Inspection on 20/07/06 for Corbett House

This inspection was carried out on 20th July 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Corbett House 01/12/08

Corbett House 30/10/07

Corbett House 28/02/06

Corbett House 25/08/05

Corbett House 25/02/05

Corbett House 06/09/04

Corbett House 22/03/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOME ADULTS 18-65 Corbett House Piper Place Amblecote Stourbridge West Midlands DY8 8DF Lead Inspector Ms Linda Elsaleh Unannounced Inspection 20th July 2006 10:00 Corbett House DS0000025013.V304591.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 Corbett House DS0000025013.V304591.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. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Corbett House Address Piper Place Amblecote Stourbridge West Midlands DY8 8DF 01384 441885 01384 441885 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) Mrs Jenkins Mr Anthony Hartland Billingham Mr Robert Taylor Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11) of places Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: Corbett House is registered to provide residential care services for 11 people aged between 18 and 65 who are experiencing mental ill health. The home aims to enable its service users to return to living independently in the community whilst recognising that some may require longer-term care. Originally built in the 1960s as nurses accommodation it was converted in the mid 1980s and has been managed by the Carlton Care Group since 1993. The home is situated in a cul-de-sac close to Brierley Hill and Stourbridge shopping centres, with good access to all local amenities and public transport networks. Accommodation is provided in 3 units, over 3 floors, each consisting of 3 bedrooms, a dining kitchen, lounge, bathroom and toilet. A further unit designed for greater independence provides two bedrooms with en-suite facilities, lounge and kitchen. Additionally there is a large communal lounge with kitchen area. Car parking is available at the front of the building with gardens at the rear. The current weekly charge for this service is £433.00 per week. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 20th July 2006. The purpose was to assess the home’s performance against the key standards in the National Minimum Standards for Adults and report on the progress made to address previous requirements. The inspector’s findings are based on the information received by the Commission for Social Care Inspection (including responses to questionnaires sent to service users and relatives/visitors to the home), examination of relevant records and documents kept by the home, discussions with the manager, staff, service users and a tour of the premises. The home has fully met four of the eight requirements made at previous inspections. A further eight requirements were identified as requiring action. The atmosphere within the home was relaxed and friendly and service users expressed satisfaction with the care being provided. What the service does well: What has improved since the last inspection? Prospective service users are provided with information about the home and arrangements are made for the prospective service user to visit the home on a planned basis and the home confirms it can meet the individual’s needs prior to a place being offered. The home has addressed some of the environmental issues identified at the last inspection. However, it needs to provide a more timely response to additional issues as they arise. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 6 The procedures for the safe handling of medication has been reviewed, but some further work is required to ensure all current practices are included, especially with regards to service users who self-medicate. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 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 Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 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, 2, & 5 The overall outcome for this group of standards is judged to be good. Prospective service users are provided with written information about the home, which includes visits from staff and visits to the home, to enable them to make an informed choice about where to live. EVIDENCE: The home has a Statement of Purpose and Service User Guide to provide perspective service users with information needed to make a choice about whether they would like to live there. Since the last inspection by Commission for Social Care Inspection (CSCI) there has been one new admission. The three service users’ files examined all contained a copy of the referral information, the home’s assessment of need and a care plan. A copy of a letter from the home, confirming that they are able to meet the service user’s needs is also available. Discussions with service users confirmed that suitable introduction arrangements are made that include a visit to the prospective service user by a representative of the home, visits to be made to the home that includes overnight stays. The contracts seen in two of the service users’ contracts need to be updated. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The overall outcome for this group of standards is judged to be adequate. Service users are aware of their assessed needs and personal goals are reflected in their individual plans. However, the home needs to ensure discussions take place regularly about changing needs and how service users will be supported to take risks. Detailed recordings of these issues will facilitate the home in developing more effective strategies for assisting service users. EVIDENCE: A care plan is produced for each service user by the home. Service users are able to identify their individual needs and personal goals. They were complimentary about the support provided by staff. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 10 The home has systems for monitoring progress on a regular basis and formal reviews are held at least once every six months with the service user, relevant professionals and, with agreement of the service user, any other significant people. Records are kept in each instance. However, changes in some service users’ care needs and/or behaviour had not been identified in their care plans or risk assessments. For example, an increase in the risk of falls for one service user when in the community and more incidents of aggressive behaviour from another had been identified through the home’s monitoring systems and service users’ reviews. Regular meetings are held between service user and her/his key worker for which records are kept. Some of these recordings do not refer to forthcoming or recently held reviews. The home needs to demonstrate through its recordings that significant discussions take place with individuals that enable them to make informed decisions about the lifestyle they wish to follow and how they will be supported to take risks where applicable. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 The overall outcome for this group of standards is judged to be good. Service users’ rights to make their own decisions and privacy are respected by the home. Support is provided to enable them to maintain appropriate relationships and take part in activities in the home and in the community. Service users are encouraged to make independent choices about what and when they would like to eat and are encouraged to consider healthy options. EVIDENCE: Service users confirmed they are able to follow their individual routines such as keeping their rooms tidy and preparing meals. Some spend most of their time out in the community attending day services, shopping and visiting friends and/or relatives. The inspector observed some service users leaving and returning to the home as they wished. Others preferred to spend time in the communal lounge chatting or listening to music. The inspector was made to feel welcome by the service users who offered her regular drinks and snacks. One service user is a talented artist and goes on holidays with people who have a similar interest. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 12 The inspector was informed the home has a good relationship with the local community. On occasions there have been reports of some unpleasant incidents. These have been dealt with sensitively by the home and relevant agencies notified where applicable. Service users have unrestricted access to all communal areas within the home and have their own keys to their bedrooms. Where service users have given permission for their mail to be opened on their behalf by staff written consent is obtained. A ‘house’ menu is not provided for service users. Individual arrangements are made to meet dietary needs and service users are encouraged to follow a healthy and varied diet. Support is provided with shopping, preparing meals and other associated tasks, where applicable. Routine records are not kept of service users’ dietary intake, as risk assessments are carried out where there are any concerns and relevant health care professionals are consulted. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The overall outcome for this group of standards is judged to be adequate. The home has a flexible approach to promoting independence and encouraging service users to make informed choices. However, to ensure service users welfare is protected the home needs to provide suitable provision for storing medication that requires refrigeration and training for all staff responsible for handling of medication. EVIDENCE: Service users expressed overall satisfaction with the support they receive in ensuring all personal and healthcare needs are met. Documented evidence is available on files of appointments kept with routine and specialist health care professionals. Staff reported that the home continues to have a good relationship with all health care professionals involved with the service users. The home does not routinely administer medication to all service users. Risk assessments are completed and regularly reviewed to identify service users who self-medicate. However, the manager needs to ensure care plans are updated to reflect changes. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 14 Procedures for the safe handling of medication has been reviewed, however, it includes references to clinical practices that need to be removed. Medication Administration Records (MARS) are kept for each service user. The inspector was informed the staff initials made in red ink identified medication that had been given to service users who are self-medicating. As the arrangements vary for managing and administering medication, for example some service users collect their own prescriptions and others self-administer some items of medication, staff need to be provided with more detailed written guidance in respect of practice. Appropriate arrangements are made for the storage of medication that does not need to be refrigerated. However, a communal domestic refrigerator is used to store some medication. The home needs to provide a lockable refrigerator to ensure the safe storage of these medications. Training records show three staff had received training in the safe handling and administration of medication. Details of the course content was not available, therefore it is not possible to confirm that all areas relevant to staff practice have been covered. The inspector was informed the home has a planned programme for providing mandatory training that includes medication training. A copy of the home’s training programme was not made available. Training in the safe handling and administration of medication for all staff is an outstanding requirement from previous inspections. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The overall outcome for this group of standards is judged to be good. The home has systems in place to ensure the views of service users are heard and acted upon. All staff must receive training in the protection of vulnerable adults. The home should explore strategies to improve on its systems for protecting service users from abuse from their peers. EVIDENCE: Service users stated they are confident in discussing any issues of concern with staff. They also feel they have good relationships with professionals outside the home who they could go to if they were unsatisfied with the home’s response. They confirmed they had been provided with a copy of the home’s complaints procedure. Relatives informed the inspector they had not been provided with a copy of the home’s complaints procedure. The manager stated no complaints had been received by the home and a copy of this procedure is provided to key people in the service user’s life and, to relatives and others on request. A copy of the procedures is displayed within the home. Copies of the homes adult protection procedures were available and had been signed and dated by the manager. Dudley Social Services Multi-Disciplinary Procedures and the Department of Health guidance on whistle blowing are also kept in the main office. Training in the protection of vulnerable adults has been provided during the last year. The records show four staff have yet to receive this training. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 16 Staff discussed how they would respond to concerns raised by service users or other stakeholders and the need to ensure service users are protected from abuse. Concern was expressed about the recent increase in some abusive behaviour displayed by service users towards other residents and staff. Discussions need to take place between the home and senior management to identify appropriate strategies for managing such incidents to ensure everyone in the home is protected. This needs to include a risk assessment of the layout of the building needed. Corbett House DS0000025013.V304591.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 & 30 The overall outcome for this group of standards is judged to be adequate. Corbett House provides service users with a comfortable and relaxed environment, which promotes independence. The home is maintained to a reasonable standard, however this could be further enhanced by prompt arrangements for carrying out minor repairs and producing a planned programme for re-decoration and renewal. EVIDENCE: Services users are provided with good facilities that allow greater independence. Each of the units has its own kitchen/dining area, lounge, shower/bath and toilet facilities. On the ground floor there is also a large communal lounge and kitchenette that was continually in use throughout the inspection. The inspector observed good interaction between staff and service users. A tour of the communal areas, and service users bedrooms by invitation, found the standards of cleanliness within the home to be good and rooms were appropriately furnished. Equipment and safety checks are carried out on a regular basis. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 18 Most of the discussions took place in the garden while service users were enjoying the good weather. However, this area is becoming over-grown; therefore the home needs to arrange regular maintenance to take place. Consideration should be given to improving the garden in order to provide service users with a more pleasant atmosphere in which to enjoy the good weather. The manager reported that since the last inspection the landlord had arranged for the fire door to be replaced and windows repaired. The home has yet to produce a planned maintenance and renewal programme for the fabric, redecoration and furnishing of the property. Repairs identified during this visit that need to be addressed are detailed in the requirement section of this report. Health & safety procedures are available in the office for staff. No concerns were identified in relation to hygiene standards with the home. Corbett House DS0000025013.V304591.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 & 35 The overall outcome for this group of standards is judged to be adequate. Service users are provided with care from a stable, experienced and competent staff team. However, to ensure a good level of service continues to be provided a planned approach must be taken to staff training and development. EVIDENCE: A stable staff team cares for service users, the majority have worked at the home for more than 3 years. No new appointments have been made since the last inspection and no issues were raised at the previous inspection with regards to the home’s recruitment procedures. The staff team is predominately female with a mix of experiences and skills. They were able to demonstrate their awareness of the service users needs and how these are to be met. The manager would like to improve the balance of gender within the team, however reports there has been no or very few male applicants when posts have been advertised. Service users express any concerns in relation to the staff complement. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 20 Five staff that have completed Level 2 National Vocational Qualification (NVQ) in Care and two are currently undertaking the course. Information provided by the manager show almost half of the staff team has attended some training during the last twelve months. However, the records show many have yet to attend all the home’s mandatory training courses. There is no record of any client-centred training being undertaken for several years. The manager stated training needs are identified with staff on an individual basis. This was not reflected in the records that were seen. A more planned approach needs to be developed to staff training & development and accurate records are kept. The requirements made at previous inspections in respect of training remain outstanding. Corbett House DS0000025013.V304591.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 & 42 The overall outcome for this group of standards is judged to be adequate. Service users’ welfare is protected by the home’s policies, procedures and systems. However, to ensure service users fully benefit from a well run home a more planned and timely response needs to be taken in addressing issues. EVIDENCE: The registered manager is a qualified social worker and has been in post for four years. He informed the inspector he would be leaving the home in the near future and his deputy would be managing the home prior to more permanent arrangements being made. The deputy has worked at the home for over six years. The registered provider is to notify the Commission for Social Care Inspection (CSCI) of the change in arrangements for the day-to-day management of the home. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 22 The inspector was informed the home is in the process of publishing the results of service users, relatives, social workers and community psychiatric nurses responses to the home’s questionnaires sent as part of its quality assurance system. The home has systems in place for ensuring appliances and equipment are serviced and inspected on a regular basis. Arrangements are made for periodic fire drills to take place. However, the manager must ensure all staff receive fire drill training at least twice a year. With the exception to the areas already reported on the home has satisfactory systems in place to ensure the health, safety and welfare of the service users are protected. Corbett House DS0000025013.V304591.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 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15 Requirement The manager must ensure service users’ care plans are amended to reflect changes in care needs. The manager must ensure detailed records are kept of discussions held with individual service users The manager must ensure service users’ risk assessments are updated regularly. The homes medication policy and procedures must be updated to reflect current practice. All staff responsible for administering medication must receive accredited training. This is an outstanding requirement from the 25th February 2005. A lockable refrigerator must be provided for storing specific medication All staff must receive training in the protection of vulnerable adults. Timescale for action 07/11/06 2 YA7 15 07/11/06 3 4 YA9 YA20 12 13 07/11/06 07/11/06 5 6 YA20 YA23 13 18 07/11/06 07/11/06 Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 25 7 YA24 16,23 A planned maintenance and renewal programme needs to be introduced for the fabric, decoration, and furnishing of the property. This must prioritise the work required by the fire officer’s. This is an outstanding requirement from the 25th February 2005. The manager must arrange for the following: • Suitable flow of hot water to be provided in service user’s bedroom and repair TV aerial • Cistern in ground floor toilet to be replaced • External fire escape to be cleaned & repainted • Table umbrella in garden to be made secure • Garden to be regularly maintained All staff must have an individual training plan showing exactly what qualifications they have, when training was undertaken and when updates are required. The home must have a training and development plan. All staff must have 5 days paid training each year and any training needs met including medication, food hygiene, violence and aggression and mental ill health. A staff induction policy and procedure must be implemented. This is an outstanding requirement from the 25th August 2005. 07/11/06 8 YA24 16, 23 12/09/06 9 YA35 18 07/11/06 Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 26 10 11 YA35 YA37 18 39 12 YA39 24 13 YA42 12,13,23 All staff must be provided with appropriate client-centred training. The registered provider must notify the CSCI, in writing, of the change in arrangements for the day-to-day management of the home. The home must publish the results of their quality assurance questionnaires. This is an outstanding requirement from the 25th February 2005. All Staff must be involved in a fire drill at least twice a year. This is an outstanding requirement from the 1st April 2006. 07/11/06 12/09/06 07/11/06 07/11/06 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 2 Refer to Standard YA5 YA23 Good Practice Recommendations The manager is advised to regularly review the details contained in each service user’s contract/statement of terms & conditions Suitable strategies should be explored to ensure all service users are protected from abuse from other residents. Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Corbett House DS0000025013.V304591.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!