documents is to be carried out as service users are still finding the amount of information confusing. Relatives expressed satisfaction with the information provided by the home. Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 9 There have been no admissions since the last inspection. The manager confirmed its referral system has been revised to ensure care management assessments about prospective service users are obtained from the funding authority. Arrangements were made for current service users to visit the home, partake in a meal and stay over night prior to a placement being agreed. Three service users files were examined in detail during this visit. The contracts/agreements with two service users were incomplete. The manager is advised to ensure a written contract is produced for each service user and review the contents to ensure all key terms, required by regulation and the National Minimum Standards for Care Homes, are included. Careview Services DS0000067429.V343280.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 & 9 Quality in this outcome area is good. Service users are involved in planning for their individual care. Staff support service users to make their own decisions about their daily lives. However, to ensure their best interests and rights are fully protected, arrangements for managing finances on their behalf should be reviewed. The home’s risk assessment process ensures service users are kept safe from harm. This process should promote service users, wherever possible, to take responsible risks as part of an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans and risk assessments are well presented. Each plan is person centred and gives clear instructions of how individual needs are to be met. Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 11 The plan is divided into “My Morning Routine”, “My Afternoon Routine”, “My Evening & Weekend Routines” and additional information such as likes and dislikes. The manager continues to monitor the production of care plans as part of the home’s commitment to continued development. One service user has recently been involved in producing her/his own information folder. It contains photographs, pictorial care plans and any other information the service user wanted included. Care plans are monitored on a monthly basis and regular care reviews are arranged to discuss progress with the service user, relevant professionals and relatives, where applicable. Meetings take place with service users each week that includes discussions of their choice of activities and meals. Where different choices have been made these are recorded on the service users daily notes. The inspector observed service users making decisions throughout this visit. For example, one service user chose to spend time in her/his bedroom, one chose to do some writing and another ‘wandered’ between the lounge and the garden. Service users who commented stated they were able to make decisions about how they wish to spend their time. The finances of four service users are managed on their behalf by a relative or representative. The registered manager is appointee for one service user. Staff support service users to make everyday purchases. One service is more independent and looks after small amounts of her/his monies. Records are kept of all purchases made on behalf of the service users. Care plans do not include detailed information about these arrangements. This needs to be addressed at service users reviews and the current arrangement for the manager to act as agent for one service user. Any agreements for additional payments, such as the running costs of the home’s transport, should also be documented. As previously stated, the home produces detailed risk assessments for each service user. These include appropriate control measures to minimise the risk, in the home and community, to ensure the safety of service users and staff. The risk assessments are regularly reviewed. This process needs to be developed to include a positive approach to supporting service users to take responsible risks, wherever possible. Careview Services DS0000067429.V343280.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 & 17 Quality in this outcome area is good. Service users are able to follow their own routines and have opportunities to participate in appropriate activities in the home and the community. The home provides service users with support in maintaining and developing relationships with relatives and friends. Service users are offered meals that meet their dietary needs and personal preferences. Suitable arrangements are made to enable service users to enjoy their mealtimes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four service users have individual programmes for attending day centres during weekdays. Communication between service users, day centres and the Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 13 home is promoted through the use of communication books to provide information about the service users needs and wishes. One service user spends her/his weekdays relaxing at home and engaged in activities with staff. A range of activities is provided during the evenings and weekends, such as visits to Sandwell Valley Park, the local pub and various social clubs in and around the West Bromwich area. Service users who expressed a view stated they are supported to participate in activities of their own choice. One service user enjoys placing a bet at the local betting office and is an avid football fan. Service users are also supported to go holiday. During this visit a member of staff and a service user were busy preparing to go on holiday at the weekend. Service users are supported to maintain regular contact with their relatives. There is an ‘open’ policy for visitors to the home and they are encouraged, where applicable, to join in activities. Service users are also supported to visit their relatives. The inspector observed one service user receiving an unexpected visit from two of her/his relatives. The home has a no smoking policy and none of the service users choose to smoke. Nevertheless, ‘No Smoking’ signs were being displayed in corridors throughout the home. The appropriateness of displaying these in the service users home was discussed and were removed by the manager. The inspector observed staff consulting with service users about the lunchtime and evening meal. Mealtimes are regarded as social occasions where service users and staff discuss the day’s events and activities. Service users may eat alone if they wish. One service user has a pictorial menu book s/he brought with her/him. The manager discussed future plans to develop this to provide a comprehensive menu book for the home. Records are kept of meals taken by service users for monitoring purposes. Care staff are responsible for carrying out all duties associated with catering. Service users are involved in shopping trips for food items and are supported by staff to participate in the preparation of meals and snacks, if they wish. The records examined show training in basic food hygiene has not been attended by all staff. Careview Services DS0000067429.V343280.