Inspection on 24/08/05 for Copperbeech

This inspection was carried out on 24th August 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Copperbeech 08/08/08

Copperbeech 21/09/07

Copperbeech 17/01/07

Copperbeech 30/01/06

Copperbeech 23/02/05

Copperbeech 07/09/04

Copperbeech 02/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Copperbeech 23 Copperbeech Drive Balsall Heath Birmingham B12 8SN Lead Inspector Gerard Hammond Unannounced 24 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Copperbeech Address 23 Copperbeech Drive Balsall Heath Birmingham West Midlands B12 8SN 0121 440 8419 0121 440 8419 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Milbury Care Services Ltd Vacant Care Home 4 Category(ies) of Younger Adults, Learning Disability [4] registration, with number of places Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years with a learning disability. 2. The home may accommodate two named service users over the age of 65 with a learning disability. 3. The home must periodically review that it can still meet the needs of the named service users over 65, and a record of these reviews must be retained in the home. Date of last inspection 23 February 2005 Brief Description of the Service: 23 Copperbeech Drive is registered to provide accommodation, care and support for four adults with learning disabilities. The Home is run by Milbury Care Services. The property is a two-storey house in a residential development in the Balsall Heath area of Birmingham. Accommodation is provided in four single bedrooms, one of which is on the ground floor. Downstairs there is also the domestic scale kitchen, separate laundry, lounge, conservatory dining room and an assisted bathroom / w.c. Upstairs are three bedrooms, another bathroom / w.c., and the staff sleep-in room, which is also used as a small office. To the rear of the house is a secure small garden, and there is a paved area at the front of the property with limited off-road parking. There is a range of shops and community facilities close by, and the area is well served by public transport. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the day of this unannounced inspection, the Home’s Manager was away on training. Direct observation and sampling of records (including care plans and personal files) were used for the purposes of compiling this report. The Inspector met all three residents and informally interviewed one agency and two senior care staff members. A tour of the premises was also completed. What the service does well: What has improved since the last inspection? What they could do better: Care planning in general needs to be developed. It is time to review individuals’ statements of need as the initial stage of this process, and to establish a clear basis from which to work. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 6 Individual care plans should be developed to include goals with outcomes that can be measured. These should be looked at when the plan is reviewed, so that judgements can be made about what is working and what is not. Risk assessments need to be looked at to make sure that important information is included in people’s care plans appropriately. Some members of staff may need further training in this. Information management is also in need of attention. Care records need to be presented in such a way that essential information, about how support and care should be delivered, can be accessed quickly and easily. An evaluation of residents’ activities should be carried out, so that the quality, range and frequency of opportunities available might be improved. Particular attention should be paid to improving the communication skills and opportunities of both residents and staff to support this. 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. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Residents’ strengths and needs have been assessed, but this should now be reviewed in conjunction with their care plans. EVIDENCE: There have been no new admissions since the time of the last inspection. There is evidence of assessment of individuals’ strengths and needs on their personal files. Consideration should now be given to reviewing each person’s statement of need as part of the development of individual care plans (see next section, Standard 6). Attention should be paid to establishing clearly and in detail the current support needs of each person living in the house. It is recommended that appropriate person-centred approaches be used to do this, in keeping with the aspirations of the Government White Paper “Valuing People”. It is especially important that communication support needs are accurately assessed, and particularly for the one individual with autism. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 Care plans should be developed so as to reflect fully people’s strengths, needs, goals and aspirations. Residents do make decisions about their lives, with support if required, but opportunities are limited. Responsible risk taking is encouraged so as to enhance residents’ control over their lives, but this needs to be reflected accurately in their care plans. EVIDENCE: Care plans are in need of significant development. As indicated in the previous section, the appropriate starting point for this should be a review of people’s current statements of need, as the basis for any care planning. There is an issue here concerning information management. It is recommended that care plans should be clearly indexed, so that anyone looking for specific information can find it quickly and easily. This is especially important where shifts have to be covered by agency staff, who may not be familiar with individuals’ care needs. Care plans need to provide detailed guidance about how support should be delivered. Plans should be supported by Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 10 risk assessments, where this is appropriate, and risk assessments and care plans should be directly cross-referenced to each other. Current risk assessments on file suggest that there is a general lack of understanding of their purpose, as hazards are incorrectly identified and the format in use is not always correctly completed. It is recommended that this should be discussed with staff members in supervision, so that any training needs might be identified. It is clear from records that risks are being considered, but not always incorporated appropriately into care planning. One resident has an identified need for monitoring by her GP in respect of her diet, weight control, and the effects of these on her health. Conversations with staff indicate that they are fully aware of her need in this regard, but that information is not adequately reflected in her plan of care. Care plans should be further developed to incorporate goals with outcomes that can be measured. Goals should be evaluated at review, and amendments made or fresh targets agreed. Whole care plan reviews should take place at least every six months, with written records being kept, indicating who takes part, and how decisions are made. This whole process should make clear the degree to which the individual concerned has taken part, and what has been done to maximise her opportunities to do so. Staff respect residents’ rights to make choices, and this was witnessed throughout the inspection visit. People decided to stay at home for lunch instead of going out, due to inclement weather, and chose what clothes they wanted to wear. Choice is currently restricted to fairly mundane matters, in varying degrees according to each person’s level of learning disability. Consideration should be given to ways of improving people’s capacity (both residents and staff) to communicate more effectively, so as to enhance opportunities for taking decisions and making choices. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16, 17 Residents are able to take part in appropriate activities and to be a part of the local community, but the quality, range and frequency of activities available needs to be looked at. Staff support residents to keep in touch with families and loved ones. Residents’ rights are respected, and they are encouraged to take responsibility so as to enhance their personal independence. People living in the house have access to a balanced, nutritious diet and enjoy their meals. EVIDENCE: All of the residents access a local college on a sessional basis during term time. Two of the people living in the house are past the age of retirement and prefer to do things in an informal, unstructured way rather than have to adhere to a rigid timetable of activities. The other resident has an Autistic Spectrum Disorder and does not cope well with unfamiliar people and places. A sample check of her activities recorded for the previous week showed “colouring” on Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 12 five days, a foot spa and a massage on another day, out to visit friends, lunch out, Chinese takeaway and shopping for the remaining days. Another resident’s activities for the same period were shown as car ride, bank and shopping (one day) then out to lunch (next day), out to visit friends, the day after the activity is shown as cleaning, then the following day laundry, the next day foot spa, and the day after shopping for toiletries and a trip to MacDonald’s. Other records and previous reports also identify shopping, walks, parks, pubs, cinemas and restaurants as regular activities. One resident said she was looking forward to going on holiday to Skegness in the near future, and that she likes to do things around the house, especially making cakes and puddings. It has to be acknowledged that the three women currently living in the house have very varied needs in relation to promoting their active involvement in activities and in the life of the local community. Members of staff reported that they frequently offered activity opportunities that were subsequently declined, and that motivating residents to do things often proved to be quite difficult. On the face of it, the range of activities available to people living in the house seems poor. The situation is not helped by ongoing staff shortages. However, the problems faced by staff in trying to address this situation should not be underestimated. It is recommended that staff analyse the current range and frequency of activities that residents take part in on a number of fronts. First, as part of the review of needs assessments and care plans, that they seek to identify activities that might address identified needs for each individual (e.g. something that might contribute towards maintaining or developing an existing skill). Secondly that thought is given to the purpose of any activity – do people do this just for fun, to learn skills, for therapeutic reasons, to maintain health or mobility, (or any combination of these) and so on. Devising activities with residents could also present opportunities for setting goals, as identified earlier in this report. If individual choices indicate that home-based activities are preferable, then consideration should be given as to how the quality and range of opportunities can be expanded. It may be that staff need to consider seeking extra professional help to develop this part of the service. People living in the house are able to keep in touch with families and friends on a regular basis. One resident goes out with her sister, who also visits regularly. Another is supported to stay in touch with her relatives, who also visit occasionally. As indicated above, staff recognise residents’ rights, for example to change their minds about doing things or participating in activities, and they encourage them to be as independent as they are able, getting involved in things around the house, taking responsibility for helping with looking after their rooms, laundry, and other domestic tasks, in accordance with their individual abilities. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 13 Menu plans and records of meals taken indicate that people living in the house have access to a balanced and varied diet. Food stocks were good and plentiful, and included fresh produce. There is a picture menu board in the kitchen to inform residents of daily choices. One resident said that she likes the food she gets, and is able to say if she wants anything different. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 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 standard(s) 18, 19 Personal support is given in accordance with residents’ needs and preferences, and healthcare needs are generally met, though one residents’ plan of care requires adjusting to reflect current needs. EVIDENCE: Staff were observed supporting residents with friendliness and warmth, and in an appropriately respectful manner. Two of the residents attend to most of their own personal care, while a third requires significant support and assistance. It is clear that residents are well supported in terms of maintaining personal hygiene and clothing. Records indicate that people are supported to maintain GP and hospital appointments, and to access dental and optical care as required. Information with regard to Health Action Planning is being developed. One resident requires constant monitoring with regard to maintaining a healthy weight, and currently requires dietary supplements. She is being seen regularly by her doctor, but care plans still need updating to include specific information with regard to seeking further medical intervention or advice. This is an outstanding requirement from the last inspection. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 It is difficult to assess fully whether all of the residents consider that their views are listened to and acted on, due to their learning disabilities. However, the service strives hard to deal with any concerns in an appropriate fashion. General practice within the Home affords residents with protection from abuse, neglect and self-harm. EVIDENCE: There is an appropriate complaints procedure in place, and efforts have been made to present this in an accessible format. This is on display in the hall, but needs updating to include details of the current manager. Some of the residents’ learning disabilities mean that such a formal process has little or no relevance for them, and they are reliant on the vigilance of others to notice if they are unhappy. However, one resident said very clearly that if she were unhappy about anything in the Home, then she would tell a member of staff, and specifically identified two people she would be comfortable talking to. There are regular meetings every Sunday with residents when the menu, activities and any concerns people might have can be discussed. However, only two of the three current residents are able to take an active part in this forum. Records of these meetings were not seen. Shortly after the last inspection, the CSCI received a complaint in respect of the Home and passed it back to the Organisation to be investigated. Procedures were followed appropriately, and after a full investigation by the Operations Manager, the complainant was contacted and subsequently acknowledged her satisfaction with the outcome. