Inspection on 05/07/05 for Eckett House

This inspection was carried out on 5th July 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

Eckett House 21/11/08

Eckett House 19/11/07

Eckett House 29/01/07

Eckett House 08/12/05

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 Bernard McDonald Announced 5 July 2005 at The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 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 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 Mrs Madeleine Thomas Care home 3 Category(ies) of LD Learning disability registration, with number of places Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 25 October 2004 Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 5 Brief Description of the Service: Eckett House replicates the principles of ordinary living. The home is a mid terraced property on the outskirts of Swindon town centre. Accomodation is provided on two floors accessed by stairs. 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 further bedrooms and a staff sleep in room that also doubles as the office. To the rear of the property there is a small garden. The home provides accommodation for men and women with a learning disability. The home is not staffed when service users are at designated activites. Usually there is one person on duty. There is no waking night staff, instead staff undertake sleep in duties and are expected to assist in an emergency, should one arise and meet any night time needs. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over nine and a half hours. The home was given twelve hours notice of the inspection. The inspector viewed all areas of the home and met with all service users and one care staff. The inspector had the opportunity to interview service users and staff in private. A number of records were examined including all service users care plans, risk assessments, health and safety records and two staff recruitment files. The inspector found three requirements from the last inspection had not been met. An immediate requirement notice was left at the home regarding concerns over the management of the home. What the service does well: What has improved since the last inspection? Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 7 The home has ensured that the needs of service users have been reassessed to ensure their needs can continue to be met at the home. Service users have been given a key to the front door of the home in order to promote independence. The home has taken steps to obtain the views of service users, their supporters and relatives regarding their views on the quality of care being provided at the home. 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. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 5. The overall standard and content of documents to enable service users make an informed choice about where they live is considered satisfactory. EVIDENCE: Following a requirement made at the last inspection the home has completed their statement of purpose and service user guide. However the statement of purpose needs to include details of staff employed at the home, their qualifications and experience. A copy of the service user guide was held on individual files and there was evidence to demonstrate the contents had been explained to service users. The home has not admitted any new service users since 2002. Following a recommendation made at the last inspection the manager has contacted the service users placing authority and an up to date assessment of need has been received to demonstrate the care provided at the home is suitable for their individual needs. Service users have been provided with contracts stating the terms and conditions of their stay. These documents were last updated in February 2004 and did not fully reflect the full cost of their care. The home has developed an addendum to the purchasing contract that includes room to be occupied and house rules. Service users had signed the contracts, however, from discussion Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 10 with service users the inspector was unable to determine whether these documents had been fully explained to them. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9. The home is failing to demonstrate how the needs of service users are being safely met, what choices service users have made and what action is being taken to ensure any risks to service users are being safely managed. EVIDENCE: The inspector examined all service users care plans. One service users review had been completed in August 2004 but the care plan had not been updated since March 2004. There was evidence to demonstrate a review had been held at the service users day care and although this did cover some aspects of the service users accommodation it did not fully address the support needs, goals or outcomes of the service user. This pattern was reflected in all service user care plans. No care plans had been reviewed in the past six months and it is a requirement that reviews are completed and the review must identify how service users needs are being met at the home. The inspector was concerned to find objectives identified in the service users reviews had not been implemented or followed through which could impact on service users personal development. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 12 The home has developed monthly monitoring sheets for mainly recording service users monthly activities. The records identified one service user who had exhibited aggressive behaviour towards staff and incidences of stealing. There were no strategies in place to reduce these incidents or any clear guidelines of what action is required by staff to respond to these incidents. The lack of clear guidelines puts staff and the service user at risk. The manager stated that service users are able to make choices and decisions about their life however there was little documented evidence to support this claim. Discussion with two service users could not fully substantiate what choices they had been offered. It is strongly recommend that the home clearly records what choices service users make and what support they need to make decisions about their lives. Individual risk assessments had been developed for all service users however none of the assessments had been reviewed in the past twelve months. There was no evidence to demonstrate staff had read or understood the risks to service users. There were no risk assessments completed on managing aggression towards staff. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16, 17. The home is providing opportunities to enable service users participate in community activities and support to maintain contact with friends and relatives. The home provides a healthy diet. EVIDENCE: Discussion with service users confirmed they enjoyed attending local day care services. One service user stated they did not want to go anywhere else. Oneservice user has started to explore work opportunities but this is still in the early stages but does provide evidence that service users are being encouraged to develop new skills. The home is situated close to Swindon town centre and one service user confirmed they are able to visit local shops and pubs with support from care staff. The manager confirmed service users are supported to attended a range of community based activities and daily records show service users attending Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 14 cinema, shopping, meals out and helping to groom horses owned by the manager which the service users stated they particularly enjoy. The inspector spoke with the relative of one service user on the telephone. The relative was very complimentary about the care provided at the home and said the home did provide support to enable them to meet with their relative. The service user was also able to telephone their relative at any time. One service user confirmed they had regular contact with their relatives and spent weekends away from the home with their family. The manager confirmed all service users had participated in a personal relationship and sexuality course facilitated by the day centre. Since the last inspection all service users have been provided with a key to their home. The manager confirmed all service users receive their mail unopened and if necessary the contents are then explained to service users. Discussion with all service users confirmed they enjoyed all the meal provided at the home. One service user stated the meals were “good” and another service user said they liked them and one member of staff was “a good cook”. One service user confirmed they were able to help prepare some meals at the home. The main meal of the day is provided in the evening and there is a small dining area where service users are encouraged to eat their meals. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 The home is failing to demonstrate if personal care is provided in the way that service users prefer. Service users health care and medication is being well managed. EVIDENCE: Discussion with the manager and one member of the care staff would indicate that service users are provided with flexible personal support in a small family environment. Service users daily notes demonstrated routines are flexible and one service user did confirm they could have a “lie in” at weekends. The manager confirmed two service users require support with their personal care needs. However the extent of the support required is not documented in their care plans, which could lead to inconsistencies in the way service users are being supported. Examination of records demonstrates service users have access to appropriate medical care including access to specialist health appointments. A record of all Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 16 health care appointments are being kept and show service users have recently attended dental, podiatry and opticians appointments. A letter had been obtained from the GP of two service users commenting favourably on their care. Examination of medication records confirmed “homely remedies” and “as required” medication had been approved by the GP. Medication record examined demonstrated the home was accurately recording medication when it is administered. A separate record was held on medication received at the home. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 There are opportunities for service users to share their views and feelings however the home has failed to provide adequate training for staff in abuse awareness and managing aggression. EVIDENCE: The home has developed an abridged version of the complaints procedure using symbols and pictures; copies were held on service users individual files. The complaints procedure needs to be updated to reflect the change from NCSC to CSCI. The manager stated the home has not received any complaints since the last inspection. Discussion with one member of staff demonstrated a good understanding of what constitutes abuse and what action they would take to report any incident affecting the welfare and safety of service users. The manager stated one member of staff has completed abuse awareness training and it is recommended this training be provided to all staff at the home. The home has not developed a policy in managing aggression. In view of the challenges of one service user this policy should be developed. The manager was holding money on behalf of service users. Examination of the records showed service users monies was in deficit due to the manager not withdrawing money from their bank accounts. While the manager stated this did not restrict service users spending in anyway it does not reflect good practice and should be reviewed. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29, 30. The overall standard of accommodation is satisfactory however the absence of environmental risk assessment means the home cannot ensure service users are living in a safe environment. EVIDENCE: The home is situated in a terraced row close to the Swindon town centre. The property is in keeping with the surrounding area. Service users bedrooms are located on two floors. One bedroom is sited on the ground floor and two bedrooms are sited on the first floor. The inspector viewed all service users bedrooms and found they were comfortably furnished and well maintained. Service users said they liked their rooms and had everything they needed. The inspector was concerned to find radiators were not guarded and window openings were not restricted. Risk assessment were not in place and it is a requirement that these are completed to identify and reduce any risk to service users. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 19 There is a sleeping in room for staff, which also doubles as the office. Communal living space comprises of a lounge and dining area. There is a small domestic style kitchen. Access to the bathroom and toilet is through the kitchen area. There are no toilets on the first floor. The manager stated this does not impact on service users although the inspector could not fully substantiate this statement with the two service users who sleep on the first floor and consideration should be given to providing toilets facilities on the first floor. There are no aids or adaptations in place at the home. The washing machine is sited under the worktop in the kitchen. Written confirmation has been received from the environmental health department that this arrangement is satisfactory. Infection control policies were in place and staff are due to commence training in the coming month. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34. The home is failing to ensure safe recruitment practices are followed and that there is sufficient staff on duty at all times. EVIDENCE: Examination of the staff rota demonstrated there was one member of staff on duty at any time. The rota does not show any hours worked by the registered manager. The manager stated that she provides cover during the day and evening but the hours she works is not recorded on the rota and it is a requirement that all hours worked by staff and management are clearly recorded. This will ensure a record is kept of all hours worked and that there are at all times sufficient staff on duty to meet the needs of service users. A requirement was made at the last inspection that the registered provider submit an action plan to ensure a minimum of 3.69 whole time equivalent (wte) staff were employed at the home. This requirement had not been met. The average weekly hours including those worked by the manager are three whole time equivalent, a deficit of .69 wte. The manager must review the staffing arrangements taking into account the needs of service users and provide a copy of the review to the CSCI. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 21 Examination of staff recruitment records highlighted the most recent member of staff had not received a satisfactory Criminal Records Bureau (CRB) check at enhanced level. This was a requirement at the last inspection and enforcement action will be taken if in future, any member of staff commences employment without a satisfactory POVA first / CRB check. There was a copy of the staff members previous CRB but the date of the check could not be verified. The manager was informed the staff member could not work at the home until a satisfactory CRB had been received. The manager did take action to address this requirement during the inspection. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 Service users views and those of their supporters are being obtained, though these have yet to influence the quality of care they receive. There are serious concerns regarding the management arrangements, which do not ensure service users benefit from a well run home. EVIDENCE: Following two requirements made at the last inspection the provider has taken steps to obtain the views of staff, service users and their supporters regarding the care provided at the home. Letters from the GP, the local church, relatives and care purchasers were available for inspection. The documents were very complimentary about the care provided. The inspector had the opportunity to speak with all service users in private. One service users said they were happy and another service user stated they “liked it” at the home. The inspector had the opportunity to speak with the relative of one service user on the telephone who was complimentary about the care provided at the home. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 23 The home has developed a questionnaire to formally obtain the views of service users about the care they receive. It is recommended that this information is collated into a working audit tool to identify ways in which the service provided can be improved for the benefit of service users. The registration certificate shows that Miss A Thomas and Mrs M Thomas are joint providers and registered managers of the home. Prior to the inspection the Commission did have concerns over the management arrangements at the home following one of the joint managers contacting CSCI to say they were unable to fulfil their management role. A meeting was arranged at the CSCI office to resolve this matter but only one of the joint managers came to the meeting. During the inspection both managers were present at the home and the inspector discussed what arrangements were in place to ensure service users benefit from a well run home. The inspector was very concerned to see the managers arguing very loudly with each other and with no regard to the effect this could have on service users who were downstairs. The bickering and arguing between the two managers that was witnessed by the inspector falls far short of the standards expected of a registered manager and an immediate requirement notice was issued. The managers must resolve their differences and provide CSCI with an action plan regarding the future management arrangements to prevent any action being taken by the Commission regarding their fitness to manage a care home. Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x 2 Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 1 2 x 1 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 2 3 N/A 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 1 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Eckett House Score 2 3 3 x Standard No 37 38 39 40 41 42 43 Score 1 x 2 x x x x Version 1.30 Page 25 D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc 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 1 Regulation 4(1)(c ) Requirement The registered person must ensure the statement of purpose includes the number, relevant qualifications and experience of staff at the home. The registered person must ensure standard form of contract fully reflects the cost of the care provided at the home. The registered person must ensure the service user care plan is reviewed a minimum of every six months or earlier if the needs of service users change. The registered person must ensure any startegies or interventions required by staff to manage service users difficult and challenging behaviour is clearly recorded and understood by staff. The registered person must ensure risk assessments are reviewed a minimum of once a year or earlier if the risk to service users changes. The registered person must ensure risks associated with managing difficult and challenging behaviour are clearly recorded and understood by Timescale for action 01/10/05 2. 5 5(1)(c ) 01/10/05 3. 6 15(2)(b) 01/09/05 4. 6 12(1)(a) (b) 01/09/05 5. 9 13(4)(b) (c) 01/09/05 6. 9 13(4)(c ) 01/09/05 Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 26 staff. 7. 18 & 6 The registered person must ensure service users personal care needs and the way they wish to be supported is clearly recorded in their care plan. 22(6)(a) The registered person must ensure the complaints procedure includes the name address and telephone number of CSCI office Chippenham. 13(4)(a) The registered person must complete risk assessments on all radiators, and where a risk is identified action must be taken to reduce the risk 13(4)(a) The registered person must complete risk assessments on window openings on the first floor and where a risk is identified action must be taken. 17(2) The registered person must ensure an accurate record is kept of all hours staff work at the home including all hours worked by the manager 18(1)(a) The registered manager must draw up an action plan which details how they intend to staff the home and ensure there is a minimum of 3.69 full time equivalent care staff in post. A copy of the action must be sent to the CSCI office Chippenham. This was a requirement at the last inspection. 19 The registered person must ensure no newly appointed staff commence employment without a satisfactory Criminal Records Bureau check. This was a requirement at the last inspection. 7(1)(2)(a) The co owners and joint managers must provide the CSCI with written details to demonstrate the home is being D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc 15(1) 01/09/05 8. 22 01/10/05 9. 26 01/09/05 10. 26 01/09/05 11. 33 01/08/05 12. 33 01/09/05 13. 34 05/07/05 14. 37 25/07/05 Eckett House Version 1.30 Page 27 effectively managed and what arrangements are in place for the future management of the home. Written agreement must be received at the CSCI office Chippenham by 25/07/05. 15. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7 9 Good Practice Recommendations The registered person should clearly document what choices and decisions service users have made about their lives. The registered person should ensure staff have read and understood all risk assessments held at the home by signing to confirm they understand and agree with their contents. The registered person should ensure all staff receive training in the protection of vulnerable adults. The registered person should develop a policy and procedure on managing aggression towards staff. The registered person should procedures for handling service users monies. The registered person should consider installing a toilet on the first floor. The registered person should collate all the views of service users and their supporters as part of their quality review. 3. 4. 5. 6. 7. 23 23 23 27 39 Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 28 Commission for Social Care Inspection Suite c, Avonbridge House Bath Road Chippenham Wiltshire SN15 2BB National Enquiry Line: 0845 015 0120 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 Eckett House D51_D01_S3214_ECKETTHOUSE_V222147_050705 STAGE4.doc Version 1.30 Page 29 - 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. 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