Inspection on 05/10/07 for Felbrigg House

This inspection was carried out on 5th October 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Felbrigg House St Alphege Road Dover Kent CT16 2PU Lead Inspector Sue McGrath Key Unannounced Inspection 5th October 2007 10:00 Felbrigg House DS0000070197.V348355.R02.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 Felbrigg House DS0000070197.V348355.R02.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. Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Felbrigg House Address St Alphege Road Dover Kent CT16 2PU 01883 732211 01883 734561 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) Broadham Care Ltd Mrs Joanne Louise Alexander Care Home 10 Category(ies) of Learning disability (0) registration, with number of places Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 10. Date of last inspection of this service Brief Description of the Service: Felbrigg House is situated in a quiet road in Dover near the town centre. The organisation has purchased the old church rectory and has made extensive refurbishments. It has invested heavily in providing a modern and spacious environment in which to live. All of the bedrooms are large and have full ensuite facilities. The home offers two large lounge areas, a dining room, a quiet room and a sensory room. Residents can use either of the two gardens available. The kitchen is spacious with all modern facilities. The interior has been decorated to a very high standard. The home is close to the town centre and docks and has easy access to local transport and shops. The home is intended for 10 service users with a learning disability. Fees are assessed according to individual needs. Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 5th October 2007 and was conducted by Sue McGrath, Regulation Inspector for the Commission for Social Care Inspection. The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. This was the first inspection of Felbrigg House and on the day of the inspection the home had three residents. It is currently introducing new residents on a phased programme to ensure they each have the time to settle into the home. Overall this was a positive inspection with good outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and well cared for. What the service does well: The environment in the home is extremely good with all bedrooms having ensuites with either a bath or a shower. The décor has been tastefully designed and all rooms are spacious and airy. All décor and fittings are finished to a high standard with due care and attention paid to maintaining independence and safety. Two large gardens have been provided for the residents. The home also has a sensory room, which is popular with some of the residents. Residents are encouraged to maintain their independence and to be involved with the day-to-day running of the home. The home has a comprehensive statement of purpose and a pictorial service users guide that informs the residents and their relatives of the services offered. Activities and social life is a high priority with the management team and the organisation has provided a people carrier for the exclusive use of the home. Residents are involved with planning their social activities and plans are in place for residents who wish to, to attend local colleges when places become Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 6 available. The manager also says they are looking into local employment or volunteering in the future for residents who wish to participate. The ethos of the home is to provide a safe place to live, where residents can build open relationships with staff and are encouraged to maintain and develop independence and have the opportunities to develop to their full potential. One resident said ‘I love living here and want to stay forever’. Comments from a local Care Manager were extremely complimentary on the service provided by the home. This is a very promising start. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Felbrigg House DS0000070197.V348355.R02.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 Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 and 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with the information they need to make an informed choice about moving into the home. Residents benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: The home has introduced a comprehensive statement of purpose and a service user guide. The service user guide could be improved by adding the details of the registered manager as registration has now been completed and also giving the correct address of the Commission. The service user guide is also comprehensive and available in a suitable format for the residents. Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 9 These documents enable prospective residents and their families make an informed choice about where to live. Each prospective resident is visited by the operational manager and then separately by the registered manager to ensure that all aspect of the care required are fully assessed including the equality and diversity of each individual resident. The home appears to invest a lot of time and energy in assuring the prospective resident will settle in well with the other residents and the home will be able to meet their needs. The manager confirmed that all residents are invited to visit the home prior to admission and view the services on offer. They can stay for the day and share a meal or for several days if that is preferred. On the day of the inspection a prospective resident visited and it was evident she knew the manager from a previous meeting and was enjoying looking around the home. The manager confirmed that a review is held with the resident, family or representative and care management after a four-week period to ensure all parties remain happy with the service offered. This period can be extended if necessary. The operational manager discussed the contracts being drawn up with local authorities and discussed the length of time it took to get these returned. The inspector is happy that work is in progress on contracts and will be completed as soon as possible. Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Service users are enabled to take reasonable risks within the home’s risk assessment management strategies. Residents’ privacy is protected by a confidentiality policy that staff are familiar with. EVIDENCE: Each resident has an individual care plan that reflects all aspects of daily living and personal needs. The care plans are drawn up with each individual and Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 11 those spoken with were fully aware of the plans. This gives the residents the opportunity to express their ambitions for short and long term goals. They are given the opportunity to sign and keep these if they so wish. The plans contain written risk assessments, which will be increased as the residents continue to live in the home. A good start has been made to identify risks but, as expected, these will develop in time as new risks emerge. One resident discussed how he had been involved with choosing his activities and lifestyle. This plan was clearly very important to him. The residents are consulted on many aspects of life in the home including choice of meals, activities, names of key workers and general living routines. Daily notes confirmed that residents are given full choices in many aspects of daily life. On the day of the inspection it was possible to gather evidence by direct observation that indicated that staff understood the needs of the individuals and were able to support them effectively. During discussion with the management and staff it was clear they respected client confidentiality and the manager confirmed details would only be released on a need to know basis. A comment card received from a local Care Manager confirmed the home has worked very closely with her to provide a suitable tailor made service for her client and have established a professional and comprehensive service. A further comment made was that staff had been understanding of the clients individual needs in a sensitive and impartial way. Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14,15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having the opportunity for personal development with their daily living skills and have appropriate level of leisure activities. Residents also benefit from being part of the local community. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. Residents benefit from the appetising meals and balanced diet offered by the home. EVIDENCE: Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 13 A wide range of activities are offered giving residents the chance to expand their skills, knowledge and experience in a range of settings. Residents are encourages to take part in age, peer and culturally appropriate activities. Some of the activities include the use of a hydrotherapy pool, swimming, the exclusive use of a soft play area, visits to local shops and pubs, meals out, day trips to a wide variety of places and day trips to France. Regular Tai Chi sessions are also offered. These activities are arranged on an individual or group level as preferred by the residents. The home has exclusive use of a people carrier. One resident spoke of his love of photography and was eager to show the efforts of his work. He is supported to expand his knowledge in this field. He also has a love of music and is the home’s ‘DJ’. He also attends local groups where he can also use his skills. It is planned that he attends a local college as soon as places are available. The home plans in the future to encourage residents to seek employment, either voluntary or paid, and to support them to attend. It is also their plan to allow residents to hold a front door keys, following risk assessments and individual guidelines. It is recognised that this service is very new. Residents are encouraged to become part of the local community and pastoral needs are well managed. Residents’ post is not opened on their behalf and staff offer support where necessary. Residents are also enabled to take private telephone calls and are supported to visit family members. Bed times are very flexible and residents can get up or go to bed whenever they prefer. Residents are encouraged to become involved with menu planning and meat, fruit and vegetables are sourced locally with a preference for organic produce. Mealtimes are as a social occasion and staff and residents normally eat together. The bulk of the shopping is done on line but residents are encouraged to ‘pop to the local shops’ to buy a few extras. Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in a way that promotes their individual physical and emotional needs. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Residents are encouraged to make informed decisions regarding their personal and health care and support is opffered to achieve. Independence is promoted at all times and staff will do tasks with the residents, but not for them as necessary. All residents are encouraged to gain new skills and enhance their independence as far as possible. Residents are supported to purchase toiletries and clothing of their own choice. Residents are all registered with a local GP and are supported to attend appointments and reviews as necessary. Residents who may require support Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 15 from other professionals (eg psychology or occupational therapy) are referred on an individual basis. Evidence was seen that this support is extensively sought and the advice given is adhered to. The administration of medication was assessed and evidence was seen that this is well managed. Marr sheets were viewed and were completed appropriately. The manager states that she monitors the administration of medication and is advised to record this. Discussion took place regarding the level of training that staff undertake and it is advised that the current level of training needs to be reviewed to include a more robust training programme. The manager was confident her staff were capable and competent in the safe administration of medication. The current service users have a low level of medication. The drugs were appropriately stored and advice was given to record room temperatures to ensure they remain within the guidelines issued by the Royal Pharmaceutical Society of Great Britain. The home does have a policy on ageing, illness and death and is planning for staff to receive training in this field in the near future to enable them to support residents as required. Felbrigg House DS0000070197.V348355.R02.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear and effective complaints system in place and residents are protected by the home’s robust adult protection policies and procedures. EVIDENCE: The home has a comprehensive complaints procedure in place and residents have access to a pictorial guide. The residents are encouraged to build therapeutic relationships with the staff team so that they feel enabled to discuss any concerns. The manager confirmed these concerns would be listened to and responded to. Any complaints would be logged and dealt with within a standard framework and records would be maintained. The home has received no complaints since opening. The home also has a policy on Adult Abuse and must ensure staff are appropriately trained. Staff spoken with displayed a good understanding in this field. It is recognised that this service is very new. Felbrigg House DS0000070197.V348355.R02.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean, safe, well-maintained modern environment and have safe access to comfortable indoor and outdoor communal areas. Residents are encouraged to maximise their independence by having access to the range of specialist equipment supplied by the home. EVIDENCE: The home provides excellent accomodation and a calming environment for the residents. All bedrooms exceed the minimum size requirements, with full ensuite facilities. There are also good toilet and shower facilities provided communally. Felbrigg Houses communal areas are domestic in nature and allow for privacy and independence. Residents have the use of two lounges, one dining room and a sensory room. The home also has two large gardens avaliable for use. There is some off road parking. Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 18 The house has been purpose-redeveloped and refurbished to an exceptional standard in order to meet the needs of the clients. All decor and fittings are finished to a high standard with due care and attention paid to maintaining and promoting the independence and safety of those working and living within. The home has a planned maintenance programme to maintain standards set. Residents personal spaces are designed to meet their needs, and they are encouraged to personalise these spaces. All have full en-suite facilities to promote independence and dignity throughout. Communal facilites are provided on the ground floor so that residents do not have to return to their rooms during the day if they do not want to. Provision of specialist equipment is provided on an individial basis, to encourage independence where possible. All of the radiators are guarded and each room has indivdual thermostatic controls on the radiators. Windows are secure and some are silvered to ensure maximun privacy from the outside. It is the intention of the team that as and when new residents are admitted, each room can be individually personalised by the resident and/or their families. A cleaning rota ensures that the communal areas are maintained in a clean state, and residents are encouraged to take responsibility for their personal space and supported to do so. The home was very clean and fresh on the day of the inspection. The laundry room is sited away from the main kitchen and is clean and contains all the appropriate equipment. Residents are encouraged to assist with completing the washing where possible. The decision to site the food freezers in the laundry was discussed. The manager is advised to consult with the local Environmental Health Department to ensure that this arrangment is satisfactory. Felbrigg House DS0000070197.V348355.R02.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): 31, 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a staff team who are interested and motivated in providing a good standard of care. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: Staff have clearly defined roles that enable them to carry out their duties effectively. Staffing levels are reviewed to meet the changing needs of residents with regards to the number of residents in the home. Some agency staff have been used but the home always endeavours to use the same person where possible. The staff team is currently growing as the numbers of residents increases. The home’s recruitment procedures ensures they carefully select only appropriate staff and they follow all the requirements of regulation regarding Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 20 the necessary checks. The home employs both male and female staff and equality and diversity of staff is part of the recruitment procedure. As the home is very new, training is still being developed and booked but the Operational Manager and Registered Manager are aware of what is required and have made a positive start. There currently are some gaps in training but with such a new staff group this is to be expected and the inspector is confident that the organisation will plan to ensure all staff are fully trained as soon as possible. The manager confirmed the induction programme used meets the Sector Skills Council workforce training targets and ensures staff fulfil the aims and objectives of the home. NVQ is given a high priority and currently 66 of staff have attained NVQ level 2 or above. Again as the service is a matter of only a few weeks old, staff supervision is still under development. The manager confirmed it is her intention to give staff regular and recorded supervision to promote good practise and personal development. Felbrigg House DS0000070197.V348355.R02.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, 38,39, 40, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from having a manager who is supported well by senior staff in providing clear leadership throughout the home and by staff who demonstrate an awareness of their roles and responsibilities. Current arrangements are sufficient to protect the health, safety and welfare of residents and staff. EVIDENCE: Both the Registered Manager and Deputy Manager have NVQ 4 and RMA and mangement experience which allows a balanced approach to home management. Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 22 Out of hours support is provided and both the manager and deputy regularly work hands on to support the staff team. An open door philosophy encourages the staff team to feel able to raise ideas and concerns and are confident these will be responded to. This inspection was conducted very early in the life of Felbrigg House and these standards will be reviewed again once the team has established itself. Initial assessment is promising. The manager explained that it is her intention to hold regualr residents’ meetings and to fully involve residents with the way in which the service is delivered. The organisation has plans for a full quality assurance and quality monitoring system to be put in place to measure the success in achieving the aims, objectives and statement of purpose of the home. It is too early to say if this will be effective, however the plans look promising and if achieved will meet the National Minimum Standards for this area. Any records made by the home are relevant, legible and up to date. These are stored confidentially and access is only given on a need to know basis. Health and Safety for staff and residents is considered at all times and the management team is fully aware of the requirements under Health and Safety Legislation. As expected records are in the early stages. Felbrigg House DS0000070197.V348355.R02.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 4 25 4 26 4 27 4 28 4 29 4 30 4 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 X Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 24 N/a 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 Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA30 Good Practice Recommendations A good practice recommendation has been made regarding standard YA30.2. This states that soiled articles, clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten. The home is recommended to contact the local EHO for specific advise about the food freezers being in the laundry room. A good practice recommendation has been made regarding mandatory training. The home must ensure all staff receive mandatory training and include a more in depth safe administration of medication and Adult Abuse section. 2 YA35 Felbrigg House DS0000070197.V348355.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Felbrigg House DS0000070197.V348355.R02.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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