Inspection on 04/08/06 for Crebor Street

This inspection was carried out on 4th August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Crebor Street 20/05/08

Crebor Street 20/12/05

Crebor Street 29/07/05

Crebor Street 14/10/04

Crebor Street 09/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Crebor Street 2 Crebor Street London SE22 0HF Lead Inspector Lisa Wilde Unannounced Inspection 4th August 2006 10:00 DS0000060238.V306781.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 DS0000060238.V306781.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. DS0000060238.V306781.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crebor Street Address 2 Crebor Street London SE22 0HF 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) 020 8693 3822 020 693 8198 www.odyssey-csft.org Odyssey Care Solutions for Today Ms Tracy Anne Crockford Care Home 5 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places DS0000060238.V306781.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 2005 Brief Description of the Service: The home is registered to provide a residential care service for five people with learning disabilities. There are 5 single rooms. The home is made up of two houses converted to make one unit. It is in a residential area of East Dulwich, close to public transport routes and local facilities, which include pubs, shops, restaurants and a post office. The fees for a place at this home were not available at the time of writing the draft report. At the time of the inspection there was one vacancy. DS0000060238.V306781.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on one day in August 2006. The inspector met with all four service users, staff and the senior worker on duty. The manager was not at the home. This is a good home and service users said they were happy. They said they like the staff and they have everything they need. There are some unmet requirements from the last inspection and this is probably because the manager has been on extended leave. Staff said that the senior worker has done an excellent job while the manager has been away. The manager is now back at the home and the inspector will look to find the requirements in this report met by the next inspection. What the service does well: Some things at this home are good. • • • • • • • • • • Someone new can only move to the home if staff know they will fit in. Someone new can only move to the home if staff know that they can help them. Staff finds out what service users want and write this down for them. Staff writes plans so they can help service users do what they want to do. Staff help service users make decisions. Staff listen to families and other people who know what service users want. Service users get to go out and do the things they want to do. Service users choose their own food and join in with cooking as much as they are can. Staff make sure service users go to the doctor when they need to. Staff give service users their medication properly and write down that they have done this. DS0000060238.V306781.R01.S.doc Version 5.2 Page 6 • • • • • Staff protect service users from people who might hurt them. Service users have their own bedrooms. Service users can decorate their bedrooms how they want to. The home is clean and comfortable. Staff find out what service users and their families think and put in place plans to make things better. What has improved since the last inspection? What they could do better: • • • • • • • • Staff must always give service users information in a way they can understand. Staff must write down the things that service users say they are not happy with. Staff must meet with a manager every year to talk about their work. Senior workers must have training so that they can support staff better. The manager must plan staff training better each year. The manager must write to the Commission so that she can have an interview with them. Electrical equipment must get tested more often. Staff must check the fire system more often. DS0000060238.V306781.R01.S.doc Version 5.2 Page 7 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. DS0000060238.V306781.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 DS0000060238.V306781.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): 1&2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users and their families are not provided with all the information they need to make an informed choice about where to live and whether they are being offered everything that they should be. When someone new wants to move to the service, staff assess their needs and decide whether they can meet those needs before they offer them a place. EVIDENCE: Some of the current service users at this home cannot read or write; however, the home is registered for learning disabilities and it is possible to draw up a service user guide in a language and format that could be understood by some people from those groups who may wish to use this home e.g. by using pictures, video and language that is more simple. There were previous requirements that the Registered Individuals must ensure that the Service User Guide must be drawn up in a format that can be understood by more people from the service user groups for which the home is registered i.e. learning disabilities and that the Registered Individuals must ensure that the Service User Guide must cover all areas required by Regulation 5 and Standard 1. This had not yet been done and the requirements are DS0000060238.V306781.R01.S.doc Version 5.2 Page 10 repeated. While the document has been revised to include the required details, different formats are still not being used to give service users information in a way that they could understand. (See Requirement 1) There is new legislation in place now that will come into force on 01/09/06 and 01/10/06 which will require services to state exactly what fees each service user is paying and how it breaks down into different areas, in the service user