Inspection on 22/05/07 for East Dene Court

This inspection was carried out on 22nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

East Dene Court 22/11/05

East Dene Court 04/05/05

East Dene Court 17/09/04

East Dene Court 22/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 East Dene Court East Dene Court Melbury Street Seaham County Durham SR7 7NF Lead Inspector Ms Kathy Bell Unannounced Inspection 22nd May 2007 10:00 East Dene Court DS0000040015.V332517.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 East Dene Court DS0000040015.V332517.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. East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service East Dene Court Address East Dene Court Melbury Street Seaham County Durham SR7 7NF 0191 5815008 0191 5815009 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) European Services for People with Autism Limited Clare Wheatley Care Home 9 Category(ies) of Learning disability (9) registration, with number of places East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: East Dene Court is registered to provide care (but not nursing care) for 9 people with learning disabilities between the ages of 18 and 65 years. It is a specialised service for people with autism. The home is a large detached building on the outskirts of Seaham. It provides generous communal space, all the bedrooms are single and have ensuite bathrooms and there is a private garden. Ground floor accommodation is provided for a resident with physical disabilities. The home has advised CSCI that the weekly charges vary according to each residents needs. East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during one day in May 2007. The home did not know when the inspection would take place and it was the one inspection planned for this year. During the visit, the Inspector talked to some residents and staff and to the manager. Not all the residents were able to comment in detail about their care, because of their autism or communication problems. She looked at records and around the building, although not in every bedroom. She also received a completed survey from eight relatives of service users, giving their views about the home. What the service does well: What has improved since the last inspection? Staff have continued to work towards the recommended qualification for care staff, National Vocational Qualification,level 2, in care. Staff have had training in equality and diversity to make sure they recognise that everyone has the right to be different and all should be treated with respect. The lack of other improvements is not a bad sign, but is because this home is already a very good service. East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 6 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. East Dene Court DS0000040015.V332517.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 East Dene Court DS0000040015.V332517.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): Standard 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All service users were fully assessed before they were admitted to the home to make sure that it would be able to meet their needs. EVIDENCE: All the service users had previously lived in a college or another home run by ESPA so the organisation was fully aware of their needs. ESPAs admission procedure requires a comprehensive multidisciplinary assessment including gathering full information from parents and other relevant people. East Dene Court DS0000040015.V332517.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): Standards 6, 7, 8 & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users each have a plan which describes how staff should care for them. This is kept up-to-date and staff knew what each person needed. Service users can make decisions about their daily lives, supported by staff. They are asked what they want, to help them make the home the way they want it. The home supports people to take some risks , as part of being an independent adult. EVIDENCE: Service users each have a plan which describes the care they need . These are very detailed and include all the information staff need to make sure they respond to residents needs in a way suitable for each resident. The plans include guidelines on how to respond to challenging behaviour. The records showed that these had been discussed with relevant people such as the care managers and relatives to make sure that everyone agreed the home was acting in the best interests of the residents. The service user plans also show when staff have involved specialist workers such as a psychologist or speech therapist to help service users. The staff know what they have to do for each East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 10 service user. Every six months a meeting is held to discuss the care of each service user, to decide if the home is meeting all their needs and to consider anything else which needs to be done. Service users can go to these meetings. Every month a member of staff who has particular responsibility for each resident (a key worker), records how they have checked that the care plan is up-to-date. The care plans include information on cultural needs, for example a keen interest in football for one service user. One service user writes the minutes of regular meetings in which the service users talk about, for example, what activities they would like. These meetings help service users tell staff what they would like. Staff also make a note of what service users think of any possible new staff who visit the home. This helps the manager make sure she chooses new staff who will get on with residents. Records were kept of when residents had been asked about the furniture they wanted in their rooms, individual activities, and there had been a vote on the colour of a new vehicle. Residents can choose activities, decide where they want to eat their meals, spend time together or alone and choose or refuse medical treatment. Although the home still has the duty to make sure they are safe, this still gives them as much control of their daily lives as possible. One care plan seen, for a resident who has limited speech, tell staff how to help him tell them what he wants, for example, by offering two choices. Staff record how they have considered whether an activity will be risky, how they can make it safer and whether it is in the service users interests to take the risk. One record showed how, as the resident became more independent, staff kept checking how best to support him, while reducing the risks. There are plenty of staff so that people can be supported to do things which they could not do by themselves. The home also takes practical steps so people can do things independently. There is a water boiler and a small fridge for milk etc in one area of the kitchen, so people who might not be able to use a kettle, can still make drinks for themselves. East Dene Court DS0000040015.V332517.