Inspection on 24/03/06 for Fenn Court

This inspection was carried out on 24th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 23 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fenn Court 16/02/07

Fenn Court 23/06/06

Fenn Court 31/10/05

Fenn Court 15/11/04

Fenn Court 10/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Fenn Court Broads Cottages Toothill Road Grimsby North East Lincs DN34 4ER Lead Inspector Kishon Dee Unannounced Inspection 24th March 2006 09:00 Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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 Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fenn Court Address Broads Cottages Toothill Road Grimsby North East Lincs DN34 4ER 01472 358369 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) H4037@mencap.org.uk Royal Mencap Society Position Vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Fenn Court is a care home providing personal care and accommodation for adults aged 18-65 years who have a learning disability. It is part of the Mencap organisation. The home is situated in a quiet residential area in the outskirts of Grimsby and is close to local shops and amenities. The accommodation is of a domestic nature and is provided in three houses. Each house has four single bedrooms with hand basin; bathrooms to the ground and first floor; separate toilet; lounge and dining-kitchen. In front of the houses is a communal courtyard with car parking space. Each house has it’s own private rear garden. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an un announced inspection and was carried out with the acting manager, service users of Fenn Court and members of staff on duty. The inspection took four hours to complete and included discussion with service users and staff, a tour of the premises and an examination of files and records relating to the service. There have been no additional visits carried out since the last inspection. Four of the current service users were spoken to and four members of staff on duty. Their comments are included in this report. What the service does well: What has improved since the last inspection? There have been some new sofas and chairs purchased since the last inspection to two of the lounges and this has improved these communal spaces. The home has an acting manager in post now and this has had a positive impact on the morale at the home. The acting manager has a good understanding of areas in which the home needs to improve. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 6 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. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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 Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2&5 The homes admission process has improved but is still inadequate and does not provide individuals with the assurance that their needs can be met prior to the coming into the home. EVIDENCE: The home has a service user guide, this has been amended and updated since the last inspection and now has all of the information potential residents may need. Each resident has their own individual file and a number of files were looked at. Two residents admitted to the home did not have a care management assessment and care plan. A letter had been sent to the care management team to request copies of the assessment but this was a member of months and had been followed up since the last inspection but the home have still not been provided with the relevant documentation. The admission procedure is not adequate to guide staff on the actions to be taken to ensure that new residents needs are properly assessed and planned for. This does not give potential residents the assurance that the home is able to meet their needs. This situation was also noted at the last inspection visit when a requirement was made for action to be taken to ensure that proper assessments were carried out before prospective residents entered the home and that statements Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 9 of terms and conditions were adequate and signed. There was no evidence that this action had been taken. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&8&9 Limited progress has been made to the way in which staff record, review and risk assess the care needs and expectations of the residents. Individuals are not involved in the running of the home. EVIDENCE: Individual care plans are in place for all residents and which set out the health, personal and social care needs identified for each person. The acting manager is in the process of changing the files to a new format, which should make access to information easier to access. All of the plans looked at have not been evaluated on a monthly basis. Any changes that are made to the care being given is documented and implemented by the management. One member of staff said that they are not currently given the opportunity to contribute to the development or the reviewing of the care plan although they would like to assist. Discussion with staff suggested that some needs were being addressed even though there was a lack of clear guidance in the plans. This approach is dependent on staff memory and good verbal communication systems. Residents are at risk of not having their health care needs met if these informal systems break down. This situation was also noted at the last inspection visit when a requirement was made for action to be taken to meet the shortfall. The home must take action to meet this requirement. