Inspection on 27/02/06 for Cherrytrees

This inspection was carried out on 27th February 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cherrytrees 16/05/07

Cherrytrees 12/07/05

Cherrytrees 01/12/04

Cherrytrees 20/05/04

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

CARE HOME ADULTS 18-65 Cherrytrees Cherrygrove Road Frome Somerset BA11 Lead Inspector Loli Ruiz Unannounced Inspection 27th February 2006 12:00 Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cherrytrees Address Cherrygrove Road Frome Somerset BA11 01373 452965 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) Somerset County Council (LD Services) Mrs Shirley Anne Perry Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users may be admitted who have concurrent physical disabilities and/or sensory impairment Service Users will be admitted for a maximum of 3 months between each admission and discharge 12th July 2005 Date of last inspection Brief Description of the Service: Cherrytrees has been registered as a care home for up to 6 younger adults (aged 18 - 65) with learning disabilities for respite care since September 2003. Also run from the same site is a community care outreach service for adults with learning disabilities. A number of local people also access the home for day care services. The home is run by Somerset County Council. A registered manager is in charge of the day-to-day running of the home. The registered manager had recently been seconded for a period of 6 months to another post and a temporary manager has been appointed. The new manager is applying to CSCI for registration. Cherrytrees is a single storey purpose built home in the town of Frome. This has the local facilities of shops, banks, pubs and leisure amenities. Cherrytrees is adapted to be able to support highly dependent service users whilst maintaining a homely atmosphere. All accommodation is in single rooms. Outdoor space includes pleasing gardens as well as shared use of an allweather outdoor sports court. The home benefits from being sited adjacent to a day service facility for adults with learning disabilities, also run by the Council. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between the hours of 12:00 and 17:10 and was the second inspection within the planned programme for the period April 2005 and March 2006. Two service users were in the home, one of them had recently been admitted for a period of respite and the other attended for the day. There was a second person residing in the home for nearly 3 months. This person was out but returned later. A further service user was admitted in the evening for a short stay. The inspector met with the service users and staff on duty. The manager, Mrs Perry, who has already taken up the new post on secondment, was visiting the home and assisted with the inspection as well as the two shift leaders on duty during the morning and afternoon shifts. The new manager, Caroline Conlon, was not in the home at the time of the inspection. The inspector also met with the area service manager when she paid a visit to the home. The inspector’s aim during this visit was to obtain feedback about the service from service users, staff and any visitors, to review previous requirements and recommendations, inspect essential areas and those not covered during the last inspection. A range of records were inspected and a tour of the premises was undertaken. The inspector would like to thank everyone at Cherrytrees for their assistance and welcome on the day of the inspection. What the service does well: The home provides a short-term, day care and outreach resource for the local community. There was a homely and relaxed atmosphere in the home and a sense of a cohesive and supportive team. Staff members were able to communicate effectively with service users in the home. Service users, who could, provided positive feedback of the home. Those who could not provide such feedback appeared relaxed and contented. Staff were most welcoming and helpful. Service users were free to use the home’s facilities, as at home, i.e. the kitchen to prepare own beverages, with supervision or assistance as appropriate. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 6 The purpose built home is well decorated, furnished and equipped to meet service users needs and presented homely, clean and attractive. 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. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 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 Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service users who access the home benefit from professional assessments prior to admission, to which the manager of the service and service users representatives input. This could be further supplemented by the home’s own assessment of changing need prior to repeated admissions. EVIDENCE: Service users who access the services do so, initially, after a thorough assessment of need by the referring care manager and professionals within the learning disability services multidisciplinary team, to which the manager is a member. Care records were inspected evidenced that the needs of service users accessing the home had been assessed. Many of the service users access the home for few days very regularly and their needs are well known by the home’s team. Cases are also discussed with the area’s team leader during monthly visits. However, records could be improved by the addition of the home’s brief assessment prior to repeated admissions- to identify and formalise any changes in need. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 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 the following standard(s): 6,7,8,9. Service users accessing the service benefit from well drawn out plans of care and support that also highlight areas of risk and provide appropriate guidance for staff. Service users or their carers are involved in their reviews and protocols to meet identified needs. Those accessing the service can use their self-determination, take risks and use the home’s facilities freely, all within the parameters of their assessed needs and risk assessments. EVIDENCE: Care records inspected evidenced good plans of care and support that included Good protocols for assisting staff when working with service users. One of the plans seen included the signature of the service user. Another evidenced the involvement and agreement of the main carer with the plan and also evidenced good transition work. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 10 Additional summaries, possibly monthly, should be included when a person stays for a substantial period. For example a person who had been in the home nearly three months and whose needs were well known and assessed by the CTLD team, did not have a summary of daily events during that period that could inform future placement plans. Staff were observed checking things out with service users seeking their approval with things such as the day’s menu and where to eat. A service user was observed, on returning from work, entering the kitchen and preparing a drink freely and without need for checks while undertaking friendly interactions with staff there. There is pictorial and diagrammatic information around the home to inform service users and to assist communication. Staff use total communication techniques where appropriate. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14, 16,17 Those accessing the service for short-stay are assisted in continuing with their usual programme of education, work, social and leisure activities. Service users rights and individual choice are respected and they benefit from a home that operates in a relaxed and homely manner. Service users benefit from staff that make efforts in meeting their dietary needs and preferences However, the system in operation would better evidence this with a daily record of the meals had by each service user. EVIDENCE: A service user was accessing the usual day placement and on returning to the home indicated that everything in the home was fine and staff were “lovely”. A day service user liked coming to the home and described it as “very nice”. Staff confirmed that they access local leisure and other facilities such as shops and restaurants with service users. The home has two dedicated beds for emergency admissions. There was one person in one of these beds. Occasionally, a person had stayed for longer than the maximum stipulated for a respite facility, risking the development of strong relationships with staff. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 12 There was one such person in the home as already indicated. (See NMS 6). The manager should maintain CSCI informed with regard’s to progress with finding a long-term placement for this person. All bedrooms are lockable and service users are issued with their key if they can use it. Staff were respectful of service users private space and evidenced respecting each persons preferred ways. Service users accessed all areas of the home freely. The nutritional needs of service users had been assessed as evidenced in their care and support plans. Menus evidence that two choices of a main dishes are planned for the tea-time meal. This is because the majority of service users accessing the home have day-time engagements. However, one third of the service users were in the home for lunch and at week-ends all service users potentially eat lunch in the home. The lunch-time meal should also be included in the menus. Another problem was that in trying to meet individual preferences, of people who come sometimes for just a few days, meals in the menu were changed, and although the menu did provide some guidance, i.e. at least one tea-time planned meal would be prepared, it was difficult to evidence the diet served. A daily account of the main meals taken by each individual would evidence this. A person eat pie and a sandwich for lunch while sitting in the sofa watching TV. Another service user was being fed an appropriate soft diet in the dining room. It is a shame that staff do not eat with service users to continue to encourage daily living skills around meal-times. The person eating on the sofa might be encouraged to sit at a table if eating with staff. The tea-time meal was pork casserole or ham/cheese omelette. It was unclear at 5 p.m. if the casserole would be cooked. However good portions of ham and cheese were observed for the omelettes. The fridge and freezer worked within normal ranges and daily temperature records evidenced that they were in good order. The kitchen was maintained in good hygienic conditions and state of repair. Protective clothing was available but not used by staff in the kitchen. They should do so whenever dealing with food and drink to prevent contamination. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 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 the following standard(s): 20. Standards 18 and 19 were met at the last inspection. Service users are protected by arrangements in the home for managing medication. However the inspector was informed that service users have no fixed lockable space in their rooms to safely store medication. EVIDENCE: The medication area was safely managed. There is a small medicines cupboard where 6 containers for each person in the home are kept and only the person in charge of the shift holds the keys. The inspector was told that no one accessing the home used controlled medication. However, the home should be prepared for this eventuality and should provide appropriate storage for CD medicines and a dedicated CD book. There was a good record of medicines received and taken away by the person at the end of their stay. There was also a good administration record with no gaps. All records were handwritten and all had been checked and signed by two staff. All those involved with medication had undertaken a management of medicines module of study and a shift leader confirmed that staff competences are frequently reviewed. The pharmacist did not undertake periodic checks but was described as very useful and ready to assist. Provision has not been made for fixed lockable space in service users rooms so that they can, if able, hold some or all of their medication. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 14 Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 People who live at the service are protected by a clear complaints procedure and by the local authority’s corporate policies for whistle blowing and for the protection of vulnerable adults. Service users safety could be jeopardised when essential recruitment information is not passed on to the home prior to new staff starting work. EVIDENCE: As in the last inspection, the home’s complaints procedure was included in service users’ care plans seen and management confirmed that parents or guardians were issued a copy of the Council’s complaints procedure. The information on how to complain is also available in pictorial form in service users bedrooms. Staff follow the local authority’s policies for the protection of vulnerable adults and whistle blowing and receive training in this area. Staff recruitment is carried out by senior management, at a central location, and the manager of the home is rarely involved in this process. Essential checks such as CRB and ID are done centrally and evidence was not included in the file of a new staff member seen. The staff member indicated that she had the checks done at interview and had a disclosure at home. Senior staff indicated that they usually get clearance via E-mail. But this was not included in the, otherwise well organised staff file. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 16 Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Service users accessing the home benefit from a safe, homely, clean and comfortable environment, equipped to meet their needs, are able to personalise their private space and freely access the spacious and attractive communal areas. EVIDENCE: Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 18 The home is a purpose built unit that opened on the 05/09/03. The home is adapted to a high standard to meet the range of disabilities that service users may have. A tour of the building was conducted during the inspection. All areas are homely and comfortable. All the bedrooms are for single occupancy with en-suite facilities. The manager indicated that service users bring in personal possessions and equipment to personalise their rooms. There are 9 toilets in this small home with adequate space for wheelchair users. There is one very large shared bathroom with a bath suitable for service users with severe mobility impairment to access via an overhead hoist. The water temperature of the bath is displayed on a digital readout. There is also a shower trolley available, where adequate space is provided for its use in the bathroom. All washing and bathing facilities inspected were clean and tidy and incorporated protective clothing, paper towels and liquid soap. Service users’ bedrooms are lockable and service users are offered a key. Shared space at the home includes a large lounge and a separate dining area. The kitchen is roomy and provides good storage and cooking facilities. The laundry provides good equipment for washing of clothes and machines enable programmes to heat to a degree to manage infection control measures. All chemicals are stored in a locked cupboard. Paper towels should also be provided in the laundry room. A private room is available for visitors and service users to meet people in private. Staff members on sleep-in duties have a bedroom and rest area provided with an en-suite facility. The home has shared use of an all-weather outside sports ground. The surrounding gardens are pleasant and well kept. The home also has outside hours access to the adjacent day unit if required. Smokers do so outside of the home, within its grounds. Overhead hoists are on a service contract and were serviced at 6 monthly intervals as evidenced by stickers in each of them. The Arjo equipment that includes the bath, mobile hoist and mobile trolley are not included in the contract and had to be provided separately. These three items were now due for a service and staff believed that arrangements were being made to service them. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 19 The home was maintained in a clean and tidy condition. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 33, 35, 36 Service users benefit from a stable staff team that have clear roles and are appropriately supervised, and from sufficient staff numbers to meet their assessed needs. Service users benefit from staff that are provided with good specialist training to enable them to communicate effectively with them, however, their safety could be jeopardised by staff who lack the necessary mandatory training updates in other areas. EVIDENCE: The staffing arrangements in the home provide for clarity of roles. In addition to the manager of the establishment, there is a deputy or senior team leader, support workers take charge of each shift and work areas are delegated to individuals. The duty rotas demonstrated that there are sufficient staff members employed and also that absences could usually be covered by existing staff or by the use of the county’s relief team. Where necessary, additional staff members are employed to meet the specific needs of service users in the home. The staff team are supportive of each other and work well as a team. Staff spoken with during the inspection expressed how happy they were working at Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 21 Cherrytrees and continue to indicate that they feel well supported by the management structure. There are a number of records evidencing training. The previous inspection recommended that a training matrix including all mandatory training and NVQ qualifications be compiled for ease of reference but this was not yet available. Training records seen appear to indicate that about 25 of staff have achieved NVQ qualifications (10 of 20 staff in the staff list) and another 25 are either working towards the qualification or have been nominated. Training records evidenced that all staff had received fire training, that staff were provided with a thorough BILD induction and also regular supervision. The new staff member had completed induction and was able to show the inspector the record of this, and was now doing PLMD training. The staff team also had frequent meetings and the support provided was checked during monthly reviews with the area’ s team leader. However there were significant gaps in mandatory training. Records showed that a number of staff had last had safe handling training in 2004 and 2003. Others had no entries. For an establishment that can admit people with complex physical disabilities and in need of specialist equipment, the staff are poorly trained in this area. Safe handling for such establishment should be carried out once a year. This can be done in-house by an appropriately trained member of staff who has completed a trainers programme and has had appropriate updates. All staff had been nominated for mandatory training that included updates in safe food hygiene, emergency first aid and safe handling. This should be carried out as a matter of priority. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 41, 42. The service is well managed and benefits from involved members of the senior management team. The home provides a safe environment for service users and its practices aim to promote their health and welfare. EVIDENCE: Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 23 The qualified seconded manager was not able to confirm the qualifications of the new temporary manager who will be applying for registration with CSCI. The home benefits from working closely with and by being supervised by the area’s team leader. The home has a competent and motivated supervisory team. Staff spoken with felt that the management team were supportive and open and as in previous inspections, indicated that they could discuss issues with the management team. Staff meet on a regular basis. These meetings are minuted. Records seen included those for medication, fire safety and maintenance checks, electric safety, staff rotas, care records, menus, complaints and compliments folder, monthly reviews, temperature records for kitchen equipment, accidents, staff recruitment and staff training and induction. The home was generally found to be well organised and well run. All records seen were well maintained and securely stored, and generally the home met health and safety requirements unless otherwise stated in previous chapters Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 2 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 X 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 3 X X X 3 3 X Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 25 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA23 Regulation Schedule two Requirement It is required that evidence of CRB and POVA checks done centrally, be available in the home for all new staff employed. Previous unmet requirement It is required that all staff are provided with all mandatory training to include Moving and Handling and updates maintained up to date. Previous unmet requirement. Timescale for action 31/03/06 2. YA35 18 (1) 31/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations It is recommended that, where service users stay for a number of weeks, periodic summaries be made of daily events that may inform planning future provision, and that CSCI be informed of any period exceeding the stipulated 3 months occupancy. It is recommended that a daily record be kept of the main meals taken by each service user and that staff wear protective clothing when dealing with food. DS0000054215.V285348.R01.S.doc Version 5.1 Page 26 2 YA17 Cherrytrees 3 YA20 4 5 YA29 YA32 It is recommended that provision be made for the storage and recording of controlled drugs and that fixed lockable space be provided in bedrooms so that service users can hold their own medication if they so wish, safely. The 3 items from Arjo mobile equipment should be serviced every 6 months. It is recommended that efforts be made to achieve a minimum of 50 staff qualified at NVQ levels II or above. Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Cherrytrees DS0000054215.V285348.R01.S.doc Version 5.1 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. 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!