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): Standards 12, 13, 15, 16 & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can take part in a range of vocational and leisure activities of their choice which promote their life skills and provide enjoyment. They use local community facilities which makes their lives as much like anyone else s as possible. Service users can maintain contact with their families and staff respect their rights to form personal relationships. The home respects individual rights and responsibilities. A healthy diet is provided, suitable for each person and people have choice in what they eat. EVIDENCE: Service users go to different activities, according to their interests and wishes. They can go to a day centre run by European Services for Autistic People , the organisation which owns East Dene Court. This was set up specially for service East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 12 users in ESPAs homes and provides a range of activities, including woodwork, pottery, computers, and art. There is also a relaxation room and cafe. One service user has a work placement within a college run by ESPA. Others go to a farm run by ESPA. Service users also go out on day trips and on holiday. They use local facilities, such as shops, pubs and the cinema. This all helps them be part of the local community. Staff help people have visits to their families, taking them home if transport is needed. The home recognises the importance of family relationships and was planning to take one person to visit his mother in hospital on the day of the inspection. One relative said that their son,is supported to phone us regularly and send birthday cards and shop for Christmas. Another said that their son,can, and does, contact us at any time he chooses. Service users have chances to meet people from other homes at a social club run by ESPA and the home is supporting one person to have a personal relationship outside the home. Records show that the home respects peoples rights to make decisions about their daily lives, and to decide about their health care. When asked in the survey, if the home supports people to live the life they choose, all but one of the relatives said always and the other said usually. One relative said that their son is encouraged to identify…. his aspirations… and then voice them. One resident who commented on this confirmed that staff did treat him as a person with rights and that he could make choices. They are also encouraged to take responsibility as well, being involved in the daily life of running the home. Two service users carry out regular maintenance checks of the building with staff. The home has a cook who also runs cooking sessions with the service users. Some service users need special diets and their food is stored and labelled to help them to manage this themselves. Most service users are involved in shopping for food which helps them suggest what they want. The inspectors saw a selection of desserts etc in the fridge, labelled for the individuals who had chosen them. Service users can have alternatives if they do not like the main meal on offer and are encouraged to try new things. Service users weights are checked and staff have worked with dieticians to control any weight problems or particular health needs. Records of one service user showed that following the screening of everyone for any eating problems, he had been referred to a speech and language therapist to look at if he needed special help to eat. The home receives general guidance from a dietician on providing a healthy diet. East Dene Court DS0000040015.V332517.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): STANDARDS 18, 19 & 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff provide personal care in a way which meets each service users needs and wishes. They identify health needs, arrange treatment and help residents have control over their medical treatment. This makes sure service users receive the medical treatment they need and want. Medication is looked after and given out safely. EVIDENCE: Service users plans tell staff what each person needs, and how they like the care to be given. Throughout the care plans the emphasis is on supporting residents to look after themselves. Staff knew about each service users individual needs. There are male and female staff so that women can be helped with their care by women and men by men. ESPA has supporting policies and procedures which guide staff in protecting residents dignity. ESPA staff have also been discussing and having extra training to help them consider carefully each residents wishes about how staff care for them. Records showed how staff had considered the risks involved in helping a resident who needed physical help to move around. They had received training in the use of the hoist. The staff said that nobody would use it unless they had been trained East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 14 to do so. When asked in the survey if the home gives the support or care expected, all but one of the relatives said always, and the other said usually. Records showed that staff were observant and noticed any health needs. Each year they looked again at every part of each persons health to make sure they were picking up any problems. They made sure that service users saw doctors when they needed to. The records showed that one resident had made the decision himself about whether to take some medication. Staff kept good records to make sure that they could arrange any follow-up treatment or regular appointments at the right time. Arrangements for storing and giving out medication are satisfactory and there is an established procedure to guide staff. The inspectors saw the staff following their procedures to make sure they keep track of any medication which is taken out of the building and then brought back in. All the staff who give out medication have been on external, assessed training. The home has properly assessed and keeps under review the resident who looks after his own medication. The only issue was about recording when medication has been given. The staff were following ESPAs medication procedure so this issue will apply to all the ESPA homes. The Inspector discussed this issue with ESPA management following the inspection. Two staff at a time deal with giving out medication. One signs the official record of the administration of medicines (the MAR sheet) when they have taken the tablet out of its packaging and put it in a pot to give to the service user. The other member of staff signs another record when the person has actually take the medicine. This is the wrong way round, the MAR sheet should show when someone has received medication. Staff explained that if someone had not taken their medication, they would write this on the back of the MAR sheet. They described how information was passed on between shifts so there would not be confusion about whether someone had received their medication. So, while the system is not absolutely correct, it seems that records would show whether medication had been taken and there would not be any doubt which could lead to mistakes or confusion. ESPA should consider this issue but if changes are made to the system, ensure all staff are aware. East Dene Court DS0000040015.V332517.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): Standards 22 & 23. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can see that the home responds to their complaints. The home takes all possible steps to protect service users from abuse. EVIDENCE: The home has a satisfactory complaints procedure and this has been produced in a form which could be easier for some residents in ESPAs services to understand. Staff have recorded when they have tried to explain this to residents. A full text version is also given to parents. Parents confirmed in the questionnaire that they had been given information on how to complain. They also said that the home had responded appropriately if they had raised concerns. One relative said, these issues have always been addressed by ESPA in a professional, empathetic, expeditious and effective manner. There have been no formal complaints since the last inspection. On the previous inspection,a record was seen of a complaint by a resident and the homes response to this. The home responded promptly and their actions showed that they respected the residents views . The home has suitable policies and procedures in the area of adult protection and has worked correctly with local Social Services when referrals have been made under adult protection procedures. These referrals did not relate to any concerns about the home. Records showed that the home had recently asked advice from the local authority which is responsible for adult protection, so they knew whether they had to make a referral under adult protection procedures. East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 16 Staff receive regular refresher training on preventing abuse. Staff are also having training on the new law about capacity which means that people working in social care must think carefully about each persons rights to make their own decisions. ESPAs procedures require staff to include detailed guidelines in care plans on how staff can respond to any challenging behaviour, including the use of restraint. Relatives are asked to look at these guidelines to check that they feel they are reasonable. This is a valuable safeguard for residents who might not be able to speak up for themselves. Senior staff check the records of any incidents involving restraint to make sure that residents are kept safe from harm. Full records are kept of money handled for residents and these are checked by ESPAs finance department. East Dene Court DS0000040015.V332517.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): Standards 24 & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The building is comfortable, pleasant and well maintained. It seems to meet service users current needs and is kept clean and hygienic. EVIDENCE: East Dene Court has three big living rooms and a garden which gives service users plenty of space for activities, freedom of movement and the choice of who they will spend time with. The building is decorated and furnished to a good standard. Each service user has their own bedroom and their own bathroom and some of the bedrooms are very big. The home seemed clean on the day of inspection and there is a system to make sure important areas like the kitchen are cleaned on a regular basis. One relative said, the home is always clean and my sons room is immaculate. East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 18 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): Standards 32, 33, 34 & 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff have the personal qualities and skills to care for service users. But more of them should achieve the recommended qualification for care workers. Enough staff are on duty at all times to meet service users needs. The home checks as far as possible that new staff are suitable to work in a care home. Comprehensive training is provided for staff. EVIDENCE: Eight of the 24 staff have now achieved the qualification recommended for care workers, the National Vocational Qualification in care at level 2. This figure does not yet meet the minimum of 50 recommended in the National Minimum Standards but the rest of the staff, except one, are all doing this training now. The manager explained that they now have better arrangements to support staff to achieve this qualification. The cook and domestic worker have done this qualification which is good because they work closely with residents. In the survey, relatives said they felt that staff usually or always had the right skills and experience. Some praised the way staff understood the needs of people with autism. One said, staff appear to be genuinely caring. There East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 19 seemed to be good relationships between staff and service users. One resident said he cant fault staff and appreciated the guidance they gave him. There are never less than four staff on duty through the daytime and usually at least five. The staffing levels mean that residents can have an active lifestyle with plenty of opportunities for one-to-one attention. During the night there is one staff awake and one sleeping in. There is always a senior person on duty on each shift. As well as care staff, a cook is available for 40 hours a week and a domestic worker takes responsibility for general cleaning of the building. Care staff work with service users to look after their own rooms. ESPA has established systems for recruiting staff which include obtaining references and a Criminal Records Bureau /Protection of Vulnerable Adults List check. A check of the personnel file for two new recruits showed these had been followed. Induction for new staff is recorded and there is a training record for each member of staff. This shows that staff receive training in core areas such as food hygiene and adult protection. They also have training in the more specialist areas needed for this home, such as understanding behaviour, restraint, communication and autism awareness. Staff have had training in equality and diversity to help them make sure they recognise that everyone has the right to be different and all should be treated with respect. East Dene Court DS0000040015.V332517.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): Standards 37, 39 & 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager has the necessary experience and skills to run the home well but is still working towards the recommended qualifications. ESPA keeps checking how successfully the home meets the needs of residents. The building is a safe place to live and work. EVIDENCE: The manager has many years experience in working with people with autism, and with all the current residents. She is working towards the recommended qualifications of NVQ 4 in care and management. Comments from relatives suggested that she works well in partnership with the parents of service users. One described her as, kind, friendly and approachable. East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 21 ESPA has a number of systems to make sure that the home provides a good service. There is an annual development plan which is linked to individual goals for each resident. Each year residents and their relatives complete a survey so that ESPA knows what they think of the service. A senior member of the staff of ESPA visits the home once a month to check how it is running. The home has contracts for regular maintenance of the building and equipment to make sure they are safe. An assessment of what the home must do to reduce any risks of fire had been carried out. This included looking at the help each service user would need in case of fire. Regular fire drills take place, to make sure that staff and service users become familiar with what to do if there was a real fire. But not all of the staff had taken place in one of these every six months as they should do . Staff make regular checks of the fire warning system to make sure it is working correctly. They also check the temperature of hot water to make sure it will not scald residents. East Dene Court DS0000040015.V332517.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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 2 X 4 X X 3 x East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 23 No 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 YA42 Regulation 13 Requirement All staff must take part in a fire drill at least once every six months. Timescale for action 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA37 YA32 Good Practice Recommendations The manager should achieve NVQ 4 in care and management. 50 of care staff should achieve NVQ 2 in care. East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 East Dene Court DS0000040015.V332517.R01.S.doc Version 5.2 Page 25 - 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. 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