Inspection on 04/05/05 for Cottage Farm

This inspection was carried out on 4th May 2005.

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

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

Other inspections for this house

Cottage Farm 19/12/08

Cottage Farm 20/06/08

Cottage Farm 20/06/07

Cottage Farm 18/04/06

Cottage Farm 25/11/05

Cottage Farm 07/12/04

Cottage Farm 20/07/04

Cottage Farm 07/01/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Cottage Farm Southampton Road Hythe Hampshire SO45 5TA Lead Inspector Annie Billings Unannounced 04.05.05 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. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cottage Farm Address Southampton Road Hythe Hampshire SO45 5TA 02380 84661 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) Macintyre Care CRH 5 Category(ies) of Learning disability (5), Physical disability (5), registration, with number Sensory impairment (5) of places Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Residents in the category LD referred to above are not to be admitted under the age of 40 years. Date of last inspection 07.12.04 Brief Description of the Service: Cottage Farm is registered to provide accommodation to five adults with a learning disability, physical disability or sensory impairment. The home is a large spacious bungalow in a semi-rural setting, on the outskirts of Hythe town centre and the New Forest. Accommodation is provided within individual rooms, with communal facilities including a large, comfortable sitting room, spacious kitchen / dining room, one assisted bathroom, walk in shower room, separate WC and utility room. At the front of the property is a large parking area, with the garden area at the rear mainly laid to lawn, with small shrubs, a patio area and an adjacent fruit orchard. MacIntyre Care provides a Day Support Service to service users living in the home, enabling 1:1 support to access community facilities, and individual activities. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5.25 hours and was the first of two inspections for 2005/2006. The home has been without a registered manager since December 2004, although an appointment is due to be made this month. During this period the acting manager has had several changes in line management, and due to a high level of staff sickness, has had limited opportunity to develop the service. Some work has been undertaken to comply with previous requirements, although it is again disappointing that so many remain outstanding, with some over a long period of time. Of the fourteen requirements outstanding from the last inspection five have been complied with, and a further five requirements have received some input. One immediate requirement has been made as a result of this inspection. The provider will be contacted to ensure all requirements are complied with within the given timescales. If requirements have not been met by the due date, the Commission will consider further action to ensure future compliance. During the inspection a tour of the premises was undertaken, lunch was observed and records examined. All five residents were spoken to, although communication was limited due to their disabilities. Discussions were held with two members of staff on duty, as well as the acting manager. What the service does well: The home provides residents with a comfortable, homely environment. The home has a group of staff that has worked with the residents for a number of years. They have ensured that the sudden loss of the manager has not affected the residents, and all five of the residents looked well cared for and content. The acting manager and staff advised of various situations where the staff had supported service users to succeed in their aspirations. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 6 Personal and healthcare support is well managed, with recognition from healthcare professionals in respect of stabilising and maintaining good health. Meals and activities offer choice and variety, based on residents’ needs and preference. Additional support is provided by day services to ensure that opportunities for activities in and outside the home are available, to meet residents’ wishes. What has improved since the last inspection? What they could do better: Resident’s files need to be reorganised to ensure that current information is easily identifiable. All care plans and risk assessments need to be reviewed to ensure that all assessed needs are met, and improved recording systems need to be established to demonstrate that support plans are being fulfilled. Some progress has been made in meeting this requirement. The staff training programme has now restarted, but needs to be continuous, to allow staff to develop their skills to meet the needs of residents. Contracts issued to residents need to be developed in a format suitable to meet individual needs, to ensure some level of understanding. A suitable call alarm system needs to be made available, to enable people to summon assistance in an emergency. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 7 To ensure the home remains safe and comfortable, records must demonstrate that all staff receive regular fire training, the bathroom must be decorated and the bath repaired or replaced, hot water pipes in the WC must be covered and decorating and garden supplies must be securely stored. The recruitment of a manager, and a consistent line management approach is essential to ensure the above areas are addressed promptly and effectively. 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. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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 standard(s) 2, 3, 5 The home has a system of assessment, which enables service users’ needs to be identified. Contracts have not been developed in a format suitable to service users, to ensure some level of understanding. EVIDENCE: No new admissions have been made to the service, although the acting manager stated that a pre-admission assessment pack is available to assess peoples’ needs and wishes. Following identification of specialist communication needs of some residents, particularly those with additional sensory impairments, a requirement for training in communication was made at the last five inspections. Since the last inspection communication training has been provided for half of the staff team. The requirement will remain in place until this has been completed. Written contracts have been issued to residents, but in view of their disabilities it is difficult to assess their level of understanding due to communication difficulties. Contracts were not available in any other format to meet individual needs, particularly those with sensory impairment. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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 standard(s) 6, 7, 8, 9, 10 The home has made limited progress in reviewing care plans, and there is insufficient information to determine if all needs are being met. Some evidence indicates that residents are consulted and supported to make decisions. Information about service users is securely stored to ensure confidentiality. EVIDENCE: It was identified at the last inspection that service user files were disorganised with many out of date risk assessments, conflicting information and care plans not reflecting the current needs of residents. Various forms are available on these files, for example a person centred plan monthly progress update and ABC behaviour record chart, but these have not been completed. Care plans do not determine how communication, or specialist assessment recommendations are to be addressed. One resident is diagnosed epileptic, but no mentioned of this is made in the care plan. Care plans sampled did not evidence consultation with service users or families. A requirement was made at the last inspection to review all assessments and care plans, in consultation with service users and their representatives, to ensure that all assessed needs are met. The acting Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 11 manager has made a start on reorganising one of five resident’s files, to ensure that files remain current and out of date information is archived. Following recent training in person centred planning, the acting manager and one member of staff stated their enthusiasm to undertake the reviews necessary to comply with previous requirements, although recent staff sickness has meant a reduction in supernumerary hours available to complete the work. Evidence within files sampled supports that residents are supported to make decisions about their lives. Menus are determined by residents on a weekly basis, and are based on residents’ needs and preference. Service user aims and objectives were identified within the person centred plan. Discussion with the acting manager and other members of staff indicate that residents have been supported in achieving their life goals, although lack of recording systems does not demonstrate this. Service user files were observed to be securely stored within a lockable office. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 17 The home ensures that residents have ample opportunities for personal development, leisure, social and community activity. Dietary needs of residents are well met by a varied and well-balanced menu based on service user preference. EVIDENCE: From information seen in residents’ files and from observation, a variety of activities are undertaken based on residents’ wishes and aspirations. These include music groups, social club and visits to pubs, theatre, places of interest and local festivals. Additional one to one support is provided by Macintyre day services, in meeting care plan objectives and providing community access. The acting manager advised of one residents’ interest in aeroplanes, and how they had been supported to visit an airport, and ultimately fly abroad on holiday. This had not been documented, and supports the view that recording systems need to be developed to ensure that achievement of care plan objectives can be measured. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 13 Lunch was observed, and confirmed that residents eat in a relaxed atmosphere, with appropriate staff supervision and support. The meal viewed was plentiful and attractively presented, with specialist eating implements available to meet residents’ needs. Menus are determined by service users every Sunday, but remain in an unsuitable format for service users. As a result of a suggestion made at an earlier inspection, staff advised of their intention to develop a picture board menu, but this is still in its early stages. The acting manager advised of their intention to access a training course in eating and drinking difficulties in adults with a learning disability, to provide staff with the appropriate skills to meet the residents’ needs. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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) 20 Some progress has been made to ensure that staff receive appropriate training in the safe handling of medication. EVIDENCE: This standard has not been fully inspected, but the issue of staff training was followed up as a requirement was made at previous inspections, following identification of the need for formal training. The acting manager advised that a further two staff have now received training in the management of medication, and funding has been approved for others to complete later this year, although no dates have been booked. This will be followed up again at the next inspection. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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 A complaints procedure is available in both written and pictorial format. Staff have a good understanding of adult protection issues, which protects service users from abuse. EVIDENCE: The complaints procedure has been developed in pictorial format, and is displayed in the kitchen of the home. This needs to be updated to reflect the details of the Commission for Social Care Inspection, and assurances were given that this would be completed. Staff advised they are able to identify if residents are not happy. Three members of staff spoken with had a good understanding of adult protection and associated reporting procedures, however training records demonstrate that only one member of staff has received training in the protection of vulnerable adults, although the subject is covered with the induction process. As many of the staff were inducted some years ago, further training has been recommended. Three financial balances sampled, correctly matched with records maintained. The acting manager advised that one resident is unable to access his bank funds. The policy of the home allows managers to act as signatories on residents’ cheques. As the previous manager has been unable to relinquish this responsibility, their bank has refused to released funds. This is currently being addressed in discussion with the probate office, and will be followed up at the next inspection. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 16 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, 25, 26, 27, 28, 29, 30 The provision of new chairs and other furnishings has significantly enhanced individual accommodation, although décor of communal areas remains unchanged, and several areas require attention to ensure the home remains comfortable and safe. EVIDENCE: Since the last inspection new chairs, one new mattress in one room and additional storage have been provided in residents’ bedrooms. Individual bedrooms now present as comfortable, uncluttered rooms that meet the residents’ needs in a homely fashion. A restrictor has been removed from the sliding doors in one room, to enable one resident direct access to the garden area in his wheelchair, promoting further independence. The office has also been enhanced by reorganisation and the provision of new furniture. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 17 Staff members stated that all personal care is undertaken in private within residents’ own rooms or bathrooms. There are sufficient WC’s and bathrooms to meet the residents’ needs adequately, although work is required to ensure these areas remain safe and comfortable: * Hot water pipes in the shower room have now been covered to minimise the risk of burns to service users, although pipes within the WC remain uncovered. * Décor in the communal bathroom remains poor, with the bath corner panel still broken. This does not prevent use, but may present a hazard to residents. Spare parts were on order, but cancelled following the provision of an alternative bath from another home. This bath needs to be assessed for suitability to residents before installation. Decorating and gardening supplies were seen in various areas of the home, which could potentially put service users at risk. The acting manager gave assurances that these would be stored securely. One member of staff is taking responsibility for the gardening, and will be supporting residents with spring planting once the weather improves. The acting manager gave assurance that the weeding of pathways will be addressed as part of this work. Protection around the home on door jams and sharp corners of walls to protect service users is not appropriate, as highlighted in previous reports. Polystyrene pipe lagging has been sellotaped to corners, which has now split and coming away. A requirement has been made at the last four inspections to refer to the appropriate professional for support for advice on loop systems, tactile symbols, varied textures, colours and protective equipment. Since the last inspection the home has consulted with the fire safety officer and no additional equipment was recommended, as the home is staffed at all times. The acting manager stated they have not managed to secure advice on sensory equipment, despite a referral to social services. A suggestion was made to refer the matter to the learning disability nurse for advice. It was identified at previous inspections that in the event of an emergency, staff have no way of summoning assistance. A requirement to provide an appropriate communications system was made at previous inspections. This has yet to be addressed and remains outstanding. The standard of cleanliness in the home has been much improved. All areas viewed looked much improved, and demonstrated attention to detail. Plans are in place for all staff to attend training in infection control later this year. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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) 31, 32, 33, 35 The arrangements for training of new staff are good, with staff able to demonstrate their understanding of their roles and responsibilities. Update training and specialist training is not always delivered promptly, to ensure that staff have appropriate skills to meet service users needs. EVIDENCE: Three staff members were spoken with, including one who had recently commenced working in social care. All three had a good understanding of their roles and responsibilities. The staff rota sampled identified that two or three members of staff are on morning shift, two on afternoon shift with two overnight. From observation during the day, staffing was at an adequate level to meet service users’ needs, particularly in view of the additional day services support. Interaction observed between staff and residents was appropriate, and demonstrated the close relationships built. Discussion with a new member of staff confirmed that induction training was well