CARE HOME ADULTS 18-65
Cottam Road Scheme 1 Cottam Road High Green Sheffield S35 4PJ Lead Inspector
Janis Robinson Unannounced 28 June 2005 09:00am 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. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Cottam Road Scheme Address 1 Cottam Road High Green Sheffield S35 4PJ 0114 2847429 0114 2869789 Not known South Yorkshire Housing Association 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) Mr John McClure PC Care Home Only 18 Category(ies) of PD Physical disability - 3 registration, with number LD Learning disability - 18 of places Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Of the 18 service users in the category LD, 3 can also have an additional physical disability (PD). Date of last inspection 8 February 2005 Brief Description of the Service: Cottam Road provides care for up to 18 people with a learning disability, three of whom may have an additional physical disability. The home is divided into three houses, each accomodating six residents. The houses have thier own kitchen, lounge/dining rooms, laundry and bathing facilities. The garden and large activities room is shared by the three houses. A small car park is provided. The home provides twenty-four hour care, and some residents attend daycentres and community groups. The home is situated within a housing estate close to local ammenities such as bus routes, shops and public houses. There is a bus stop outside the home. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours from 8.30am to 12:30 pm. An inspection of the environment was undertaken. A proportion of records were checked, including care plans, complaints, menu, rotas, staff training and supervision. An arts and crafts activity and interactions between staff and residents were observed. Seven residents, the majority of staff and two professional visitors were spoken with. The homes manager was not present during this inspection. Discussions took place with the homes deputy manager, who was in charge at the time of this inspection. What the service does well:
The interactions observed between residents and staff appeared respectful and caring. Those residents who were able to chat to the inspector said `The staff are very nice’, `I like living here’ and ` I enjoy the food’. A service user guide had been provided to each resident to give him or her information about the home. Each resident was provided with a contract, which informed them of their rights and obligations. Trial visits took place, to enable prospective residents and their representatives to make informed choices. Care plans were in place for all residents. These set out in detail the personal, social and health care needs of the individual, and the staff action required to ensure these needs were met. Residents were supported to take risks and make decisions about their lives. A policy on confidentiality was in place, to ensure residents rights were respected. Access to day care facilities and community groups was available to meet residents’ needs. An activities worker visited the home twice weekly, to provide a range of activities to those residents that did not attend any day care resource. Support staff provided some further activities and trips out of the home. There was home an open visiting policy, to encourage contact with relatives and friends. The routines at the home were flexible, to enable residents to have some control over their lives. The menu was varied, and individual preferences were respected. Residents’ health care was monitored and access to relevant professionals was available to ensure residents’ health was maintained. Care plans contained information on residents’ wishes regarding long term care and funeral arrangements, to ensure these were carried out.
Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 6 There was a complaints procedure and Adult Protection procedure in place, to promote residents safety. On the day of the inspection the environment was clean and fresh smelling. It was well decorated. Communal areas contained homely touches to create a comfortable environment. Bedrooms contained personal belongings, which enabled residents to have some control over their personal space. Sufficient bathing facilities were provided to ensure residents personal care needs were met. The laundries and kitchens were well equipped to meet residents’ needs. Agreed levels of staff were being maintained. A staff training record was in place, and individual training records were maintained. There was a quality assurance system, which sought the views of residents and their representatives. Insurance cover was provided. Records within the home were stored securely, to respect confidentiality. Health and safety procedures were identified and carried out, and systems were checked and serviced to maintain a safe environment. Staff undertook mandatory training to ensure their skills were maintained. What has improved since the last inspection? What they could do better:
Insufficient staff time was provided to offer residents a full and varied activities programme. Trips outside of the home were limited and relied on the goodwill of the staff to ensure these took place. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 7 Whilst the garden was attractive and well maintained, to provide a pleasant environment for residents to enjoy, one area contained discarded litter and was unsightly. A path and step area was not provided with sufficient handrails to meet the needs of some residents. Staff files did not contain all of the required information, the information held on Criminal Records Bureau checks was insufficient for the manager to establish that the check was suitable. Staff supervision, to support and advise staff, did not take place at the required frequency. An outside security light had been identified as needed within the homes health and safety checks. This had not been provided. Insufficient staff were trained in first aid to ensure a qualified person was on duty at all times. 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. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 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 Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 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) 1,2,3,4 and 5. A service user guide was available, which provided information about the home to residents. Assessments of needs were undertaken prior to admission to ensure that the needs of prospective residents could be met. Trial visits were encouraged, to enable prospective residents and their relatives to make informed choices. Contracts had been undertaken with each resident, to inform them of their rights and obligations. The information available and actions taken ensured that standards were met. EVIDENCE: Each resident had been given a copy of the homes service user guide, to give them information about all aspects of the homes procedures, environment and staff. They were in a format suitable for residents and contained pictures and diagrams. These were kept in residents’ care plans. Needs assessments were undertaken prior to admission to ensure that the home could meet all identified needs. The information was used to formulate a plan of care to ensure staff knew how to look after the resident. Copies of social workers full needs assessments were obtained prior to admission, if these were available, in order that full information was available. Prospective residents, and their families and carers were encouraged to visit the home to meet staff, residents and have a look around the home before admission to inform their choices. Staff confirmed that this was normal practice. Statements of terms and
Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 10 conditions were undertaken with residents to ensure that they were provided with information about their rights. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 11 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 and 10. Each resident had a care plan, to ensure his or her opinions had been sought and needs assessed. Residents were supported to make decisions to ensure they had some control of their life. Residents were supported to take risks to ensure they led full lives as safely as possible. There was a policy on confidentiality, to protect residents’ rights. EVIDENCE: Care plans were well set out and easy to read. Where able, residents had signed the plans to evidence that they had been involved in its drawing up. Plans contained a statement confirming that individuals had access to their plan as they wished, and that staff would support them to read their plan, if needed. The plans contained a comprehensive range of information covering all aspects of personal, health and social care. The plans identified the staff action required to ensure identified needs were met. Risk assessments were in place, to ensure that all identified risks were well managed whilst providing some independence to residents. Residents were able to make decisions about their lives. Staff were observed offering choices and residents were supported and respected. The policy on confidentiality in place ensured information about residents was kept safe.
Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 12 Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 13 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 and 17. Residents had opportunities to participate in some activities. Some residents accessed facilities in the local community independently. Staff supported other residents to access these facilities only when numbers of staff allowed. Contact with families and friends were maintained. Residents’ rights were promoted and responsibilities were identified. A varied diet was provided and preferences respected. EVIDENCE: A range of activities was offered to residents, which included trips out of the home to local shops, clubs and pubs. However, the frequency of activities was limited due to insufficient staff provided to ensure these took place safely. Individual goodwill ensured some activities took place, as staff booked time on their days off, or after their rotered duties, to accompany residents on trips and outings. The management of the home had identified this issue, and a bid for further staffing to address this issue had been made to the homes head office. An activities worker visited the home for two hours on a twice-weekly basis. One resident said that they really enjoyed this. The majority of residents at home participated in an activities session taking place, and the
Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 14 interactions observed appeared positive and caring. Staff confirmed that contact with residents’ families and friends were maintained. The home had an open visiting policy to encourage contact for residents. Some residents visited home on a weekly basis in order to maintain independence. One resident said that they often visited their friends who lived in the other houses within the home. Residents said that they enjoyed the food. One resident said that they could have what they wanted. The record of food provided was varied and appeared healthy. Whilst each house undertook a weekly menu and food shop, residents’ preferences were respected and alternatives to the menu were always available. One resident said that they had had a barbeque recently, and really enjoyed this. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 15 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 and 21. Residents personal support needs were assessed and met. Staff monitored residents’ physical and emotional health, to ensure this was maintained. Residents’ needs regarding long-term care and death were identified to ensure these would be carried out. EVIDENCE: Care plans contained information on residents personal care needs in detail. The plans set out the staff action required to ensure all identified needs were carried out. The care plan recordings were specific and comprehensive. Staff had a clear understanding of the individual needs of residents, and the knowledge to ensure personal care needs were met respectfully. Staff were observed assisting residents with personal care privately and in line with individual need. Care plans contained information on all aspects of health care. Appointments and treatments with health care professionals were recorded to ensure these were monitored and health was maintained. The plans evidenced that residents’ emotional health was monitored and any concerns identified were referred to relevant specialists. Access to health care professionals was provided both within the home and local community. Specialist district nurses, chiropodists, opticians and dentists visited the home, in addition to staff supporting residents to access these facilities in the local community. Staff responded to any health concerns promptly. One resident was supported to a GP appointment on the morning of the inspection, as
Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 16 he/she had been complaining of feeling unwell. Each care plan contained information relating to long-term illness and dying. The wishes of residents had been sought from them or their representatives, to ensure any specific wishes were carried out. Staff displayed a strong sense of commitment to the residents living at the home. Positive, caring and happy interactions were observed between residents and staff. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 17 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 and 23 A clear and accessible complaints procedure was in place, to ensure residents’ rights were protected and any concerns listened to and taken seriously. An Adult Protection procedure was in place, to ensure residents safety was promoted. EVIDENCE: The complaints policy was on display in the entrance area of the home. It contained relevant information and informed the reader who to contact external to the home, should the complainant wish to do so. The policy had been provided in a format suitable for residents, and contained pictures and diagrams. A copy of the policy was included in the information in each residents care plan. Staff were confident in the homes manager to take any complaints seriously. No complaints had been received by the home since the last inspection. There was an Adult Protection policy in place, which included the Department of Health guidance `No Secrets’ to ensure staff had access to all of the information needed to promote residents safety and well being. Staff were on a rolling programme of Adult Protection training, to equip them with the skills and knowledge needed to ensure residents were safe and respond to any allegations appropriately. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 18 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) The home was clean and well maintained. Homely touches had been provided to create a comfortable environment. Communal areas were well maintained, and bedrooms were well decorated and personalised. Sufficient bathing facilities were provided. Aids to meet the moving and handling needs of residents were in place. The central laundry and kitchens in each house were well equipped, to meet residents needs. EVIDENCE: Since the last inspection the corridors, stairs and landing areas in the three houses, and three bedrooms had been redecorated to improve the environment. All of the residents said the home was comfortable and they were happy with their rooms. Communal lounge/dining rooms were provided with homely touches to create a comfortable environment. All of the bedrooms were highly individual and reflected the personalities and interests of the residents, allowing them some control over their personal space. Sufficient bathing facilities were provided and aids and adaptations were in place to meet residents moving and handling needs. Two bedrooms had en-suite shower facilities provided to ensure
Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 19 individual needs could be met. The garden was shared by the three houses, this was pleasant and well maintained. However, an outside area near the shared activity room had been used to discard empty containers and other litter, including garden debris gathered over a period of time. This was unsightly and did not create a positive impression. Procedures were in place for the control of infection to promote residents safety. One house had steps and an inclining path to the entrance. No handrails were in place on the path, and a handrail had been provided to only one side of the steps, posing a potential hazard. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 20 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) 31,32,33,34,35 and 36. Staff understood their roles and were provided with job descriptions. Agreed levels of staff were being maintained. Some staff undertook NVQ training to improve their skills. Recommended levels of NVQ trained staff had not been achieved. The homes recruitment practices required some additions, to ensure a thorough procedure was in operation. Staff undertook periodic training to keep them up to date. A staff training plan and individual training records were maintained. Staff supervision did not take place at the required frequency. EVIDENCE: The staff had a positive attitude to their jobs and displayed high level of commitment to the residents. Friendly and supportive relationships were observed between staff and residents. Two care vacancies had been recruited to and it was anticipated that these staff would start working at the home within two weeks of this inspection date. Residents said that they were looking forward to the new staff starting at the home. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 21 The homes rota indicated that agreed levels of staff were being maintained. Vacancies and periods of sickness had impacted on the availability of staff in the home. Existing staff had covered the rota by working extra shifts to ensure staffing levels were maintained and residents’ needs met. All of the staff reported a good team spirit at the home. Staff undertook periodic training relevant to their job. Training in Adult Protection, Person Centred planning, Drug Administration and Food Hygiene had been provided since the last inspection. A training plan and individual training records were maintained to ensure effective monitoring took place. Of the sixteen care staff, one staff had achieved NVQ level 3 in care, and three staff had achieved level 2 in care. A further member of staff had almost completed level 3 in care and four staff were undertaking the training at level 2 in care. Recent periods of staff sickness and vacancies had had some impact on staff supervisions. The supervision matrix indicated that staff had not received supervision at the required frequency of six times each year, to ensure they receive sufficient support and guidance. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 22 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, 40, 41,42 and 43. The home was well run. Management were approachable and supportive to staff and residents. A quality assurance system was in place to seek residents and representatives’ views and inform practice. A range of policies and procedures were in place to ensure relevant information was available and safe practices carried out. Health and safety systems were in place. A business plan had been undertaken. EVIDENCE: The registered manager was undertaking NVQ level 4 in management and care. Residents and staff benefited from the managements leadership style. Staff said that the manager and deputy manager were approachable and supportive. The home had a quality assurance system, and questionnaires were used to seek the views of residents and their representatives. The results of questionnaires were collated to inform and improve practice. A range of appropriate policies and procedures were in place. These were
Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 23 accessible to staff to ensure they had appropriate and up to date information to be able to carry out their duties. Health and safety systems were checked and serviced. Staff were up to date with all aspects of mandatory training, to equip them with the skills needed to maintain residents safety. However, only five care staff had a first aid qualification, which meant that a qualified person was not on duty at all times. An outside light had been identified within the homes health and safety audit to improve residents’ safety. This had not been provided. The home was managed within planned budgets. Insurance cover was in place. Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 24 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 3 3 3 3 3 Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 3
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 3 3 3 3 3 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 3 2 3 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Cottam Road Scheme Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 25 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 12,13 Regulation 13 Requirement Staffing levels must be sufficient to provide residents with adequate support to maintain daytime and leisure activities. (Previous timescale of 30.04.05 not met) Handrails must be provided to the identified path and steps The litter and discarded waste must be cleared from outside the activity room. A record of proof of identity for all staff must be in place. Information held on CRBs must be sufficient to determine that the check was suitable. (Previous timescale of 30.04.05 not met) Staff supervision must take place at the required frequency. The outside light identified in the homes health and safety audit must be installed. (Previous timescale of 30.04.05 not met) Sufficient staff must be trained in first aid to ensure a trained person is on duty at all times. Timescale for action 31.08.05 2. 3. 4. 24 24 34 13 23 19 30.09.05 31.08.05 31.08.05 5. 6. 36 42 18 13 31.08.05 31.08.05 7. 8. 42 13 30.09.05 Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 26 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 32 34 Good Practice Recommendations Fifty per cent of staff should achieve NVQlevel 2 in care by 2005 The following information should be recorded on CRB checks; Name of staff. Date CRB was carried out. Whether CRB was enhanced. The disclosure number. The registered manager should achieve NVQ level 4 in management and care by 2005. 3. 37 Cottam Road Scheme J55 S2949 Cottam Rd V230012 28.06.05 UI Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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