CARE HOME ADULTS 18-65
East Wheal Rose Farmhouse St Newlyn East Newquay Cornwall TR8 5JD Lead Inspector
Lynda Kirtland Unannounced Inspection 8th February 2007 10:00 East Wheal Rose Farmhouse DS0000009099.V330109.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 Wheal Rose Farmhouse DS0000009099.V330109.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 Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service East Wheal Rose Farmhouse Address St Newlyn East Newquay Cornwall TR8 5JD 01872 510750 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) mail@dcact.org Spectrum Mrs Sharon Waterton Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 8th December 2005 Brief Description of the Service: East Wheal Rose Farmhouse is a home providing accommodation and personal care for up to three service users aged 16-25 years with a learning disability and/or mental disorder. The registered provider is Spectrum, an organisation that provides specialist care for adults with autistic spectrum conditions. Spectrum employs a manager and a team of staff to run the home on a day-today basis. The home is situated on the outskirts of the village of St. Newlyn East, in a very rural location, but within a short driving distance of Newquay. The home is set in its own grounds and offers privacy for service users. Spectrum supplies vehicles to enable service users to make full use of community facilities in the local area. The house is a spacious, two-storey building. Service users are provided with single bedrooms. There are two bathrooms. Downstairs there is a kitchen, large lounge and separate dining room. There is also a dedicated office. The property has gardens to the front and the rear of the building with ample car parking space. The home does not have specific access facilities for people with physical or sensory disabilities although there is some scope for adaptation of the building if required. East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a key inspection, which was unannounced. It took place on 8th February 2007 and lasted for approximately seven hours. The purpose of the inspection was to ensure that service users’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that service users’ placements in the home result in good outcomes for them. Information received from and about the home since the previous inspection has also been taken into consideration in making judgements about the quality of outcomes for the service users living there. The inspection included meeting with two service users currently living at East Wheal Farmhouse. Members of staff were interviewed and there were opportunities to directly observe aspects of service users’ daily lives in the home and staff interaction with them. Other activities included an inspection of the premises, examination of care, safety and employment records and discussion with the registered manager. The principle method of inspection was “case tracking”. This involves interviews with a select number of service users; staff caring for them and examination of records relating to their care. This provides a useful impression of how the home is working for service users overall. One service user was case tracked in detail at this inspection. East Wheal Farmhouse is registered to provide care and accommodation for up to three service users, however they currently provide this service to two residents. The Registered Manager stated it is not envisaged at this stage that the third placement will be occupied. What the service does well:
After refurbishment East Wheal Rose Farmhouse opened in the summer of 2007. The two service users had a transitional period to move into their new home, which included receiving information about the home in written and pictorial formats. They generally get on well with each other and the home operates like a shared domestic dwelling with staff support provided where it is needed to assist them to develop and maintain their skills and independence. Assessments prior to moving into East Wheal House Farmhouse are undertaken and based on the individuals health, social and personal care needs, including needs relating to their religious, ethnic and cultural backgrounds, to ensure they can be met in the homes setting. Service users are encouraged and supported to develop their skills and independence in many ways. They are involved in developing their own care
East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 6 plans with assistance and support from staff. Service users attend reviews regularly, so that they know why they are placed at the home and what aspirations they are aiming to achieve e.g. developing a particular element of self-care to promote their skills and independence. They have opportunities to make decisions about important aspects of their lives, with assistance from staff, if they need it and are supported to take risks so that they can enjoy fuller and more active lives in and out of the home. Service users have clear information on what is expected of them and their rights as residents of a care home. They are aware, for example, that they will be expected to help out with household tasks such as cleaning, so that they can develop their skills and independence and know what to do if they wish to make a formal complaint about something they do not like. Service users participate in the menu planning and drinks and snacks are available at all times. Service users are appropriately supported with their personal care so that they maintain their dignity. Staff were observed to assist service users with their needs quietly and unobtrusively. The home’s environment is suitable for the service users living there. It was clean and tidy throughout at the time of the unannounced inspection. Newly appointed staff confirmed they had a comprehensive and valuable induction to Spectrum. Staff confirmed access to training is available. The home is well managed by an experienced and competent manager. Staff were complimentary about her management style and stated they could approach her with ideas or concerns. Service users appeared comfortable in her presence. The inspector was welcomed to the home in a friendly manner by staff and service users. What has improved since the last inspection?
