Inspection on 12/12/05 for The Chestnuts

This inspection was carried out on 12th December 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 no outstanding requirements from the previous inspection report, but made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Chestnuts 07/11/06

The Chestnuts 08/06/06

The Chestnuts 09/05/05

The Chestnuts 07/09/04

The Chestnuts 01/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Chestnuts The 14 St Helens Road London SW16 4LB Lead Inspector James O`Hara Unannounced Inspection 08:30 12 December 2005 th Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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 Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chestnuts The Address 14 St Helens Road London SW16 4LB 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) 020 8765 0299 NONE Mr Michael McDonagh Mrs Denise McDonagh Ms Susan Burgess Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2005 Brief Description of the Service: Chestnuts is Registered as a home offering support to five adults with learning disabilities and either Autism or Aspergers Syndrome. Chestnuts is a large detached house located in the heart of Norbury and is only a few minutes walk from local shops, rail and bus services. Chestnuts has five single service user rooms, with a bathroom being located on the first floor of the home and a shower room situated on the second floor of the home. The lounge is large and comfortable. The wood-panelled dining room is a good size, providing a valuable additional communal space for service users. The home also has a large well maintained back garden with garden furniture and barbeque, which the service users make good use of. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection at the home this year the first took place in May and was announced. The inspection began at 8.30 am and finished at 15.45 pm on a Monday morning/afternoon. This inspection was concentrated on previous requirements and recommendations set at the last inspection. These were discussed the registered providers Mr Michael McDonagh and Mrs Denise McDonagh. Other methods of inspection included observation of contact between staff and service users, discussion with a service user and members of staff and discussion with the registered providers. Records examined included staff files, Criminal Records Bureau Checks; staffing rosters, Person Centred Plans and staff supervision records. What the service does well: What has improved since the last inspection? What they could do better: There were a total of 7 requirements and 8 recommendations set at the last inspection. As result of discussion and the assurances of the registered provider and the acting home manager at the last inspection a number of recommendations were set that would normally been set as requirements. The registered provider has not addressed these recommendations so these have now been re-entered in this report as requirements. Following this inspection there are now 13 requirements and 1 recommendation. As a result of the homes failure to ensure that staff had completed Criminal Records Bureau Checks an immediate requirement was handed to the registered providers to employ staff with completed Criminal Records Bureau Checks to supervise staff with no Criminal Records Bureau Checks. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 6 Another immediate requirement was handed to the registered providers to produce a staff roster with in seven days. During previous inspections the home was able to demonstrate that service users with medical conditions such as Autism, Aspergers, Epilepsy, Obsessive Compulsive Disorder and Eating Disorders were well supported by an established and experianced staff team. In the last year the registered manager and the deputy manager have left and there is a possibility that two experianced staff may not return to work. Although the registered provider stated that staff would shortly attend training on these medical conditions the challenge to the home should be to re-establish an experianced, qualified, well supported and supervised staff team. The inspector would like to thank the service users, the registered providers and staff for their support on the day of the inspection. 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. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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 Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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): 1. Standards 2, 3 and 4 were assessed as met at the last inspection. As there have been changes in the homes staffing and management arrangements the homes Statement of Purpose and Service Users Guide need to be reviewed and updated so that the home provides prospective service users and their representatives the information they need to make an informed decision about whether or not to use the service. EVIDENCE: Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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 and 8. Standards 6, 7, 8 and 9 were assessed at the last inspection. Some service users Person Centred Plans need to be reviewed and indicate if people important in to the service user are able to contribute to the Person Centred Planning process. The minutes of the service user meetings should be recorded so that the home can evidence that service users are offered opportunities to participate in the day-to-day running of the home. EVIDENCE: A requirement was set at the last inspection that the registered provider must ensure that new service users Changing Days Person Centred Plan is reviewed and that people i.e. service users relatives, advocates, care managers and appropriate others are invited to attend the review. There was evidence that the Person Centred Plan had been reviewed however the review record did not indicate if people i.e. service users relatives, advocates, care managers and appropriate others were invited or attended the review. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 10 The requirement is partially met and the requirement is amended to the registered provider must ensure that people i.e. service users relatives, advocates, care managers and appropriate others are invited to attend the Person Centred Plan review and this information must be recorded as part of the review. A requirement was set at the last inspection that the home must ensure that all other service users Person Centred Plans are reviewed and that people i.e. service users relatives, advocates, care managers and appropriate others are invited to attend the review. Two service users Person Centred Plans were examined. There was evidence that some work had been done however this was incomplete and did not include details of people i.e. service users relatives, advocates, care managers and appropriate others invited to attend the review and there was no date to indicate when this work had been completed. The requirement has not been met and has been amended. The registered provider must ensure that all service users Person Centred Plans are reviewed. A recommendation has been set that the home keep a record of the new service users dietary intake and produces this information to the dietician. The registered provider stated that the dietician has worked with the service user and the home regarding the service users dietary needs and there is no longer a need to record the service users dietary intake. The service users dietary needs is now recorded as part of the homes regular menu. A recommendation was set at the last inspection that the home should offer service users opportunities to participate in the day to day running of the home and service user meetings should be held on a regular basis. The registered provider stated that service users meetings have taken place on a regular basis but that the minutes of these had not been recorded. A requirement is set that the registered provider must ensure that service users are offered opportunities to participate in the day to day running of the home and service user meetings should held on a regular basis and that the minutes of these meetings are recorded and kept in the home for inspection. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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): 16. Standards 12, 13, 14, 15 and 17 were assessed as met at the last inspection. Provision is made so that all service users attend appropriate social activities, day centres and become part of the local community. EVIDENCE: A recommendation was set at the last inspection that service users weekly activity plans should be completed from Monday through to Sunday. This recommendation has not been addressed. A recommendation was set at the last inspection that the new service user should be supported to Church on a one to one basis so that if he wishes to leave he can do so without disturbing the other service user. The registered provider stated that the service user is supported to Church on a one to one basis so that if he wishes to leave he can do so without disturbing the other service user. This recommendation was not fully examined or evidenced on the day of the inspection. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19. Standard 20 was assessed as met at the last inspection. Personal care is carried out in a way that service users prefer so that dignity and choice are maintained. During previous inspections the home was able to demonstrate that service users with medical conditions such as Autism, Aspergers, Epilepsy, Obsessive Compulsive Disorder and Eating Disorders were well supported by an established and experianced staff team however in the last year the registered manager, deputy manager have left. Although the registered provider stated that staff would shortly attend training on these medical conditions the challenge to the home should be to re-establish an experianced and qualified staff team. EVIDENCE: Service users Person Centred Plans examined indicate that personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 13 On the day of the inspection one service user said that he is very happy living at the home and is happy with his routine both in the home and in the community. He looks after the grounds at an Older Peoples Home and works on an allotment in the garden. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 14 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. The home has an appropriate complaints procedure however the home is not ensuring that the complaints procedure is available to service users relatives and that complaints are recorded as recommended at the last inspection. EVIDENCE: During the last inspection the concerns of one of the service users advocates was discussed with the registered provider and the acting home manager. As result of this discussion and the assurances of the registered provider and acting home manager that a complaints record book would be set in place, instead of a requirement a recommendation was set that the home should record any concerns directed to the home in a concerns and complaints book. However on the day of the inspection the registered provider stated that the home does not yet have a complaints book. Therefore a requirement has been set that the registered provider must record any concerns directed to the home in a concerns and complaints book. This book should indicate the nature of the concern/complaint, action taken by the home to address the concern/complaint and the outcome of the concern/complaint. A recommendation was set at the last inspection the registered provider should send a copy of the homes complaints procedures to all of the service users relatives. The registered provider stated that this was probably not done. A requirement is set that the registered provider must send a copy of the homes complaints procedures to all of the service users relatives. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. The overall impression when visiting this home is that it is homely, comfortable clean and hygienic. EVIDENCE: It was recommended at the last inspection that registered provider should forward a copy of the homes redecoration programme to the Commission for Social Care Inspection. The registered provider stated that the home has applied to the local council for planning permission to extend the building and once this has been agreed then the Commission will be informed of refurbishment planned for the home. The home was clean and tidy and free of offensive odours on the day of the inspection. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 36. The homes procedures for the recruitment of staff is not providing the necessary safeguards to ensure that so far as reasonably practicable service users are not placed at risk of harm or abuse. The lack of appropriate staff support and supervision and knowledge of the homes administration systems is affecting the staff’s ability to consistently meet all a service users needs. EVIDENCE: The inspection began at 8.30 am, one member of staff was on shift, she was advised to contact the registered provider to inform her that an inspection was in progress. The registered provider agreed that she would come to the home. Another member of staff who would have started work at 8 am turned up for work at 9.15 am. On examining staff records the registered provider could not evidence that all members of staff had completed a Criminal Records Bureau Check, some members of staff had started work at the home with only a POVA clearance. On the day of the inspection there were two members of staff on shift none of whom had a Criminal Records Bureau Check. A discussion followed regarding the employment of staff in care homes with only a POVA check. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 17 Employers must always ensure that new staff has all documentation as stated in Schedule 2 of the National Minimum Standards before starting work with vulnerable people. POVA First is only to be used were the lack of staff places the service users health and welfare at critical risk. A number of conditions need to be in place if staff is to start work with POVA clearance only. • • • The employer must write to the Commission requesting and have agreement that staff start work at the home with POVA clearance only. The home must explain to the Commission the critical risk to the service user/s. The employer must provide evidence that all other documentation as stated in Schedule 2 of the National Minimum Standards has been obtained for the new staff. The employer must ensure that new staff do not work alone with service users. The employer must ensure that the new staff has an identified senior member of staff to supervise them on each shift. The employer must ensure that the new staff completes induction training during this period. • • • As a result the homes failure to ensure that staff had completed Criminal Records Bureau Checks an immediate requirement was handed to the registered providers. The registered provider must employ members of staff with completed Criminal Records Bureau Checks to supervise staff with no Criminal Records Bureau Checks. Later in the inspection the registered provider produced evidence of two Criminal Records Bureau Check for members of staff but stated that one of these staff was unlikely to return to employment at the home due to illness. The registered provider produced staff files. The registered provider stated that some members of staff came with her from her previous employment at Lambeth Social Services some 10 years ago when she opened the home so references were not obtained. In the absence of staff references for the members of staff who came with the registered provider from her previous employment some 10 years ago, the registered provider must record this information on staff files. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 18 When asked for the homes staffing roster the member of staff on shift stated that the homes staffing arrangements were included in the homes diary. The home diary indicated that two members of staff both with the same Christian name were working that morning. There was no evidence in the diary to suggest that the registered provider worked any shifts at the home however the registered provider stated that she worked at the home every afternoon. An immediate requirement was handed to the registered providers that the registered providers must produce a staff roster with in seven days and send a copy of this roster to the offices of the Commission For Social Care Inspection. The staff roster must be completed weekly and should indicate the number of staff employed at the home, the full names of all members of staff, their role with in the home and the number of hours they work each week. The roster should also include details of who is managing the home and the number of hours they work each week. During the inspection staff were asked for various documents however staff were not sure where this information was kept. The registered provider produced a list of dates signed by staff to say that they had had supervisions. The registered provider stated that she did not record these supervisions because some issues discussed were sometimes of a personal nature. The registered provider must ensure that the home develops a formatted supervision record for use in the home, staff must have supervision at least eight time a year and these supervisions must be recorded and signed as agreed by the supervisor and the member of staff. A requirement has also been set that the registered provider supports the staff team to become familiar with the homes administration systems. The registered provider must ensure that staff are familiar with the location and the purpose of the homes working documents. Staff should sign to state that they have read and understand these documents and the homes policy and procedures. A requirement was set at the last inspection that the registered provider write to the Commission for Social Care Inspection detailing how the home plans to meet the National Minimum Standards of 50 of the staff team with NVQ level 2 or above by 2005. On the day of the inspection the registered provider produced evidence that she is actively seeking advice from The Training Network Group on obtaining part funding for staff to obtain NVQ level 3 in Care qualification. The registered provider has also contacted The Secretary a training organisation that provides NVQ courses. The requirement has been amended to the registered provider must inform the Commission in writing when staff will attend NVQ training. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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 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 and 39. Standards 37, 39, 41, 42 and 43 were assessed at the last inspection. The overall impression when visiting the home is that there was little to suggest that staff is appropriately supported or supervised, or that the home is being well managed, or that the requirements set at the previous inspection had been fully addressed and the lack of staffing rosters made it difficult to assess how much management time was provided at the home. EVIDENCE: During the last inspection the registered provider stated that she was running the home and a requirement was set that the she apply to the Commission for Social Care Inspection to be registered manger for the home. During this inspection the registered provider stated that due to health reasons she no longer plans to manage the home and that she is actively seeking to employ a manager to run the home. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 20 The registered provider must write to the Commission For Social Care Inspection with in 28 days of this inspection confirming that she no longer plans to apply to be the registered manager for the home and indicate what the management arrangements for the home are until a new manager is employed. The lack of staffing rosters made it difficult to assess how much management time was provided at the home. There was no evidence to suggest that the registered provider worked any shifts at the home other than her stating that she worked at the home every afternoon. As recommended at the last inspection the registered provider has purchased a computer for the home. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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 2 X X X X Standard No 22 23 Score 2 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 2 3 2 2 X 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chestnuts The Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X X X DS0000025846.V267918.R01.S.doc Version 5.0 Page 22 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. 2. Standard YA1 YA6 Regulation 4 (1) and 5 (1) 15(1) Timescale for action The homes Statement of Purpose 28/02/06 and Service Users Guide must be reviewed and updated. The registered provider must 28/02/06 ensure that people i.e. service users relatives, advocates, care managers and appropriate others are invited to attend the Person Centred Plan review and this information must be recorded as part of the review. The registered provider must 28/02/06 ensure that all service users Person Centred Plans are reviewed. The registered provider must 28/02/06 record any concerns directed to the home in a concerns and complaints book. This book should indicate the nature of the concern/complaint, action taken by the home to address the concern/complaint and the outcome of the concern/complaint. The registered provider must 28/02/06 send a copy of the homes complaints procedures to all of the service users relatives. As a result the homes failure to 12/12/05 DS0000025846.V267918.R01.S.doc Version 5.0 Page 23 Requirement 3. YA6 15(1) 4. YA22 22. 5. YA22 22. 6. YA34. 19 (1) Chestnuts The 7. YA34 19 (1) 8. YA34 17 (2) 9. YA36 18 (2) ensure that staff had completed Criminal Records Bureau Checks an immediate requirement was handed to the registered providers. The registered provider must employ members of staff with completed Criminal Records Bureau Checks to supervise staff with no Criminal Records Bureau Checks. This was an immediate requirement. In the absence of staff references for the members of staff who came with the registered provider from her previous employment some 10 years ago, the registered provider must record this information on staff files. An immediate requirement was handed to the registered providers that the registered provider must produce a staff roster with in seven days and send a copy of this roster to the offices of the Commission For Social Care Inspection. The staff roster must be completed weekly and should indicate the number of staff employed at the home, the full names of all members of staff, their role with in the home and the number of hours they work each week. The roster should also include details of who is managing the home and the number of hours they work each week. This was an immediate requirement. The registered provider must ensure that the home develops a formatted supervision record for use in the home, staff must have supervision at least eight time a year and these supervisions must be recorded and signed as DS0000025846.V267918.R01.S.doc 28/02/06 12/12/05 12/12/05 Chestnuts The Version 5.0 Page 24 10. YA31 18 (2) 11. YA37 8 (1) 12. YA33 18(1) a 13. YA34 19(1) b agreed by the supervisor and the member of staff. The registered provider must ensure that staff are familiar with the location and the purpose of the homes working documents. Staff should sign to state that they have read and understand these documents and the homes policy and procedures. The registered provider must write to the Commission For Social Care Inspection with in 28 days of the inspection confirming that she no longer plans to apply to be the registered manager for the home and indicate what the management arrangements for the home are until a new manager is employed. The registered provider must inform the Commission in writing when staff will attend NVQ training. The registered provider must write to the Commission for Social Care Inspection informing them when all staff Criminal Records Bureau Checks have been obtained. 12/12/05 11/01/06 28/02/06 12/12/05 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 YA12. Good Practice Recommendations Service user weekly activity plans should be completed from Monday through to Sunday. Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Chestnuts The DS0000025846.V267918.R01.S.doc Version 5.0 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!