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 & 20 Quality in this outcome area is good. Service users personal, emotional and healthcare needs are met appropriately. However, some improvements need to be made to the home’s monitoring and recordings for medication to ensure service users health and well-being is fully safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff are required to familiarise themselves with service users care plans and sign to verify they understand these. Observation of staff practices confirm care needs are met in accordance with individual plans and service users wishes. One service user uses a walking frame and the inspector was informed s/he was becoming less mobile. A stair lift has been installed ready for the service user’s use when needed. Records show regular arrangements are made for service users to receive general and specialist healthcare checks. Information is available for staff Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 15 about medical conditions that affect individual service users. Regular meetings are held with relevant health care professionals when required. Service users medication is managed on their behalf by the home and suitable arrangements are in place for the storage of medication. The medication records for service users were examined. These are generally completed to a satisfactory standard. However, medication for one service user, identified as “when required” has not needed to be administered for over a year. The manager has been advised to request a review of this medication. If the medication continues to be prescribed, guidance on when it is to be administered must be provided for staff. Another service user requires a thickening agent to be added to her/his food and drinks. The manager is further advised to ensure a suitable recording system is implemented to evidence staff are following this instruction. The home has yet to provide a procedure for the use of homely remedies. Sample signatures and initials are kept of staff responsible for medication to assist in identification purposes. Some staff have attended a one-day training course. The manager is arranging for accredited training to be provided. Careview Services DS0000067429.V343280.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 & 23 Quality in this outcome area is good. Service users feel their views are listened to and acted by through the home’s arrangements for regular consultation. The home’s procedures and practices protect the service users from abuse and self-harm. However, training should be provided for staff to ensure they are fully informed of adult protection issues. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has not received any complaints since it was registered and none have been reported to the Commission for Social Care Inspection (CSCI). A complaints procedure is available and copies are available in pictorial form. Service users are actively encouraged to comment about the care provided and arrangements for the day-to-day running of the home at their weekly meetings. Service users behaviour is monitored for signs of dissatisfaction or distress and the reasons for this is explored. All service users stated they are cared for well by staff. Three indicated they would speak to staff if they were unhappy with anything. The home invites comments from relatives about the service it provides. Relatives who responded to CSCI’s survey stated they were aware of the home’s complaints procedure. Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 17 Adult protection policies and procedures are available in the home. There have been no reported adult protection issues and no concerns were identified during this visit. However, the staff records that were examined show these staff have not attended training in adult protection issues. Staff stated service users relate positively to each other and the inspector observed good interaction between the service users and staff. The home has a ‘no restraint’ policy. The statement in the home’s managing challenging behaviour policy, “restraint can be used as a last resort”, is in the process of being removed. Careview Services DS0000067429.V343280.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 & 30 Quality in this outcome area is good. Service users live in a homely, clean and comfortable environment that is generally well-maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home continues to provide service users with a well-furnished and homely environment. Communal areas consist of a lounge and dining area. Service users have unrestricted access to these areas and a pleasantly landscaped rear garden. Supervision, where appropriate, is provided in high-risk areas such as the kitchen. Service users are encouraged to participate in light household duties and are supported by staff to keep their bedrooms clean and tidy. Since the last inspection the home has employed a part-time domestic to ensure its high standard for cleanliness is maintained. Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 19 There are good systems in place for carrying out regular environmental risk assessments and maintenance checks. The maintenance workbook shows the date and action taken to address issues. However, there remains gaps between the base of the doors and a one door that jams still to be satisfactorily addressed. There are suitable procedures to ensure good hygiene practices are followed. Infection control training is being arranged. Training has been provided in health and safety issues such as manual handling, fire safety and emergency first aid. Careview Services DS0000067429.V343280.