Inspection on 05/02/07 for David Lewis Centre Supported Adult Living Unit

This inspection was carried out on 5th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

David Lewis Centre Supported... 06/03/06

David Lewis Centre Supported... 29/07/05

David Lewis Centre Supported... 08/03/05

David Lewis Centre Supported... 17/05/04

David Lewis Centre Supported... 15/03/04

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Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 David Lewis Centre Unit 2 Mill Lane Warford Alderley Edge Cheshire SK9 7UD Lead Inspector Ms Julie Porter Unannounced Inspection 5th February 2007 09:30 David Lewis Centre Unit 2 DS0000006647.V321806.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 David Lewis Centre Unit 2 DS0000006647.V321806.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. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service David Lewis Centre Unit 2 Address Mill Lane Warford Alderley Edge Cheshire SK9 7UD 01565 640000 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) David Lewis Centre Eileen Byrne Care Home 63 Category(ies) of Learning disability (38), Learning disability over registration, with number 65 years of age (5), Physical disability (63), of places Physical disability over 65 years of age (17) David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 63 service users to include:* Up to 38 Service users in the category of LD (learning disabilities) * Up to 63 service users in the category of PD (physical disabilities) * Up to 5 service users in the category of LD(E) (learning disabilities, 65 years and over) * Up to 17 service users in the category of PD(E) (physical disabilities, 65 years and over) The registered number of places (63) are allocated to the 6 houses which make up Unit 2 of the David Lewis Centre, as follows:* Hutton House - 7 places * Winifred Comber - 15 places * Kenneth Faulkner - 11 places * 11 /12 Mill Lane - 5 places *William Mather - 25 places (PD) (PD) (E) 6th March 2006 2. Date of last inspection Brief Description of the Service: David Lewis Centre Unit 2 consists of five separate houses: Hutton House (7 beds); Kenneth Faulkner Flats (11 beds); Winifred Comber House (15 beds) and 11 &12 Mill Lane (3 & 2 beds respectively). There is one registered manager for the whole unit and in addition, each house has a manager responsible for the day-to-day running of the home. The houses are located in the grounds of the David Lewis Centre which is set in rural surroundings within travelling distance of Macclesfield and Knutsford. The extensive grounds provide opportunities for walking and recreation. Day training, college and leisure facilities are provided on site. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit to the David Lewis Centre, including this service, took place on 5, 6 and 7 February 2007. The visit was carried out by a group of 5 inspectors who looked at various aspects of this home and the way the David Lewis Centre runs. The visit was just one part of the inspection. Before the visit, the manager of the home was asked to complete a questionnaire to provide CSCI with up to date information about the home. CSCI questionnaires were sent out for residents to fill in to find out what they think of the home. Other information received since the last key inspection was also reviewed. During the visit, various records were looked at; a tour of the David Lewis Centre, including this home, was carried out; and inspectors observed how residents and staff were working together. A number of residents and staff were spoken with. They gave their views and these have been included in this report. What the service does well: What has improved since the last inspection? Improvements have been made to the care files, including risks associated with daily living and activities, so that residents get the support they need. Thorough processes are in place to identify residents’ changing needs so the best way of meeting those needs can be agreed. Residents and their families take part in meetings to discuss the resident so they know about and agree to any necessary move. Recording about accidents was improved and monitoring is undertaken by the health and safety officer to make sure that residents are safeguarded from accidents. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 6 Progress is being made to the way in which residents’ medication is supplied and includes medication being available in their own home. An improved adult protection policy and procedure has been introduced across the David Lewis Centre to ensure there is a co-ordinated approach to protecting vulnerable adults. Training is available to make sure that staff have the relevant skills to manage challenging behaviour in a consistent manner and in line with current guidance. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before they move into the home so they and their family know their needs can be met there. EVIDENCE: Information is available for residents and their families on how each of the houses that makes up this home run. One resident’s care file was checked. The resident had transferred from another house within this registered home, 11/12 Mill Lane. Information on the file showed why the move was necessary and how the resident’s needs could be met by moving to another house. The resident had made visits to the house before moving in and the notes of all the meetings that had taken place to discuss the move were in the file. A contract detailing the terms and conditions of living in 11/12 Mill Lane was also on the file. One care file for a resident moving from this service wad checked; it showed clearly that her needs could be better met elsewhere. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available about the residents’ needs so that the staff can support them in the best way. EVIDENCE: One file for a resident in William Mather House was checked; the resident had lived at the centre since 1965 and moved to William Mather House in 1996. Information was available about the resident’s life before he moved to the Centre; this gave valuable information about the person. The person centred plan contained up-to-date information about the resident and had been reviewed in February and August 2006. Evidence was available that the resident had been involved in reviewing his own care plan. The person centred plan identified the resident’s aims for the future and the steps that need to be taken to achieve them. The information was thorough but needed to identify when the goals have been achieved. Currently, these records are kept in the daily notes; they should be recorded on the plan so that information is not lost. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 10 The plan included information on how to manage the person’s epilepsy and risks associated with daily living. Information was also available for staff about how to support the resident regarding his behaviour so that this was consistent. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Person centred plans set out the residents’ needs and aspirations so that staff can provide appropriate support to residents to help them achieve their individual goals. EVIDENCE: A number of residents were spoken with in William Mather House and 11/12 Mill Lane. All said that they enjoyed living in the homes. Person centred plans identify the residents’ wishes for their futures and are discussed and signed by residents when they are able. Residents have various timetables, depending on what they have decided they wish to do. Timetables identify activities include college, work placements away from the centre, work placements at the centre and retirement. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 12 One resident said she worked in the workshops on the David Lewis site and enjoyed going there to be with friends. She also said that she did not know how much money she was paid for this and would like to get a pay slip and regular bank statement. One resident’s person centred plan identified that he wanted to have a building society account for his pension to be paid into. This was discussed with the registered manager who said there was no reason why this should not possible. In William Mather house, there was evidence to show that residents had been asked about things they would like to do and as a result there was a programme of shopping trips, visits to places of interest and meals out for them to take part in. A number of “baby monitors” were seen around Mather and risk assessments were on file to demonstrate why auditory monitoring is necessary at night. One resident was spoken with about the monitor in her room and said that it made her feel safe. Faulkner Flats has an intercom system linked to all bedrooms, which enables staff to monitor residents during the night. During the visit to Faulkner flats, the intercom was switched on and one resident could be clearly heard in his bedroom. Staff said that due to the resident’s needs they were listening to ensure his safety while he was spending time alone. However, the intercom is situated in one lounge within the flats and residents were using the lounge to watch TV so could also hear the resident in his room. This arrangement must be reviewed to ensure that residents are supported in a manner that respects their privacy and dignity. . Residents spoken with during the visit continue to enjoy the food in the home. Residents in 11/12 Mill Lane were offered choice in relation to breakfast. Residents in Mather were spoken with just after lunch and said that they had enjoyed it. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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. Residents’ care needs are monitored to ensure that they get the care and treatment they need in the way they prefer. EVIDENCE: Residents have access to a range of healthcare services at the David Lewis Centre. As the need arises, residents also use the accident and emergency or are admitted to Macclesfield District hospital. It is positive to note that one resident spoken with had been discharged from hospital following an operation to his own home rather than the medical unit at the Centre. During the inspection staff were observed supporting residents with daily tasks and on the whole their interactions with the residents were appropriate. However, concerns were raised with the registered manager about a particular discussion between staff that had taken place in front of one of the residents. Steps should be taken to remind staff that they should maintain professional relationships with each other and with residents of the home. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 14 Since the last inspection in February 2006, managers of the David Lewis Centre have met with representatives of the Commission for Social Care Inspection, the Healthcare Commission, the Royal Pharmaceutical Society of Great Britain and the local Primary Care Trust to discuss the best way of supplying its residents with medicines, based on a community model. This is a better way than the hospital model used before. As part of the visit to the David Lewis Centre, a senior manager from the Centre met with a CSCI pharmacist inspector to discuss the Centre’s action plan for medicines that will deal with the issues raised at the last inspection in a positive way. Although implementing the plan will be a lot of work, when the changes have happened, the best possible systems will be in the place. The CSCI pharmacist inspected William Mather house to see the new system of managing controlled drugs on the social houses. The medicines are stored in a controlled drug cupboard and records are kept in a controlled drug record book. This is fine. The records of receipt of prescribed drugs and stock homely remedies were also done well. The unit has now started to send residents on leave with their prescribed supply, documenting quantities out and in on a form designed on the unit’s computer. So far this has worked well. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new systems for safeguarding residents that have been put into place at the Centre have improved the level of protection for residents. EVIDENCE: Improvements have been made in recording and responding to complaints. Other steps have been taken to find out the views of the residents. Residents in William Mather house were very positive about the ‘Question Time’ session held for residents with the new Chief Executive. Since the last inspection, a new adult protection policy and procedure have been developed for use across the whole Centre. Staff have to report any suspicions or allegations of abuse directly to the David Lewis Centre’s social work department so that appropriate action can be co-ordinated and monitored. The records kept by the social work department were checked and were seen to be thorough. Accident reports are recorded appropriately in the houses and information is passed to the health and safety officer who produces a monthly report for the chief executive. When injuries occur because of issues between service users the home has a procedure to contact the police if one of the residents wishes. However these incidents should also be reported through the adult protection team to ensure residents are safeguarded appropriately. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 16 Information about the new procedures has been provided for all the houses in the David Lewis Centre. The manager of the social work department carries out the staff training on the new procedures and on adult protection. Training is available for all staff in relation to adult protection, in discussion with the registered manager she said that the figures provided in relation to completion of this training were inaccurate. The information should be reviewed and monitored to ensure that all staff receive adult protection training. Following the last inspection training is available for adult services staff in relation to managing challenging behaviour. David Lewis Centre Unit 2 DS0000006647.V321806.