Inspection on 15/08/06 for Frinton House

This inspection was carried out on 15th August 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Frinton House 19/11/09

Frinton House 19/05/09

Frinton House 21/05/08

Frinton House 13/12/05

Frinton House 01/02/05

Frinton House 21/09/04

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

CARE HOME ADULTS 18-65 Frinton House 22 Buckhurst Road Bexhill on Sea East Sussex TN40 1QE Lead Inspector Elaine Green Key Unannounced Inspection 15th August 2006 12:30 Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Frinton House Address 22 Buckhurst Road Bexhill on Sea East Sussex TN40 1QE 01424 214430 01424 214431 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) rowan.house@achuk.com Consensus Support Services Limited Miss Holly Robins Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That only service users with a learning disability may be admitted. The maximum service users to be accommodated is 8. Service users should be aged between 18 and 65 years on admission. Date of last inspection 13th December 2005 Brief Description of the Service: Frinton House is a detached property situated a short walk from Bexhill town centre and railway station. Bedroom accommodation is provided in eight single rooms situated on the ground and first floors. A shaft lift is fitted to assist access to first floor accommodation. The home is registered to accommodate eight adults with a learning disability; the registered owners are Aitch Care Homes Ltd. The fees charged start from £1,400 per week and include all day care provision and £250 towards the cost of a fully supported annual holiday. The cost of basic toiletries and chiropody are also included in the fees but residents pay themselves for hairdressing. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The National Minimum Standards refer to individuals who reside in Care Homes as “Service Users”. The people who live at Frinton House would like to be referred to as “Resident(s)” so throughout this report the term “Residents” will be used. As part of the unannounced Inspection of Frinton House, a site visit took place to the home on the 15th August 2006 between 12.30 and 5.30pm. As part of the Inspection the Registered Manager completed a Pre Inspection Questionnaire that provided the Inspector with statistical information relating to the home. Residents of Frinton House and their relatives or representatives were also given the opportunity to complete surveys and return them to the Inspector. On the day of the site visit, issues relating to the day-to-day running of the home were discussed with the Registered manager and her area manager. Discussions also took place with two residents, four members of staff and a visiting health care professional. A range of documents were examined including four residents care plans, four recruitment files, a selection of the homes’ policies and procedures and some of the homes daily records. What the service does well: Prospective residents of Frinton House have their needs assessed prior to moving into the home and are given all the relevant information they require in order to make an informed decision about whether or not to reside there. Residents are provided with the opportunity to participate in stimulating and enjoyable activities in the home and by accessing the facilities on offer within the local community. They are able to make choices about the way they spend their time and about the way they decorate and furnish their rooms. Residents are also supported to express themselves through their appearance and are given the opportunity to have a supported annual holiday. Residents are involved in setting the menu, buying provisions and the preparation of food at mealtimes. The food provided is nutritious and wholesome and staff stated that mealtimes are relaxed and informal. The home has it’s own dining room, kitchen and lounge all of which are domestic in character and are furnished and decorated in a modern style to a high standard. The medication policies and procedures adopted by the home are safe and residents’ health care needs are met. Referrals are made to the relevant health care professionals when required and adult protection alerting procedures are followed when required. The staff team are open and enthusiastic to new ways of working. They receive appropriate training and are supervised on a regular basis. Informative handovers take place at the beginning of each shift ensuring that all relevant Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 6 information is passed onto the staff coming on duty. The management of the home are open and transparent and there are systems in place to ensure the home is run in the best interest of the residents. 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. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can test-drive the home and are supplied with the information required in order to make an informed decision about whether to reside in there. EVIDENCE: The manager explained that prospective residents are assessed prior to them moving into the home. A pre admission assessment was examined and was found to be in order. The first three month’s stay are on a trial basis enabling prospective residents to test drive the home and this is specified in the contract. Contracts were examined and confirmed this however it is required that all residents are provided with a copy of their contract/terms and conditions of residency. The homes statement of purpose and service user guides were examined and found to be satisfactory. They are both available in symbolic language format. The manager has given assurances that all residents in the home are provided with copies of these documents. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 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 the following standard(s): 6,7,8,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care plans provide the information required for staff to support service users in their daily living and are reviewed and amended as required. EVIDENCE: Three residents’ care plans were examined. They are based on comprehensive assessments and provide all the guidance required by staff to support the residents effectively and appropriately. All the associated records that were examined had been completed as required. Residents have access to their own care plans and are fully involved in the assessment and care planning processes however, not all care plans were signed and dated by the residents and others involved in the associated assessments. It is recommended that the manager ensures that all the relevant documentation is signed appropriately when the care plans are next reviewed. Residents’ personal goals are specified in their care plan and progress made towards meeting these goals is documented. All care plans contain a weekly timetable illustrating the activities participated in including the preferred activities for evenings and weekends. Scheduled and recorded one to one Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 10 sessions with residents and their respective key workers’ are used to help assess and record residents preferences in relation to the activities they would like to participate and the decisions made in respect of the goal setting at reviews. This is considered to be good practice. All activities that are participated and all the goals set at reviews are monitored on a daily basis. Care plans provide guidance for