Inspection on 01/10/07 for Eastleigh House

This inspection was carried out on 1st October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eastleigh House 10/12/08

Eastleigh House 27/07/06

Eastleigh House 25/10/05

Eastleigh House 05/05/05

Eastleigh House 18/01/05

Eastleigh House 10/08/04

Eastleigh House 12/01/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Eastleigh House First Drive Dawlish Road Teignmouth Devon TQ14 8TJ Lead Inspector Judy Hill Key Unannounced Inspection 1 & 3rd October 2007 11:35 st Eastleigh House DS0000032594.V346124.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 Eastleigh House DS0000032594.V346124.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. Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastleigh House Address First Drive Dawlish Road Teignmouth Devon TQ14 8TJ 01626 776611 F/P 01626 776611 eastleigh.house@craegmoor.co.uk Craegmore.co.uk Park Care Homes (No 2) Ltd 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) Mrs Emma Mai Richards Care Home 10 Category(ies) of Learning disability (10), Physical disability (1) registration, with number of places Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2006 Brief Description of the Service: Eastleigh House is owner by Parkcare Homes Limited, which is a wholley owned trading subsidiary of Craegmoor Group Limited, one of the largest independent Social & Health Care providers in the UK. Eastleigh House is registered to provide accommodation and care for up to ten people who have learning disabilities and specialises in providing a service for adults with an Autistic Spectrum Disorder. The home is situated in a quiet residential area of Teignmouth but is within walking distance of the town centre, beach, train station and bus stops. Information about the service provided is available from the Home in a Statement of Purpose and Service Users’ Guide. Copies of inspection reports can be obtained from the Home or from the CSCI Website. The current fees range from £786.94 to £3,123.72 a week. Additional charges may be made for fixtures and fittings, curtains, furniture, breakages, mobility aids and items of a personal nature. Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key Inspection was unannounced and was carried out on 1st & 3rd October 2007. The information contained in this report was gained in conversation with the registered manager, deputy manager and staff at Eastleigh House and from direct and indirect observation. Information was also gained from surveys completed by the relatives of five of the nine service users, an Annual Quality Assurance Assessment (AQAA) that had been completed by the registered manager, the Homes Statement of Purpose and Service Users’ Guide. Additional information was gained from an inspection of records including service users assessments and care plans, staff recruitment and training records and rotas, records of medication administration and fire safety and maintenance records. All of the service users were seen during this inspection. What the service does well: What has improved since the last inspection? What they could do better: Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 6 Statement of Purpose and Service Users’ Guides do not provide sufficient information to enable prospective service users and their representatives to make an informed decision about whether the service can meet their specialist needs. Service users care plans and reviews could be more person centred and could include input from independent advocates, the service users families and/or care managers. The service providers need to ensure that the service users are not paying extra for furniture, curtains, mobility aids and breakages and that they receive interest on any money held in banks accounts by the service provider. Although some activities are provided, more could be done to enable the service users to lead more active lives both within and outside their home environment and to develop their life skills. Professional support should be provided to ensure that the needs of residents with an autistic spectrum disorder are fully understood and individual behavioural plans can be developed. The provision of staff training in health and safety related areas is good but very little provision has been made to provide the management and staff with the specialised training they need to understand and care for people with an autistic spectrum disorder. The staffing levels are not always maintained at a level that will enable the staff to meet the assessed needs of the service users. 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. Eastleigh House DS0000032594.V346124.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 Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. Statement of Purpose and Service Users’ Guides do not provide sufficient information to enable prospective service users and their representatives to make an informed decision about whether the service can meet their specialist needs. The internal needs assessments are detailed and well documented and should provide a sound basis for care planning. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes Statement of Purpose provides general information about the service provided but could be more service specific and include information about the training and qualifications of the manager and staff to care for people with an autistic spectrum disorder and the specialised support provided by the organisation. Also additional information needs to be included regarding reviews of service users care plans and to provide a clear definition of the “therapeutic environment” referred to. Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 9 Copies of Service Users’ Guides were seen on the service users case files. Because of the service users needs it is accepted that it would not always be appropriate to give the service users copies to retain. The service Users’ Guides are presented in an easy read format. Some of the information that should be included in the Guides was not available at the home for inspection. This information includes a statement of terms and conditions in respect of the accommodation provided for service users, contracts for the provision of services and facilities by the registered provider to service users and reference to the complaints procedure. Two of the service users case files were inspected. Both contained detailed individual needs assessments and focused on the social, occupational and recreational wishes and needs of the service users as well as their practical needs and abilities. Eastleigh House DS0000032594.V346124.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): 6, 7 & 9 Quality in this outcome area is poor. Individual care planning and reviews could be more service user centred and should include input from service users families, care managers and/or independent advocates. The service users money is not being handled appropriately by the service providers and some of them are being charged inappropriately for items that should be included in their fees. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the service users case files were inspected and both were found to contain detailed care plans, risk assessments and behavioural support plans and daily records. Discussion with the deputy manager and day care coEastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 11 ordinator identified that some of the systems for recording information were in the process of being changed and that the new systems had been designed specifically for use with people with an autistic spectrum disorder. The management and staff are receiving additional support from Health and Social Care professionals for one of the service users whose file was inspected. However, very little evidence was seen of any multidisciplinary work being carried out with the other service users who, because of their complex needs may benefit from such an approach. Questionnaires were sent to relatives of the service users and although a lot of positive responses were received, some of the respondents said that they would like to be more involved with the care provided by being kept informed of the progress of their relative and/or being told of any incidents which impact on their well-being. Most of the residents have limited ability to make informed decisions about their lives and the assistance they need, but as stated above very little evidence was seen to indicate that families, care managers and/or independent advocacy services are being encouraged to represent them. The registered provider’s practice at Eastleigh House for handling service users money includes banking arrangements that incorporate the finances of residents collectively in a shared account. Although records of individual service users inputs and outgoings were seen, evidence of how individual interest is allocated was not noted. Records were seen which showed that some service users are paying for items of furniture, fittings, fixtures, breakages and mobility equipment that the Service Users’ Guide states is included in the fees and/or which the Commission would expect to be provided and/or included in the fees. Eastleigh House DS0000032594.V346124.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): 12, 13, 15, 16 & 17 Quality in this outcome area is adequate. Although some activities are provided, more could be done to enable the service users to lead more active lives and develop their life skills. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although the needs assessments carried out by the home were seen to identify the service users social, recreational and occupational needs and interests very well, the service user records that were seen showed that very little was being done to enable the residents to participate in activities both within and outside their home. This was discussed with the registered manager who said that too many activities would over stimulate the residents. While it is accepted that this may be the case it is suggested that the service users families, care managers and the specialist support team are consulted Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 13 about the level of active support that would be appropriate for each of the service users. Questionnaires were sent to relative of the service users and five were completed and returned. Some very positive comments were received about the quality of the service provided but negative comments were received about the lack of activities, lack of specialist training and poor communication. Two cooks are employed and menu plans are kept and followed. The service can cater for people on medical diets. The home has a second kitchen where some of the service users can prepare their own drinks and snacks with staff support. Eastleigh House DS0000032594.V346124.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): 18, 19 & 20 Quality in this outcome area is adequate. The service users are helped to maintain their personal hygiene and their physical health is monitored. The home would benefit from more specialist input to ensure that the service users behavioural needs are fully understood. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users are given the help they need to maintain their personal hygiene and to exercise choice in what they wear and how they present themselves. This was evident through an observation of the service users. The service users physical health is monitored and the registered manager has arranged for each of them to receive an annual “OK Health Check”. One of the service users is receiving help and support from the specialist learning disability team to understand and deal with his behavioural issues. From an observation of the home and service users it was evident that more of Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 15 the service users would benefit from specialist input either from the service providers or from the specialist support team and/or care managers. The service users medication is stored appropriately in a locked cabinet in a designated room. There were no controlled medicines being used that required separate storage facilities. The ‘Boots’ pharmacy controlled system is being used to record and administer medicines and the staff administering medication had received training. Eastleigh House DS0000032594.V346124.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. A complaints procedure is available and policies, procedures and staff training have been provided to protect the service users from the threat of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is available at Eastleigh House. A record of complaints received is kept however as no entries had been recorded since October 2005 an assessment of how complaints are dealt with by the current management could not be carried out. Relatives of service users who completed questionnaires stated that they would know how to make a complaint about the service if necessary. The staff have received training in the protection of vulnerable adults and policies and procedures are in place to ensure that the manager and staff have access to information about the procedures to follow if they suspect that a situation could be regarded as abusive. Eastleigh House DS0000032594.V346124.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 adequate. Although most parts of the home are clean, suitably furnished and adequately decorated, some of the service users bedrooms do not meet the required standards. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One the first day of the site visit a tour of the premises was carried out with the Deputy Manager. Most of the residents and care staff were seen in the communal lounge, which was seen to be spacious and comfortably furnished. Since the last inspection a second lounge has been converted into a bedroom to enable the number of residents that can be accommodated to be raised from nine to ten. Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 18 There is a large dining room that is also used as an arts and crafts room by the service users. A training kitchen is available for service users, with staff assistance, to prepare themselves drinks and snacks. Eastleigh also has a sensory room where service users can relax and unwind. Most of the service users bedrooms are of a good size and have en-suite bathroom facilities, although some of these are not accessible to service users without staff assistance. The presentation of the bedrooms varies considerably. Some were comfortably furnished, well decorated and had been personalised by their occupants. Others were quite sparsely furnished and one had been stripped of everything, including furniture by the occupant of the room. This was discussed with the deputy manager who said that arrangements were in hand to purchase some new furniture to replace items damaged by service users but that some of the service users did not want furniture in their rooms. No evidence was available to indicate that professional assistance had been sought to try to understand and try to deal with the behavioural issues that are preventing some of the service users from having adequately furnished bedrooms and accessible en-suite facilities. A member of staff is employed to tend to the gardens and maintain the premises and he was seen decorating the first floor landing during the site visit. Several other rooms are scheduled for attention including the first floor bathroom, which has a damp panel and a mouldy seal around the bath. Eastleigh House has a very large garden, which the Deputy Manager said was secure and safe for the service users to use. The laundry facilities are in the basement, which is accessible to service users who are able to assist with their laundry. Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, & 35 Quality in this outcome area is adequate. The provision of staff training in health and safety related areas is good but very little provision has been made to provide the specialised training needed to understand and care for people with an autistic spectrum disorder. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The recruitment records of three members of staff were inspected. These showed that written applications had been completed, interviews given and CRB and Protection of Vulnerable Adult checks had been carried out. Two references were seen on each member of staffs. Evidence was seen of induction and foundation training and on-going training. The records indicate that the provision of training related to areas of health and safety, such as Fire Safety, Moving & Handling, COSHH, Basic Food Hygiene, First Aid and the Protection of Vulnerable Adults are good. Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 20 Records were seen to demonstrate that over fifty percent of the care staff have completed an NVQ in Care at Level 2 and that a commitment has been made to increase the number of staff holding NVQ qualifications at Level 2 and at Level 3 in Care. However, this is a home that specialises in providing care for people with an autistic spectrum disorder and the records of training identified that the provision of specialist training for both the management and care staff was very limited. Although the staff turnover has been relatively high in the past twelve months, Eastleigh House benefits from having a core team of staff who have worked with the service users for many years. Very positive interviews were held with two members of staff who said that they were very happy with their work and had developed good relationships with the service users. The information provided in the Homes Statement of Purpose indicates that the service providers “…endeavour to ensure that there are at least 9 staff on duty during the day and 2 waking night support workers on duty during the night to care for 10 service users”. A copy of the staff rota for September indicates that the actual care staffing levels vary between nine and five and that night cover, 8pm to 8am was being provided by one care worker on waking duty and one sleeping in and on call. As the service users need up to three to one support, consideration must be given to raising the staffing levels to ensure that their needs can be met. Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. The manager is qualified to manage and care service but would benefit from additional training in autistic spectrum disorder. The premises are safely maintained and policies and procedures are in place to promote safe working practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager, Emma Mai Richards, was registered in July 2006. She has completed her Registered Managers Award and holds an NVQ in Care at Level Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 22 4. Although the registered manager was able to demonstrate her ability to manage the day-to day-running of the home, she does need to provide evidence of periodic training undertaken to develop and update her specialist knowledge and skills in relation to meeting the needs of people with an autistic spectrum disorder. The registered providers have developed a Quality Assurance system, which audits different parts of the service provision during a year, and also includes a monthly audit of practices in the Home. Views are sort from representatives of residents and health care professionals using questionnaires. The registered provider also monitors the Home during monthly checks. The Pre-inspection questionnaire that had been completed by the registered manager, conversations with the caretaker and an inspection of records provided evidence that the home and appliances are regularly serviced and safely maintained. The provision of health and safety related training is good and health and safety related policies and procedures are in place and accessible to the staff. Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 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 Standard No Score 1 2 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 1 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 2 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 1 3 X 2 X 3 X X 3 X Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4&5 Requirement Both the Statement of Purpose and the Service Users’ Guides must be revised to ensure that they provide sufficient information about how the service can meet the specialised needs of people with an autistic spectrum disorder and to include all of the required information listed in the Care Homes Regulations and recommended in the National Minimum Standards. Service users money should not be paid into a bank account that is not held in the name of the service user. Service users money must not be used to pay for furniture, curtains, toilet frames or breakages. Any ‘extra’ charges must be identified in the Statement of Purpose and Service Users’ Guide and agreed with the Contracting Authorities. 3. YA13 16 More provision must be made to enable the service users to DS0000032594.V346124.R01.S.doc Timescale for action 30/12/07 2. YA7 4, 5, 20 & 23 30/10/07 30/10/07 Eastleigh House Version 5.2 Page 25 engage in appropriate activities outside their home environment. 4. YA16 12 More must be done to enable the service users to develop their independent living skills and lead stimulating lives within their home environment. 30/10/07 5. YA19 13 Professional support and 30/10/07 guidance must be sought to ensure that the needs of service users with behavioural issues are understood and, where possible, practices are put into place to modify behaviour that is having a detrimental impact on individual service users. Some of the bedrooms are not fit 30/10/07 for purpose and professional help must be sought to provide evidence that the behavioural issues causing service users to destroy their rooms are being investigated. The management and staff must receive appropriate specialised training in autistic spectrum disorder to ensure that they have a good understanding of the homes specialism and to enable them to keep up to date with current good practice. Staffing levels should be maintained at a level that will enable the staff to meet the assessed needs of the service users. Staff training and development must include training related to working with service users with an autistic spectrum disorder. The registered manager must DS0000032594.V346124.R01.S.doc 6. YA29 12, 16 & 23 7. YA32 18 30/12/07 8. YA33 18 30/12/07 9. YA35 18 30/12/07 10. YA37 10 31/12/07 Page 26 Eastleigh House Version 5.2 undertake such training as is appropriate to ensure that she has the specialist knowledge needed to manage a specialist service for people with an autistic spectrum disorder. 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 YA6 Good Practice Recommendations Service users families, Care Managers and/or independent advocates should be invited to contribute and/or to represent the service users in their care planning meetings and reviews. More could be done to enable the service users to participate in the activities identified in their needs assessments. The home should establish and maintain better contact with service users families. 2. 3. YA12 YA14 Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Eastleigh House DS0000032594.V346124.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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