CARE HOME ADULTS 18-65
Cottam Road Scheme 1 Cottam Road High Green Sheffield South Yorkshire S35 4PJ Lead Inspector
Mrs Janis Robinson Key Unannounced Inspection 6th December 2006 09:00 Cottam Road Scheme DS0000002949.V305707.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 Cottam Road Scheme DS0000002949.V305707.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. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Cottam Road Scheme Address 1 Cottam Road High Green Sheffield South Yorkshire S35 4PJ 0114 284 7429 0114 286 9789 none none South Yorkshire Housing Association 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) Vacant Care Home 18 Category(ies) of Learning disability (18), Physical disability (3) registration, with number of places Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Of the 18 service users in the category LD, 3 can also have an additional physical disability (PD). 29th November 2005 Date of last inspection 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 accommodating six residents. The houses have their own kitchen, lounge/dining rooms, laundry and bathing facilities. The three houses share the garden and large activities room. 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 amenities such as bus routes, shops and public houses. There is a bus stop outside the home. Written information about the home is provided to prospective and current residents and their representatives. The weekly fees are £292. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced. A site visit took place over 8.5 hours from 8:45am to 5:15 pm on 6th of December 2006. At the time of this inspection the manager’s post was vacant, a temporary manager, from another home within the same organisation, was covering the post until a permanent replacement was recruited. An inspection of the environment was undertaken. A proportion of records were checked, including care plans, complaints, rotas, staff training and supervision. Interactions between staff and residents were observed. Seven residents were spoken with to ascertain if they were happy in their home. A proportion of the staff on duty were spoken with and four members of staff were formally interviewed about their knowledge, skills and experiences of working at the home. Discussions with the homes temporary manager took place. Written questionnaires were sent to a sample of staff, professional visitors and all residents, to obtain their views on aspects of the home. Fourteen staff and twelve residents returned their questionnaires. What the service does well:
The interactions observed between residents and staff appeared respectful and caring. The temporary manager had identified areas for improvement and was implementing these in order of priority. Written assessments had been undertaken prior to admission to ensure the home could meet identified needs. 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.
Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 6 Medication systems were safely managed. There was a complaints procedure in place, to promote residents rights. 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. The home had a thorough recruitment procedure. A staff training record was in place, and individual training records were maintained. 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:
Whilst the temporary manager had strived to improve recordings, some gaps were evident in the care plans examined. The medication administration records inspected had not been fully completed. Residents’ bedrooms appeared cold and staff reported a difficultly in maintaining the temperature in these rooms. There were some gaps in recruitment files: Some improvements to the information kept regarding Criminal Records Bureau information on staff was Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 7 evident. However, one file checked contained insufficient information to confirm that appropriate checks had been undertaken. Whilst staff training had improved, some staff required refresher training to keep their skills up to date. Staff supervision had improved significantly, but some staff had not received supervision at the required frequency. With the exception of night staff, all staff had participated in a fire drill at the recommended frequency. The temporary manager provided fire drill training to night staff on the evening of this inspection, and forwarded written evidence to the Commission for Social Care Inspection (CSCI). 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 DS0000002949.V305707.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments prior to admission took place; to ensure the home could meet all identified needs. Staff had a range of skills and experience, and were able to meet residents needs. EVIDENCE: Assessments of needs were undertaken prior to admission, to ensure the home could meet the needs of any prospective resident. Staff reported that the manager usually carried these out. Copies of assessments were inspected, they contained the full range of information required, and provided sufficient information to assist in formulating a care plan. Copies of social workers assessments were contained in care plans. The staff spoken to were knowledgeable about residents individual needs. They had a range of skills and experience. All of the staff spoken with displayed a strong sense of commitment to the residents, their welfare, and the quality of their life. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident had a care plan, to ensure his or her opinions had been sought and needs assessed. These needed completing in full to ensure all relevant information was recorded. Residents were supported to make decisions to respect their choices. 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:
Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 11 Each resident had a written care plan. Three care plans were examined in detail. The plans contained a range of information covering aspects of personal, health and social care. However, not all relevant information had been recorded in the plans. One plan checked did not record any food likes or dislikes. In a further plan, the section on money and shopping skills had not been completed. The sections on health care contacts had not been kept up to date. Whilst the staff, manager and residents that were able, confirmed that contact was maintained with health care professionals, one plan recorded that the last contact with a chiropodist and optician took place in 2004. 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. The policy on confidentiality in place ensured information about residents was kept safe. The staff interviewed were aware of the need for confidentiality. The residents were supported to make decisions, for example choosing activities and outings. Staff were observed consulting with residents, for example, offering residents a choice of mid day meal. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents had access to community facilities, and a range of activities were provided, to ensure residents had a life outside of the home, and their interests were maintained. An open visiting policy was in operation, to promote contact between residents and their relatives and friends. Contact with families and friends were maintained where possible. Residents were encouraged and supported to be involved in the daily routines of the home, where able, to respect their choices. A varied diet was provided to maintain health and accommodate individual preferences. EVIDENCE:
Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 13 A range of activities was offered to residents, which included trips out of the home to local shops, clubs and pubs. The frequency of activities had improved since the last inspection, as two further support staff had been employed and were available to facilitate activities. An activities worker visited the home for two hours on a twice-weekly basis. Resident’s choice for holidays had improved; all residents had chosen and participated in a holiday during the summer. Staff confirmed that contact with residents’ families and friends were maintained. The home had an open visiting policy to encourage contact for residents. All residents had access to community facilities, and a range of activities were provided, to ensure residents had a life outside of the home, and their interests were maintained. Staff encouraged residents to participate in day-to-day activities as much as they were able. All residents were involved in seasonal festivities. Staff respected residents’ privacy. Residents were encouraged and supported to be involved in the daily routines of the home, as much as they were able, such as menu planning and shopping. Residents meetings had been introduced since the last inspection, to encourage involvement and promote choice. A newsletter had been developed, to provide information and enjoyment to residents and their representatives. Residents participated in menu planning and food shopping. A varied diet was provided and stocks of food were plentiful. Staff were observed offering residents a choice of lunch. Since the last inspection individual records of food choices had been undertaken, to further assist in maintaining a healthy diet. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. To maintain privacy and dignity, personal support was offered appropriately, and residents were happy with their care. Aids to assist with independence were available. Resident’s health needs were met. Additional detail was required in plans to ensure records reflected the care provided. In the main, the homes medication policies and procedures protected residents. Medication administration records had not been fully completed to uphold residents’ safety. EVIDENCE: The residents spoken to and observed were well dressed, and chose their own clothes and hairstyles. They said that staff members were ‘good’ and they were well looked after. The staff spoken to said that there were appropriate aids in place to maintain independence, such as, bath seats and hoists. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 15 Contact with health care professionals was maintained. Residents accessed these in the community, or at the home, depending on individual need. Care plans recorded health needs. However, one plan checked did not record appointments with health professionals and specialists. Whilst chiropodists, dentists, and opticians visited the home, these had not been recorded and as a consequence the plan did not reflect the care provided. Recordings must be specific and contain full detail in order that assessed needs can be met. A written medication policy was in place. All staff that administered medication had been provided with appropriate training. All medication was stored securely. Medication administration records (MAR) corresponded with the medication held. The majority of records were fully completed and up to date. However, one MAR sheet contained a gap in administration records that had not been explained. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A written complaints procedure was in place to ensure any concerns were listened to and taken seriously. An adult protection policy was in place, to protect residents. EVIDENCE: The complaints policy was included in information provided to residents and their representatives. The policy had been provided in a format suitable for residents, and contained pictures and diagrams. It included information on how to contact the Commission for Social Care Inspection (CSCI), should a complainant wish to do so. No complaints had been received. The adult protection procedure included relevant detail and the Department of Health guidance `No Secrets’ was available to staff for information. Copies of local multi-agency adult protection procedures were also available. All staff spoken to confirmed that they had been provided with training on abuse, and were aware of the action to take if they suspected abuse, or an allegation was made. Cottam Road Scheme DS0000002949.V305707.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): 24,25,26,27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Homely touches had been provided to create a comfortable environment. Communal areas were well maintained, and bedrooms were well decorated and personalised to provide a pleasant place to live that residents liked. Sufficient bathing facilities were provided to meet the moving and handling needs of residents. The central laundry and kitchens in each house were well equipped, to meet residents needs. Some bedrooms were cold, and potentially uncomfortable for residents. EVIDENCE:
Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 18 An inspection of all three houses was undertaken. A proportion of bedrooms were seen, with the permission of individual residents. 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. However, some bedrooms felt cold, one resident said that they didn’t spend time in their room during the day because of this. Staff reported that the heating system was, at times, inefficient. Sufficient bathing facilities were provided and aids and adaptations were in place to meet residents moving and handling needs. Two bedrooms had ensuite shower facilities provided to ensure individual needs could be met. The three houses shared the garden; this was pleasant and well maintained. Procedures were in place for the control of infection to promote residents safety. Cottam Road Scheme DS0000002949.V305707.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 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Agreed levels of staff were maintained to uphold residents’ safety. The recruitment policy protected residents, however, some records required improvement to ensure safe procedures were followed. A staff induction and training programme was in place to ensure staff had the skills required to carry out their duties. National Vocational Qualifications (NVQ) training was provided to staff to enhance their skills. Staff training records were maintained up to date, to ensure training could be monitored and provided as needed. Staff supervision, for development and support, did not take place at the required frequency. EVIDENCE:
Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 20 The staff rota was examined. Agreed levels of staff were being maintained. The temporary manager had introduced regular staff meetings for the full team, night staff and team leaders. A rolling rota had been introduced to improve staffing patterns at the home. Three staff recruitment records were inspected. These contained the majority of information required, and included two references and proof of identification. CRB records were held at the homes head offices. The manager was emailed with confirmation that a CRB had been completed. Some records had improved to include that the CRB was undertaken at enhanced level, the date of the check and the disclosure number. However, this had not been consistently obtained for all staff recruitment records. The temporary manager had improved the records and programme of staff training. A staff-training programme was in place. New staff undertook induction training. Three staff training records were examined. These evidenced that a range of training was provided. Required 50 targets for NVQ trained staff had almost been reached. At the time of this inspection 43 percent of the staff had achieved NVQ level 2 in care or above. The frequency of staff supervision had significantly improved. The supervision matrix indicated that majority of staff were receiving supervision, however, some gaps in the frequency of supervision were evident. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The temporary manager was experienced and qualified, which benefited residents and staff. Quality assurance systems were in place, to ensure the views of residents were being sought. A programme of mandatory staff training was in place, to ensure staff had the essential skills required to maintain residents safety. Some mandatory refresher training was required to update staff skills. A health and safety system was in operation to ensure safe procedures were followed at all times. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 22 EVIDENCE: The temporary manager had many years experience. Some of the staff spoken with said the manager was approachable and supportive. Some of the long-standing staff that had worked with the previous manager for many years were not fully supportive of the new managers organised and pro-active management style. The temporary manager had introduced and improved systems at the home, which have been reported on throughout this report. A quality assurance system was in operation. Monthly monitoring visits by staff external to the home took place. Resident’s views were sought on a formal basis in regular meetings. Staff training records examined indicated that some staff were out of date with aspects of mandatory training. Some staff required refresher food hygiene, moving and handling and control of substances hazardous to health. The inspector acknowledges that gaps in training had significantly decreased since the last inspection. Four staff held a first aid qualification, which was insufficient to ensure a trained person was on duty at all times. Health and safety systems were maintained. Weekly fire alarm checks took place, and regular practice drills had been recorded. Fire equipment had been checked and serviced. Gaps in practice drills had improved. The temporary manager undertook practice drills with night staff on the week of this inspection to ensure all staff had participated in a drill at the required frequency. Written evidence of this training was forwarded to the CSCI. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 X 3 X X 2 X Cottam Road Scheme DS0000002949.V305707.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 YA19 YA20 Regulation 15 Requirement Care plans must be completed in full and kept up to date. Records of all health care contacts must be maintained. Medication administration records must be completed in full. Where medication has not been administered, this must be recorded and signed. The heating systems must be sufficient to ensure appropriate temperatures are maintained in residents’ bedrooms. 50 of the staff team must be trained to NVQ level 2 in care. Information held on CRBs must be sufficient to determine that the check was suitable. (Previous timescale of 31/01/06 not met) Timescale for action 28/02/07 2 13 31/01/07 3 YA24 23 28/02/07 4 5 YA32 YA34 18 19 31/03/07 28/02/07 6 YA36 18 All recruitment files must be audited to ensure they contain the required information on CRB checks. Staff supervision must take place 28/02/07 at a minimum frequency of six times each year. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 25 7 YA42 13 8 YA42 18 Sufficient staff must be trained in first aid to ensure a trained person is on duty at all times. (Previous timescale of 31/01/06 not met) Refresher training in moving and handling, food hygiene and COSHH must be provided to staff. (Previous timescale of 31/01/06 not met) 31/03/07 28/02/07 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 YA34 Good Practice Recommendations The following information should be recorded on CRB checks: Name of staff. Date CRB was carried out. Whether CRB was enhanced. The disclosure number. Cottam Road Scheme DS0000002949.V305707.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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