The previous inspection did not identify any statutory requirements or recommendations. However it is to be noted that East Wheal Farmhouse has undergone extensive renovations and refurbishment. East Wheal Farmhouse provides comfortable and modern accommodation. The registered manager stated that the home is fully staffed with a new staff team. She feels the staff team have a positive culture and are creative in their work. The staff team confirmed that they are happy working at the home. There is dedicated time for staff to undertake care and administrative duties. The registered manager stated that the level and range of activities for service users has increased. It was evident that service users have a busy social life
East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 7 with a variety of activities. All activities service users engage in and the home’s environment are kept as safe as practicable for them. Spectrum is now providing Positive Behavioural Management (PBM) training, which all staff are to attend. Staff felt this was a beneficial course. On the day of inspection the registered manager was on the PBM Response training which she left for a couple of hours to partake in the inspection. 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 Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are assessed prior to their admission so that they can be confident it will meet their health, personal and social care needs, including needs relating to their age, religion, cultural and ethnic backgrounds, abilities, gender and sexual orientation. EVIDENCE: From observations and meeting with service users it was evident that they are settled in the home, and that they get on well with each other and with the staff. A copy of the home’s statement of purpose and Service Users Guide is placed on the individuals file. From documentation inspected it was evident that admissions are made following a full assessment and in consultation with the service user, their family or advocate, and relevant professionals. Transitional work for the service user moving into the home is undertaken in a planned manner and at the service users pace. East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are aware of their care plans, which fully address their health, personal and social care needs, including needs relating to their individual and diverse backgrounds (age, religion, culture and ethnicity, abilities, gender and sexual orientation). They are able to take safely managed risks and make important decisions about their lives so that they develop their skills and independence. EVIDENCE: Service users, their family, advocate and relevant professionals are involved in the development of individual care plans (personal centred plans) and their subsequent reviews. The reviews record service users views so that they are aware of the purpose of their placements in the home and are able to contribute to the ongoing care planning process. The care plan has specific headings to address their health, personal and social care needs, including their individual and diverse needs. These are in written form plus in Widget (pictorial) form. Personal Centred plans provide service users with specific ‘milestones’ and ‘aspirations’ to work towards, and inform and direct staff in how to support the service user to achieve this to encourage them to fully maximise their skills for independent living. New staff to the home confirmed
East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 11 they were able to understand the care plans and that the detail of how to assist in a particular task allowed consistency of care. Life story work had been completed with both service users in comprehensive detail. Staff were observed supporting service users to make decisions about what to do during the day. Service users’ written care plans formally consider their abilities to make decisions for themselves and daily care records provide further evidence of the choices they make in their daily lives. Service users can choose the level of privacy they wish to enjoy in their private accommodation. Service users are able to take managed risks, backed up with written risk assessments and risk management plans, particularly with regard to their engagement in higher risk activities. Service users monies could not be inspected on this occasion as the Registered Manager was on a course for the majority of the inspection. It was noted that each Service users has their own bank account. East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards12,13,14, 15, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in a wide range of activities in and out of the home, which are appropriate to their ages, individual needs, interests and cultural backgrounds so that they develop their skills and confidence. They are supported to maintain valued social and family relationships so that they are not isolated or institutionalised. They are informed of their rights and responsibilities