Inspection on 19/11/07 for Eckett House

This inspection was carried out on 19th November 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eckett House 21/11/08

Eckett House 29/01/07

Eckett House 08/12/05

Eckett House 05/07/05

Eckett House 25/10/04

Eckett House 27/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Eckett House 118 Dixon Street Swindon Wiltshire SN1 3PJ Lead Inspector Elaine Barber Unannounced Inspection 19 November 2007 10:35 th Eckett House DS0000003214.V355209.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 Eckett House DS0000003214.V355209.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. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eckett House Address 118 Dixon Street Swindon Wiltshire SN1 3PJ 01793 347929 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 Madeleine Thomas Miss Alicia Thomas Mrs Madeleine Thomas Miss Alicia Thomas Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th January 2007 Brief Description of the Service: Eckett House is a mid terraced house on the outskirts of Swindon town centre. On the ground floor there is one bedroom, a lounge and dining area plus a kitchen, bathroom and separate toilet. On the first floor are two more bedrooms and a staff sleep in room that also doubles as the office. At the back of the house there is a small garden. The home provides accommodation for men and women with learning disabilities. The model of care is based on the principles of ordinary living. The home is not staffed when people are at their day time activities. There is at least one member of staff on duty when people are at home. There are no waking night staff. One member of staff sleeps in at night who assists if there is an emergency and meets any night time needs. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit to the home on 19th November 2007. During the visit information was gathered using: • • • • Observation Speaking to three people who lived in the home Discussion with the managers. Reading records including care records. The manager provided information about the running of the home before the inspection. The judgements contained in this report have been made from all this evidence gathered during the inspection. What the service does well: There was a statement of purpose and a service user guide with simple words and pictures. Each person who lived in the home had had the opportunity to visit and meet the other people who lived there before they moved in. This meant that they had had enough information to decide whether the home could meet their needs. Their needs were assessed by a social worker before they moved in to make sure that their needs would be met. Each person had a statement of terms and conditions with the home so that they knew what to expect from the service. . Each person had a care plan setting out how their needs would be met, to ensure that their needs would be met. People made decisions about their lives with assistance as needed. They chose the food they ate, the clothes they bought and wore, the décor of their rooms and their activities. Each person had risk assessments, which focused on promoting independence and keeping them safe. People were supported to take risks as part of an independent lifestyle. People had opportunities for personal development. They attended church regularly, attended college, and had leisure activities of their choice such as football and dancing. They had opportunities to participate in their local community and went shopping, for meals out and to the pub. They visited their family regularly and kept in contact with their family and friends. People were involved in the routines of the home. They had a varied diet and enjoyed their food. People’s health care needs were being met. Each person had a health action plan and saw health professionals when needed including the GP, community Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 6 nurse, psychiatrist, dentist and optician. Medication was appropriately stored and recorded. Staff who assisted people to take medication had received training about medication. People were protected by the home’s medication practices. There was a complaints procedure and each person had a copy in an easy to read format. There was a process for investigating and recording complaints so that people’s views would be listed to and acted upon. There was also a procedure about safeguarding from abuse and staff had received training about prevention of abuse. These measures were to make sure that people were protected from abuse. The home was a terraced house near the centre of Swindon. The accommodation was generally well maintained and well decorated. Each person had their own bedroom, which they liked. There was a bathroom and separate toilet. People benefited from homely, clean accommodation. There was one member of staff on duty when people were at home and one member of staff who slept in at night. Staff had received a range of training. One member of staff had a National Vocational Qualification (NVQ) in care. People were supported by enough staff who had some relevant training to meet their needs. New staff had the appropriate checks before they started work. This meant that people were supported and protected by the home’s recruitment practices. The home was generally well run. The managers had several years experience of managing a care home. There was a process of quality assurance based on the views of people who lived in the home, their relatives and the professionals they knew. There were health and safety checks and staff had received training so that people were kept safe. What has improved since the last inspection? Improvements had been made to the care plans and personal files. Each person had a care plan to make sure that their needs would be met. Each person’s care file had been reorganised so the staff could find information more easily. This would make sure that staff had access to up to date information and could meet people’s changing needs. Since the last inspection staff had received more training so that they could meet people’s needs. Staff had received training about medication awareness, health and hygiene, handwashing hygiene, first aid, food hygiene, equality and diversity and training about prevention from abuse. Further work had taken place to develop the quality assurance system. The questionnaire to people who lived in the home contained more questions so their views could be collected about more issues. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 7 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. Eckett House DS0000003214.V355209.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 Eckett House DS0000003214.V355209.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): 1, 2, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were given enough information and were able to visit the home, to decide whether the home could meet their needs. Their needs were assessed before they moved in to make sure that their needs would be met. Each person had a statement of terms and conditions with the home. EVIDENCE: There was a statement of purpose, which provided detailed information about the service. There was also a service user guide with simple words and pictures. Each person, who lived in the home, had a copy in their file. There was also written confirmation that they had received the guide and it had been read to them. No new people had moved into the home since the last inspection. There was an admission procedure. The standard about admissions was met at previous inspections. Each of the three people had a social work care plan when they moved into the home. The care plans contained a summary of the assessed needs. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 10 These care plans had been reviewed. One person had a reassessment of their needs in April 2007. Each person had a statement of their terms and conditions which they had signed. Two people also had a contract with Swindon Borough Council and the home. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each person had a care plan setting out how their needs would be met, but these were not being reviewed regularly. People made decisions about their lives with assistance as needed. People were supported to take risks as part of an independent lifestyle. EVIDENCE: A requirement was made at the last inspection that the registered person must prepare a written plan as to how the service users’ needs are to be met and ensure the plan is kept under review. The care plan must be reviewed a minimum of every six months or earlier if the needs of the service user changes. This had almost been met. Three people lived in the home. All their care plans were read. Each person had had a review with their social worker since the last inspection. After the review a new care plan had been developed. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 12 These provided detail about how care was to be provided to each person. The care plans were signed by the manager and the person and dated. They also contained a statement that the person was in agreement with the plan. Each care plan included a list of likes and dislikes, including the activities that the person liked to participate in. However, none of the care plans had been reviewed after six months and the reviews were overdue. A recommendation was also made that the registered person should audit the information contained in the service users’ care records to ensure the information held is accurate and easily accessible to staff and service users. This had been addressed. The files had been reorganised into sections and each section was labelled for ease of access. There was information in the care plans about how people made choices and decisions. Each person was given a key to the front door and their room. None of the three people was able to come and go independently. The manager gave an example of how the staff supported one person to open the door. People kept their own money and staff supported people to manage their money. People chose the food they ate, the clothes they bought and wore, the décor of their rooms and their activities. There were individual and general risk assessments. The individual risk assessments included the benefits to the person of participating in activities which posed a risk. They also focused on promoting independence. The risk assessments were reviewed every six months and a record was kept. Each person also had a management plan for particular behaviours and these were reviewed every six months. The risk assessments and management plans were kept together in a risk assessment folder. It would be good practice to keep each person’s records separately in their personal file so that they could access their records easily if they wished. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had opportunities for personal development. They had opportunities to participate in their local community and kept in contact with their family and friends. People were involved in the routines of the home. They were offered a varied diet and enjoyed their food. EVIDENCE: All three people who lived in the house went to church. Staff supported two people to go to church and the third went with their parents. One of the people had recently been Christened and showed us their photographs of the Christening and the party afterwards. Each of the people had contact with their family and went to stay with them some weekends. One person went on holiday with their family. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 14 All were planning to spend Christmas with their family. Staff supported two people to have personal relationships. The three people went to a day service most days. One person worked in a fish and chip shop one day a week. They said that they enjoyed their job. Another person went to an animal sanctuary once a week. Everyone said that they enjoyed going to their day service. One person had recently enrolled with the college to do a computing course. People also talked about their leisure activities. They were getting ready to go to a social club the evening of the visit and said that they went to the club every week. One person liked dancing and was part of a dance group at the town hall and another group, which met at a school. Another person liked going to football. They all said that they enjoyed going shopping for clothes and personal items, going out for meals and going to the pub. There was a varied menu, which reflected a balanced diet. People chose the meals for the menu from menu cards. They said that they enjoyed their food. They also went shopping at the local supermarket, with staff support, and chose what they wanted to buy. They took a packed lunch to the day service. Two staff from the day service, who completed quality assurance questionnaires, commented on the good variety provided in the lunch boxes. A range of drinks was also provided including hot drinks such as cocoa and water from a water cooler. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health care needs were being met. They were protected by the home’s medication practices. EVIDENCE: Health care needs were recorded in the care plans. Each person was registered with a GP. Contacts with health professionals were recorded. The records showed that people saw the GP, community nurse, psychiatrist, dentist and optician. Each person had a health action plan to ensure that their health care needs were met. As part of their quality assurance the managers had sent a questionnaire to a GP. The GP said that people’s health care needs were being met. Medication was stored safely in a locked cupboard. Staff assisted people to take their medication. There were records of medicines received into the home and administered. These were appropriately recorded. Staff had received training about the administration of medication. Eckett House DS0000003214.V355209.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. People’s views were listened to and acted upon. People were protected from abuse. EVIDENCE: A summary of the home’s complaint procedures was on display at the entrance to the home. The complaints procedure was also included in the easy read service user guide and each person had a copy. The policy stated any complaint would be responded to within 21 days. Examination of the complaints records showed that no complaints had been received since the last inspection. Discussion with people confirmed they would “tell staff” if they were unhappy. The home was supporting people to manage their personal money. Two people kept their own money and managed it with minimum support. One person’s finances were managed by their relative. There was a copy of Wiltshire and Swindon’s “No Secrets” guidance about the local multi-agency safeguarding adults procedures. Staff had attended abuse awareness training and there were certificates to confirm attendance. There had been no allegations of abuse. Eckett House DS0000003214.V355209.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, 25, 27, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The accommodation was generally well maintained and well decorated. Each person had their own bedroom which they liked. People benefited from homely, clean accommodation. EVIDENCE: The home was a mid terraced house close to the centre of Swindon. Each person had a single bedroom, which was individually decorated and furnished. One bedroom was on the ground floor. Two more bedrooms and the staff sleep in room were on the first floor. On ground floor there was a small sitting room with a dining area. The bathroom and toilet facilities were also on the ground floor. The toilet and the front hallway had recently been repainted. The home was clean and tidy and maintained to a good standard. People said that they liked their rooms. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 18 There was a domestic washing machine in the kitchen area. A risk assessment had been completed to identify and reduce the risk of infection. Staff had completed infection control training. Two of the tiles in the kitchen doorway were broken. One of the managers said that they would replace them. Eckett House DS0000003214.V355209.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, 33, 34, 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People were supported by enough staff who had some relevant training to meet their needs. People were supported and protected by the home’s recruitment practices. EVIDENCE: There was one member of staff on duty when the people were at home and one member of staff sleeping in at night. At the time of the inspection there was one full time member of staff, a member of bank staff and the two managers. There was a recruitment procedure. One member of staff had been employed since the last inspection. They had completed an application form. Two written references and Criminal Records Bureau and Protection of Vulnerable Adults checks had been obtained before they started work. A recommendation was made at the last inspection that the induction training should meet the “Skills for Care” induction standards. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 20 This person had received a brief induction to the home only. This was because the person had worked previously in a service for people with learning disabilities and already had a National Vocational Qualification (NVQ) in care at Level 3. A requirement was made at the last inspection that staff must receive training appropriate for the work they perform and each member of staff must have a training and development plan which includes training specific to the needs of service users. This had partly been addressed. Staff had received training about medication awareness, health and hygiene, handwashing hygiene, first aid, food hygiene, equality and diversity and training about prevention from abuse. More training should be provided specific to supporting people with learning disabilities such as the Learning Disability Induction Award. Another recommendation was made that the registered person should ensure staff receive the time and support to complete their NVQ training. There had been staff changes, which meant that the managers had not been able to address this fully. One member of staff had decided not to do their NVQ because they were going to university. One member of staff was part way through their NVQ 2 but had gone on maternity leave. A member of bank staff already had an NVQ. The managers were both working towards the Registered Managers’ award. Eckett House DS0000003214.V355209.