Inspection on 21/04/05 for Charles House

This inspection was carried out on 21st April 2005.

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

The inspector found 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Charles House 29/07/09

Charles House 14/08/08

Charles House 04/09/07

Charles House 03/11/06

Charles House 27/10/05

Charles House 18/11/04

Charles House 21/04/04

Similar services:

10 Whitfield Avenue

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

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

CARE HOME ADULTS 18-65 Charles House 247 Birchfield Road Perry Barr Birmingham B20 3DG Lead Inspector Gerard Hammond Unannounced 21 April 2005 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 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 Stationary 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. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Charles House (PB) Address 257 Birchfield Road Perry Barr Birmingham B20 3DG 0121 331 4792 0121 331 4792 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Alphonsus Homes Care Home 10 Category(ies) of Younger Adults, Learning Disability registration, with number of places Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 18 November 2004 Brief Description of the Service: Charles House provides accommodation, personal care and support for ten people with learning disabilities. The Home is part of a group owned and run by a private company, Alphonsus Homes. The house is a large, well-maintained, three-storey period style property situated in the Perry Barr area of Birmingham. It is set back from the main A34 route into the city centre. At the front of the house is a small,neat garden and limited off-road parking. To the rear of the property is an enclosed private garden with flowerbeds and lawn and patio areas, which can be accessed through the large conservatory or kitchen back door. A ramp and handrails have been fitted to facilitate access for people with sight and mobility difficulties. Each person living at Charles House has a single bedroom, and these are situated on all three floors of the Home. One bedroom on the ground floor has en-suite facilities. All other bedrooms have wash hand basins and there are either bathroom or shower and toilet facilities on all floors. There is no passenger lift facility in the Home, so most people living there must have good general mobility and be able to manage stairs. On the ground floor is a large lounge, which leads directly into conservatory. There is also a full-sized dining room, giving access to the kitchen and also to the office. The house is well served by public transport and close to a range of community facilities and amenities, including shops, pubs and restaurants, parks, places of worship and medical centres. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? The Trainee Manager is continuing to make good progress with the support of the Service Manager. Issues raised at the last inspection with regard to medication practice have been dealt with appropriately. The maintenance and refurbishment programme is ongoing, and the kitchen has been completely refitted, with further work on the conservatory scheduled. Training in the Protection of Vulnerable Adults from Abuse is being provided for the staff team, and professional advice is being sought from appropriate agencies to support the care management of one resident whose behaviour presents particular challenges. Some progress has been made towards developing person-centred approaches, in keeping with the aspirations of the Government White Paper “Valuing People”. There have also been some improvements in the recording of people’s activities and social and leisure opportunities, as required at the time of the last inspection. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 6 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. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,4 & 5 Charles House has a well-structured assessment and admission procedure, to help people make informed decisions in respect of the service offered, and meeting individuals care needs. EVIDENCE: The Statement of Purpose and Service User Guide provides necessary information to support decisions about potential future placements. It is necessary to assess how this can be made relevant for each person with a learning disability on an individual basis. Minor adjustments should be made to the Statement of Purpose to reflect the ages and range of needs that the service can cater for. A comprehensive assessment tool is available for use prior to any admission, and there is a good system in place for monitoring and assessing trial visits before a decision is made regarding placement. Individual contracts are incorporated in the personal copy of the Service User Guide. These should be further developed to include a facility for signing or witnessing by a relative or other independent person, where the individual concerned is unable to sign. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 9 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 standard(s) 6, 7 & 9 Care plans contain good quality information needed to support people appropriately, in accordance with their assessed needs and wishes. This information is well presented and generally accessible, for ease of reference and practical use by the care team. Good practice could be further developed by the introduction of specific person-centred approaches and structured target setting in all care plans. EVIDENCE: Care plans are detailed and well presented, with information used on a daily basis kept as a “working file” so as to be readily accessible for members of the support team. Further development to build on existing good practice will involve setting specific targets with measurable outcomes against each identified area of support need. These can then be evaluated at review, and amended or modified as appropriate. Reviews of care plans should indicate who takes part and how decisions are arrived at. Guidance in this standard (6.10) is that plans should be reviewed at least six-monthly. This should involve all interested parties contributing to the individual’s package of care. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 10 During the inspection it was possible to observe directly staff supporting people to make choices about day-to-day concerns (e.g. meal choices, tasks around the house etc.) The introduction of specific person-centred approaches could further enhance individuals’ opportunities. Risk assessments are retained in the “working file” alluded to above. These should be directly cross-referenced to the element(s) of the care plan to which they relate, and the care plan should have a clear indicator that there is an associated risk assessment in place (e.g. “see risk assessment no. 3”). As with care plans, reviews of risk assessments should indicate who takes part and how decisions are made. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12, 13, 14,15, 16 & 17. People living at Charles House are able to access opportunities for education, social and leisure pursuits both at home and in the community, as well as keeping in touch with families and friends. They are encouraged to be independent within their individual capabilities, and they enjoy a flexible and healthy diet. There is a need to develop the way in which peoples activities and opportunities are recorded,so that the quality and range available to each individual is clear. This can support peoples thinking about planning for the future. EVIDENCE: Some people living in the home access local colleges as part of their structured day activity programmes. The organisation provides day services away from the Home, and facilitates a range of activities for people to be involved in. There are records in a number of places in the Home with regard to individuals accessing local facilities and engaging in leisure pursuits in the wider community. The previous inspection report includes a requirement that this Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 12 element of care planning and recording should be reviewed, and options for increasing opportunities expanded. There is evidence that work has been done on this, and that the Trainee Manager has taken responsibility for monitoring staff actions in this respect. Continuing development of this work should include the collation of all information relating to leisure and community based activities, actually undertaken by each individual. This can then be analysed appropriately and a clearer “picture” obtained of the quality of each person’s daily opportunities, to better inform future care planning. Records seen during the inspection provide evidence of individuals’ regular contact with their families, and one person spoke of being in touch with his brother recently by telephone. In addition, members of the staff team were observed interacting positively and encouraging individuals to do things for themselves. They were also seen to be respectful of individuals’ wishes that rooms were not accessed in their absence. Menu choice is dealt with by an interesting mix of practicality and flexibility. There is a good system in place for helping people choose menus. The menus rotate on a four-week cycle, with flexible options on three days, as well as offering the possibility of an alternative each day if required. There is a good pictorial aid for helping individuals with limited communication make choices. Most people generally take their meals together in the large dining room. One person takes meals on her own in the conservatory in accordance with her wishes. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 13 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 standard(s) 18, 19 & 20 Personal and healthcare support is delivered in a sensitive and flexible manner, in accordance with individuals preferences. Medication management within the home is of a generally very good standard, with systems in place to monitor and maintain good practice. The proposed development of person-centred approaches in the Home should further enhance individual care delivery. EVIDENCE: All of the people living at Charles House were appropriately and well dressed on the day of this unannounced inspection, and had clearly been properly supported in all matters relating to their individual personal care. Care plans are comprehensive and give detailed guidance to staff concerning preferred ways of offering support, in accordance with individuals’ wishes. Members of the care team were seen to be respectful, flexible and sensitive in the manner in which they supported the people in their care. Records provided evidence of involvement of other health care professionals in the delivery of support to individuals living in the Home. A requirement was made at the time of the last inspection with regard to the provision of dental care, and this needs following through when the relocation of the local practice is complete. A referral has been made to the Psychology service in respect of Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 14 individuals engaging in behaviour seen as difficult to manage. It is important that recording of incidents is accurate and consistent, so that care plans can be appropriately informed, reviewed and monitored, as required. The previous inspection report highlighted areas of good practice, supported by the local pharmacist, in the handling, administration and management of medication, and the requirements made in respect of labelling have been dealt with appropriately. Opportunities to develop person-centred approaches within the organisation are currently being pursued, and these have the potential to inform further and enhance the delivery of individuals’ care. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Only a small number of the people living in this house are able to express directly an opinion on whether or not their views are listened to and acted on. The Homes management team is taking positive action to ensure that staff members knowledge and awareness of Adult Protection issues is enhanced through appropriate training. EVIDENCE: No complaints have been received in respect of this service since the last inspection took place. The complaints procedure is incorporated in the Service User Guide. The range of support needs of the residents is such that the procedure will have some relevance for a small number of individuals, and little or no relevance for others. It is not possible for residents to participate appropriately in group meetings, and key workers generally advocate on individuals’ behalf. Adult protection training is scheduled for the staff team in May 2005, and this is to be welcomed. At the time of the last inspection, some concerns were expressed about the negative impact of one individual’s behaviour on the well being of other residents. Support has been sought from the Psychology Service, and this situation will need to continue to be monitored. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25,27,28 & 30 The home environment at Charles House is maintained to a generally very good standard. Staff try hard to keep the house homely and comfortable, and residents rooms are personal and individual. Standards of cleanliness and hygiene are generally very good. EVIDENCE: Charles House is an old property that has real “character”. Decoration and maintenance appears regular and cyclical, as required by the substantial wear and tear inevitably generated by the number of people using the house. There is clear evidence of efforts made to keep the premises homely and comfortable. The kitchen has been refitted since the last inspection, and the floor is scheduled for retiling shortly to complete the job. The conservatory has been repaired in accordance with requirements made at the last inspection, and further substantial work is scheduled to ensure its long-term maintenance. The organisation operates its own property audit on a regular basis and identifies areas needing attention, referring these on to the company’s maintenance department for action. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 17 A requirement in connection with cleaning or replacing carpets was made at the time of the last inspection, and this remains outstanding. The organisation is in dispute with the manufacturer and the issue is being followed up, but this needs to be resolved without undue further delay. People’s bedrooms are individually decorated, with evidence of personal effects and possessions throughout. At the last inspection it was reported that some furniture was coming to the end of its operational life and was in need of replacement. This is being dealt with on a gradual basis and will be reassessed at the next inspection. Bathrooms and toilets are generally satisfactory, although requirements were left with regard to replacing the flooring in the top floor men’s toilet and small maintenance issues. The garden at the back of the house offers residents an enclosed and pleasant outside space. The fencing is in need of some maintenance, and the lid on the rainwater butt should be made secure. The requirements made can be found at the end of this report. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 & 36 The Homes recruitment policy and practice are thorough and this situation is supplemented by a structured training programme, to the benefit of people living and working in the house. Residents and staff generally get on well together. The care team receives good support through group meetings and regular supervision. EVIDENCE: Staff records were examined during the inspection. There was evidence that recruitment processes are thorough, and necessary documentation was in place. A recommendation was made that staff members’ personal files should include a copy of their job descriptions. The staff training plan was seen: dates are scheduled to deliver training in Adult Protection and Epilepsy during May 2005. In addition, some staff have commenced a course in Makaton. A recommendation was made that the management team also research further opportunities for supporting augmented communication, so as to extend current good practice. A good general rapport exists between members of staff and residents, who seem comfortable in each other’s company. Staff group meetings take place on a regular basis, with records kept as required. Individual supervision and appraisal meetings also meet the standard set down. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38,39, 41 & 42. The management team and the staff within the home appear to have a good working relationship and general rapport with people living in the house. Quality assurance systems need some development to improve the representation of the residents views. Record keeping within the Home is of a generally high standard, and work practices support the maintenance of the health and safety of everyone in the house. EVIDENCE: No Registered Manager is in post at the present time. However, in the interim, the situation is being satisfactorily maintained through the appointment of a Trainee Manager working under the supervision of one of the organisation’s Service Managers. There is evidence that good progress is being made by the Trainee Manager towards readiness to make an application to become Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 20 registered, and of a good working relationship within the management team, and with the staff group in general. The organisation already has in place some effective measures for quality assurance, including the audit conducted by managers from other homes referred to earlier in the report, and visits carried out under Regulation 26. In order to build on this, the management team should further develop “customer satisfaction surveys” to take account of the views of people using the service. The communication needs of many of the residents make this a far from simple task, so good practice might suggest that the views of other interested parties (e.g. relatives, friends, independent advocates, other professionals involved in individuals’ care etc.) should be sought to support this process. This information should then be collated and analysed, and the findings made available to appropriate people. Records, both relating to the management and running of the house and to the people living there, are in generally good order and appropriately and securely maintained. However, a number of items need some attention, and these are recorded in the requirements at the end of this report. Files relating to the maintenance of the health and safety of all people in the Home were examined during the course of the inspection. Safety checks on the fire alarm and servicing of the system and related equipment have been satisfactorily carried out. The Home was inspected recently by the local Fire Officer and recommendations made were acted upon promptly. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 3 2 x 3 Standard No 11 12 13 14 15 16 17 x 2 2 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Charles House Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 2 x 3 2 x E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation 5c Requirement Develop residents contracts to indicate clearly the cost of the service provided, and include the facility for signing or witnessing by a friend or relative, where individuals are inable to do so. Develop individual care plans to include targets with measurable outcomes. Establish clear links between care plans and risk assessments by crossreferencing. Reviews of care plans and risk assessments must show who takes part and how decisions are arrived at. Further develop individuals’ activity recording, so that a clear picture of the range and quality of opportunities enjoyed can be accurately gained. This should be comprehensive across the service and include information currently held by day services. Ensure that all residents are able to access the services of a dentist on a regular basis Review and update the Home’s Adult Protection policies and procedures and include specific cross-reference to local multiTimescale for action 31.08.05 2. YA6 YA9 15 13(4) 30.10.05 3. YA12 16(2m 30.06.05 4. 5. YA19 YA23 13(1b 13 (6) 31.08.05 30.06.05 Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 23 agency guidelines. 6. YA24 23(2) Clean or replace the dining room carpet, as identified at the time of the last inspection.Replace the flooring in the top floor w/c shower room.Complete the maintenance work required on the conservatory. Complete application to register a Manager for the Home. Develop the Home’s Quality Assurance and monitoring systems to include feedback from “interested parties” as identified in the main body of the report. Collate this information, analyse it and make it available to those involved. Review and update the Food Risk Assessment to reflect current practice within the Home. Risk assess the need for the security fencing currently in use in the rear garden. While it remains, ensure that it is supported securely and out of reach of people accessing the garden.Secure the lid of the rain water butt.Repair or replace the window restrictor in the top floor w/c shower room, and replace the broken tile by the basin in the same room.Remove combustible material from the cellar 31.08.05 7. 8. YA37 YA39 8&9 24(1-3) 31.08.05 31.08.05 9. 10. YA41 YA42 17 13(4c) 30.06.05 Immediate requiremen t 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 YA2, YA3, & YA6 Good Practice Recommendations Pursue the development of Person Centred Planning (already begun) in accordance with the aspirations of Valuing People E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 24 Charles House 2. 3. 4. YA31 YA35 YA41 Include a copy of peoples job descriptions on their indivdual staff files Research and implement additional training and opportunities to develop the expertise of the staff team in augmented communciation Index the COSHH file and remove any out of date material. Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor,Ladywood House 45-46 Stephenson Street Birmingham, B2 4UZ 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 Charles House E54 S16722 Charles House (PB) V215192 210405 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!