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 16 A schedule of staff training on the wall in the office indicated that all the current staff group members have received training in the Protection of Vulnerable Adults From Abuse, but it was not possible to ascertain the date when this took place, or to verify from staff personal records, as the Manager was attending training herself on the day of the inspection visit, and it was not possible to access these records. A sample check of residents’ personal money held by staff was carried out. All balances tallied with the record, and receipts for purchases made were in order. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 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 standard(s) 24, 30 Residents live in a house that is safe, comfortable and homely. A good standard of hygiene is maintained, and the house kept clean and tidy. EVIDENCE: 23 Copperbeech Drive is a pleasant house, which currently meets the accommodation needs of the people living there. The property is generally well maintained, and staff try hard to make it a welcoming and warm home environment for the residents. People’s rooms are individual in style, with personal effects and possessions in evidence. The house is kept clean and tidy, and a generally good standard of hygiene maintained throughout. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 The effectiveness of the staff team is diminished by the continuing dependence on agency personnel. A current staff training and development plan is required so as to assess fully whether or not the care team is trained appropriately. EVIDENCE: Concerns have been expressed in previous inspection reports about the continuing dependence on agency personnel to staff this Home. On the day of the inspection the staffing complement comprised of a core team of three permanent staff, including the Manager. One other member of staff, employed by an agency, has worked there for almost twelve months. This at least has offered residents some continuity of care. In the three weeks prior to this inspection visit, this member of staff had done four sleep-in duties, and this has been a regular pattern. In the same period, the rota showed that for two weeks agency staff had worked 53 hours, and for one week 89 hours. The Inspector was advised that CRB checks and references are currently being taken up for three potential new staff members. The importance of establishing a stable permanent staff group for this group of residents cannot be overstated, and particularly for the resident who has an Autistic Spectrum Disorder. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 19 In the Manager’s absence on training, it was not possible to access staff files so as to assess recruitment, training or supervision practice fully. This will be carried out at the next inspection. A requirement of this inspection is that an up to date staff training and development assessment should be sent to CSCI. This should give details of all training completed to date by each staff member, and highlight any gaps, including refreshers. The schedule should show clearly when training required is to be provided, and who is to deliver it. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 42 In the Manager’s absence, it was not possible to assess this standard fully. General practice in the Home promotes residents’ health, safety and welfare. EVIDENCE: The Manager is said to have completed NVQ level 4 (awaiting certification) and is to begin working towards the Registered Manager’s Award from September 2005. An application to become registered as the Home’s Manager is also to be submitted to CSCI shortly. Records relating to various safety checks were examined. The Landlord’s Gas Safety Certificate and the electrical hard wiring certificate were both in date. Portable Appliance Testing has also been completed on electrical equipment. The fire alarm and fire-fighting equipment has been serviced, and fire drills completed in March and July 2005. The fire alarm has being tested regularly apart from the two weeks immediately preceding this inspection. Fridge and freezer temperatures have been checked appropriately, and the core temperatures of cooked food also. Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 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 x 2 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 2 2 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 2 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Copperbeech Score 3 2 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 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 2 6 Regulation 14 (2) 15 (2) Requirement Review and update residents needs and strengths assessments. Develop residents care plans as indicated in the main body of this report. Set goals with measurable outcomes and evaluate these at review as indicated. Develop risk assessments as indicated in the main body of this report. Cross reference each risk assessment to the care plan(s) to which it relates, and vice versa. Evaluate and review residents activities, so as to improve the range, quality and frequency of opportunities available to each individual. Discuss with GP of resident requiring diet and weight monitoring the point at which further medical advice or intervention may be required, and include this information in her amended care plan. Outstanding since 23 February 2005 Recruit to vacant posts and advise CSCI of progress. Timescale for action 31 October 2005 30 November 2005 3. 9 13 (4) 31 October 2005 4. 12 & 13 16 (2m-n) 30 November 2005 Within one week 5. 19 12 (1-3) & 13 (1b) 6. 33 18 (1a) 31 October 2005 Page 23 Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 7. 35 18 (1a-c) 8. 36 18 (2) 9. 10. 37 10 Forward to CSCI a current copy of the staff training and development assessment, as indicated in the main body of this report. Ensure that staff receive formal supervision at least six times in any twelve month period, and maintain written records of meetings. (Not assessed on this occasion) Submit a completed application to register the Manager for the Home with CSCI 31 October 2005 31 October 2005 31 October 2005 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 6 Good Practice Recommendations Further develop care plans to incorporate detailed communication guidelines for all residents, but in particular for the person who has an Autistic Spectrum Disorder. Seek professional help to develop communication skills of both staff and resident groups. Assess staff teams understanding of how to risk assess appropriately, and seek further training if required. 2. 9 Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham, B2 4UZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Copperbeech E54 S16887 Copperbeech V246705 240805 Stage 4.doc Version 1.40 Page 25 - 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. 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