guide. (See Recommendation 1) No service users have moved to this home since the last inspection but there is a procedure in place that meets the requirements and the staff team fully assess whether a new service user would fit in with other service users and whether the staff team could meet their needs before they are offered a place. DS0000060238.V306781.R01.S.doc Version 5.2 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 the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have in place detailed support guidelines and strengths and needs assessments that describe how staff will support service users day-today and also develop their skills and enable them to achieve any identified goals. These plans are reviewed regularly and changed whenever needs or goals change. Service users are supported to make their own choices whenever possible and other people are brought in to help them make choices if they don’t have any family to help them. EVIDENCE: The inspector examined the files and found a wide range of support guidelines in place to describe how staff are to support service users. Monthly summaries are done that assess how the service user has been over the period and identify work that has been done to enable them to meet identified goals. A full “Strengths and Needs” document is completed for all service users. Person Centred Planning a major piece of work that this organisation is currently DS0000060238.V306781.R01.S.doc Version 5.2 Page 12 working on in order to assist with identifying longer term goals for service users and support them in a way that focuses on their individuality. The home is now working on Communication Passports that describe a service user’s life and what they need and want. Risks are assessed and risk management plans put in place to manage or minimise those risks. The home has service user meetings and keyworker sessions to meet with service users and find out what they want and tell them about things that are happening. The home uses a local advocate to help those service users who do not have family involved in their care. DS0000060238.V306781.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have their own weekly programmes that usually allow them to go out and do the things that they want to do. Service users choose their own food and join in with cooking as much as they are able. Menus are varied and service users are offered information and choices to make their diets more healthy and nutritious. EVIDENCE: Service users have their own weekly programmes of activities and are supported to go out in the evenings and at the weekend. Staff said that sometimes it is difficult to take service users out, as they would choose due to limited staffing, especially at the weekends as sometimes there is one member of staff on duty and all service users need escorts when they go out. (See Requirement 2) DS0000060238.V306781.R01.S.doc Version 5.2 Page 14 There was a previous recommendation that the Registered Individuals should consider acquiring a computer with Internet access for the service users to use in the home. A computer has been bought but it does not have Internet access. (See Recommendation 2) Service users choose their own food both while shopping and on the day they eat. There are menus in place for the main meals, which showed that a variety of options are available through the week. Service users are supported to try and eat more healthy alternatives. There are photos of food and meals available in the kitchen for service users to be able to identify what different types of foods are. One service user talked to the inspector about their food and he said he liked it. A dietician has been called in to advice on all service users’ diets. DS0000060238.V306781.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users’ health care needs are met by staff or by being supported to attend regular appointments with local GPs and clinics. Staff support service users in different ways to help them manage their personal care. Medication is generally managed and administered effectively and service users are protected by staff holding an understanding of what the medication is and what effects it may have. EVIDENCE: Files showed that service users’ health needs are monitored and visits to GPs or clinic are regularly made. Staff talked through in detail all the health care needs of service users and showed a full knowledge of how they could support service users to meet those needs. One service user’s needs are currently increasing and staff are closely monitoring them and bringing in external specialists as needed. DS0000060238.V306781.R01.S.doc Version 5.2 Page 16 Service users at this home do not need a lot of help with direct personal care but they get assistance from staff as they need it. The medication records and stocks were checked and the inspector found that systems are operated effectively and no problems were found apart from the area of topical preparations. There was a previous requirement that the Registered Manager must ensure that all prescribed topical preparations are recorded when they are administered. This is still not being done for one service user although the senior worker agreed that a medication administration chart could be kept in the service user’s room so that staff could sign it when they used the cream. (See Requirement 3) DS0000060238.V306781.R01.S.doc Version 5.2 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 the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has procedure in place that would mean that complaints are investigated and taken seriously even though no complaints have been made for a long time. The home is not doing enough to monitor the less formal day-to-day concerns of service users and their families in order to make sure that action is taken to improve things for service users in the ways they want. Generally service users are protected by the organisation’s procedures around protection