so that they are aware of what is expected of them. They are provided with a wholesome and varied diet so that they enjoy their meals and stay healthy. EVIDENCE: Service users’ care plans and daily care records provide good evidence that their interests and abilities are fully considered in planning their daily activities, which are planned with them individually. This is then displayed in either word or widget formation so that service users can follow their routine more easily. Some activities include attending college and sports for example. East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 13 Service users’ daily care records show that they access a wide range of community resources with staff support, depending on their individual needs and abilities. All of the service users maintain valued relationships with their families and friends, with staff support as necessary, which their daily care records confirmed. They are able to make telephone calls in private if they wish Service users are supported and encouraged to eat healthily. They assist in the planning of menus. Nutritional needs and preferences are considered as part of the care planning process. All the service users looked healthy and well nourished. The home has an ordinary, domestic kitchen, the majority of staff have taken appropriate food and hygiene training. East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19,20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ personal and healthcare needs are well met so that they are able to live full and active lives in and out of the home. The medication systems must be monitored so that all medicines are accounted for and are stored in the correct manner. EVIDENCE: Service users’ individual care plans address their personal care needs. Each service user appeared to be attractively and fashionably dressed and were well groomed so that they can comfortably take part in community life. The home has suitable bathroom facilities so that they can attend to their personal care in private. Service users’ care plans also consider their healthcare needs. There are separate healthcare records for each of them, which indicate that they access a range of healthcare services, according to their individual needs. Staff interviewed during the inspection confirmed this and commented that there is a good relationship with the health professionals. East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 15 A medication inspection found that an audit trail of medicines could not be followed. The amount of medication in the cupboard did not tally with the records, thus showing them in excess of many medicines and staff were unable to explain this. In addition staff were not certain if there was a disposal book for medication and if so were unaware of its location. In addition the medicine cabinet is above a radiator, the creams in the cabinet were warm to the touch. A thermometer was placed in the cabinet for a few minutes and it recorded that the temperature was 27 degree centigrade, the prescribed creams and tablets stated they should be stored under 25 degree centigrade. Action needs to be taken to ensure all medication is stored at the correct temperature. Staff did explain that the MAR sheets did have medication named on it that service users were no longer using, it is recommended that the MAR sheets reflect accurately what medication the Service user is currently taking. East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are listened to and respected so that their views, concerns and complaints are taken seriously and acted upon. There are formal and informal systems in place to ensure that they are able to feel safe in the home. EVIDENCE: The service users were introduced to the inspector and encouraged to speak to the inspector if they wished. Each service user is provided with written copies of the home’s formal complaints procedure and has formal and informal opportunities to raise any concerns with staff before they become serious complaints. The home has received no complaints in the last year. The home has written procedures to guide staff on what to do if they suspect a service user is at risk of abuse. There are records to show that staff are recruited on the basis that they are suitable to work with vulnerable adults in a care setting and appropriate checks are made. Service users are not isolated in the home, but take part in a range of activities in the local community and have relationships with people from outside of the home that they can communicate serious concerns to. Spectrum has a whistle blowing policy. The Registered Manager has attempted to gain a place on the Multi Disciplinary Adult Protection course, but as it is oversubscribed she has not managed to gain a place on it yet. It is recommended that the registered manager attend this course. The Registered Manager had an updated copy of the Multi disciplinary procedures. Staff stated they had attended Spectrums adult protection course.