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 11 The home does not have residents or relatives meetings to enable them to influence decision making in the home. The acting manager said that at this time residents are not involved in staff selection. This situation was also noted at the last inspection visit when a requirement was made for action to be taken to meet the shortfall. The home must take action to meet this requirement. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 15 & 16 Residents are provided with choice and diversity in the activities provided by the home. Individual wishes and needs are catered for; staffing levels do at times restrict access to activities. EVIDENCE: Residents are able to take part in a variety of valued and fulfilling activities, both in-house and within the community. One individual reported that she had been to her keep fit class that morning and a number of residents where preparing to go to a Halloween party that evening. The staffing levels within the houses do impact on the number and amount of activities that can be offered, this is particularly a problem on a weekend. There is often only one member of staff on duty on a weekend and this means that no resident can go out or do activities outside the home. Discussion with two members of staff indicates that family and friends are able to visit the home and can use any of the communal facilities or the resident’s bedroom. There is no restriction on visiting times. Staff do also assist residents to maintain contact via mail and telephone. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 13 All residents said that they are able to express their choices and wishes and that the home promotes their independence. Any restrictions are documented within their individual plan. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Not all service user’s health, personal and social care needs are being fully met. These shortfalls have the potential to place residents at risk. EVIDENCE: Medication records were checked against the records held for three people, only one was accurate and some recording systems are not clear as to the number of tablets administered. Records had been hand written by staff on some instances and not checked by a second member of staff; the handwritten copy did not always correspond to the printed label on the medication. There has been deterioration in this area since the last inspection. The medication practices have been identified during previous inspection visits and a requirement was made requiring the systems to improve. Urgent action is needed to meet this requirement the practice fails to protect people and leaves them at risk. The medication training for staff has lapsed in some instances and the acting manager is currently looking into identifying another training course for them to commence. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 A vulnerable adults investigation is currently been undertaken. EVIDENCE: A vulnerable adults referral was submitted to the social services department and this is currently been investigated. The home followed their policies and procedures when the issue became known. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 16 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 the following standard(s): 24 & 26 & 28 The environment does not provide service users with safe and comfortable surroundings in which to live. EVIDENCE: In house 1, Some areas require re-painting, particularly two residents bedrooms. The settees and chairs in the lounge were badly marked and require replacement; again matching throws had been used. The acting manager informed the inspector that the home is currently in the process of purchasing a new suite for this house. The hall, staircase and landing walls were marked, stained and had areas where paint had come off; these required repainting. The laminate flooring in the kitchen has become loose in places causing gaps and the inspector asked the acting manager to ensure that this was repaired urgently. The kitchen cupboards and worktops are worn, broken and require replacement. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 17 In house 2 the settees and chairs in the lounge have been replaced since the last inspection. The TV in the main lounge is not working and requires repair or replacement. In House 3 The letterbox is missing and requires replacing, the worktops in the kitchen require replacing, and the laminate surface in parts of the work surface has perished. The carpet needed shampooing in one residents room and the furniture required replacement. A planned maintenance and renewal programme for the fabric and decoration was not available. The registered person must provide this. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 33 & 34 & 35 & 36 The deployment and number of staff is not sufficient to meet the needs of the residents and carry out activities. Limited progress has been made in the training and supervision of staff and this could place residents at risk. EVIDENCE: The Mencap service review of Fenn Court had identified staffing levels as an issue. The review identified that the home was at least 54 hours per week short of care staff. From looking at records and speaking to staff it became evident that there are times when staff are unable to undertake activities with the residents due to the staffing levels. This is particularly an issue at the weekends when residents are not going to centres and classes. A requirement for the registered person to review staffing levels was ongoing from the last three inspections. There is no evidence that this has been done and the home must take action to ensure that this requirement is met. The inspector observed during the inspection that staff acted in a respectful manner to service users and communicated appropriately. The acting manager has recently done an audit of the staff training and this has identified that a number of staff require mandatory training courses. She is currently identifying courses to meet this shortfall. As identified at the last three inspections the registered person must ensure that staff complete and are kept up-to-date with mandatory training. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 19 Three staff files were looked at and this demonstrated that staff has not been receiving supervision on a regular basis. This does not ensure that staff has the guidance and support to enable them to carry out their work correctly and place residents at risk of not having all of their needs met. The acting manager said that the home was aware of this shortfall but that other pressures meant that at this time she was unable to meet this requirement. The home must review whether the current staffing structure is adequate to ensure that outstanding requirements are met. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 39 & 40 & 42 The acting manager has a good understanding of the areas, which the home needs to improve. Progress forward has been limited and this does not ensure the health safety and welfare of residents. EVIDENCE: The acting manager has a good understanding of the shortfalls in care provision. Progress forward to meet these shortfalls has been limited due to the demands on her time and the volume of work required at the home. The registered person must review the current staffing structure to ensure that the acting manager has the resources to meet the outstanding requirements. Fenn Court has had a service review and part of this covers the Quality Assurance process this is not sufficient to cover all of the areas required and this must be done. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 21 The home does not always have a first aider on duty and a large number of staff requires one or more of the mandatory training courses. The fire risk assessment was last reviewed in March 2003 and has not been reviewed. These were requirements of the previous inspections and action must be taken to meet these shortfalls. Many of the requirements from previous inspections remain outstanding and have being so for some time. These requirements are across the entire running and management of the home. The home must ensure that the home is properly managed if they are to avoid improvement notices being issued. Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 22 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 2 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 2 29 X 30 X STAFFING Standard No Score 31 X 32 1 33 2 34 3 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X 2 1 X LIFESTYLES Standard No Score 11 X 12 2 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 1 X 3 X 2 3 X 1 X Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 23 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 YA2 Regulation 14 Timescale for action The registered person must 31/03/06 obtain a copy of the care management assessment and care plan for all service users. (Timescale of 30/9/04 not met and new timescale of 30.01.05 also not met. NEW TIMESCALE) The registered person must 28/05/06 ensure that the service user or their representative are involved and agree the individual plan of care. This must be updated in light of changing needs ands must be reviewed at least monthly. (Timescale of 30.01.05 not met and new timescale of 28/02/06 also not met NEW TIMESCALE) The registered person must 31/03/06 ensure that service users are offered opportunities to be involved in the day to day running of the home and contribute to the development and review of policies and procedures. (Timescale of 30/9/04 not met and new DS0000002914.V263536.R01.S.doc Version 5.1 Page 24 Requirement 2. YA6 15 3. YA8 15 Fenn Court timescale of 30.01.05 not met NEW TIMESCALE) 4. YA9 14 17 The registered person must 30/05/06 ensure that all risks assessments are completed and monitored and reviewed at least monthly. Timescale of 28/02/06 not met. New timescale The Registered person must the 30/05/06 staffing levels enable activities to be carried out at weekends. The registered person must 28/05/06 ensure that the service user or their representative are involved and agree the individual plan of care. This must be updated in light of changing needs ands must be reviewed at least monthly. (Timescale of 30.01.05 not met. NEW TIMESCALE) The registered person must 14/05/06 ensure that medication is given as prescribed. Records must be accurately completed. Timescale of 14/02/06 not met. New timescale The registered person must 31/03/06 ensure that all staff members involved with medication receive accredited training. (Timescale of 30.09.04 not met and new timescale of 30.01.05 not met. NEW TIMESCALE) The registered person must 31/03/06 ensure that the work specified is carried out. A programme of routine maintenance and renewal must be developed. ) Timescale of 31.08.04 and new timescale of 30.04.05 not met NEW TIMESCALE) The registered person must 31/03/06 Version 5.1 Page 25 5. 