CARE HOME ADULTS 18-65
East Bank Road 458a East Bank Road Sheffield South Yorkshire S2 2AD Lead Inspector
Shelagh Murphy Unannounced 29 June 2005 09:40am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service East Bank Road Address 458a East Bank Road Sheffield S2 2AD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0114 2657717 0114 2531029 Not known South Yorkshire Housing Association Ms Sharon Prior PC Care Home Only 20 Category(ies) of LD Learning disability (20) registration, with number of places East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: The 20 beds include 3 places for a service user with an additional physical disability (PD). Date of last inspection 8th September 2004 Brief Description of the Service: East Bank Road is a care home accommodating 20 younger adults with learning disabilities. The service has three houses on East Bank Road. It is in a residential area of Sheffield with good access to public services and amenities (e.g. bus services, shops, libraries, pubs etc). There is a private enclosed garden area, which is well maintained and easily accessible to all the service users. Each house is built over two floors; no lifts are on site therefore upstairs rooms have to be accessed by the stairways. All bedrooms are single and each house has suitable lounge and dining space. The home provides twenty-four hour support to the service users who have varying degrees of disability. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Shelagh Murphy carried out this unannounced inspection over five hours and twenty minutes, from 9:40 to 15:00. Lynne Amos, team leader was present during the inspection. Opportunity was taken to make an inspection of the home, examine a sample of records and policies and talk to staff and residents. The inspector had the opportunity to interview 3 staff on duty and speak to 4 residents. A relative and a health professional were also interviewed to seek their views of the service. What the service does well:
The houses are generally well maintained, well decorated and homely. Most of the resident’s bedrooms are comfortable, individually personalised and furnished to meet their needs. The patio areas and the gardens were well maintained and attractive. All of the residents had individual plans, those checked were very detailed and showed the resident’s needs and future aspirations. It was clear that the staff have done a lot of work with residents and some relatives to develop new individual plans to meet their needs. The residents health care needs were being met by the local G.P’s surgery with support from local specialist health support teams. Some of the residents have opportunities to access community day services and are supported by staff to access other community facilities such as the shops, pubs and local parks on a regular basis. Resident’s were provided with specialist mobility equipment including hoists, wheelchairs and electric wheelchairs to meet their, mobility needs. There is a stable staff team at the service who are able to provide a consistency that the residents benefit from. Relationships between the staff teams in the houses were good as were the relationships between the staff and the residents. Residents were treated with respect and spoken about positively. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 6 Relationships between the staff and residents relatives/supporters were appropriate and warm. One relative spoke very favourably of the service and another had written to the staff to thank them for their support through the recent bereavement of a resident. The service had been working within the agreed minimum staffing levels, since the last inspection. The staff had a goods working knowledge of the adult protection procedures to protect the tenant’s welfare. There was a complaints procedure and the staff felt the tenants would be listened to and their views acted upon by the management. What has improved since the last inspection?