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 & 35 Quality in this outcome area is good. Service users benefit from the support they receive for a caring and competent staff team. A planned programme of training for staff would ensure service users individual and group needs will continue to be well met. The home needs to review its recruitment processes to ensure the well-being of service users is fully safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff team is made up of individuals (male & female) who have different life experiences. Observations made and discussions held with the manager and staff demonstrates they are familiar with service users needs, routines and preferences. The home has policies and procedures for the recruitment of staff. No care staff have been employed since the last inspection. A discussion took place about recruitment issues identified at the previous inspection and records were Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 21 examined. There remain some outstanding issues, for example job descriptions were not available on all files. The manager is advised to review the files for the current staff team to ensure forms have been completed appropriately and contain all the required information. More robust checking systems should be produced to verify recruitment information. There is a good induction programme into the home for new recruits, however an induction and foundation training programme needs to be produced that meets the Skills for Care specifications and timescales. The majority of staff have completed Level 2 National Vocational Qualification in Care (NVQ) and some have commenced Level 3. Arrangements have been made for staff to enrol for training in working with people who have learning disabilities. Health and safety training has also been provided in the most areas. Staff have also attended some client-centred courses such as understanding learning disabilities, dysphasia and person-centred planning. Discussion took place with the manager about the benefits of a more planned approach to training. An individual training and development programme should be produced for all staff and reviewed at their annual appraisals. Careview Services DS0000067429.V343280.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 & 42 Quality in this outcome area is good. The manager has the knowledge and skills to ensure service users benefit from a well run home. A quality assurance system should be implemented to ensure service users can be confident their views underpin the home’s self-monitoring and plans for development. Policies are in place for promoting and protecting service users health and safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 23 The manager has the relevant qualifications and experience for running the home and undertakes periodic training to maintain and update her knowledge. The manager’s job description should be reviewed regularly to ensure it sets out all her areas of responsibility in respect of the home’s Statement of Purpose and her position as registered manager. The home has a system for obtaining the views of service users and their relatives/representatives. However, a comprehensive quality assurance system needs to be implemented and an annual development plan for the service produced. The results of the home’s surveys and the development plan for the service is to be made available to service users, relatives and other interested parties. The home has relevant health and safety policies and procedures. Regular checks are carried out on the premises, appliances and equipment. Suitable arrangements should be made for gas appliances, such as the cooker, to be serviced annually. Careview Services DS0000067429.V343280.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 3 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 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 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Careview Services DS0000067429.V343280.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA7 Regulation 15 Requirement Arrangements for managing service users finances must be clearly detailed in their care plans. The financial arrangements for the registered manager to act on a service user’s behalf must be reviewed to ensure the interests of the service user and manager are protected. All staff should receive training in adult protection issues to ensure service users are fully safeguarded from abuse. Suitable arrangements should be made to ensure gas appliances are serviced at least once a year. Timescale for action 31/12/07 2. YA7 20 31/12/07 3. YA23 18 31/12/07 4. YA42 23 31/12/07 Careview Services DS0000067429.V343280.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 YA5 Good Practice Recommendations A written contract should be produced for each service user, include all key terms required by the Care Homes Regulation and National Minimum Standards and be signed and dated by all parties. Consideration should be given to aspects of service users lives where they could be supported to take risks as part of an independent lifestyle. All staff responsible for handling and preparing food should be trained in basic food hygiene. A homely remedies policy and procedure should be provided to ensure service users health and well-being is fully protected. A request should be made for a review to be undertaken of the medication prescribed to a service user and has not been administered for over a year to assess whether this prescription is still required. A record should be kept to confirm a service user who requires a thickening agent to be used in food and drinks. Accredited training should be provided to all staff responsible for administering medication. The policy for managing challenging behaviour should be revised to reflect the home’s “no restraint” practice. The home should take prompt action to address the gaps at the base of doors and ensure doors can be opened with ease. Staff should be trained in infection control to ensure service users health is fully safeguarded. The files of current staff should be reviewed to ensure all recruitment information is available. Induction and foundation training that meets the Skills for Care specifications and timescales should be available for implementation with new staff. Staff should be provided with individual training and development programmes. The manager’s job description should be regular reviewed to ensure it sets out all her responsibilities. A quality assurance system should be produced to enable the home to assess its performance in meeting its stated aims and objectives and Statement of Purpose. DS0000067429.V343280.R01.S.doc Version 5.2 Page 27 2. 3. 4. 5. YA9 YA17 YA20 YA20 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. YA20 YA20 YA23 YA24 YA30 YA34 YA34 YA35 YA37 YA39 Careview Services Commission for Social Care Inspection Halesowen Office Ground Floor West Point Mucklow Hill Halesowen B62 8DA 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. 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