Inspection on 14/06/05 for Ferndale

This inspection was carried out on 14th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 26 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ferndale 28/06/07

Ferndale 28/11/05

Ferndale 01/11/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Ferndale 6-10 Church Road Brownhills Walsall WS8 6AA Lead Inspector Lesley Webb Unannounced 14th June 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ferndale Address 6-10 Church Road Brownhills Walsall West Midlands. WS8 6AA 01543 454689 01543 372308 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Angela Lane Ms Jeanette Witton Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home must comply with any requirements made by the Fire Department and Environmental Health Department. Date of last inspection 1st November 2004 Brief Description of the Service: Ferndale is a ten bedded residential home which offers specialised care for adults with autism and associated conditions. The building is designed to be domestic in nature with two lounges, two kitchens, a dining room, laundry and ten single bedrooms all of which have en-suite facilities. There is a small garden to the rear of the premises that also offers day care facilities to residents of Chase Community Homes and parking facilities to the front of the building. It is located very near to the centre of Brownhills, close to shops, public transport, markets, theatres and public houses. There is local provision for riding for the disabled and Cannock Chase is close by for walks etc. Ferndale is one of a number of homes that form Chase Community Homes, a private company that is owned by two teachers, both of whom have over twelve years experience of teaching in residential schools for complex and delayed developmental disorders including autism. Chase Community Homes are a group of small residential homes aiming at providing an environment where adults with autism and allied conditions can feel safe and secure. They believe people with such conditions have the right to live like others in the community, but that they also have the right to continued specialist help and support within a sheltered setting, to enable their lives to be more meaningful and fulfilling. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived unannounced at the home at 8am and stayed until 5pm. Due to the communication difficulties of the people who live at the home the inspector was only able to interview one service user, but also interviewed four members of staff, talked to the manager, looked around the building and viewed records. One and a half hours was also spent observing practices and relationships between people who live at the home and staff. By the end of the visit the inspector was satisfied that generally the quality of care provided is high and would like to thank everyone for their co-operation and support during the day. What the service does well: When asked what is the best thing about working at the home one member of staff stated, “ making a difference in someone’s life, seeing how relaxed and independent people are gives a great sense of achievement”. The inspector found that practices and records maintained by the home reflected this comment, demonstrating that service users are encouraged and supported to increase their independence and positive relationships have been formed between staff and service users. This view was also confirmed by the one service user who the inspector was able to communicate effectively with who stated, “the best thing about living here is the staff, they make a happy atmosphere”. The home also excels in ensuring service users lead full and active lives. Many of the people who live at the home cannot access external day-care and training facilities, however the home has built its own day-care facility within the grounds of the home and employs qualified staff to ensure their educational and spiritual needs are met. In addition to this activity timetables are maintained that offer a wide range of choices both in house and external to the home. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 6 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. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 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 standard(s) 1, 2 and 4. The homes Statement of Purpose and Service User Guide are excellent, providing service users and prospective service users and their representatives with details of the services the home provides enabling an informed decision about admission to be made. EVIDENCE: The home has a very thorough assessment process, which includes liaising with other professionals in order that the appropriate decisions can be made as to whether it can meet the needs of prospective service users. In addition to this information about the home such as the Statement of Purpose and Service User Guide give comprehensive information about services and facilities on offer. Trial visits are offered tailored to each person’s needs that have included tea visit, overnight stays and weekend visits. The manager stated that due to the conditions of people who access the service a permanent move to the home can take a long time, to ensure they are happy with the decision and to make sure the home can fully meet their needs. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 7. Although there is a consistant care planning system in place staff require further support from management to ensure aims and goals are fully understood. EVIDENCE: The home maintains comprehensive care plans that detail aims and goals for service users however when interviewing staff not everyone was able to give examples of these aims and goals. Staff that found it difficult to give examples stated that there is so much information that they need to be aware of that it is sometimes difficult to remember specifics. The inspector was concerned about this due to the high needs of the people living at the home and felt that the lack of regular supervision and staff meetings (see Standard 33 and 36) evidenced that the appropriate support is not being given to staff to ensure they fully meet the needs of the people living at the home. All staff were however able to explain the review system for care planning in the home and their roles within this. When asked how service users are involved and supported to make decisions about their lives and life in the home, a variety of explanations were given Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 10 including, “ always offer choices such as meals, trips either verbally or using makaton or symbols. Look for signs of agreement in behaviour, eye contact. We never make decisions for them, but always offer alternatives” and “ there’s always ways to communicate e.g. picture cards, talking at a pace they understand. We always offer more than one choice”. Throughout the day the inspector witnessed staff respecting service users wishes, supporting them to make decisions and offering choices. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 and 16. Daily life and social activities are both well managed, creative and provide variation and interest for people living in the home. Links with the community are good and support and enrich service users social and educational opportunities. EVIDENCE: The home should be congratulated for its efforts to ensure service users lead full and active lives. All staff interviewed confirmed people participate in the local community using services such as local shops, public houses, clubs and parks with one member of staff stating, “ they are always out and about, and most of the local shop keepers know them on a first name basis”. As well as external activities including weekly horse riding, day trips and swimming the inspector saw an abundance of in-house activities including music therapy, table top games, videos, art and craft and aromatherapy items. Due to the disabilities of people living at the home staff take responsibility for ensuring service users maintain links with families. For example one member of staff stated, “families are very important to the people who live here, we Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 12 discuss what they have done every week, give photos of activities they have done and write letters home on their behalf”. The inspector verified this comment by looking at records and observing practices throughout the day. When asking staff about their understanding of service users rights and responsibilities all staff demonstrated knowledge and understanding in this area. For example one person stated, “ we treat them as we would want to be treated, giving as much choice as possible, respecting their wishes” and another stating, “ give them help with daily tasks such as house work, cleaning their own bedrooms, buying their own toiletries, but not taking away their independence only support where needed. These comments were confirmed as normal practice during observations made by the inspector during the visit. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18. Personal support in this home is offered in such a way as to promote and protect service users privacy, dignity and independence. EVIDENCE: All staff interviewed felt that communication between service users, staff and each other was the ‘key’ to ensuring personal support is given in the way people living at the home want and require. Examples included, “ staff should be fully aware and talk to each other to make sure consistent care is given” and “ staff should read all documentation about a person to ensure they given support in the way that person wants and talk to other staff members and the service user”. One member of staff felt that this could be further enhanced if care plans included a list of likes and dislikes stating that only one person had this documentation in place (this comment was verified by the inspector when looking at records). Throughout the day the inspector witnessed staff providing support in a sensitive manner, seeking approval from individuals and respecting their wishes. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. Arrangements for protecting service users are not satisfactory placing them at possible risk of harm or abuse. EVIDENCE: There have been two complaints against the home since the last inspection, one of which was sent direct to CSCI and one to the home. The complaint that was addressed directly to CSCI related to staff and management conduct with two points upheld and one unresolved. The home was instructed to take action to address the complaint, which they have fully. After looking at the complaint that was issued directly to the home the inspector was concerned that a full and appropriate investigation had not taken place, which could have potentially put service users at risk. The inspector reiterated these concerns with the manager and proprietor and their obligations to protect vulnerable adults. These concerns were reinforced when interviewing staff, as all stated they would “go to the manager” when asked how they would make sure that a service users complaints are dealt with appropriately. When asked how they ensure service users are protected from abuse staff gave answers including, “ by reading signs and reporting to the manager” and “we look for behaviour, how they are around staff, the company does it at the start of employment by making sure CRB’s are ok”. Although the inspector was satisfied with some staff’s responses to this question others freely admitted they found this subject difficult and would benefit from training. This was further verified when three of the four staffs records were seen confirmed that they had not received training in this subject. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28 and 30. Generally the standard of the environment within this home is good providing service users with an attractive and homely pace to live. EVIDENCE: Since the last inspection many Requirements identified in the previous inspection have been addressed to ensure a safe and homely environment. The remaining Requirement to have the laundry room refurbished remains outstanding and the Registered Provider agreed to seek advice from the Environmental Health Department regarding timescales to address this in order that infection control standards are maintained. After looking around the building the inspector found: * The debris including old mattresses, wood and panes of glass requires removing from the garden as these items pose health and safety risks to people. * The torn lampshade and damaged radiator covers in the large lounge require repairing or replacing as these detract from the quality of furnishings in the room. * The torn flooring and badly stained wall by the dishwasher in the main kitchen require addressing as these could pose infection control risks. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 16 * The downstairs shower room requires refurbishing, as this is not useable in its present condition. The stained walls and ceilings in the hallways require painting and investigating to ensure there is no leak. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 and 36. Staff need further training and support from management to ensure they have the appropriate skills and knowledge to care fully for the people who live at the home. EVIDENCE: As previously mentioned in the summary the inspector spent an hour and a half directly and indirectly observing practices and relationships between staff and service users. Many of the service users who live at Ferndale have complex needs including autism and communication difficulties. In the main staff were seen and heard to be communicating effectively with people, respecting their wishes, offering choices and talking at a level and pace appropriate to each individuals needs. The inspector did however raise concerns with the manager and proprietor regarding one member of staff who did not follow behaviour and communication guidelines that are in place for one service user, resulting in that person becoming agitated. Staff that were interviewed stated, “there is always some form of training going on”, however only one of the four people was able to confirm they had undertaken communication training specific to the needs of the people living at the home, managing challenging behaviours and epilepsy. The inspector instructed the manager that these training requirements should be given priority in order that staff have the appropriate levels of knowledge to support service users. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 18 The home has high staffing ratios of five care staff to ten service users in order to appropriately meet the needs of individuals living at the home. In addition to this extra staff are arranged as and when required for activities and appointments. The manager works supernumerary hours to care and a cook is employed during day hours. When the inspector arrived at the home four staff was on duty and the inspector witnessed a member of staff who was on duty at another home owned by the company come to the home to cover the shortage. The inspector raised concerns regarding this practice with the manager and proprietor as this then resulted in the other home being understaffed. Ferndale has an emergency on call person, which the inspector felt should have been utilised. The home presently uses a proforma for detailing forms of identification seen to verify the authenticity of people working at the home. The inspector instructed that if this was to continue further development of the form and approval from CSCI for its use must be sought, therefore the previous Requirement relating to staff documents remains outstanding. A previous Requirement to ensure all staff receive at least six supervision sessions and six staff meetings per year remains unmet. Staff that were interviewed confirmed that they receive approximately two sessions a year (this was validated when records were checked). The inspector advised the manager that these forums should be given priority as tools to aid communication between management and staff and to ensure that staff have the appropriate information and support in order to fully meet the needs of the people who live at the home. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41 and 42. The home regularly reviews aspects of its performace through a good programme of self-review and consultations. Acurate records must be maintaind to ensure the safety of service users. EVIDENCE: Since the last inspection the home has completed an audit of its quality assurance systems and published the results of service user and/or parents surveys. The results of these audits are now being incorporated into next years development plan for the home. A previous Requirement to ensure staff rotas are maintained accurately remains unmet. On the day of inspection the people who were working at the home did not reflect those detailed on the staff rota. On the day of inspection many of the safe working practice risk assessments could not be found, therefore this Requirement remains outstanding. Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 4 x Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x 2 x 2 Standard No 11 12 13 14 15 16 17 x 4 4 4 4 x x Standard No 31 32 33 34 35 36 Score x 2 2 2 x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ferndale Score 2 x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x 2 2 x E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement The home must ensure that all staff are aware of aims and goals contained in service users care plans Service users likes and dislikes must be included in their care plans The manager must implement a complaints procedure that includes the stages of, and timescales for the process, and notifiying the complainant in writing of the outcome The manager must maintain a record of all complaints that includes details of any investigation, action taken and outcome full and comprehensive investigations must be completed for all complaints The Commission for Social Care Inspection must be notified of any allergations of misconduct against anyone working at the home All staff must undertaken adult protection training Debris including mattresses, wood and panes of glass must be removed from the garden Timescale for action 30/09/05 2. 3. YA18 YA22 12(1) 22(1) 30/09/05 30/09/05 4. YA22 22(1) 30/09/05 5. 6. YA22 YA22 22(1) 37 30/09/05 13/06/05 7. 8. YA23 YA24 10(1) 16(1) 30/09/05 30/09/05 Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 22 9. YA24 16(1) 10. 11. 12. 13. YA24 YA24 YA24 YA30 16(1) 16(1) 16(1) 13(3) 14. YA30 13(3) 15. YA32 18(1) 16. 17. 18. YA32 YA32 YA33 18(1) 18(1) 18(1) 19. YA33 18(1) 20. 21. YA33 YA34 18(1) Schedules 4, 6 The torn lampshade and damaged radiator covers in the lounge must be repaired or replaced The torn flooring and stained wall in the kitchen must be addressed The downstairs shower room must be refurbished The stained walls and ceiling in the hallway must be redecorated The laundry room requires refurbishment (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) The proprietor must seek advice from the Environmental Health Department regarding timescales to address the refurbishment of the laundry All staff must undertake communication training specific to meeting the needs of the people living at the home All staff must undertake challenging behaviour training All staff must undertake epilepsy training A minimum of six staff meetings must occur per year with minutes and actions maintained (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) Staff must not be taken off shifts from other homes within the organisation in order to cover shortages at Ferndale. The on call system must be utilised to manage staff shortages All staff files must contain the required documents and information as set out in Schedules 4 and 6 of the Care Homes Regulations 2001(REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) 30/09/05 30/09/05 30/09/05 30/09/05 30/12/05 30/07/05 30/09/05 30/09/05 30/09/05 30/09/05 13/06/05 14/06/05 30/07/05 Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 23 22. YA34 19 23. YA36 18(2) 24. YA41 17 25. YA41 17 26. YA42 13(3-6) The Commission for Social Care Inspection must receive a formal application to approve the proforma used to verify the authenticty of staff recruitment documents All staff must receive a minimum of six supervision sessions per year (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) Staff rotas must include details of everyone on shift in the building regardless of their position, hours worked and in what capacity (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) The home must review its restraint policies and procedures and ensure they comply with Department of Health Guidance safe working practice risk assessments must cover all areas of Standards 42.2 and 42.3 of the National Minimum Standards (REQUIREMENT ORIGINALLY MADE NOVEMBER 2004) 30/07/05 30/09/05 14/06/05 30/07/05 30/07/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA33 YA36 YA43 Good Practice Recommendations It is recommended that staff meeting minutes include the action to be taken to address issues raised, who is going to do this and when it is achieved It is strongly recommended that the deputy managers receive formal training in supervision in order to extend their knowledge It is strongly recommended that the manager be given an annual appriasal in order that the opportunity to discuss development be available E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 24 Ferndale Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 Page 25 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 Ferndale E55 S20852 Ferndale V231010 070605 Stg 4.doc Version 1.30 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. 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!