underway, and they had attended a variety of courses and felt competent to work with the resident group. All new staff members now undertake the Certificate in Working with People with Learning Disabilities (CWPLD). A good team spirit was identified and they felt well supported in their duties. They Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 19 were also able to confirm a robust recruitment procedure, which had delayed their start date due to criminal records bureau checks response times. Two of the nine staff have completed NVQ training and a further three are currently underway with NVQ3. Training records demonstrate that some update training needs are being addressed, with two members of staff undertaking first aid training on the 11.5.05 and four booked on moving and handling courses on the 25.5.05. Challenging behaviour courses are available on the 28th and 29th June and all staff have been booked on infection control update training in October and November. Four staff have received communication training, although no date was available for the rest of the staff team. Three staff are overdue for food hygiene and two require training in the safe administration of medication, although funding has now been agreed. The acting manager was advised to undertake competency checks if this training is to be delivered as a distance- learning course. Fire training records confirmed that four members of staff had received evacuation training on the 16th March, but other records did not identify who had attended the sessions. It could therefore not be demonstrated that all staff receive fire training twice per year, and an immediate requirement was made, to ensure the safety of staff and residents. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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) 39, 41 Limited progress has been made in developing an effective quality assurance system to seek views for the development of the service. Arrangements have been made to ensure accessibility of records and resident’s allowances. EVIDENCE: The acting manager advised that the previous line manager for the service has distributed questionnaires to relatives of the service users, although no evidence was available in the home. A requirement was made following the last inspection as certain records were inaccessible and service users could not access their money due to the absence of the acting manager. Arrangements are now in place to allow residents access to their personal allowances at all times. The accessibility of records has been discussed with the service manager, and agreement reached that both will hold keys to confidential areas, although these have yet to be made available. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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 3 2 x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 3 2 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 2 3 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cottage Farm Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 2 x 2 x x H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 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. Standard 5 Regulation 5[1]b Requirement The provider must ensure all service users are issued with a contract in a suitable format to meet their communication needs. Timescale of 31.12.04, 31.3.05 not met. 2. 6 15 The provider must review all assessments and care plans to ensure that all assessed needs are met. These must be signed, dated and developed in consultation with service users, relatives and representatives. 1.7.05 Timescale for action 1.7.05 3. 20 13[2] Timescale of 31.3.05 not met although some progress has been made. The provider must ensure that 1.7.05 all staff are appropriately trained and updated in the procedures of administration, recording and storing of medication. Timescale of 31.8.03, 31.10.03, 31.4.04, 31.10.04, 31.1.05 not met although progress has been made. An appropriate and accessible 4. 26 23[2] 1.7.05 Page 23 Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 call alarm system must be provided. 5. 27 12[2]c Timescale of 31.3.05 not met. The broken bath panel must be replaced and the basin re-sealed Timescale of 31.3.05 not met. Service users must be protected from hot water pipes. Risk assessments must be undertaken until this work is completed. Timescale of 31.1.05. Work has been completed in the shower room, but pipes remain uncovered in the WC. The provider must seek advice from specialist professionals to meet the sensory needs of service users. Timescale of 1.12.03, 31.4.04, 31.10.04, 31.1.05. The provider must ensure staff are fully trained and receive update training to meet the needs of service users, including communication, sensory impairment, behaviour management, and core training Timescale of 31.9.03, 1.12.03, 30.6.04, 31.10.04, 31.3.05 not met, although progress has been made. The provider must develop a system to survey and obtain the views of service users, staff, relatives and visiting professionals. Timescale of 31.8.03, 31.4.04, 31.3.05 not met. Training records must demonstrate that all staff receive fire training twice per year. Version 1.30 Page 24 1.7.05 6. 27 13[4]c 1.7.05 7. 29 23[2] 1.7.05 8. 35 18c 1.7.05 9. 39 24 1.7.05 10. 42 23[4]d, e Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc An action plan must be forwarded to the Commission detailing the action taken and timescales involved. 11. 13.5.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 23 Good Practice Recommendations The provider should consider additional training to staff on the protection of vulnerable adults from abuse. Cottage Farm H54 S12379 Cottage Farm V219009 4.5.05.doc Version 1.30 Page 25 Commission for Social Care Inspection 4th floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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