Inspection on 09/05/06 for Community Places Ltd

This inspection was carried out on 9th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Community Places Ltd 11/08/09

Community Places Ltd 05/08/08

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Community Places Ltd 43 John Street Great Houghton Barnsley South Yorkshire S72 0EA Lead Inspector Mrs Sue Stephens Key Unannounced Inspection 9th May 2006 11:00 Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Community Places Ltd Address 43 John Street Great Houghton Barnsley South Yorkshire S72 0EA 01226 755070 01226 753547 cplaces@amserve.com None Community Places Ltd 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) Mr David John Smith Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection This is the homes first inspection Brief Description of the Service: Community Places is a 14-bed home for younger adults between the ages of 18 and 65, it provides social and personal care for people with a learning disability. The home is in a residential area in the village of Great Houghton, where there is good access to public services. There is a bus route, a variety of shops, health centre, post office, pubs, and church near by. The home has disabled access and a there is passenger lift to the upper floor. There are 13 single accommodation bedrooms and one self contained flat; all have en-suite facilities. There is an additional bathroom with a Jacuzzi and an additional shower and toilets. There are a variety of lounges and seating areas, and some are designated as quiet places. The home provides a room with access to a computer and there is an activities room. The dining room is spacious and leads out onto a patio area, and there are spacious well-kept gardens with seating and a table. Car parking is available within the grounds of the home and the home has it’s own transport. Within the home there is a no smoking policy, however there is a summerhouse provided in the garden for people who do wish to smoke. The manager provided the information about the homes fees and charges on 22,05,2006. The manager said fees are based on individual’s needs and assessments. If there are any additional charges these are agreed in the contract of care. Prospective residents and their families can get information about Community Places by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced; it took place between 11:am and 5pm. The inspector sought the views of all the service users, 1 relative, 1 visiting professional, and 2 staff. The manager was unavailable and the senior carer assisted with the visit. Checks were made on samples of documents relating to the residents care and safety. During the visit the inspector also looked at the environment, and made observations on the staffs manner and attitude towards the residents’. The inspector checked a sample of records. These included three assessments and care plans, three medication records, two staff recruitment files, training records, and health and safety records. The inspector looked at other information before visiting the home, this included reports made by the provider about the home, and the pre inspection questionnaire which was requested from the Commission for Social Care Inspection (CSCI). There had been no concerns, complaints or allegations about the home made to the commission. There were three residents living at Community Places at the time of the visit. The inspector did not issue surveys to residents, families and other professionals on this occasion, this was because the visit to the home took place before the inspector had prepared the relevant surveys for the home. This was the homes first inspection and the inspector checked all key standards as part of this inspection. The inspector would like to thank the residents and everyone who contributed to the inspection. What the service does well: The residents said they were very happy at the home. The residents, relative and staff made the following comments. Residents: “I like Community Places it’s the 100 best place in the whole universe.” “It has changed my life”. Family: “The staff are really nice and pleasant”. Staff: “Its relaxed, friendly, clean and bright”, “there is a family atmosphere, every one gets on”. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 6 Social care professional: “they are extremely client focussed” “they have expanded the life experiences (of the resident) immensely”. The provider, manager and staff treat the residents with dignity and respect and regularly ask the residents their views. The home had a very positive approach and encouraged independence, development and self-advocacy. Staff were respectful towards peoples diversity needs. The residents had their needs assessed before living at the home; they said the home had been very helpful with helping them. The residents had excellent opportunities to be involved in learning, social and leisure activities. The residents said some of these included going to the seaside, visiting places of interest, for example going down a mine, shopping, pictures and bowling. The activity worker had provided a lot of information about interesting things to do. The residents said they were very happy about their meals; they had snacks and drinks when they wanted, and chose when to eat their meals. The staff were good at encouraging the residents to choose healthy diets. The staff were very good at helping the residents to look after their own health and wellbeing. The staff knew what to do if they were worried that a resident might be at risk of harm. And the residents said they could tell the manager or staff about anything that they were concerned about. The home was clean and tidy; it had modern décor, comfortable furniture and lots of space. The residents liked this very much. The staff had good training, which helped to make sure the residents got good care. The residents said they were very happy with Community Places; there was clear leadership and the provider and manager checked the home regularly. What has improved since the last inspection? What they could do better: Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 7 Community places must make sure that residents have risk assessments; this will help to keep the residents safe. The care plans need to have a more person centred approach, so that the residents can be more involved in their care plans. The home needs to improve how it records and stores some medication, so that mistakes in giving residents their medication do not happen. There needs to be a better sink in the communal toilet so that the floor does not get wet. The home needs to find a better way to keep unpleasant smells under control. The home needs to improve how it checks some staff details; this will help the home make sure that the right people are employed to support the residents. 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. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 8 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 Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 9 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 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The homes approach to the residents assessed needs is positive and dignified for the residents. EVIDENCE: The senior carer confirmed that each resident has a full needs assessment before being admitted to the home. The home then continues to assess each individual’s needs once they move in. Assessment information was only available through the manager, and the inspector did not see the assessments. The senior carer said that the plans were based on peoples’ assessed needs; however it is the homes policy to only release the relevant information from the assessments that staff need to know. The senior carer explained that the reason for this was to respect the individual’s privacy and dignity, and not release unnecessary information. The residents can then expect staff to care for them as individuals and not on past circumstances. One resident said they had “really good” support from the manager and social worker to make sure that Community Places was the right place to live. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The care plans need to improve so that the information is appropriate and suitable for the care of the residents, and for them to understand. Residents have good encouragement to make choices and decisions; this benefits the resident’s development and independence. EVIDENCE: The care plans were basic, however they did cover most of the residents’ needs and gave staff clear guidance on how to care for each individual. The plans did not have pictures or prompts to help the residents understand the information about them. One resident said they were aware of their plan but “did not bother with it”. A more person centred approach to the plans would help the residents to have more ownership of their plans and understand the information about them. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 11 There are some forms in the care plans that are not appropriate to the residents needs. They do not link with the care plans and do not support the residents’ dignity and privacy. The plans do not clearly identify the residents’ restrictions on freedom and choice; this does not help support the residents who are dealing with agreed but imposed boundaries. There are no risk assessments for the residents’ care and activities. This did not give the staff clear instructions about what the risks are and how to minimise them. The residents said they were involved with decisions about their own lives. One staff member said a resident had improved in confidence very much since living at Community Places and was much more assertive about making choices. The staff member said this with enthusiasm and pride about the resident. One resident said if there were any changes staff would tell the residents what was happening. All the residents said they were satisfied with how they could make choices, and that staff were supportive and helpful. One resident described the staff support as “brilliant”. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17. The quality outcome of this area is excellent. This judgement has been made from evidence gathered both during and before the visit to the service. The education, occupation and leisure activities provided by the home give the residents’ good opportunities to develop, and these meet the aspirations of the residents. The residents can enjoy a healthy diet; and the home caters for their preferences and dietary needs. EVIDENCE: There is an activities coordinator who works with residents to assist them in their daily routines. All the residents said they were very satisfied with the education, occupation, and leisure activities offered to them. Many of the events took place out in the local community. And these included shopping, attending college, bowling and visiting places of interest. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 13 The coordinator had developed a file for the residents; the file contained information about interesting things to do and places to visit. There were about 200 items listed. The file was colourful and informative and easy for residents to refer to. One resident said the staff had taken them to visit a coalmine and they had been to the coast. The home was supporting one resident to train as an advocate. The residents confirmed that the staff were respectful towards their families, friends and close relationships. The residents made the following comments about their daily life at Community Places. “I’m happy with what with what I do”, “I go to the park, have a walk, go shopping and I go to the pictures”. “I go out, play snooker and go to the pictures”, “I get to go out and do things that I haven’t done before”. The inspector noted that staff were respectful towards residents who did not wish to do much during the day, the staff were positive towards the residents and encouraged them with smaller activities. One staff explained that because of this, a resident’s confidence and interest in social and leisure activities had increased. The residents were very satisfied with their meals, they said: The senior carer was “a brilliant cook.” They could have drinks and snacks whenever they wished because “there are no rules” about food. A member of staff commented that there was “a good budget for the food”. Staff respected the times the residents chose to eat, and healthy eating was encouraged. For example the home had purchased healthy eating books and magazines for the residents, these were in the lounge coffee table where residents and staff could browse through them. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home looks after the residents’ health care needs very well. However some medication records need to improve to maintain the residents’ safety. The staff deal with the residents’ diversity needs with dignity and respect. EVIDENCE: All the residents spoke very positively about their care at community places, they said: “It is brilliant”, they “put me on the straight and narrow”, “I get treated with a lot of respect; the respect is mutual”, Community Places has “changed my life”, “I like it here”, “I adore it here, I love it, it is like one big happy family”. One resident asked the inspector to include a direct quote from the resident because they “really meant it” they said: Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 15 “I like Community Places it’s the 100 best place in the whole wide universe.” One relative described the home as “brilliant” the residents were “very well looked after” and their relative had “come on leaps and bounds”. The social care professional said that Community Places “work well with the individual” and is “very focussed on the individual”. They also said people at the home were “extremely good, they always put themselves out for the resident”. Staff were aware of the residents diversity needs, the inspector noted that the staff dealt with this with care and consideration to the individuals. The residents said they were happy with their health care. Staff said the home had good relationships with the local G.P’s. When admitted, the home offered each resident to go to the local surgery for a health check. This had very positive results for the residents; it highlighted health needs and gave the home a good understanding about their health needs and goals. The inspector suggested to the senior carer that the home should link this practice with the Barnsley Local Authority Health Action Plans. (This is a national initiative to assist people with a learning disability to monitor and review their own health needs). In the main the medication systems were well managed, with records about each individual’s medication needs. The senior carer said the staff asked the residents’ consent for staff to give medication on each occasion. Some medication records were incorrect, they did not provide a clear record of the medication that was administered, stopped or not given. One item of medication had been discontinued but the records to indicate this were not clear. Staff names were not listed against their signatures; this meant that sometimes it could not be identified who had administered the medication. Staff homely remedies were stored in the medication cabinet; they were not labelled and could not be identified from the resident’s medication. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 AND 23 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents are confident that their views are heard. There are good systems in place to protect the residents’ safety and welfare. EVIDENCE: The residents said they knew how to complain if they needed to. And each resident said they felt confident about approaching the senior carer or manager. One resident said about the manager and senior carer: “David and Sandra are good listeners”. The social care professional said their client felt “ extremely safe” at the home. One resident told the inspector they felt “safe” at the home. The staff member said although he had not yet had adult protection training he was aware of the policy; and he found this very informative. The local authority adult protection policies and the homes policy were easy to access. This meant staff could refer to it if they had any in doubt about some ones welfare or safety. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 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 and 30. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home is clean, comfortable and homely; it suits the needs of the residents. Some areas need improving to make sure the residents comfort and safety is maintained. EVIDENCE: The home was clean, tidy and well maintained; and repair work was prompt. The residents said they were comfortable at the home, they could choose which areas of the home to spend time in and they said they liked the décor. The décor, furniture and fittings were good quality and the rooms were spacious and homely. The provider had designed the décor, and space in the rooms to have a calming effect. There was an offensive odour from the cupboard that stored the mops. This was near to the bedrooms and was unpleasant for the residents. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 18 The sink in the communal toilets was too small to take the power of the taps, this lead to people getting wet when they washed their hands; the water caused a slip hazard on the floor. The home used a bin to discard used continence aids. The bin, or the bag inside the bin was not sealed; this led to an offensive odour and a risk of contamination. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 19 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): 32,34 and 35 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The staff are professional, competent and positive; this has great effect on the residents, happiness and wellbeing. The home needs to be more robust with recruitment checks, this will make sure the residents welfare and safety continue to be protected. EVIDENCE: The residents and relative said they were very happy with the staff. One resident and relative both said the “staff are brilliant”. A relative said staff were, “really nice and pleasant”. All the residents said they felt there was enough staff to care for them. There were unexplained recruitment gaps in one staff file; and there was no record that the home checked the registered nurses’ PIN numbers (personal identification number). The senior carer and staff member said they had good induction and training. Staff worked through and induction package. The training included how to care for people who have challenging behaviours, and privacy and dignity. The staff were calm, respectful and positive when dealing with the residents. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 20 The pre inspection questionnaire confirmed that the home had carried out a criminal record bureau check for all staff; and 59 of staff had a National Vocational Qualification in care at level 2 or above. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 21 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): 37,39 and 42 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents benefit from the well managed home; and they are protected by the homes safe working practices. EVIDENCE: The residents, relative and staff were very positive about how the home was managed. Staff stated, “the organisation are very open”, “the manager is very supportive”, and “there is clear leadership”. The relative said they were “always kept informed”. The provider visited the home regularly, and a resident said the provider “comes often to make sure the place is ok, she is always polite”. The provider reviewed the home monthly; this included identifying progress and areas of improvement. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 22 The residents said the manager and staff ask for their feedback about the home, one resident said, “they ask me every now and again if I’m happy and if everything is alright”. A member of the care staff was nominated as the fire marshal, he confirmed that fire checks, drills and training were done regularly. The staff said they had training for safe working practices; and this was also included in their induction. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 23 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Not applicable 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 YA6 Regulation 12,15 Requirement Forms that are not relevant to the individuals needs must be removed from the care plans. Limitations on freedom and choice must be detailed in the care plans. Risk assessments must be carried out for each resident that is appropriate to their needs. Medication records must be clear and consistent. Homely remedies must be stored safely and labelled to identify who the remedy is for. Staff names must be listed against signatures so that staff can be identified. The hand wash basin and taps must be replaced or repaired to ensure water does not flood onto the floor. The offensive odour from the mop cupboard must be eliminated. A better disposal system must be put in place to eliminate the Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 25 Timescale for action 30/06/06 2 3 YA9 YA20 12,14 13 30/06/06 30/06/06 4 YA24 13 30/06/06 6 YA30 16 30/06/06 odour from the continence bin. 7 YA34 19 Employment gaps must be checked, and the reasons recorded. Qualified nurses PIN (personal identification numbers) must be checked and recorded. 30/06/06 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 The care plans should be made available in a format that the service user can understand. The plans should be developed using a more person centred approach. Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Community Places Ltd DS0000064151.V291500.R01.S.doc Version 5.2 Page 27 - 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. 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