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. This judgement has been made using available evidence including a visit to this service. The managers need to have the appropriate qualification and be clear about their different roles to ensure that people benefit from a well run home. People’s views were being reflected in the quality assurance process. People health, safety and welfare were promoted. EVIDENCE: There were two registered managers. One of the managers had been away from the home. A recommendation was made at the last inspection that they write to the Commission to inform us of their return and the hours that they would work. This had been addressed and the Commission had been informed. Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 22 Another recommendation was made that the registered managers should provide the Commission with a copy of the legal agreement they intend to draw up and also provide the Commission with a copy of each manager’s job description and defined areas of responsibility. This had not yet been addressed. A legal agreement was still being drawn up and copies of job descriptions had not yet been forwarded. A further recommendation was made that the registered managers should ensure they have the necessary qualification to manage the care home and should complete the Registered Managers Award (RMA). One of the managers had started their RMA again with a new training company. The other manager said that they were half way through their RMA. All managers who had been managing a care home since before the introduction of the National Minimum Standards for Younger Adults were required to have this qualification by the end of 2005. The managers must complete this qualification promptly so that they are appropriately qualified. A requirement was made at the last inspection that the registered person must establish and maintain a system for evaluating the quality of services and extend the scope of the quality assurance survey to include service users families, staff working at the home and relevant stakeholders. This had been addressed and questionnaires had been sent to the people who lived in the home, their relatives, the GP, the community nurse, the dentist and the tutors at the day service. All gave very positive responses and no areas were identified for development. The managers need to complete this process and write a report of the findings and produce a development plan. A recommendation was made that the registered person should review and improve the questionnaires sent to service users to ensure service users’ views are fully reflected in the quality survey. This had also been addressed. The number of questions had been increased to include care provided, choice of meals, cleanliness, staff help and support and accommodation. There were records of health and safety checks and servicing, including gas safety checks, fire safety checks and portable appliance testing. Staff received training about health and safety. There were individual and general risk assessments. Windows were restricted so people would not fall out. The radiators were not covered but people were mobile and were judged not to be at risk from hot surfaces. Eckett House DS0000003214.V355209.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 3 2 3 3 X 4 3 5 3 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 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 x Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation Requirement Timescale for action 31/12/07 15(1)(2)(b) The care plans must be reviewed a minimum of every six months or earlier if a person’s needs change. 9(2)(b)(i) The registered managers must ensure they have the necessary qualification to manage the care home and must complete the Registered Managers Award. This is outstanding from the end of 2005. 2. YA37 30/06/08 3. YA39 24 The registered person must complete the quality assurance process by writing a report of the findings from the questionnaires and producing a development plan. 01/03/08 Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 25 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 YA9 Good Practice Recommendations Each person’s individual risk assessments should be kept separately in their individual file to help them to have easy access to their records and to keep their information confidential. The registered person should ensure that more staff are enrolled for NVQ training to ensure that at least 50 of permanent staff are appropriately qualified. The registered person should ensure the induction training meets the Skills for Care induction standards and introduce the Learning Disability Induction Award for new staff. The registered person should introduce more training for staff specific to the needs of people with learning disabilities. The registered managers should provide the Commission with a copy of the legal agreement they intend to draw up and also provide the Commission with a copy of each manager’s job description and defined areas of responsibility. 2 YA32 3. YA35 4. 5. YA35 YA37 Eckett House DS0000003214.V355209.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office 4th Floor Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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