There have been many improvements made at the service since the last inspection. These included: The resident who was inappropriately placed had moved to a new home, which met their needs. Resident’s individual plans had been updated and developed in to formats, which residents could more easily understand. They now reflected the service users specialist needs and showed that specialist health professionals had been involved in providing support and advice to the appropriate residents and staff. One service user was having a Person Centred Plan (PCP) developed with staff support, which would identify their future aspirations and support the person to reach their goals. There were plans to offer all of the residents these opportunities in the near future. The overall environment of the home has improved greatly since the last inspection. The exterior of the houses had been repaired and painted. The gardens had been kept well maintained, lots of pots and baskets of flowers had been provided and really made the exterior of the houses look cared for and welcoming. In two of the three houses the lounges, dining areas and kitchens had been redecorated and refurbished and this had really improved the overall appearance and comfort of the homes. Several residents had been involved in choosing colours and furnishings for their bedrooms, which had been redecorated and were now personalised and homely. Staff meetings were being held on a regular monthly basis. In general the staff team felt they were offered more support from team leaders and managers East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 7 Most but not all staff had completed appropriate mandatory and specialist training in order for them to carry out their roles competently. 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. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 2. There was a statement of purpose and a service users guide for the home to enable prospective residents and their supporters to make informed choices about whether they would like to live at the home. Resident’s needs had been assessed prior to moving into the home. The staff at the home request this information prior to offering a resident a placement to ensure they can meet the residents full range of needs. EVIDENCE: The statement of purpose and the service users guide for the home were checked. They both contained all of the information required by the regulations. Three of the resident’s needs assessments were checked, they had been completed by suitably qualified professionals and identified the residents care and support needs and wants. This information had been incorporated in to the residents care plans. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7, 8 and 9. The residents had individual plans, which contained very detailed information about their care and support needs and wants. Residents were empowered by staff to make decisions about their present lifestyles and future aspirations through the person centred planning and care planning process. Regular meetings were held with the residents to seek their views on how they wished the service to be developed. Risk assessments, which supported people to lead full lifestyles, minimised risks for the individual and identified risks in the environment had been devised and regularly reviewed. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 11 EVIDENCE: Three residents individual plans were checked, they had recently been reviewed and were devised in accessible formats. They were very detailed and there had been were major improvements to these plans since the last inspection. One resident was being supported to develop a Person Centred Plan (PCP) in order to identify their future aspirations and to make plans of how these aims could be achieved with support from staff and others. One relative said they were “delighted with the care offered by the staff”, their relative had recently moved into the home and they felt their needs were being met by the staff and had no complaints at all with the service. There were minutes of meetings, which had been held with the residents, which showed that the staff were encouraging the residents to have their say about how the service was run on a day to day basis. Three risk assessments were checked these contained all of the relevant information in order to minimise risks to tenants, they had been reviewed on a regular basis. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14 and 15. Some of the resident’s have regular opportunities for personal development, to access age, peer and culturally appropriate activities. Others with higher support needs had limited opportunities. Some residents regularly accessed community day services and leisure activities. They were also supported to access other community facilities, such as shop, pubs and local parks etc. Those residents with complex support needs had limited opportunities as they required 1-1 staff support to them and this was not always available. The residents were supported to have appropriate relationships with their peers, support staff and relatives. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 13 EVIDENCE: The individual care plans checked showed evidence that some residents had regular opportunities to access appropriate activities. The team leader said that some residents had very few planned activities. The staff said that in reality this was, because of the resident’s high level of support needs. For some residents with high support needs their opportunities were limited as they required 1:1 staff support ratios to access activities and the present staffing levels were not appropriate to enable equal opportunities for all residents. These residents will need to have their needs reassessed. Some residents had access to a community day service activities, others were reliant on the staff at the home to meet their needs to access meaningful activities on a daily basis. The care plans checked showed that staff supported tenants to maintain and in some cases develop relationships with peers, relatives and other supporters. One service user said they kept in regular contact with their relatives by phone and visits home. A relative said that they were happy with the way that staff supported their son to keep in regular contact. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. The individual plans checked contained detailed information about how the resident’s personal support, physical and emotional health needs should be met by staff and others in order to meet their individual needs. The resident’s health care needs were being met by local GP’s and specialist support was provided by local health support teams. Some residents had specialist mobility equipment to meet their complex physical needs. The home had appropriate medication policies and procedures in place. The medication process was being managed safely and appropriately. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 15 EVIDENCE: One residents care plan detailed their very individual needs in relation to the times they rose and retired, their bathing preferences, which toiletries they used and what levels of support they needed to wash and dress. It also contained details of behavioural management plans and communication grids had also been devised to improve the resident’s communication. The care plans checked also showed that the residents health needs were being met by specialist health teams in the community, for example, occupational and speech therapists, psychologists and psychiatrists had been involved in supporting the staff to meet the residents needs. None of the residents self medicated and there were risk assessments in place to support the staff assessments. The medication procedure was checked and medication was being managed, administered and recorded in an appropriate and safe manner. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The staff had a good working knowledge of the adult protection procedures to protect the resident’s welfare. Some, but not all staff had not completed adult protection training. There was a complaints procedure and the staff felt the residents and their relatives would be listened to and their views acted upon by the manager. EVIDENCE: The home had an adult protection policy and procedure, which met the required standard. The team leader said that one allegation of abuse had been made over the last year. This had been investigated appropriately. The staff interviewed had a good working knowledge of the actions to take if allegations of abuse or neglect were made, some but not all of the staff had completed adult protection training. A complaints procedure, which was also available in a pictorial format to ease access for the resident’s was available at the home. This contained information required by the regulations to enable residents and their relatives to make complaints. A record of complaints was kept. The team leader said that none of the tenants had made any formal complaints over the last six months. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 29 & 30. Since the last inspection the homes environment, both internally and externally had improved greatly. The houses were generally well maintained, clean, well decorated and homely. Some of the communal areas in House 1 needed redecorating and refurbishing. Most of the resident’s bedrooms were comfortable, individually personalised and furnished to meet their needs. Two bedrooms in House 1 were identified as needing refurbishment, new carpets to be fitted, to meet the individuals needs. The patio areas and gardens were well maintained and attractive. Residents had been involved in the improvements made in the garden areas and were supported to maintain and water the gardens. Several residents had specialist hoists, chairs and electric wheelchairs to meet their mobility needs. The laundry areas were appropriately equipped to meet the resident’s needs. Further advice needs to be taken from the environmental health department as to whether a dishwasher should be supplied for use in House 1 to meet the specific service user needs.
East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 18 EVIDENCE: An inspection of the environment showed that generally the home was clean, well maintained and provided homely and comfortable accommodation to meet the resident’s needs. A sample of the resident’s bedrooms were checked. Most of them had been decorated to meet the individual residents needs and reflected their individual tastes. Some of the resident’s rooms in House 1 required redecoration and refurbishment as a priority. The re-decoration of the dining and living rooms has improved the environment in houses 2 and 3 for the residents. They looked homely and comfortable. The dining and lounge areas in House 1 needed to be re-decorated as there were stains and chipped paint on the walls. The dining furniture in this house was very chipped, dented and stained and needed repairing/replacing. Several carpets in House 1 need to be cleaned or replaced to ensure the residents are living in a clean and comfortable environment. Other minor maintenance issues were noted in the other houses and will require attention. The staff said that a new chair and wheelchair had improved one of the residents mobility and comfort and improved the staff’s ability to support their needs. The laundry rooms had appropriate equipment to meet the resident’s needs. The staff in House 1 said they felt that a dishwasher needed to be provided to prevent cross-contamination, further advice should be sought from the environmental health department as to whether this would be an appropriate action to take. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 and 36. There is a stable staff team at the service who provide a consistent service, which residents benefit from. The minimum staffing levels were met on the day of the inspection. However, they do need to be reviewed as staff felt that some of the residents needed more 1-1 support to lead fulfilling lifestyles. Relationships between the staff teams in the houses were good as were the relationships between the staff and the residents. Residents were treated with respect and spoken about positively. The staff recruitment practices did not meet the required standard to protect the residents. Immediate action was taken on the day to address this issue. In general the staff team are offered good levels of support, however, some staff had not been formally supervised to the appropriate frequency/standard. The team leader said that all staff are offered some mandatory and specialist training. None of the new staff had completed the Learning Disability Award Framework (LDAF) induction and foundation training as is required to meet the TOPPS standards. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 20 EVIDENCE: Most of the staff employed at the home had worked there for some time, knew the residents well and had formed appropriate positive relationships with the residents who were relaxed and happy in their company. One resident said he liked the staff and got on really well with his key worker who was planning to take him to a farm in the near future. Other residents told the inspector they had recently had a party with the staff and had enjoyed the event. Minimum staffing levels at the home were being met, however, they need to be reviewed as two staff working with six tenants with high support needs will ensure that the residents opportunities, for example to access the community will be severely restricted. These residents need to have their needs reassessed as at present they do not receive any extra funding for the staff to work on a 1-1 basis with them, and yet they need this level of support to acees the community safely. None of the staff had completed the Learning Disability Award Framework, (LDAF) award, which would give then a recognised induction into supporting the residents who live in the home. Three staff said they had completed some mandatory training this year and that other courses had been planned. The training records needed to be reviewed to ensure that all staff are up to date with the mandatory training. The staff recruitment files were checked and one file of a newly recruited member of staff did not contain all of the information required by the regulations including a CRB. An immediate requirement to address this matter was issued on the day and the team leader agreed that the member of staff would not work unsupervised until CRB clearance was in place. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 & 39. The management approach of the home had improved since the last inspection it was open, and the residents and staff were more involved in the decision making process. South Yorkshire Housing Association’s quality assurance officers visited the home on a regular monthly basis to carry out monitoring of the service to ensure the home was working within the law and their policies and procedures. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 22 EVIDENCE: Residents and staff had benefited from the managerial improvements made at the home since the last inspection. The residents were having regular meetings with staff. A monthly newsletter had been devised in a format, which most residents could access. The staff team were meeting on a regular monthly basis to improve communication and to encourage staff involvement in the development of the service. Staff were consulting with residents in a planned and appropriate manner to seek their views to develop the service. Staff said that morale had improved and in general the management and monitoring systems within the home had been tightened up. Some areas still needed to be improved, these have been highlighted throughout this report. Overall there had been improvements within the management and administration systems. East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23
ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 3 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 2 3 x x 3 3 Standard No 11 12 13 14 15 16 17 2 2 2 x 3 x x Standard No 31 32 33 34 35 36 Score x 2 3 1 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
East Bank Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x x x 2 J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 24 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 YA11 Regulation 16 Requirement A review of the opportunities for personal development offered to all service users must take place and appropriate action must then be taken to meet individual service users needs. (Requirement first made on 21.4.04) A review of the service users opportunities to develop independent living skills, to participate in the local community and to choose from a range of leisure and daily activities must be carried out to identify the best way of meeting their needs. (Requirement first made on 21.4.04). House 1 Kitchen, dining and lounge area must be refurbished and redecorated. All service users bedrooms must be checked and those which need redecorating/ recarpetting must have this work carried out A review of the staffing levels must take place to ensure that service users needs regarding leisure and day activities are being met(Requirement first
J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Timescale for action 31.12.05 2. YA12, YA13, YA14 12 31.12.05 3. YA24, YA25, 23 31. 1. 06 4. YA32, 18 31.12.05 East Bank Road Version 1.30 Page 25 made on 21.4.04). 5. YA34 19, Schedule 2 All staff recruitment files must be 30.8.05 checked and any missing information must be sought to ensure that all files meet the required regulations. (Requirement first made on 21.4.04) CRB’S for all staff must be applied for and the CSCI must be notified when they have been received. (Requirement first made on 21.4.04) All staff must receive all of the training required by the sector skills council training targets. (Requirement first made on 21.4.04). All staff must complete adult protection training. All staff must be supervised 6 x per year, this must be recorded. (Requirement first made on 21.4.04). All records required by the regulations to be kept by a care home must kept up to date. 14.7.05 6. YA34 17 7. YA35, YA23 18 31.12.05 8. YA36 18 31.12.05 9. YA43 17 30.9.05 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 NONE Good Practice Recommendations East Bank Road J55 S2957 East Bank Road V230026 29.06.05 UI Stage 4 .doc Version 1.30 Page 26 Commission for Social Care Inspection Unit 3, Ground Floor Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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