Inspection on 11/07/07 for Edward House

This inspection was carried out on 11th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Edward House 27/06/06

Edward House 17/11/05

Edward House 14/07/05

Edward House 24/03/05

Edward House 18/01/05

Edward House 18/02/04

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 Edward House Matson Lane Matson Gloucester Glos GL4 6ED Lead Inspector Mr Simon Massey Key Unannounced Inspection 11th & 12th July 2007 09:00 Edward House DS0000030393.V334657.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 Edward House DS0000030393.V334657.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. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edward House Address Matson Lane Matson Gloucester Glos GL4 6ED 01452 307069 01452 311742 iainsteel@selwyncare.com 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) Selwyn Care Limited Mr Stephen John Coates Care Home 10 Category(ies) of Learning disability (10), Physical disability (10) registration, with number of places Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection January 2007 Brief Description of the Service: Edward House is part of the care provision offered by Selwyn Care Limited. The home is situated on the outskirts of Gloucester in the Matson area. The organisation provides residential and day care services to adults with Autistic Spectrum disorders and associated behaviours. The home shares the site with the organisational office, another home and the day care facility. There are spacious grounds around the home, with a lake, garden, fields and a large car park. All communal and individual accommodation are on the ground floor. There are nine single bedrooms all with full en-suite facilities. There are two spacious communal lounges, one incorporating a dining/activities area, as well as an additional dining room accessed via the kitchen. Just outside the main building there is a laundry area and an additional room, which is used for art and craft activities by the residents. The laundry and the art room have stepped access. The home has a Statement of Purpose and Service User Guide from which prospective service users can gain information about the service provided. The current fee range begins at £1725 per week. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 11th and 12th July 2007. The inspector met and interviewed the manager, deputy manager and various members of the care staff team. The inspector also met the majority of the service users. Staff were observed supporting and working with the service users. Records relating to care planning, medication, staff recruitment, health and safety and staff training were examined. An inspection of the environment was also carried out. A number of questionnaires were circulated and returned. What the service does well: What has improved since the last inspection? The menus have been improved with the provision of more variety and healthier options, and with input from a dietician. The home has improved its use of various communication techniques to try and improve choice and decision making by service users. There has been improvements made in the provision of one to one trips to the community and smaller group activities, which has been of benefit to the service users. The home have continued to make efforts to improve the medication administration and eradicate the occasional errors that had been occurring. Action has been taken by the home to ensure that all relatives and people involved with the service are aware of the complaints procedure and how to access it. There has been a further decrease in the incidents of challenging behaviour that have had to be managed by staff. Improved guidance and training has enabled the team’s ability to better manage and re-direct various incidents before they escalate. The service has produced a new staff handbook which contains detailed information about conditions of service as well as information about the type of Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 6 service being provided and the needs of people with autistic spectrum disorders. The home have introduced a new shift pattern for staff, which provides more flexible cover to meet the needs of the service users. The home has improved the scope and detail of its Quality Assurance processes. 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. Edward House DS0000030393.V334657.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 Edward House DS0000030393.V334657.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure ensures that people’s needs and aspirations are assessed prior to prospective residents moving into the home, and when this is not possible action is taken to collate information to form an initial plan of care. EVIDENCE: The home has admitted two service users in recent months and the procedure for these admissions was examined. Recording showed that information was collected and assessments completed in one case and that appropriate care plans were being developed from this. One person had moved in quickly following the breakdown of a previous placement. Whilst this admission did not entirely follow the normal admission process the home had made various efforts to collect and collate as much evidence as was possible in the short time available. This was now being used to provide a plan of care for the staff to follow. Staff demonstrated an awareness of the importance to develop their understanding of this persons needs, which was reflected in the daily recording relating to this person. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed care plans ensure that the service user’s needs are documented and guidance is available to staff. The home takes action to encourage service users to make choices and supports them to take appropriate risks. EVIDENCE: A sample of care plans were examined and these were seen to be well maintained with up to date assessments and regular recording being completed. Incidents relating to challenging behaviour were generally well documented, though there were still some entries for antecedent behaviour that could have been more detailed. All plans were being appropriately reviewed and there was evidence that staff are attempting to be more person centred in their approach to meeting individual needs. The files contained the required information including pen pictures, preferred term of address, previous assessments, guidance for staff around the need for consistency and information relating to specific behaviours that need to be managed. This includes information about how de-escalate behaviours and Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 10 avoid the use of restraint. Guidance is also provided on communication approaches to promote choice and decision making by service users. Information is provided on hobbies and interests and abilities so far identified in relation to household tasks and independence skills. The records relating to a service user living in separate accommodation were seen and found to up to date with appropriate reviewing taking place. The care plan examined had made excellent use of symbols and pictures to improve the service user’s understanding. There was also evidence of person centred activities being sought and staff encouraging decision making and choice. Staff spoken to were very positive about how the move into this new accommodation had benefited the service user and were positive about the general improvement in the quality of life that the new environment had brought about. It was also noted how an improved personalised diet had brought about significant weight loss for this service user. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 using the service are given opportunities to take part in a variety of activities in the home and in the community but efforts are being made to provide greater variety and choice. Support from the home enables service users to maintain positive relations with friends and relatives EVIDENCE: Service users are supported to follow individualised programmes of weekly and daily activities and all have guidelines in place for staff to follow. In order to further develop this aspect of the care the home have tried to develop the range and type of activities that are supported. A training session has been organised with input from the CLDT for the staff team around occupational and vocational activities for people with autism. There has also been improvements made in the provision of more one to one trips to the community and smaller group activities, which has been of benefit to the service users. Staff interviewed were generally positive about these Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 12 changes. Some responses from staff around the issues of choice and the need for people with autism to have regular routines, suggested that work needs to continue to raise staff awareness of the unique needs of people within the autistic spectrum in relation to structure, routine and predictability. On the first day of the inspection one service user was visiting their family for a few days, two were out swimming, two had gone for a walk and others were being supported on a one to one basis in the home. People were also observed watching television, enjoying the large garden area and attending the day centre that is on the same site as the care home. People were also taken on shopping trips and to a music therapy session. A new menu has been introduced in the home that has been drawn up with input from a dietician and from members of staff. Service users questioned were very positive about the food and staff also stated that the new menu provided greater variety and was a more healthy diet. Choice is provided for, with individual preferences being understood by staff, and there is recorded information available on the specific diets that are provided and encouraged for some service users. People are supported to eat their meal in whatever setting suits their needs, be this communally or on their own, and staff have been encouraged to develop their understanding and awareness of the importance of food and rituals to adults with autism. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health needs are closely monitored and appropriate professional input provided to meet the needs of the service users, and provide advice and guidance for the staff team. Satisfactory arrangements are in place for the handling of medication, promoting service users’ wellbeing and, where appropriate, their independence. EVIDENCE: The care plans detail the support that individuals require and also provide guidance to staff on how they would prefer this to be delivered. Individual files contain details of medical appointments and also information and correspondence from outside professionals. Staff record information following appointments in the individual files. Positive feedback was received from outside professionals regarding liaison with the service and the seeking of advice and input. The home have continued to make efforts to improve the medication administration and eradicate the occasional errors that have been occurring. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 14 There is a system in place which requires two staff to administer, and also a system for checking the recording on a daily basis. Staff have received additional training where necessary and there have been discussions in staff meetings about the importance of the home improving this aspect of the service. All recording was completed and medication was stored satisfactorily at the time of this inspection. There was evidence that medication is regularly reviewed with input from the Community Learning Disabilities team where appropriate. There are correct protocols in place to support one service user to selfmedicate. The service user stated they were happy with the arrangements. One person living in separate accommodation, but part of the registration, has had a medication cabinet located in the bathroom toilet area and it is recommended that this is moved to a more suitable position. At the time of the visit the key was also left in the door and the home needs to ensure that this is kept securely. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe environment for service users in which they are respected and treated with dignity. The home has satisfactory arrangements and procedures in place for the protection of service users. EVIDENCE: There is complaints policy in place and following the previous inspection action has been taken by the home to ensure that all relatives and people involved with the service are aware of this and how to access it. Improved training around communication and the use of various visual aids have increased the ability of the staff to seek the views of the service users and also encourage people to make decisions about their daily lives. Recording and interviews with staff evidenced that the use of physical intervention has been minimal with the majority of notifications received relating to one service user, who was moving to alternative accommodation. The records showed that this was situation was managed professionally by the staff team and that efforts were made to manage the challenging behaviour in a sensitive and constructive manner. The behaviours were triggered by anxieties over the proposed move. One service user is being supported to access anger management training with the Community Learning Disabilities Team following an assessment of an identified need in this area. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 16 The home have liaised and communicated with other agencies over the management of challenging behaviours and various risk assessments were seen in relation to accessing the community and how independence can be maintained whilst ensuring risks are minimised. Records and interviews with staff confirmed that there has been a decrease in the incidents of challenging behaviour that have had to be managed by staff. The home have correctly notified the Commission and families where required. Staff stated that increased understanding, better guidance and training had improved the team’s ability to manage and re-direct various incidents before they escalated. Staff all undertake training in Adult Protection, which is provided by the local authority. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service user live in a spacious setting, which meets their needs and is well maintained and decorated. EVIDENCE: An inspection of the environment was carried out and all parts of the home appeared well maintained and decorated and furnished to a good standard. The bedrooms are personalised and service users expressed satisfaction with their rooms. The home was clean and hygienic throughout. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user needs are met by a largely well-motivated and effective staff team who are provided with an excellent induction programme and regular training, which helps ensure they have the necessary skills and knowledge to meet the needs of the service users. A good recruitment and selection framework helps to safeguard the people living in the home. EVIDENCE: The records relating to staff recruitment were examined and found to be in order. Information relating to the most recently recruited staff were seen and these contained all the required information and showed that all the necessary checks had been completed. New staff were very positive about the induction process and support they received during their initial stage of employment. Staff stated that they thought the training was “excellent” and appropriate to the role they were undertaking. The service has produced a new staff handbook with a copy being supplied to every staff member. This contains detailed information about conditions of Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 19 service as well as information about the type of service being provided and the needs of people within the autistic spectrum disorder. The home is supported by the organisations training manager and there is an effective and professional system in place for the monitoring and managing of staff training. All staff interviewed were very positive about this aspect of their employment. People are up to date with the required statutory training and after completing their six month induction and foundation, staff are enrolled onto NVQ training. All staff are receiving formal supervision, though some more frequently than others, and it is evident that improved efforts are continuing to be made to monitor and improve the performance of the staff team by the managerial presence in the home, and the direction and supervision provided by the senior staff on duty. The majority of staff stated they were well supported by the management team and were supportive of the managements approach to improving practice and understanding the needs of the service users. Several staff interviewed stated they thought the team delivered a good standard of care, and also that this was improving. Some staff commented that they thought the service was trying to develop a “more skilled workforce” and that the greater consistency now achieved by the team was benefiting the service users. Staff also commented that increased awareness and understanding of autistic behaviours throughout the team was also having a benefit. The Provider is the process of providing its own training in the management of challenging behaviour, which will replace the current provision which is from an accredited source. The training titled “Understanding the Seven Senses” is based around understanding of autistic behaviour, low arousal and deescalation and the teaching of some breakaway techniques. An application is being made for this training to be accredited. The home needs to ensure that this new training provides the staff with the required skills to meet the needs of the service users. Whilst the home has a policy of restraint only being used as a last resource, some reservations were expressed by staff as to whether sufficient training in physical intervention is being included in the new training. At present the majority of staff have completed the previous training and only recently appointed staff have not been trained. The records for ten new staff were examined and found to be in order with all the required checks being completed and the information in place. During this inspection staff were observed interacting positively with service users and incidents were observed which were well managed in a professional and considered way. The staff on duty demonstrated a caring and thoughtful Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 20 approach to meeting needs, and service users were seen responding in a confident manner. Since the previous inspection the home have introduced a new shift pattern for staff. Staff stated this was working well and had been an improvement both for themselves and the service users. Rotas showed that staffing levels are being maintained with only limited use of agency workers, and then workers who are known to the service users. One agency worker interviewed confirmed that they were aware of the needs of the service users, having worked regularly in the home. The service attempts to use only agency staff who are familiar with the service and the needs of the service users. At the time of the visit all service users who have designated one to one staffing were receiving this level of service. Edward House DS0000030393.V334657.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 good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a home that is well managed and organised and committed to providing high quality care and support. There are excellent systems in place that help to monitor and improve the quality of the service. Good management of the service promotes the safety and wellbeing of the people living in the home. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Manager has the required qualifications is competent to run the home. There is evidence that they work to continuously improve services and provide an increased quality of life for residents. There is an ethos of being open and transparent in the running of the home. The manager and deputy provide leadership and direction to the staff team and support the training initiatives that are being promoted within the service. Record keeping is maintained to a good standard and there is evidence that the manager works cooperatively and positively with the other managers within the service to develop and improve the quality of care provided and promoted. The management are open about the areas of the service they wish to improve and the actions they are planning. The manager, in conjunction with their line manager, has been pro-active in challenging poor practice and promoting a professional approach to meeting the needs of people with an autistic spectrum disorder. The home have replaced various cleaning materials with alternatives that are non-toxic and pose less risk to staff and service users. An infection control audit has been carried by the training manager and additional training has been provided in hand washing and the use of certain products. This is good practice. The home has a 12 month maintenance programme and the manager meets regularly with the maintenance team that service the overall site. There were no specific maintenance problems at the time of this inspection, and staff commented that repairs, when reported, were addressed reasonably quickly. The fire records were up to date in the home but in the additional accommodation, which has its own fire records, they had not been completed regularly and this needs to be addressed. This accommodation had only 4 recorded fire alarm tests in the previous 4 months. The home has various quality assurance processes in place. The group manager undertakes regulation 26 inspections and has been supplying copies of these to the Commission. These have been detailed visits, which have produced a number of action points for managers and staff. The home have also completed an infection control audit, a health and safety audit and a maintenance audit. Surveys have also been circulated and all this information has been collated into a yearly “quality plan”, which is a development and improvement plan for the service. There have also been monthly managers meetings for all the managers within the service. Some outcomes from this process has been the development of more autistic specific risk assessments, a new service user guide being produced in picture and symbol format and the developing of improved recording for care plans. Edward House DS0000030393.V334657.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 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 4 x Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA42 YA20 Regulation 23(4) 13(2) Requirement Regular fire safety testing must take place in the separate accommodation The home must relocate medicine cabinet in the separate accommodation Timescale for action 20/07/08 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA35 Good Practice Recommendations The home should ensure that the new training in managing challenging behaviours fully meets the needs of the staff in terms of providing physical intervention when required. Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Edward House DS0000030393.V334657.R01.S.doc Version 5.2 Page 26 - 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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