Inspection on 30/06/06 for Girtrell Court

This inspection was carried out on 30th June 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Girtrell Court 28/08/07

Girtrell Court 06/03/06

Girtrell Court 06/12/05

Girtrell Court 14/01/05

Girtrell Court 06/08/04

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

CARE HOME ADULTS 18-65 Girtrell Court 5 Woodpecker Close Saughall Massie Wirral CH49 4QW Lead Inspector Leila Mavropoulou Unannounced Inspection 30th June 2006 10:30 Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Girtrell Court Address 5 Woodpecker Close Saughall Massie Wirral CH49 4QW 0151 605 1806 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) Metropolitan Borough of Wirral Susan Joy Lovato Care Home 20 Category(ies) of Physical disability (20) registration, with number of places Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The matters detailed in the attached schedule of requirements must be completed in the stated timescales. Date of last inspection 6th March 2006 Brief Description of the Service: Girtrell Court is a care home registered to provide care for twenty service users who have a physical disability. It provides permanent accommodation for fourteen service users and there are six bedrooms, which are used to provide respite care for service users living in the community. The home is a single storey property with ample car parking facilities for visitors and staff at the front of the home and there is a large grassed area to the rear of the property. All service users private accommodation is provided in single bedrooms. There are also a number of communal rooms, which can be used by service users, for a variety of recreational purposes. All parts of the home are easily accessible by wheelchair users and there are many aids and adaptations in the home to meet the needs of service users. In the main, the home is generally well maintained, although some communal area would benefit from refurbishment. The home is staffed twenty - four hours a day with assistance being given to service users in all areas of personal care. Staff in the home support service users to maintain as independent a lifestyle, as possible and to access local community facilities. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which lasted five hours. During which time the inspector discussed with the manager and member of staff on duty various issues regarding the care provided to the service users. The inspector observed how service users care was provided and interaction with staff. In addition, various service users records and the building were inspected. What the service does well: What has improved since the last inspection? Girtrell Court has recently appointed some care staff to fill vacant posts in the care home. The quality assurance has been reviewed and information is being collated for evaluation in the coming months to ensure that the service is continuing to meet the needs of service users. The Responsible Person visits at least once a month and a copy of their report is forwarded to the Commission. The pre-inspection questionnaire shows that the service policies and procedures is reviewed regularly by Wirral Social Services policy unit and copies of amended policies are forwarded to all of its services. Policies and procedures are amended to reflect changes in legislation and best practices. The record keeping at the care home has improved since the last inspection. The registered person should ensure that the order in which service user Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 6 information is kept is consistent in all service users files, as sometimes information is difficult to follow. Service users have access to their records in accordance with the service access to records policy and all records are kept in a secure place. Equipment is serviced regularly and the fire record book and the pre-inspection questionnaire show that fire checks are carried out at regular intervals. A record of all accident/incidents to service users and staff is maintained and where necessary the Commission is notified as evidence from regulation 37 notification notices received. The registered person carries out regular risk assessment of the building and remedial action is taken to protect service users. The quality assurance has been reviewed and information is being collated for evaluation in the coming months to ensure that the service is continuing to meet the needs of service users. . The agency staff at the care home now has meetings with the registered manager of the service to improve communication regarding service users care. 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. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5, “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Service users needs would be assessed before they are offered a place at Girtrell Court if they were going to occupy one of the permanent places to ensure that their physical and social needs could be met. EVIDENCE: Information in the home’s Statement of Purpose outline services provided at Girtrell Court such as: staffing level, philosophy of care, activities etc. The Statement of Purpose is easy to read which enables prospective service users to make an initial decision regarding the suitability of the service. There has been no permanent admission since the last inspection. Discussion with the registered manager indicated that the service user needs would be assessed prior to admission to ensure that the facilities offered are suitable and staff have the necessary skills to meet the service user’s assessed needs. All of the admissions over the past twelve months has been emergency respite or planned respite, which does not permit the registered manager to make their own assessment. Pre-admission assessment by the Care Mangers is obtained, which shows what the service user’s needs are and from this an initial service user plan and risk assessment is developed to ensure that staff know how to meet the assessed needs of the service users. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 9 Prospective service users would be encouraged to visit the home to meet other service users to assess for themselves the suitability of the home. It is hoped that any permanent service user admission would be over a period to allow both the service user and the home to make adjustments to make the move stress free as possible. Service user admitted as emergency admission stay is closely monitored and regular contact is maintained with the service user care manager to ensure that the service user goals/objectives regarding how their needs are to be met is achieved within reasonable timescales. Discussion with the registered manager indicated that service users are informed throughout the process. Some of care staff have several years experience of working with people with physical disability. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Service users have up to date current care plans and risk assessments showing how their assessed needs would be met and are reviewed regularly to reflect changes in their needs. EVIDENCE: Service users care plans and risk assessments are detailed showing which how their assessed needs would be met and identified risks minimised. Service user plans seen showed that service users are consulted about the content of the plan where possible. The plans are reviewed at regular intervals. Observation and discussion with service users and staff showed that they make decisions over their daily lives, i.e. recreational activities, going to day centre, personal relationships etc. Each service user have an individual activities programme and a record is kept of activities service users participate in. Where necessary staff would assist service users with their finances. A record is kept of incoming and outgoing of service users finance. Which is audited externally at regular intervals by the Responsible Individual and Wirral Social Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 11 Services finance department as evidenced in the Responsible Individual monthly report forwarded to the Commission. Staff support service users to take responsible risk assessments and risk assessments are developed to show how the risk would be minimised such as service user going out independently. The service has a missing person policy, which is implemented when there is an unexplained absence of a service user. Service users records are well maintained and kept in a secure place. Staff are aware of the service’s policy on confidentiality of information as it forms part of their induction. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Staff support service users to maintain personal relationships and access community facilities. EVIDENCE: Most service users attend a day centre where they participate in a wide range of activities and learn/develop new skills. Also, service users attend various clubs and community activities where they are able to meet others that do not have the same disability. Staff support service users to maintain interests such as: painting, swimming etc. Holistic therapy is being introduced into the home, from which service users are able to choose from a range of activities for which they would have to pay from their personal allowance. Girtrell Court is within a short walking distance to local shops, pubs etc., which promote service user’s independence, as some service users access these services independently. The staffing level at Girtrell Court allow staff to engage staff to participate in one-to-one activities as evidenced during the inspection when one service user went clothes shopping with a member of staff. Generally, outings are planned to ensure that staffing level would permit Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 13 staff to accompany service users on activities outside of the building. Service users are integrated into all aspects of community life as evidenced in their activities programme. A range of transport is used to enable service users to access community facilities easily such as: taxi, dial-a-ride etc. Discussion with staff confirmed that service users are able to vote if they wish and appropriate arrangements would be made to facilitate this. The staffing rota seen and discussion with staff showed that the staffing level reflects the level of service user activity throughout the day. Entertainment is brought into the home weekly and outings are arranged such as a visit to Chester Zoo. Discussion with the registered manager and service user file seen showed that service users are supported to maintain and develop personal relationships. One service user goes home every other weekend. Service users can receive visitors throughout the day and are able to choose where to see their visitors. A tour of the building showed that service users bedrooms were well furnished and that many were personalised with service users personal belongings. Observation throughout the inspection showed that service users are able to choose to be on their own or with company. All parts of the building are easily accessible to service users. The home is purpose built thus the corridors and door openings are wide for easy access by wheelchair users. Observation of staff with service users showed that staff interact with service users. Service users are not responsible for household tasks due to the level of their disability, however they would be supported to do so if identified in their service user plan. The home has a fully functional disabled kitchen to enable service user to develop and maintain skills in food preparation and laundry. The staffing level at teatime is sufficient to provide the appropriate level of assistance for service users. The service would provide special diets as required by service users e.g. some service users require a soft diet. The registered person should consider the use of food moulds to improve the appearance of the service user meal. Discussion with the registered manager indicated that catering staff do not have a recognised catering qualification. The registered person must ensure that all staff are suitably trained and have the necessary skills and experience to carry out their roles and responsibilities. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,18,20,21 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Staff monitor closely the health needs of service users and where necessary seek support and advice from other health professionals. EVIDENCE: The service provides individual aids to meet the needs of service users. These are assessed by a qualified person and are serviced at regular intervals as required by the manufacturer or by legislation. Many of the service users require assistance with transferring. All staff as part of their induction is given formal training in load management within six months of commencing their employment. In the interim period, project leaders would induct staff into their role and show them how to use equipment correctly to prevent minimal discomfort and risk to service user and themselves. Observation of service users showed that they are dressed to reflect their taste. Examination of some service users files showed other health professional support is sought to promote the health and safety of service users, such as: speech therapist, GP, continence adviser etc. Service users receive regular health checks from the dentist, optician, chiropodist etc. as evidenced in their personal files and staff would accompany Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 15 service users to outpatient appointments. The medication procedure has been reviewed since the last inspection and there has been significant improvement in the recording and administration of service user medication received into the care home. Advice has been sought from the local pharmacist and there is ongoing dialogue between the pharmacist and the registered manager to ensure that the system is maintained. Controlled drugs were checked and stock balance was accurate. A record is kept of all medication returned to the pharmacist. Discussion with the manager indicated that service users would be cared for at Girtrell Court as long as the service needs could be met. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 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 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.” The management of the service protect service users from abuse through thir policies and procedures and recruiment procedure. EVIDENCE: The service complaints procedure is the same one used by Wirral Social Services. Staff would support service users to make complaints. Discussion with the registered manager indicated that any concerns raised by service users are dealt with promptly before the formal complaint procedure is instigated. A record is kept of concerns raised by service users and what action has been taken to resolve it. The pre-inspection questionnaire shows that two complaints were received which were substantiated and a response to the complaint was made within 28 days. The Wirral Adult Protection Procedure is implemented when there is an allegation of abuse, which was evidenced over the past twelve months on two occasions’. The Commission is informed of all incidents. All permanent staff receive training in managing physical and verbal aggression as part of their core induction within the six months of commencing their employment. All staff have a Criminal Record Bureau check before they are offered a position. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 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 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 service provides a safe environment for service users to live. However, parts of the building are in need of redecoration. EVIDENCE: The service is clean and generally well maintained and all equipment used is serviced at regular intervals to promote the safety of service users, as evidenced in the pre-inspection questionnaire. A tour of the building showed that the dining room and the corridors require repainting to improve the quality of the environment for service users. All parts of the service are easily accessible to wheelchair users. The furnishings throughout are of a good quality many of which have been purchased specifically to meet the needs of individual service users. All parts of the home are bright and well ventilated with windows having window restrictors. The home is purpose built to accommodate wheelchair users, thus the corridors and doors are wide to enable easy access by wheelchair users. All accommodation is provided in single bedrooms with specific aids such as: tracking hoists, specialist beds, etc. to meet the service user physical needs safely and to promote their good health. Service users bedrooms are personalise to reflect their interests/preferences. All door have suitable locks to meet the needs of service users, which staff could override in an emergency. Adequate electrical power points are available in service users Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 18 bedrooms for their electrical equipment. Small electrical appliances are PAT tested by visual inspection. There are two assisted baths and walk in showers to meet the needs of service users. Since the last inspection, the two assisted baths were replaced. The home has several communal areas, which could be used for a variety of activities. Some service users have showed preference for one area over another. Various aids are in place to promote service users independence such as: electric door openings, lower electrical switches, over-head tracking for hoists, etc., which are serviced regularly as evidenced in the pre-inspection questionnaire. The service laundry is sited away from the food preparation area. Clinical waste is collected by a specialist agency. Since the last inspection the method of disposal of incontinence waste was reviewed. Policies and procedures are in place to minimise the spread of infection. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 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 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.” The recruitment procedure of the service and staff training promotes the safety of service users. EVIDENCE: Since the last inspection the management of the service has been pro-active to fill the staff vacancies with permanent staff and this is ongoing. A number of appointments have been made thus, reducing the level of agency staff used at the care home to provide care for service users. Discussion with the registered manager indicated that this has made significant difference to the improving and monitoring the care provided to service users. Also, Wirral Bank Staff are used wherever possible to meet staff shortfall. The registered manager has regular meetings with the agency staff and monitoring procedures are in place i.e. handover to Girtrell Court’s staff. The staffing levels at Girtrell Court meet the needs of service users. The pre-inspection questionnaire showed that 50 of Girtrell Court permanent staff have completed the NVQ level 2 in care. Observation of staff on the day showed that they were committed to providing quality care to service users and have a good understanding of service users needs. The service’s recruitment procedure promotes the safety of service users by obtaining a Criminal Record Bureau check, obtain two written references and Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 20 are given a written terms and conditions of employment before an offer of employment is made. The registered manager provides group supervision to agency staff bi-monthly. Staff meetings are held monthly and all members receives supervision is by the management team approximately every six week as evidenced in staff files examined. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 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 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 management of the service work towards continually improving the quality of care provided to service users. EVIDENCE: The registered manager of Girtrell Court is experienced and competent manager and has completed her NVQ level 4 in management. The quality assurance has been reviewed and information is being collated for evaluation in the coming months to ensure that the service is continuing to meet the needs of service users. The Responsible Person visits at least once a month and a copy of their report is forwarded to the Commission. The pre-inspection questionnaire shows that the service policies and procedures are reviewed regularly by Wirral Social Services policy unit and copies of amended policies are forwarded to all of its services. Policies and procedures are amended to reflect changes in legislation and best practices. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 22 The record keeping at the care home has improved since the last inspection. The registered person should ensure that the order in which service user information is kept is consistent in all service users files, as sometimes information is difficult to follow. Service users have access to their records in accordance with the service access to records policy and all records are kept in a secure place. Equipment is serviced regularly and the fire record book and the pre-inspection questionnaire show that fire checks are carried out regular intervals. A record of all accident/incidents to service users and staff is maintained and where necessary the Commission is notified as evidence from regulation 37 notification notices received. The registered person carries out regular risk assessment of the building and remedial action is taken to protect service users. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 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 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 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 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 24 YES 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 YA17 Regulation 18 Requirement The registered person must ensure that all staff have the necessary skills and training to carry out their roles and responsibilities. The registered person must ensure that all parts of the service are good decorative order. The dining room and the corridors are in need of repainting. While high numbers of agency staff are being used, procedures must be clear for responsibilities at the home to ensure a cohesive staff team. Timescale for action 30/08/06 2 YA24 23 30/08/06 3 YA31 18(1)(b) 31/12/05 4. YA32 18(1)(a) WBC must plan a recruitment 31/11/06 campaign to fill the high numbers of staff vacancies at the home, and keep CSCI of their progress. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 25 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 YA17 YA41 Good Practice Recommendations The registered person should consider the use of food moulds to improve the appearance of the service user meal. The registered person should ensure that the order is which service user information is kept is consistent in all service users files, as sometimes information is difficult to follow. Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Girtrell Court DS0000035848.V294088.R01.S.doc Version 5.1 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!