staff to follow when supporting residents manage behaviours that may be difficult or challenging and also detail guidance on proactive ways of working with residents, thus promoting residents independence and encouraging residents to make decisions for themselves. Comprehensive risk assessments undertaken for each resident in respect of all the activities they participate in. As discussed with the manager on the day of the Inspection some further risk assessments should be completed in respect of whether or not individuals can safely access areas of the home and grounds unsupervised and if not what measures are taken to ensure residents safety e.g. doors locked or staff support required. Residents are able to assist in the running of the home and participate in activities such as doing their own laundry, laying the table, setting the menu, shopping for provisions, food preparation etc. Residents meetings are held on a regular basis and at a recent meeting the residents decided they would implement their own cleaning schedule and rota. The manager of the home and area manager for the organisation both explained that they are looking to including residents in the recruitment and selection of staff and are researching ways in which they can be included. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 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 the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides residents with the opportunity to access the community and participate in meaningful and appropriate activities. Residents are provided with a healthy diet. EVIDENCE: Through discussions with residents and staff and the examination of daily records it is evident that all the residents lead active lifestyle. Trips out are organised at the weekends and some evenings and in the day during the summer holidays when colleges etc are closed. A supported annual holiday is provided for those who want to go. Timetables detail all the activities that are participated in. At each shift handover staff are allocated residents to work with and the tasks and activities they are to support them with. Care plans specify family relationships and peer group relationships pertinent to the individual. Staff stated that residents’ visitors are welcomed into the home. All residents have a diary that is completed daily to record the activities they have participated in and the events of the day. Residents are fully involved in this and this is considered to be good practice. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 12 On the day of the site visit the residents were going out to the circus so the Inspector did not have the opportunity to join them for a meal. Menus were examined confirming that the food provided is balanced, varied and nutritious. Staff explained that residents are fully involved in setting the weeks’ menu and buying the provisions. The dining room is homely and large enough to accommodate all the residents and supporting staff. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 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 the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health care needs are met and personal support is provided appropriately. The homes’ medication policies and procedures are safe. EVIDENCE: Observations of practice on the day of the site visit, an examination of records and discussions with residents and staff and a visiting health care professional confirms that residents’ health care needs are met. The Inspector sat in on a staff handover during the site visit where residents’ health care needs were discussed in detail including specifying plans for how all residents health care and medication needs were to be met throughout the day. Referrals are made for input from health care professionals when required and residents receive support and treatment in the privacy of their own rooms or in the ‘quiet room’. Where specific exercises are required in order to e.g. improve mobility, this is scheduled on the rota and a staff member allocated to support the resident. Clear and specific guidance is provided in care plans for staff to follow in relation to supporting residents with their exercise and in relation to preferences for how they receive personal care. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 14 All service users have an allocated key worker. Times for getting up, going to bed, having meals etc are flexible. On the day of the site visit meal times were rearranged as the residents had chosen to have an impromptu outing to the circus. Residents who had opted not to go were given the choice of when they wanted to eat. Residents are given the freedom to express themselves through their choice of clothing, hairstyles and make up and are supported to do so by the staff team. Medication records were examined and found to be in order however there were gaps identified in relation to the specific guidance required by staff for when ‘as and when ‘ medication can be administered. This was discussed with the manager on the day of the site visit who assured the Inspector she will contact all the residents G P’s in respect of getting clear guidance for how, when and why ‘as and when’ medication and ‘homely’ remedies can be administered. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are listened to. The homes’ adult protection policies and procedures protect residents from abuse and harm. EVIDENCE: Some residents can display a level of behaviour that may be challenging. Guidelines for staff to follow in relation to managing this behaviour is included on their care plans thus minimising the risk of harm. Some staff have received training in relation to the protection of vulnerable adults and a programme for all staff to receive this training is in place. A new ‘in house’ induction has recently been introduced ensuring that all new staff receive information, guidance and ‘in house’ training on how to work with specific individuals with difficult or challenging behaviours. Referrals are made to the local social service department when an adult protection alert is required in line with local guidance. There have been a number of incidents of an aggressive nature between residents in the home since the last Inspection. The home has worked closely with the local Community Learning Disability Team and other professional bodies in order to achieve the best outcome for the residents involved and ensure residents safety. Residents are able to make complaints and there are a number of ways they can do this. Some residents stated that they use the complaints book others that they would speak to their key worker. Evidence of a complaint made by a resident was documented in their care plan and the home had managed this appropriately. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and comfortable, residents own rooms promote their independence and the home is suitable for its’ purpose. EVIDENCE: The Inspector had a tour of the building on the day of the site visit. The home was found to be both clean and hygienic, and decorated and furnished in a modern style to a high standard. All rooms are domestic in character, have a homely and comfortable feel to them and are fully accessible. There are bedrooms on both the ground and first floor and a lift provides access for those residents with mobility difficulties. Residents own rooms are decorated and furnished to their own tastes and personalised with their belongings. All bedrooms are en suite and meet the needs of the residents. The kitchen is bright, modern and fitted to a high standard providing ample work space and storage. Hand washing facilities are appropriately sited in the kitchen and in the separate laundry. Adjoining the kitchen is a large dining room that provides enough dining space for all residents and staff to eat together if required. Adjoining the dining room and off the ground floor hall way is a large lounge area providing seating to accommodate all residents. On Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 17 the ground floor there is a ‘quiet room’ that is currently used by service users and staff to have meetings, see visiting professionals in private, play board games etc. It is anticipated that the use of this room will change in the future and the manager and staff will be consulting with the residents to discuss the possibility of using this room as a sensory room. There is a small enclosed garden to the side and rear where one of the residents is growing vegetables access to this is via the dining room. . Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are good and consistently followed. All staff receive regular documented supervision and appropriate training. The home is staffed by an effective staff team. EVIDENCE: All staff, including the manager, receive formal documented supervision at least 6 times a year plus an annual appraisal. All mandatory training has been provided for the staff at Frinton House this year. Further training needs are identified through supervision and additional courses are sourced according to individual residents changing needs. Currently 50 of staff have not obtained a National vocational Qualification (NVQ) in Care at level 2 or above as is required by national minimum standards. However the manager is aware of this target figure and is confident that it will be achieved in the near future. The Inspector sat in on 2 handovers, one from the senior on duty to the senior coming on duty and the other form the senior who had received the handover to the staff coming on duty. These handovers were comprehensive providing detailed information relating to the activities that had residents had participated in that morning, a summary of the residents general health and emotional well being, the tasks that had been undertaken, other events of the morning and information relating to activities planned for the afternoon and Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 19 tasks that required to be completed. Each member of staff coming on duty was given specific residents to work with and specific tasks to complete linking in with the residents personal plan for the day. This is considered good practice and provides continuity and consistency in the way that support is delivered in the home. Staff recruitment, induction, training and supervision files were examined. The recruitment procedures adopted by the home are safe and all the required security and identity checks are undertaken prior to staff being deployed to work in the home. The home has recently introduced a new ‘in house’ induction package that all new staff must complete when they start work at Frinton House. This induction pack was examined by the Inspector and was found to be comprehensive, covering all aspects of the running of the home, including; the main points of care in relation to the residents, a floor plan, a health and safety induction, introduction to medication administration and assessment, time to read residents care plans, information relating to the Protection of Vulnerable Adults and details of the fire evacuation procedures. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is appropriately qualified and experienced and the management and administration systems are good. This service is run in the best interest of the residents. EVIDENCE: The registered manager of Frinton House is experienced and holds the relevant qualifications required to manager a care home. The management of the home monitor staffs’ understanding of the homes’ policies and procedures and whether or not they follow them at all times, this includes undertaking ‘spot checks’. Several staff have been dismissed over the last 12 months for not following these policies and procedures particularly those made in relation to the protection and health and safety of the residents in their care. The homes record keeping is of a high standard. The records examined were all up to date and accurate and many of them were comprehensive and detailed to that above the standards required. A range of documentation and Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 21 certificates in relation to residents’ health and safety were examined and found to be in order. The temperature of the hot food that is prepared in home has not been routinely recorded as required. The manager explained that she would obtain a copy of the new guidance available form the local Environmental Health Officer in relation to food preparation and the need to record the temperature of cooked food. All staff receive training in respect of food handling and preparation. The area manager undertakes monthly unannounced visits to the home to monitor their performance and the information gathered from this process is then used to identify the homes shortfalls and ways in which the home can improve the service they provide. Though only 2 reports have been received by the Commission for Social Care Inspection (CSCI) in the last 6 months this was due to the fact that the area managers post was vacant for a few months. Assurances were given that they would now be taking place on a monthly basis. The information supplied in the reports received by the CSCI was detailed, informative, open and transparent. Clear guidance is contained within these reports in respect of the shortfalls identified, any action that is required and by whom. Residents are regularly consulted over how they think the service is performing, this is by means of regular residents meetings, key worker meetings and by their completion of questionnaires; the questionnaires are collated and the results published in the home’s annual report. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 4 32 3 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 3 3 3 4 3 3 Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation 5(c) 14(2) Timescale for action The home must provide all 30/10/06 prospective residents with a written and costed contract/statement of terms of residency between the home and the prospective resident prior to them moving into the home. All existing residents must be provided with this information. That 50 of staff obtain a 30/12/06 National Vocational Qualification (NVQ) in Care at level 2 or above. Requirement 2. YA32 19(5b) 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. Refer to Standard YA6 YA20 Good Practice Recommendations That all care plans and associated assessment documentation are signed and dated by residents and others involved as appropriate. That clear guidance is requested form GPs in respect of when ‘as and when’ and/or homely remedies can be administered. DS0000060740.V302399.R01.S.doc Version 5.2 Page 24 Frinton House 3. YA42 That the manager contacts the local Environmental Health Officer to obtain a copy of the new guidance in relation to the preparation of food in care homes. Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Frinton House DS0000060740.V302399.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!