of vulnerable adults and staff being aware of their responsibilities. EVIDENCE: The home has a complaints procedure and a book to record complaints but haven’t received any in the past year. The home does not currently record day-to-day concerns voiced by service users or their families. This means that there is no system for tracking ongoing issues that may not be seen as formal written complaints but are still comments on the service. (See Requirement 4) There was a previous requirement that the Registered Manager must ensure that the borough’s adult protection procedure is available in the home and staff are fully aware of its contents. The policy is now in the home and staff are all reading through it. There has been one allegation against a staff member since the last inspection, which has been investigated and dealt with appropriately. The organisation’s DS0000060238.V306781.R01.S.doc Version 5.2 Page 18 procedures were followed correctly. There was a previous requirement that the Registered Manager must verify if all staff have attended adult abuse training and send the evidence to the Commission. All staff have now attended this training. DS0000060238.V306781.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, comfortable and homely throughout. Service user rooms are large enough and suit their individual lifestyles. None of the current service users have physical disabilities that require them to have specialist equipment or adaptations and this home would not be suitable for service users who cannot manage stairs. EVIDENCE: The home is comfortable and decorated in a homely manner. Service users bedrooms are personalised to their own tastes and at the last inspection the manager confirmed that they meet the size requirements of the standards. The toilets and bathrooms in the home ensure that privacy and dignity are maintained and currently the service users do not need any specialist adaptations or equipment as they do not have mobility issues. DS0000060238.V306781.R01.S.doc Version 5.2 Page 20 There is a separate laundry in the home and on the day of the inspection the home was clean and hygienic. There was a previous recommendation that the Registered individuals should consider refurbishing and redecorating the olive coloured en-suite bathroom to bring it to the standard of other bathrooms in the home. The senior worker reported that there has been some movement on this issue and they may be able to get the bathroom refurbished because of the service user’s increasing mobility needs. (See Recommendation 3) DS0000060238.V306781.R01.S.doc Version 5.2 Page 21 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 & 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are trained and qualified as required which means that service users are being offered support from people who know what to do. Staff have not had their work and training needs assessed this year which means that they may not know if they are doing everything they need to be or if there are areas where their performance can be improved. Although supervision occurs regularly, not all staff who offer supervision have had training how to do so which means that staff may not be receiving the best management support possible. EVIDENCE: The organisation keeps staff recruitment records at head office In order to carry on keeping the records at head office and the inspector will be assessing the organisation’s recruitment and personnel records at the head office at some point later in the year. In order to continue keeping records at head office the homes must now keep the Commission’s recruitment checklist in the home so that these can be inspected by the Commission when they choose. DS0000060238.V306781.R01.S.doc Version 5.2 Page 22 The senior was not sure if these had been completed and didn’t have access to the manager’s filing cabinet. (See Requirement 6) There was a previous requirement that the Registered Individuals must ensure that staff receive training in the specific disability issues of the service users at the home. This has now been done. Staff showed awareness and understanding of the individual service users needs throughout the inspection. Staff receive basic training in statutory issues and then further training in more specialist areas such as values and principles of care, equality and diversity and attitudes to disabilities. All staff receive induction and foundation within the Learning Disability Award Framework when they start employment and then begin the NVQ Level 2 or 3 in Care. Staff do not yet have individual training and development plans drawn up following an annual appraisal. These plans have not been brought together into an overall annual training and development plan for the home. (See Requirement 7) Staff receive regular supervision but appraisals have not been carried out this year as the manager has been absent for an extended period. (See Requirement 8) The senior worker is giving supervision to some staff but has not had supervision or appraisal training. (See Requirement 9) DS0000060238.V306781.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a new manager in post who is competent and fit to be in charge but who has not yet put in an application to be registered with the Commission. The home finds out what service users and their families think of the service and put in place plans to make things better. Generally service users are protected by staff operating the health and safety procedures. The fire safety systems are not currently regularly checked. EVIDENCE: There was a previous requirement that the Responsible Individual must ensure that the new manager puts in an application to be registered with the Commission. The senior worker was not sure if this had been done as the manager has been absent for an extended period. (See Requirement 10) DS0000060238.V306781.R01.S.doc Version 5.2 Page 24 There was a previous requirement that the Registered Manager must ensure that an