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although the houses were clean and improvements had been made, delays in responding to the fire officer’s recommendations may leave the residents and staff at risk. EVIDENCE: During the visit the following houses that make up Unit 2 were visited; William Mather, Kenneth Faulkner Flats and 11/12 Mill Lane. The Chief Executive of the David Lewis Centre confirmed that considerable expenditure to upgrade the buildings is planned for the future. Houses were clean and fresh throughout. Numerous improvements have been made to the houses since the last inspection. Work was underway in Mill Lane to relocate all the office furniture and records out of the residents communal areas. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 18 Problems were identified with delays in resonding to the fire officer’s recommendations and requirements as follows: Hutton House The fire officer’s report, dated 13/04/06, states that adjustments are necessary to a self-closing device on a resident’s room door and that this has been outstanding since 21/03/06. Records were checked at the maintenance department; they were informed that the work needed doing on 24/05/06; the work was completed on 25/05/06. William Mather The fire officer’s report of 12/04/06 identifies that work is outstanding since 04/04/05. The registered manager said that information on the fire officer’s findings is not routinely provided for the managers so they are not aware of what needs to be done to ensure the safety of the residents and staff in the homes they manage. A sample of service contracts for equipment and aids in the various houses were inspected in the occupational health department and were found to be in order. David Lewis Centre Unit 2 DS0000006647.V321806.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have access to training to ensure that they have the necessary skills to meet the needs of the residents. EVIDENCE: The staff files that were inspected contained all the necessary information to show that thorough checks were made before staff started working with residents at the centre. Training and refresher training is available each Monday and Tuesday in the training centre at the David Lewis Centre. The David Lewis Centre provides a full programme of training to ensure that staff have the opportunity to achieve all their mandatory training. However, some houses have better attendance than others. The manager said that the training records were not completely up to date. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. 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. Although the home is generally run well, problems in relation to fire safety processes mean that the residents’ welfare is not sufficiently protected. EVIDENCE: The manager is appropriately qualified for the role she fulfils. A suggestion box was seen in William Mather house for residents; comments can be anonymous if the resident wishes. The house manager said that she regularly reviews the content of the box and appropriate items are included on the house meeting agenda. House meeting minutes and resident records demonstrate that action is taken by the home to address problems and concerns raised by the residents. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 21 One resident spoken with was enthusiastic about a session held for residents to meet and ask questions of the chief executive and senior staff of the David Lewis Centre, called “Question time.” The David Lewis Centre’s health and safety officer has responsibility for health and safety training for staff on induction, for updates on training and for risk assessments relating to the houses. The records he held on fire safety training, including phased evacuation, were incomplete and did not correspond with the records held in the individual houses. There was insufficient evidence, therefore, to confirm that all staff are receiving their mandatory fire safety training. There are lengthy delays in referring recommendations and requirements made by the fire officer to the David Lewis Centre’s maintenance department for action. For example, the fire officer recommended that a fire door be fitted at 50/51 Mill Lane in February 2005. Information received from the registered manager identified that this was not completed until April 2006. Records are retained in the maintenance department of the completed work but no process is in place to ensure that the work is monitored by the health and safety officer. Fire risk assessments produced by the Centre were completed a number of years ago and reviewed following the fire officer’s visit. The reviews have been written as audits of the premises and should now be supported by a fire risk assessment in line with current guidance. The health and safety officer has an audit programme for the houses to cover fire safety tests, COSHH etc that will take place every 4 – 6 months. However, these haven’t started yet – the first one will take place within the next few months. Accident records are completed in the houses and copies are sent to the health and safety officer to monitor. He collates the information and reports each month to the Chief Executive of the David Lewis Centre. David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 23 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 YA16 Regulation 12(4)(a) Timescale for action Where risks are assessed and 30/04/07 identify that residents need audio monitoring, this must be done in such as way that the privacy and dignity of the resident is respected. The changes to provide 31/12/07 medication as outlined in the David Lewis Centre’s action plan must be implemented without undue delay. Incidents between residents 30/04/07 must be reported to the Centre’s social work department to ensure that satisfactory safeguarding arrangements are in place to prevent service users being harmed or suffering from abuse or being placed at risk of harm or abuse. Effective systems to ensure that 31/05/07 the requirements made by the fire officer are responded to promptly must be put into place. This is outstanding from the last inspection 06/03/06 Requirement 2 YA20 13(2) 3. YA23 13(6) 4. YA24 23(4) David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 24 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 3 4 Refer to Standard YA12 YA12 YA23 YA23 YA23 YA35 Good Practice Recommendations Residents working in industries at the David Lewis Centre should be provided with regular information regarding their earnings. Residents should be provided with regular information/ statements regarding their saving account where their money is held at the centre’s cash office. Any incidents between residents that result in injury should be referred through the adult protection procedure. An audit of the staff attendance at training in relation to adult protection and mandatory training should be undertaken, and a consistent monitoring process put in place to ensure all staff receive appropriate training. A process needs to be developed to ensure that information regarding the fire officer’s visits and requirements made from those visits are made known to to the registered managers of the homes and maintenance department promptly. 5 YA24 David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI David Lewis Centre Unit 2 DS0000006647.V321806.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!