East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s environment provides service users with an ordinary, domestic setting so that they can develop their skills and independence in a non-institutional setting. It is safe and clean so that service users are protected from risks of cross-infection. EVIDENCE: The home looks like an ordinary, domestic dwelling. A lot of renovation, redecoration and refurbishment to the property has occurred which has made the home’s appearance and atmosphere relaxed, modern and comfortable. The registered manager said that she has requested new carpets for some rooms in the home. The home appeared clean and tidy throughout at the time of the inspection, which was unannounced. Staff were aware of infection control procedures and the home appeared clean and tidy throughout. East Wheal Rose Farmhouse DS0000009099.V330109.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): 34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have ready access to ongoing training so that service users can have confidence in their knowledge and skills to work with them in a competent manner. The numbers of staff achieving NVQ level 2 needs to be improved. Staff are recruited on the basis of fair, safe and effective recruitment and selection policies and practices so that service users can have faith that they are suitable to work in a care setting. Staff attends regular supervision to ensure ongoing care practice and training needs are effectively monitored and managed. EVIDENCE: The registered manager confirmed that as she has recruited recently that the number of staff who have gained the NVQ level 2 is five. Once the new staff members have completed their competencies and induction then they will commence the NVQ 2 training. The majority of staff have recently attended first aid training, food hygiene and moving and handling training. Spectrum provides an annual programme of training courses, which staff confirmed they are encouraged to attend. East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 19 From observations of staff interaction with service users it was evident that they communicate with service users in a competent, fair, patient manner and work with the service users at their pace. The inspector looked at two recently recruited staff members via Spectrums computer system. The records demonstrated that one member of staff had been working for another Spectrum home and had been promoted. Due to this the inspector recommended that a further CRB was undertaken as she is now employed in a different post. The other staff member’s records were accurate. From inspection of staff members files, all others records appeared to be accurate in accordance with equal opportunities legislation. Interview records indicate that they are selected on their suitability to work in the care sector. It was noted that Service users are not currently involved in the recruitment process. Staff training records indicates that they undergo induction training on commencing work with Spectrum and have good access to ongoing training so that they can update their knowledge and skills continuously during their employment. A staff member who was interviewed confirmed this. Staff, confirmed by documentation, stated that there is regular formal supervision. Staff found this to be beneficial. Staff were sin the main satisfied with the organisation but did raise concern regarding the length of shift hours; could be up to 14 hours. Whilst they felt the consistency for Service users could be beneficial it also raised the question of staff members being tired after a long day at work. This needs to be reconsidered. East Wheal Rose Farmhouse DS0000009099.V330109.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): 34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is competently managed for the benefit of Service users. There are formal and informal systems in place to ensure that service users’ views are taken into account in the ongoing management of the home. The home is maintained to a good standard to ensure that it is safe for all those who live, work and visit the home EVIDENCE: The Registered Manager aims to complete her RMA by September 2007.She has gained NVQ3 and NVQ2 in care and has attended various courses to update her skills. On the day of inspection the registered manager was on a course, of which she left for a few hours and returned to it. All staff spoke highly of her skills and felt that she was approachable and listened to their ideas or concerns. From observations service users communicated with the Registered Manager in a relaxed manner.
East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 21 Spectrum has a quality assurance process, which involves collating views of Service users, their relatives, advocates, professionals and staff. This is included in the care planning process and its reviews as well as more generalised monitoring of the service. Currently Spectrum is gaining views from its entire staff. In addition the homes have a monthly monitoring process, known as regulation 26 and these reports are sent to the Commission. The home’s environment appeared safe and there are written individual environmental risk assessments in place to minimise risks to service users staff working in the home. Records of fire safety equipment tests evacuations occur regularly. Maintenance of the home and its equipment inspections undertaken by Environmental health are all satisfactory. and and and and East Wheal Rose Farmhouse DS0000009099.V330109.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 3 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 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 x East Wheal Rose Farmhouse DS0000009099.V330109.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 YA20 Regulation 13 (2) Requirement Medication must be monitored to ensure that all medication is accounted for. Medication must be stored in an appropriate temperature at all times. A CRB must be gained when a staff member is promoted within the organisation. Timescale for action 30/06/07 2 YA34 19 (7)(b) (8) 30/04/07 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 Refer to Standard YA23 Good Practice Recommendations Staff and managers should undergo multi-agency training in the protection of vulnerable adults from abuse to enhance their knowledge and skills of working together with key agencies involved in this. A minimum of 50 of care staff should hold the NVQ level 2 qualifications. The registered manager should review the length of staffing shifts and assess whether this is for the benefit of Service users and staff. 2 3 YA32 YA33 East Wheal Rose Farmhouse DS0000009099.V330109.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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
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