annual survey (or other form of annual audit) of service users families and other stakeholders takes place that then feeds into the annual review of the service and the local business plan. There is a plan in place now and the organisation has drawn up plans for improvement in several areas over the next year including service user involvement, communication and equality and diversity. There was a previous recommendation that the Responsible Individuals should consider investigating and employing a professionally recognised quality assurance tool within the home. The organisation is starting to use PQASSO, an external quality assurance tool for smaller organisations and has set some targets to start achieving certain levels for the forthcoming year. There was a previous recommendation that the Registered Manager should ensure that the monthly keywork session/activity reviews are collated and made part of the service users annual reviews. This is not yet being done. (See Recommendation 4) There was a previous recommendation that the Registered Manager should consider using a video camera in the home to record service users thoughts and views, that can be taken into their review meetings and made part of an ongoing review process. This is not yet being done. (See Recommendation 5) There was a previous requirement that the Registered Manager must ensure that weekly fire system tests take place and are recorded as planned. Records show that tests have been missed in the past few months. (See Requirement 11) There was a previous requirement that the Registered Manager must ensure that fire drills are repeated as soon as possible if service users do not evacuate satisfactorily. This is now being done. Most of the health and safety checks and documentation were in place but the last year’s portable electrical equipment certificate was not available and some equipment did not have current stickers on them showing they had been tested. DS0000060238.V306781.R01.S.doc Version 5.2 Page 25 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 2 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 2 X DS0000060238.V306781.R01.S.doc Version 5.2 Page 26 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 YA1 Regulation 5 Requirement Timescale for action 31/12/06 2. YA14 18 (1) (a) 3. YA20 13 (2) 4. YA22 22 The Registered Individuals must ensure that the Service User Guide must be drawn up in a format that can be understood by more people from the service user groups for which the home is registered i.e. learning disabilities. Previous requirement: Unmet timescales 31/11/05 & 31/03/06 30/09/06 The Registered Individuals must conduct a review of staffing, in consultation with staff and service users, with particular regard to the needs of service users at weekends and evenings, to establish if there is adequate staffing to allow service users to undertake the activities they choose. The results of this review must be sent through to the Commission The Registered Manager must 04/08/06 ensure that all prescribed topical preparations are recorded when they are administered. Previous requirement: Unmet timescale 31/01/06 The Registered Manager must 30/09/06 ensure that all comments and DS0000060238.V306781.R01.S.doc Version 5.2 Page 27 5. YA34 19 (1) (b) & (4) 6. YA35 18 (1) (c) (i) 7. YA36 18 (1) (c) (i) & (2) 8. YA36 18 (1) (c) (i) & (2) 9. YA37 s11(1) Care Standards Act 23 (4) (c) 10. YA42 concerns made from service users, their families and other stakeholders are recorded along with any action taken to address the issues and these are audited regularly to monitor patterns of concern about the service. The Registered Individual must ensure that the Commission’s recruitment checklist is completed and held on file at the home for all staff. The Registered Individuals must ensure that all staff have an individual training and development plan that are then brought together to form an annual training and development plan for the home The Registered Individuals must ensure that all staff have an at least annual appraisal of their work performance and training needs. The Registered Individuals must ensure that all staff who offer supervision have had training in conducting supervision and appraisals. The Responsible Individual must ensure that the new manager puts in an application to be registered with the Commission. Previous requirement: Unmet timescale 31/01/06 The Registered Manager must ensure that weekly fire system tests take place and are recorded as planned. Previous requirement: Unmet timescale 31/01/06 30/09/06 31/10/06 30/09/06 31/10/06 31/08/06 31/08/06 DS0000060238.V306781.R01.S.doc Version 5.2 Page 28 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 YA1 Good Practice Recommendations The Registered Individuals should begin work on establishing exactly how each service users’ fees break down and put these in their service user guide. (This will become a legal requirement on 01/09/06 for current service users and 01/10/06 for new service users). The Registered Individuals should consider installing internet access on the service users’ computer in the home. Part of a previous recommendation. The Registered individuals should consider refurbishing and redecorating the olive coloured en-suite bathroom to bring it to the standard of other bathrooms in the home. Previous recommendation. The Registered Manager should ensure that the monthly keywork session/activity reviews are collated and made part of the service users annual reviews. Previous recommendation. The Registered Manager should consider using a video camera in the home to record service users thoughts and views, that can be taken into their review meetings and made part of an ongoing review process. Previous recommendation. 2. 3. YA14 YA24 4. YA39 5. YA39 DS0000060238.V306781.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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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