Inspection on 12/07/05 for Forge House

This inspection was carried out on 12th July 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Forge House 01/12/05

Forge House 06/01/05

Forge House 24/08/04

Forge House 16/03/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Forge House 2 Podkin Wood Chatham Kent ME5 9LY Lead Inspector Sue McGrath Announced 12 July 2005 10:00 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. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Forge House Address 2 Podkin Wood Chatham Kent ME5 9LY 01634 671404 01634 671989 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) Placesuper Limited trading as Forge House Ms Leonora Anne Lock Care Home 5 Category(ies) of LD Learning Disability (5) registration, with number of places Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6 January 2005 Brief Description of the Service: Forge House is situated in a quiet cul-de-sac with easy access to local shops and amenities.The home also has easy access to the M2 and M20 motorways. The home is registered for five service users. It provides facilities for adults with learning disabilities that present some challenging behaviours. The home presents as homely, warm and comfortable and is decorated to a very high standard. There is a large open plan lounge and it is clear that much thought had been put into the fabric and furnishings to create an attractive comfortable home with many excellent facilities. There is some parking to the front of the property and the rear garden, which is soon to be landscaped, provides a space for outside activities.. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which took place on 12th July 2005.The focus of the inspection was on reviewing progress towards meeting requirements of the last inspection and talking to Residents and staff on duty to monitor ongoing health, safety and wellbeing of the Residents. Records were viewed including care plans and some policies and procedures. Staff files were also viewed as well as staff training and support records. Time was spent talking to Residents and all of their rooms were viewed. A tour of the building was also undertaken and several improved areas were noted. The homes owner confirmed that the rear garden was to be landscaped in the very near future to improve access to all of the Residents. The rear garden had a patio area where residents said they enjoyed having bar-b-cues. The atmosphere in the home was very homely and supportive and it was evident that all of the residents enjoyed a high quality of life and enjoyed living at Forge House. Good interaction was seen between staff and Residents. What the service does well: The home is decorated and maintained to an extremely high standard. The quality of the furnishings and fittings is also excellent. The bedrooms are spacious and well equipped, including a full range of electrical items such as televisions, stereos, DVD’s and music centres. The bathrooms are spacious and practical. Residents also benefit from having access to a computer with Internet access. The activities programme is varied and extensive and changed weekly according to the wishes of the residents. One resident is enabled to work at a local RSPCA centre, which is something he clearly enjoys. Staff were seen to have a good rapport with the residents and the atmosphere was very homely. It was evident that the residents were encouraged to be outgoing and to enjoy life. A lot of positive work had been undertaken with a resident who had displayed some very challenging behaviour and the home is to be congratulated on the obvious improvement in this resident. The family of the resident was extremely pleased with the positive progress made since living at Forge House. The manager and assistant manager had worked hard since the last inspection with regards to paperwork and in meeting the last requirements. They clearly work well as a team, as does the entire staff group. Residents enjoy several holidays every year. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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) 1,2,3,4,5 Prospective residents are provided with the information they need to make an informed choice about moving into the home which includes the home’s statement of purpose and conditions of residency. 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’s statement of purpose was viewed and met with all the requirements of Schedule One of the Care Home Regulations 2001. The manager had produced a new Service User Guide, which was comprehensive and individualised to each service user. Some parts were in a pictorial format. This was a requirement from the last inspection and clearly the manager had produced an effective document. Discussion took place around the assessment procedure in place for prospective service user. The home had not admitted any new service user since December 04 but the process was discussed and found to be comprehensive and would give the manager the information she needed to Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 9 ensure she could meet the needs of the prospective service user. Normally it would be expected that any new service user would have a phased admission to ensure both they and the existing service user were compatible. A written contract of terms and conditions between the home and the residents was seen and was signed by either the service user or their representative. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9,10 Residents benefit from having care plans that reflect their current personal needs but these plans do not address personal goals and achievements. Residents are very involved with all aspects of life in the home and are enabled to take reasonable risks within the homes risk assessment management strategies. Residents’ privacy is protected by a confidentiality policy with which staff are familiar. EVIDENCE: Several care plans were viewed and although gave personal details, the plans did not set out how the individual needs would be met. It was recommended that personal goals and aspirations are drawn up and a plan produced as to how these goals are to be met and whether they have been achieved. It is advised that the senior staff undertake assessments and the existing care plans are reviewed to reflect the outcome of the assessment. The home does operate a key worker system and these staff should be involved, along with the service user, in producing more detailed plans with outcomes recorded that Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 11 reflect personal goals and input from Care Managers recent assessments. All plans should be reviewed at least every six months and updated to reflect changes. During the inspection it was evident that staff encouraged the residents to make many choices and decisions about their daily living and that they were given information on which to make their decision. Residents were offered the chance to participate in the day-to day running of the home and it was clear from discussions with them that this was normal practise. As requested at the last inspection, training has taken place regarding risk assessments. One member of staff has been nominated as the Health and Safety Officer. Risk assessments within the home continue to be developed. All of the records in the home were seen to be accurate, secure and confidential. The home also has a confidentiality statement which all staff were familiar with. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,15,17 Resident’s benefit from having the opportunity for personal development with their daily living skills and have appropriate levels 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. The resident’s benefit from the appetising meals and balanced diet offered by the home. EVIDENCE: It was evident from daily records and discussion with the residents that they were encouraged to have a high level of community participation and social development through a wide range of community and leisure activities. Residents spoken to were very enthusiastic about the activities they enjoyed such as cooking, gardening and craft activities. One resident continues to work at the local RSPCA centre and he was keen to explain what he did and he Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 13 clearly enjoyed this very much. The home offers one-to–one support for this activity. One resident had an extensive collection of key rings which she showed with much enthusiasm. It was clear in her room that she enjoyed collecting many different items. Outside activities included visits to a local gym and spa and regular outings to local facilities and attractions. These were selected by the Residents and included bowling, picnics and BBQs. All of the residents had televisions, music centres, DVD players and videos in their own bedrooms. Comments cards from families confirmed that they were encouraged to visit at any time and were very pleased with the level of care offered. One family member stated that moving to Forge House was the best thing that had happened to her relative and that she was very pleased with the difference in her. The daily routines of the home were seen to be flexible and were depended on what the individual resident wanted to do on that day. Rising and retiring times were very flexible and solely dependant on the residents wishes. Residents were encouraged to maintain the cleanliness of their individual rooms. Staff were seen to ensure that individual choices were followed at all times. The home had a smoking policy in place, which was followed by staff and residents. Mealtimes were flexible to suit the activities of the day. Records were kept of daily food intake and demonstrated that a nutritional and wholesome diet was provided. There was plenty of fresh fruit and vegetables and all of the cupboards were well stocked with foods enabling a wide choice of meals. The kitchen had been altered slightly to include a new larder area that was apart from the main kitchen. Residents confirmed that the food was very nice and that they could chose what they had. It was seen that the residents were encouraged to help themselves to drinks and fresh fruit whenever they wanted them. Staff confirmed that residents were encouraged to assist in the preparation of meals where possible. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 standard(s) 18,19,20,21 Residents benefit from receiving personal care in private and enjoy a very flexible lifestyle that reflects the many activities undertaken. Health needs are met and service users have full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. The home has handled the issue of illness and ageing sensitively. EVIDENCE: Staff confirmed that all of the residents were encouraged to be as independent as possible with regards to personal care and often only guidance was needed. This was recorded in care plans. Residents choose their own clothing on a daily basis and also choose new clothing. One resident in particular really enjoyed shopping and was encouraged and supported by staff to do this. The residents at Forge House were mainly ambulant and did not require many technical aids or moving and handling support. One of the resident’s bathroom had some aids to assist safe bathing. Evidence was seen that the residents’ health needs were monitored and any potential problems were identified and dealt with at an early stage, including prompt referrals to an appropriate specialist. All of the residents were Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 15 registered with a local GP and had full access to all other healthcare professionals as required. There had been no recorded accidents in the last 12 months. The home has decided to change to a monitored dose system for the administration of medication and is currently making the necessary arrangements. This standard will be assessed at the next inspection. Although staff had completed a one-day course in the administration it was advised that senior staff complete an accredited course in the administration of medication and information was left about such courses. Discussion took place with the manager over how the home deals with ageing and illness and death of a resident. A comprehensive written policy was seen and it was clear that discussion had taken place with relatives and that this had been handled in a sensitive manner. The manager confirmed the information would be transferred to the revised care plans. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home has a clear complaints procedure and service user and relatives are aware of how to complain. Residents’ legal rights are protected, residents are also protected from abuse by the home’s Adult Protection Policy and procedures. EVIDENCE: The home has a complaints procedure and a policy for staff that encourages them to be open and to challenge any bad practise. The complaints procedure for residents has now been produced in a format that is suitable for their needs. The home had received no complaints this year. The home had adopted the Kent and Medway’s Adult Protection Policy which included Whistle Blowing Policies and complied with the Public Disclosures Act 1998 and the Department of Health’s Guidance ‘No Secrets’. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,30 Residents benefit from living in a clean, safe, very well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. Residents benefit from occupying bedrooms that are clean and appropriate to their needs and from having access their own en-suite rooms with sufficient additional toilets and specialised bathrooms. The residents’ benefit from home’s laundry service, which is well-organised and designed to control the spread of infection. EVIDENCE: Forge House was situated in a quiet cul-de-sac within a residential area. The home provided easy access to local amenities and relevant support services. Residents had access to all parts of the home, including a sloped rear garden. Discussion with the owner confirmed that the rear garden was to be landscaped and levelled out to provide a more level garden for the residents to enjoy. The entire home was decorated to a very high standard with new furniture being provided in the lounge. The home was very well maintained Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 18 and was comfortable and homely. All of the furniture and fittings were of a very good quality and domestic in nature. The kitchen storage area had been redesigned to provide a separate larder area, which was accessible through the kitchen. All of the residents had large single rooms with either an en-suite or a bathroom next door. The bedrooms were attractively and individually decorated and reflected the resident’s personal interests. All of the furniture was of a high quality. One resident enjoyed a very large bathroom with a Jacuzzi bath and massage shower. All of the other bathrooms or shower rooms and toilets were spacious and very clean. Only one resident required any specialist equipment, which was provided to assist access to the bath. The home had a large modern kitchen diner, where most meals were taken and a large open plan lounge on the lower floor. It was here that a resident said she enjoyed using the karaoke machine and having discos. The second floor also had a separate lounge area where residents had access to a computer. One of the residents enjoyed showing information she had downloaded from the computer and copies of stories she had written, also using the computer. The home was very clean, hygienic and free from any offensive odours. A recent staff room with good facilities had also been provided. A new laundry area had been provided which met with all the requirements of standard 30. Industrial washing machines and dryer were provided. All of the upstairs windows had window restrainers fitted and the hallway had recently been redecorated. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,36 The service users benefit from staff who enjoy good morale and are competent to do their jobs though the training of staff and their supervision needs to have a higher priority within the home. The process used for recruitment and selection of staff could place residents at risk. EVIDENCE: All of the staff had job descriptions in place, which clearly reflected the roles and responsibilities expected from them. Staff were able to demonstrate a good understanding of the needs of the residents and had developed good relationships with the residents they supported and were able to meet individual needs and personal interests. Very good interaction with the residents was seen by all members of the staff group and residents clearly felt very comfortable. Staff had access to the General Social Care Councils standards of conduct and practise. This publication had also been provided in a format suitable for the residents. Staff were also seen to respect and understand the residents and out of the six care staff one has completed NVQ 2 and two are currently undertaking the course. Staff files were viewed and areas of concern were noted. One staff file did not have any references in and the home did not have a policy for recruitment and Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 20 selection. This was discussed with the manager who stated that this work would be done as a priority. Induction training was also lacking. The home had a copy of the TOPSS training course but had not yet implemented it. The manager was advised to complete a training matrix to help identify future training needs. Advice was also given that a dedicated training budget and a designated person with responsibility for the training and development be nominated. The training and development should be linked to the homes’ service aims and to individual residents’ needs and individual plans. Although some staff supervision was being carried out, it did not appear to be regular or recorded and only one member of staff had received an annual appraisal. Neither the manager nor assistant manager had received training in giving supervision. This training needs to be undertaken. The manager was aware of this situation and was working towards meeting this standard. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,42 The residents’ benefit from having a manager who has a clear development plan and vision for the home, which she effectively communicates to the residents, staff and relatives. The residents also benefit from having a manager who is well supported by the senior staff in providing leadership throughout the home and from staff who demonstrate an awareness of their roles and responsibilities. EVIDENCE: The manager has almost completed her Registered Managers Award and was able to demonstrate that she had the experience and knowledge in working with this service user group. She was open and honest during the inspection, clearly recognising that certain standards had yet to be met, however work was ongoing and would be completed for the next inspection. Staff spoken to confirmed they felt the manager was able to communicate a clear sense of direction and leadership and that they felt well supported. The staff turnover was very low. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 22 The manager and assistant manager discussed the policies that the home had and advice was given to include a policy and procedure on recruitment and selection. A quality assurance system was partially in place with a system based on seeking the views of parents and families, however this had not yet been acted upon. The intention was to discuss outcomes at review meetings. It was suggested that the system be expanded to include anyone who has contact with the home, including GPs Nurses and other professionals. This standard states that the Residents surveys are published and made available to Residents, their representatives and other interested parties including the CSCI. It is recognised that work has started and the manager is endeavouring to meet this standard. The only area of concern regarding health and safety was the temperature of the hot water, which was very hot. Water temperatures should be recorded to ensure the risk of scalding is reduced. It is recommended that a risk assessment be carried out to determine the level of risk of scalding from wash hand basin taps. Window restrictors had been fitted as discussed at the last inspection. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 4 3 4 N/A 3 Standard No 11 12 13 14 15 16 17 4 4 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x 2 x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Forge House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 2 x 2 x H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 19 Requirement The registered person shall produce a recruitment and selection policy and ensure it is fully implemented The registered person shall ensure a training and development plan, a dedicated training budget with a designated person with responsibility for the training programme is produced. Staff should have regular , recorded supervision meetings at least six times a year with their senior/manager in addition to regular contact on a day-to-day practise Staff shall have an annual appraisal with their line manager to review performance against job description and agree a career development plan Timescale for action Action Plan by 31st August 2005 Action Plan by 31st August 2005 2. YA35 18(1)(C) 3. YA36 18(2) Action Plan by 31st August 2005 Action Plan by 31st August 2005 4. YA36 18(2) 5. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 25 No. 1. 2. 3. Refer to Standard YA36 YA42.3 YA6 Good Practice Recommendations It is recommended that staff who supervise colleagues are trained in supervision skills it is recommended that the temperature of hot water is recorded and the risks to residents is assessed based on the capabilities and needs of the service users It is recommended that care plans are updated to include all aspects of personal and social support and clearly state how the service will meet the current and the changing needs and aspirations and how these goals are to be achieved. Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent. ME16 9NT 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 Forge House H56-H06 S23831 Forge House V228921 120705 Stage 4.doc Version 1.40 Page 27 - 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!