Inspection on 02/08/05 for Forresters Respite Holiday Centre

This inspection was carried out on 2nd August 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Forresters Respite Holiday Centre 28/09/06

Forresters Respite Holiday Centre 25/01/06

Forresters Respite Holiday Centre 01/12/04

Forresters Respite Holiday Centre 10/05/04

Forresters Respite Holiday Centre 13/10/03

Similar services:

Flint House

The Cotswold Home

Fairways

Treloar College

Rush Court

The Maypole Nursing Centre

Fir Tree Lodge

Chilmington House

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

CARE HOME ADULTS 18-65 Forresters Respite Holiday Centre 2 Southampton Road Hythe Hampshire SO45 5GQ Lead Inspector Rodney Martin Unannounced 2 August 2005 nd 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. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Forresters Respite Holiday Centre Address 2 Southampton Road Hythe Hampshire SO45 5GQ 023 8084 3042 023 8084 1250 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) RETHINK CRH 27 Category(ies) of MD Mental Disorder - 27 registration, with number MD(E) Mental Disorder -over 65 - 3 of places Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01.12.2004 Brief Description of the Service: Forresters Respite Holiday Centre is managed by RETHINK and provides a respite holiday service to people with mental health distress or to their carers. The home also offers a “step down” service to people who are in hospital waiting discharge following treatment. Respite holiday visits are for one or two weeks duration, whilst people on the step down programme can stay at the home for a maximum of six weeks. The home provides a hotel type of service with care and support. Forresters is a large detached property set in its own grounds and is within a short distance from the centre of Hythe. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There was one requirement in the previous inspection report, dated 1 December 2004, regarding the need for staff to receive training in abuse. It was confirmed that staff had received adult protection training. There were two requirements following this inspection regarding the management of the service. The home does not currently have a registered manager. RETHINK had recruited a new manager in January 2005 but they have been on long-term sick leave since 25 March 2005. On the day of the inspection, the inspector met with the regional manager from the organisation, who confirmed that RETHINK would be advertising again for another manager. Forresters has not had a registered manager since the end of October 2004. Whilst the staff team have worked well together to maintain the service, the Commission is concerned that there has been no manager for four months. Although the last unannounced visit by a representative of the organisation, to report on the conduct of the home, was on 6 July 2005, the previous visit, recorded, was in September 2004. There is a requirement for monthly visits with a written record by the person conducting the unannounced inspection. Staff, spoken to, on the day of the visit felt that the organisation could have had more of a visible presence and done more to support them, rather than leaving them to cope. The unannounced inspection took place between 10am and 3.20pm. One of the team leaders was available to assist the inspector. On the day of the visit the home was accommodating twenty clients, which included three in the “step down” programme and two carers of clients. It was reported that the home had full bookings up to mid-October 2005. The inspector was able to tour the building as well as speak to the staff members on duty and a number of service users. They confirmed that they had no complaints about the home and were more than satisfied with the care given in Forresters. The inspector had a meal with residents at lunchtime. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 6 What the service does well: 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. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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 Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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, and 4 Service users assessed needs and aspirations are met within Forresters and are supported to maximise their potential. EVIDENCE: The home aims to provide a hotel type service providing a holiday or break for those admitted and therefore no restrictions are placed on service users. As noted in the description of services, service users come for a week or twoweek respite holiday break. The Department of Psychiatry in Southampton and Mulberry Lodge, Winchester have contracted for two beds each, for inpatients to have up to six weeks as a “step down” service prior to discharge, as a means of helping them to rehabilitate back into the community. On the day of the visit Forresters was accommodating twenty clients, which included three in the step down programme and two carers of service users. The home has a statement of purpose and service users guide. Copies of these documents are available in a file in each service user’s room, including terms and conditions of residency, general information, details of outings, complaints procedure, a “no alcohol” policy and a rebooking application form. The home is a national resource and so service users may be admitted from all over the country each week. The home caters for over a thousand admissions over the year. Prospective service users are welcome to visit the home prior to admission but due to distance that many people have to travel, this is not Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 9 possible in many cases. The home therefore sends out much detailed information about the home so that people are aware of what service is offered at the home. The home is not able to offer a trial period as the majority of the service users are admitted for a week’s stay. The home has developed a comprehensive assessment system that is part completed by the prospective resident, their carer, if applicable and the placing authority. The assessment includes a risk assessment. The majority of service users have been before to Forresters, as generally new clients tend to come from hospital. The team leader contacts the referrer prior to admission to ensure there are no changes to details already noted, including medication changes or a deterioration in their mental health. The assessment is then used to develop a care plan for the service users. The inspector spoke to a number of service users, who had been in the home for a week as well as those who were admitted the previous day. They all stated that the staff were very helpful and nothing was too small for them to do. They also said that the food was excellent. There were many “thank you” cards displayed in the home. Service users are encouraged to complete a confidential questionnaire following their stay in Forresters. The home has a multi-faith room, which is regularly used by residents. Service users are encouraged and supported to use the home’s facilities and there was evidence that the physical, intellectual, emotional, social and spiritual needs of the residents are adequately met within Forresters. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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 and 9 There is a clear care planning system in place, with evidence of consultation with service users about decision making, which ensures that their needs are met during their short stay in the home. EVIDENCE: A care plan is developed for each resident from the assessment information and each Monday a staff meeting is held with a standing agenda item to familiarize the staff on the assessment and care plans for the new intake of residents and to review the previous week. It was reported that no restrictions are placed on any service users. On the day of the visit, one service user got disorientated following a visit to Hythe market. It was agreed, with the service user, that they would be accompanied by a staff member when going out. This was recorded in their care plan. Mondays are changeover day in Forresters. In the morning those having completed their break leave and in the afternoon the new arrivals are admitted. They can be met at the station by staff. The new arrivals attend a welcome meeting in the afternoon and are shown around the home. They Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 11 decide what activities they would like to do during the week. A copy of the activities for 1 to 7 August was seen, which indicated a variety of trips out to places of interest, including Hythe market, various New Forest towns, owl and otter sanctuary, a car boot sale and Long Down Dairy Farm. Service users were very appreciative of these activities but could also stay behind if they wished. The assessment form contains a risk assessment analysis. During a person’s stay at the home the risk assessment is updated should there be a need and written into the care plan. The risk assessment process ensures that the home can meet the needs of the people staying in Forresters. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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, 16 and 17 Staff have a good understanding of the service users’ support needs enabling them to benefit from appropriate relationships. Service users are supported in the both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: The aims and objectives of the home are to provide respite/holiday stays for a short duration and therefore the home cannot undertake long-term goals with service users. However, service users are given the opportunity to build confidence through meeting new people and undertaking new activities. As well as offering trips away from the home each day the home provides activities within the home. There is a games room with snooker table, music centre and other games. Art and craft materials are available together with a large range of books and videos. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 13 The service users in Forresters have use of a minibus and so have access to the local community and beyond. Staff have received specialist mini-bus training through a nationally recognised training programme [MIDAS]. Service users are encouraged to use the services and facilities within the local community. Service users are admitted from all over the country and admitted for only a short stay, therefore visits from family and friends are unusual, however visitors are welcome and there is a notice informing service users of visiting arrangements. This is also included in the service users guide. On the day of the visit a partner and a mother were also accommodated as carers for two service users. Service users are able to form relationships and it was reported that many people make friends during their stay and keep in contact when they leave the home. Staff respect how a service user prefers to be called. Bedroom doors have locks and service users hold a key to their room. “Do not disturb” notices can be put on doors if service users choose. Staff only enter bedrooms when invited or in the event of an emergency. As previously noted the home seeks to provide a ‘hotel’ style of service. Service users have a choice at each meal, including a cooked breakfast. On the day of the inspection all the service users had a cooked breakfast. A packed lunch is provided, except on Tuesday [as it is market day in Hythe] and Sunday [when they have a roast dinner] as a cooked meal is provided in the evening. Service users can make a hot beverage anytime day or night, in an area between the dining room and kitchen. A hot and cold mains water dispenser has been installed, since the last inspection. On the day of the visit service users had a starter, which was laid up for them and they were able to help themselves from a cold buffet table of chicken pieces, various cold meats, cheese, new potatoes and salad. Service users were able to go up for second helpings. Service users had Viennetta ice cream for dessert and fruit alternatives were offered for those not wanting ice cream. Service users can have a meal in their room, with prior arrangement with the staff. This happened on the day of the inspection. Service users were very complimentary about the food provided. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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 and 21 The service users’ physical and emotional health needs are being met, with evidence of good support from health care professionals. The home has clear arrangements in place ensuring the medication needs of residents are met and supporting ill or terminally ill service users in the way they prefer. EVIDENCE: Service users, spoken to, were full of praise for the way staff responded to their requests and for the way they went out of their way to be helpful. Several service users said, “the staff are brilliant”. Many service users coming to Forresters may not require medical services but if a service user required medical care during their stay they can temporarily register with the Red Practice in the Hythe medical centre. The home has close links with the community mental health team and all of the staff are aware of how to call the emergency duty team should there be a crisis during the night time period. Service users on depot injections need to bring the ampoules with them and the service user is then taken to the local health centre for the administration of the injection. The team leader reported that only one client, in the last twelve years, required compulsory detention under the Mental Health Act. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 15 The medication administration records were found to be accurately kept, with no omissions. The medication cabinet was inspected and medicines were found to be stored correctly. Service users bring their medication with them for their stay. The assessment process determines the level of ability for each service users to manage their medication. The assistance offered at the home is graded from full administration, reminders from staff, and daily supply of medication to self-administration. Where staff assistance has been agreed, a service users medication is counted and recorded, and then put into a cassette system by two staff that sign the recording sheet. Surplus medication is locked away and returned to service users when they leave the home. Since Forresters opened there have been three deaths, through natural causes and one suicide. The latter caused the home to revise their policy and requesting more up to date information from the service user’s community psychiatric nurse, prior to admission. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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 and 23 The home has a satisfactory complaints procedure and an adult protection procedure, to safeguard residents from abuse. EVIDENCE: The home maintains a complaints log. The complaints procedure is included in the information pack, which is available in each service users’ bedroom. There have been no complaints made to the home and none have been brought to the attention of the Commission. Since the last inspection staff have received training in the protection of vulnerable adults. The home has the relevant policies and procedures, including a whistle blowing policy. Service users, spoken to, were aware of the complaints procedure but did not have any concerns. In fact they were full of praise for the way the service is run and for the dedication of the staff. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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 and 30 A very good standard of accommodation is provided ensuring residents live in a homely, comfortable and safe environment. EVIDENCE: Forresters is a large detached property set in its own grounds and is well suited in terms of location for its stated aims and objectives. The home provides a smoking and non-smoking lounge, games room, dining room, summerhouse and large reception area for the service users in addition to the bedrooms. On the day of the inspection the hedges and trees were being pruned and shaped. Since the last inspection appropriate outdoor games equipment has been purchased. It was a warm sunny day, on the day of the visit, and several service users sat outside in the garden after lunch. The inspector was able to tour the building. All the rooms were in a good state of decoration. The team leader reported that the suites in the non-smoking lounge were to be replaced with good quality leather suites. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 18 Forresters has fifteen single bedrooms, nine of which are provided with en suite facilities and six double bedrooms. The double bedrooms are all provided with en suite facilities. The home has sufficient toilet and bathroom facilities to meet the needs of the service users. Forresters has one bedroom on the ground floor that can accommodate a wheelchair user. The home has a laundry room, which is situated away from food preparation. Bed linen and guest towels are sent to external launderers. Control of Substances Hazardous to Health assessments [COSHH] policies and procedures are in place, to ensure that staff and residents’ health and safety is promoted. Gloves and protective clothing are available to the staff. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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, 33, 35 and 36 Service users are well supported by a stable and consistent staff team, although service users would benefit from staff receiving more training and having regular supervision sessions. EVIDENCE: Forresters employs two team leaders [one and half posts], seven community mental health workers, one assistant community mental health worker, two housekeepers, an administrator and two admin: assistants, a hotel catering services manager and a part-time assistant catering manager. The home also has five bank staff [who generally work at the weekend], two volunteers and a general handyman. The various functions of manager have fallen to the team leaders. Staff, spoken to, commented on how they are “ a strong team” that “support each other”. There have been no new appointments, apart from bank staff. The last community mental health worker was appointed two years ago. However, a team leader was appointed service manager elsewhere in the organisation and one of the community mental health workers has been temporarily acting up as team leader, since August last year and subsequently their community mental health worker past has not been filled. This has stretched the staff Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 20 team to fulfil the rota. Bank staff have been covering nights to allow permanent staff to work during the day, to ensure more consistency for service users. However, several staff members felt there “were cracks appearing” and felt undervalued by the organisation. There was a genuine sense of teamwork and mutual support but the view was expressed that the home needed a manager in post and tangible support from RETHINK. The inspector discussed training and supervision with the team leader, although records were not inspected. The organisation has a basic core training programme of first aid, fire safety, health and safety, infection control, food hygiene, adult protection and basic mental health that community mental health workers receive. However, it was reported that supervision and training had not been a priority in the last few months. With one community mental health worker down and no manager in the home, the main priority had been ensuring there were sufficient staff on duty to meet the needs of service users and with summer leave added to the equation, it was reported that it was not practical to send staff off on training courses, which would further compound problems staffing the rota. Staff, spoken to, confirmed that they had received in-house training in adult protection issues and had some supervision sessions but these were not regular. Service users, however, were not aware of these issues and all were appreciative of the care and support they received. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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 and 43 Forresters will greatly benefit from having a manager in place to provide effective leadership and receive more support from the organisation. . EVIDENCE: The home has been without a registered manager since 29 October 2004. Another manager was recruited but they only worked in Forresters from January to 27 March 2005. As noted in the previous set of standards under staffing, the staff team have ensured that the home has provided consistent care for those service users coming for their short respite care break in Forresters. However, staff are beginning to feel the strain of having no manager in place. The various functions of manager, in running an establishment, is in the hands of two team leaders, who also provide part of the main duty rota cover. The staff’s perceived view was that they felt unsupported by the organisation and that they had been left to carry on regardless of the pressures. The inspector was shown a copy of the last report Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 22 made by a representative of the organisation, on 6 July 2005. Previous reports could not be found and it was reported that the last visit was last year. This is unsatisfactory and the organisation needs to ensure that a monthlyunannounced visit takes place, with a copy of the report sent to the Commission. Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.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 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Forresters Respite Holiday Centre Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x x x x x 2 H54 S12154 Forresters V240673 020805.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 31 Regulation 8(1)(a)(b) Requirement The organisation must recruit a manager and submit an application to the Commission for registration. The organisation needs to ensure that there are regular monthly visits and reports being done and sent to the Commission. The organisation must ensure that staff update their training needs. Timescale for action 1 November 2005 31 August 2005 1 September 2005 2. 43 26(2-5) 3. 35 18(1)(c) (i)(ii) 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 Good Practice Recommendations Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 Page 25 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 Forresters Respite Holiday Centre H54 S12154 Forresters V240673 020805.doc Version 1.40 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. 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