Inspection on 26/06/06 for Dinorwic Road, 49

This inspection was carried out on 26th June 2006.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Dinorwic Road, 49 14/04/08

Dinorwic Road, 49 06/09/07

Dinorwic Road, 49 20/01/06

Dinorwic Road, 49 14/07/05

Dinorwic Road, 49 20/10/04

Dinorwic Road, 49 14/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Dinorwic Road, 49 49 Dinorwic Road Southport Merseyside PR8 4DL Lead Inspector Mrs Elaine White Unannounced Inspection 26th June 2006 09:30 Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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 Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dinorwic Road, 49 Address 49 Dinorwic Road Southport Merseyside PR8 4DL 01704 550490 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) Speciality Care (Rest Homes) Limited Mr Ian Powell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 3 LD The service must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 20th January 2006 Date of last inspection Brief Description of the Service: 49, Dinorwic Road is a semi detached, converted property, which is located close to the amenities of Birkdale village shops, pubs and cafes. Public transport is available for access. The home is registered as a Home for life and can accommodate up to 3 residents. At present two young adults with learning difficulties live in two semi-independent units. Each resident has their own lounge and bedroom and share a bathroom, dining/kitchen, garden and small communal lounge. The provider is Speciality Care (Rest Homes) Ltd. There is one support worker on duty per shift. A registered manager, approved by the Commission for Social Care Inspection is yet to be appointed. The charges for accommodation are £914.72 per week. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A full tour of the home was conducted and care records and other home records were viewed. Discussion took place with the acting manager and the two residents accommodated at the time of the inspection. During the inspection both residents were case tracked (their care files were examined and their views of the home were obtained). All the key standards were inspected and also previous requirements and recommendations from the last inspection in January 2006. Satisfaction survey forms “Have Your Say About …” were distributed to the residents prior to the inspection. Comments included in the report are taken from the survey forms and also during the site visit. What the service does well: The service provides two semi-independent units to the two residents who aim to move onto supported living schemes in the future. The home is comfortably furnished, clean and meets the needs of the residents. The residents have their own lounge and bedroom and share a bathroom, dining/kitchen and communal lounge. The residents do their own cooking, shopping and domestic duties with support and guidance from care staff. Both residents are responsible for their own finances and are encouraged to manage them with support. Residents meetings and communication records in place enable them to comment on the care and support provided and the day-to-day activities of the home. The residents are encouraged to maintain contact with family; friends and visitors are made welcome at the home. Both residents have an advocate to assist them in their decisions when they move onto to supported living. At the time of the inspection one resident had visitors and was therefore unable to spend much time to comment on the service. A brief discussion took place and the resident commented on her satisfaction with the support provided and had also completed a survey form. Both residents access the local community independently or with staff support when required. One resident has a part time job, which enables her to develop and mix with others within the local area. Both residents have access to all health care services and regular reviews take place with all involved in their care i.e. Social workers, family and advocates. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 6 A core group of six regular staff provide 24-hour support with one support worker on duty each shift. Only one new care worker has been employed since the last inspection. Both residents provided positive comments on the staff employed and the support provided. “Staff helped me through my bad period. Key worker sessions are great, we have them every week. Maria (Home manager) is great. The staff are brilliant. I see my community nurse every month. We have diary sessions every night to discuss any concerns. What has improved since the last inspection? What they could do better: The home must aim to meet the requirements in the time scales set. A number of requirements from the last report are still outstanding and these will be highlighted within the main body of this report. Comments received from a survey completed by a resident included - Most staff listen, not all. Activities are sometimes arranged. Maintenance is not always attended to quickly”. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 7 The future of the home is yet to be determined and the residents have been assessed for supported living however there has been no further progress made in this area since the last inspection and both residents are anxious regarding their future placements. The statement of purpose is yet to be brought up to date to demonstrate the service provided. Contracts must be available to view at the site visit. These are centrally held and a copy must be forwarded to CSCI (Commission for Social Care Inspection). The home is staffed by one care worker per shift who is responsible for responding to the needs of the residents. Comments made during the inspection raised concern regarding care workers who have difficulty communicating with the residents as English is their second language. This should be considered where providing staff cover on a 1 –1 basis and emergencies may arise. 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. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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 Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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): 1,3,5. The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Assessment documentation is in place outlining the needs of the residents. An up to date statement of purpose must be provided and contract of terms and conditions made available for reference. The future of the home is yet to be determined. EVIDENCE: The statement of purpose in place is yet to be updated to outline the services in place. Contracts were unable to be viewed as these are stored centrally and a copy must be forwarded to CSCI. Both residents have been at home for many years and have assessments in place. Two care files viewed and demonstrated full assessments had been completd prior to admission. The future of the home is yet to be determined as both residents aim to move on to supportive living. Meetings have been held but no progress made to date as both wish to stay in Southport. Craigmore care is continuing to pursue this matter with Liverpool Social Services who fund the placements. Viewing of records and discussion with the residents and the home manager confirmed that both residents have been assessed to move on to supported Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 10 living, however no progress has been made in this area since the last inspection. Both residents lead semi-independent lifestyles with minimum support from staff. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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): 6,7,8,9. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Both residents are involved in the decisions about their lives, are consulted and participate in all aspects of life in the home. EVIDENCE: Records viewed and discussion with residents and home manager confirmed that a plan of care is in place, which has been developed in consultation with the young adults and are reviewed regularly. Both residents are capable of expressing their views. Both are involved in resident meetings, which are recorded. Access is available to an advocate for both residents. One resident’s relative acts as her advocate and attends all her reviews and is a regular visitor at the home. The residents confirmed that they are involved in the planning of their own activities and care plans and are able to make choices regarding holidays, jobs, visiting friends and the activities they wish to take part in. Risk assessments are in place and cover all aspects of the resident’s independent lifestyles. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 12 Positive comments were received from one resident on the care and support provided by the staff. A key worker system is in place and the residents commented that they use this time to discuss their care plans and any concerns they wish to talk through. All sessions are recorded and take place weekly. One resident said, “The key worker sessions are great. Diary sessions take place to discuss the events of the day. Residents said, “We have diary sessions every night to discuss any concerns. Both residents are semi-independent and have their own budgets, bank accounts and are supported to control their own finances. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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): 11,12,13,14,15,16,17. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The residents are involved in their care planning, activity plans and future development. Both residents take part in the local community and a range of leisure activities. Residents are independent in preparation and cooking of meals and are supported by staff to maintain a healthy diet. EVIDENCE: Both residents spoken to confirmed that they lead a semi-independent lifestyle. They are involved in choosing their activities, when to visit friends, holidays and employment. Records viewed and residents spoken to confirm both complete their own activity programmes daily, which demonstrate what they have done that day. Both residents said they are involved in planning daily routines, care plans and activity programmes via key worker sessions and residents meetings. An advocacy service is available to provide advice to both residents. One resident is going on holiday to the Lake District for a short break. Friends and family to visit often and the residents are able to entertain them in the privacy of their own rooms. One resident was entertaining her Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 14 visitors during the site visit. One of the residents has a part time job and commented that she enjoys it very much. Both access the local community and use the local transport independently or with staff support. Residents often take part in activities with other units across the college network. These include –cinema, pubs, cafes and the shops available in the Southport area. The residents shop and prepare their own meals and have part time jobs. Staff are available for support were required and a residents commented “They are always there to support me if I need them to”. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are responsible for their own medication where appropriate and are protected by the home’s policies and procedures. Both residents are resonsible for their own personal care needs and manage independantly. access is available to health care services were needed. EVIDENCE: Policies and procedures are in place for the safe handling of medication. One resident who is self-medicating and completed a self-medication risk assessment to authorise this. Medication training took place in 13th February 2006. The home manager was unable to attend this and is to obtain this at a later date. Reviews are held to assess all care needs and all are recorded and contained on the residents files. A Community Nurse attends every month to monitor progress of one of the residents. The resident commented, “She is very pleased with my progress”. Both residents have Social Worker involvement and also attend the reviews. A protocal is in place for staff to follow should one resident shows signs of deteriorating. Both access health care services indpendantly but would ask for support if they needed it from staff. The home manager has developed a system with the residents, which looks at ‘How I want staff to support me’. As both residents are semi independent and able to speak for themselves, they are able to discuss Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 16 activities and what support they need from staff. I.e. “I need help with hospital appointments so staff can help me understand what is going on”. “I like staff to talk things through with me”. Both are independent in personal care and cooking (sometimes seek advice) and shop independanlty. All health care visits are recorded and any concerns are discussed daily and recorded within their daily diaries. Both residents are satisified with this system and commented, We discuss things every night and record it in the daily diary. One resident has received anger management sessions and is aware of what to do should she start to get anxiuos. . Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents’ views are listened to and acted upon. Abuse and complaints policies and procedures are in place. EVIDENCE: Policies and procedures are in place for dealing with complaints and abuse. The residents in their own individual record book write any complaints and comments they wish to make. This enables the staff to respond and resolve the issue and the residents confirm their agreement with the outcome. Both residents said that they feel the system works well and they address the issues daily within their diary sessions with staff on duty. Both residents said they are aware of the complaints procedure and will use this to raise any complaint they have. Both are aware of the contact number for CSCI if they need to make contact. Residents meetings, diary sessions and key worker sessions allow the residents to air their views and discuss any concerns. Both residents confirmed that these are good as they “As I like staff to talk through issues with me”. Both are planned and recorded to evidence this. Protection of Vulnerable Adults training (POVA) is incuded in the training paln which was veiwed. All staff employed have received the training. Residents are Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 18 responsible for their own monies and access their own accounts. Residents spoken to confirmed this. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 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): 24,25,26,27,28,29,30. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The residents live in homely, comfortable and clean accommodation. Both have their own selfcontained units, which suits their individual needs, choice and enables privacy. EVIDENCE: Two self-contained living areas are provided. These consist of an individual lounge and bedroom. The residents share a bathroom and the dining/kitchen and small lounge is shared with the staff. A rear, enclosed garden is available. The home is brightly decorated and suited to the needs and lifestyles of the young adults resident. All areas were viewed at the request of the residents who commented that they are pleased with their accommodation. Each contains their own possessions and are personalised to their own tastes. Both have keys for access to the home and their rooms. Since the last inspection a new carpet has been provided for the front, ground floor lounge and a set of new drawers in a resident’s bedroom. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 32,33,34,35,36. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. A recruitment policy and procedure is in place to protect the service users. Training must be regularly up dated to ensure staff are trained to meet the residents needs. Supervision is in place. EVIDENCE: Staff files are securely stored in a central office but are made available for inspection. These were viewed by the inspector and evidenced that the correct recruitment and selection procedures are in place, which includes a satisfactory Criminal Record Bureau Check (CRB) and two written references. Two staff have enrolled on National Vocational Qualifications (NVQ) and are working towards Levels 3 and 4. A small staff group of 6 provide care and support. Concerns were raised regarding staff with English as a second language providing duty who are unable to communicate effectively with the residents.This is highlighted within the recommendations of this report. Supervision is provided and confirmed by the manager, however records were not available for access. A supervision programme seen. A staff training programme in place was viewed and includes the statutory training required. Staff empolyed have almost completed all the training.Further training takes place during the summer months. This must be regularly up dated to ensure that all staff are suitably trained to meet the Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 21 needs of the residents. Medication training took place 13th February 2006.The manager was unable to attend and is recommended to take this course. A resident interviewed was complimentary regarding the staff support. “Staff helped me through my bad period. Key worker sessions are great, we have them every week. Maria (Home manager) is great. The staff are brilliant”. Comments received from one survey completed by a resident made the following comments, Most staff listen, not all. Activities are sometimes arranged. Maintenance is not always attended to quickly”. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 37,38,39,40,41,42. The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The acting home manager is running the home well. Supervision, policies and procedures and the necessary certificates are in place to promote the health, sfaety and welfare of the residents. The staff training plan must continue for all staff. EVIDENCE: A pleasant, friendly and relaxed atmosphere was present and staff and residents talked freely together and were frothcomong with their views on the home. Positive comments from the residents were received regarding the acting manager in post. “Maria is great. She provides me with reassurance, motivation and encouragement.The home is yet to appoint a suitably qualified and experienced registered manager who has been approved by the Commission for Social Care Inspection (CSCI). This requirement is outstanding from the last inspection. CSCI and Craegmore Care are presently in consultation regarding this issue. This is included within the requirements of this report. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 23 Discussion with the residents confirmed that the home is supported by the director of residential services who conducts regulation 26 visits to monitor progress and provide supervision and regular support to the home manager who is running the service effectively. Residents spoken to confirmed that they have regular meetings and key worker sessions. Their individual comment and complaints books allow them to express their views on the day-to-day running of the home. Policies and procedures are in place and are available to staff. All accidents and injuries are recorded. Risk assessments are in place. Records viewed show that fire records are now up to date and recorded as required. All certificates for services ie gas are up to date. Accidents and injuries are recorded. Fire drills must be conducted. Fridge and freezer and water temps are recorded. Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 X 3 3 4 X 5 2 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 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 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 3 3 3 3 X Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4 Requirement The responsible person must produce an up to date statement of purpose and service user guide, which includes up to date information on the management of the home. (Outstanding from the last inspection. Time scale not met). The responsible person must ensure that contracts are available to view at the site visit. These are centrally held and a copy must be forwarded to CSCI (Commission for Social Care Inspection). The responsible person must employ a registered manager approved by the CSCI. (Outstanding from last inspection. Time scale not met). Timescale for action 31/07/06 2. YA1 4 31/07/06 2. YA37 8 31/07/06 Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA35 YA20 YA1 Good Practice Recommendations Staff should be encouraged to obtain NVQ qualifications. The home manager should receive medication training. The future of the home is yet to be determined and the residents have been assessed for supported living however there has been no further progress made in this area since the last inspection and both residents are anxious regarding their future placements. Fire drills should be conducted and recorded for staff and residents. When employing care workers who have difficulty communicating with the residents as English is their second language. Systems should be in place for dealing with emergencies when providing staff cover on a 1 –1 basis. Staff should continue to receive up to date training. 4. 5. YA42 YA33 6. YA35 Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. Extracts may not be used or reproduced without the express permission of CSCI Dinorwic Road, 49 DS0000005232.V288822.R01.S.doc Version 5.1 Page 28 - 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. 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