6. YA12 YA18 16 15 7. YA20 13 8. YA20 18 9. YA28YA24 23 10. YA26 23 Fenn Court DS0000002914.V263536.R01.S.doc provide in bedrooms all the items required by 26.2 of this standard or document in service users’ individual care plans where risk assessments or service user preferences indicate these should not be provided. (Timescale of 31/8/04 not met and new timescale of 30.01.05 not met NEW TIMESCALE) 11. YA33 18 The registered person must 28/05/06 ensure that staffing levels are sufficient to meet the need of the current service users. Timescale of 28/02/06 not met NEW TIMESCALE The registered person must 31/03/06 provide a training and development plan for the home that includes all mandatory training, service specific and NVQ and is prepared using information gathered from the staff annual appraisals. The registered person must ensure that new employees receive induction training within six weeks of appointment and foundation training within 6 months of appointment. The registered person must ensure that all staff complete and are up-to-date with mandatory training. (Timescale of 30.01.05 not met NEW TIMESCALE) The registered person must 30/06/06 ensure that all staff is given an annual appraisal with their line manager to review their performance against their job description and agree a career development plan. (Timescale of 31/10/04 not met new timescale of 30.01.05 not met NEW TIMESCALE DS0000002914.V263536.R01.S.doc Version 5.1 Page 26 12. YA35 18 13. YA35 18 Fenn Court 14. YA35 18 The registered person must 31/03/06 ensure that the frequency of staff supervision provides staff with recorded supervision at least six times a year (pro rata for part-time staff). (Timescale of 30/11/04 not met and new timescale of 30.01.05 not met NEW TIMESCALE) The registered provider must 31/03/06 provide a manager for the home who is registered as a fit person by CSCI. (Timescale of 30/10/04 not met and new timescale of 30.01.05 not met NEW TIMESCALE) The registered person must 30/05/06 ensure that an effective quality assurance and quality monitoring systems are in place seeking the views of relatives, friends, advocates and stakeholders as well as service users. The registered person must provide an annual development plan for the home based on a systematic cycle of planningaction-review, reflecting aims and outcomes for service users (Timescale of 31/12/04 not met and new timescale of 30.04.05 NEW TIMESCALE) The registered person must 31/05/06 ensure that service users have access to relevant policies produced in an appropriate format. (Timescale of 31/11/04 not met and new timescale of 30.04.05 not met NEW TIMESCALE) The registered person must 31/03/06 provide the displayed procedure to follow in the event of a fire in DS0000002914.V263536.R01.S.doc Version 5.1 Page 27 15. YA37 8 16. YA39 24 17. YA40 12, 22 18. YA42 13 Fenn Court a format more accessible to service users. The registered person must ensure that the corporate policies and procedures are reviewed and amended to ensure they meet recent legislation and best practice guidance. (Timescale of 30/9/04 mot met and new timescale of 30.06.05 not met NEW TIMESCALE) 19. YA42 13 The registered person must 31/03/06 provide a suitably qualified nominated first aider at all times. (Timescale of 31/11/04 not met and new timescale of 30.01.05 not met NEW TIMESCALE) The registered person must 31/03/06 ensure that hot food probe readings are recorded. (Timescale of 30/8/04 not met and new timescale of 30.01.05 not met NEW TIMESCALE) The homes fire risk assessment 14/05/06 was last reviewed in March 2003 and must be reviewed at least yearly. Timescale of 30.01.05 not met and new timescale of 28/02/06 not met NEW TIMESCALE The registered person must 31/03/06 review the budget and make available enough funds to ensure that all the requirements relating to the environment at Fenn Court can be attended to as matter of urgency. Timescale of 30/4/05 not met NEW TIMESCALE 20. YA42 16 21. YA42 23 22. YA42 23 Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 28 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations The registered person should identify on care plans and risk assessments in service users individual plan the person who has written it; date implemented and date reviewed (if applicable). The registered person should consider how an option of a seven-day annual holiday could be offered to service users within the basic contract price. The registered person should ensure that the relatives of service users are aware of the home’s complaints policy. The registered person should audit the home against the requirements of the Disability Discrimination Act 1995, part 3. The registered person should ensure that 50 of care staff would have achieved NVQ 2 by 1st April 2005. 2. YA14 3. 4. YA22 YA24 5. YA32 Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 29 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Fenn Court DS0000002914.V263536.R01.S.doc Version 5.1 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!