Inspection on 09/01/07 for Glen Cottage

This inspection was carried out on 9th January 2007.

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

Glen Cottage 01/09/05

Glen Cottage 19/04/05

Glen Cottage 16/09/04

Glen Cottage 26/04/04

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

CARE HOME ADULTS 18-65 Glen Cottage 2a Glen Road Sarisbury Green Southampton Hampshire SO31 7EL Lead Inspector Mr Richard Slimm Unannounced Inspection 9th January 2007 09:00 Glen Cottage DS0000012366.V322842.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 Glen Cottage DS0000012366.V322842.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. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glen Cottage Address 2a Glen Road Sarisbury Green Southampton Hampshire SO31 7EL 01489 574214 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) www.c-i-c.co.uk Community Integrated Care Mrs Samantha Smith Care Home 1 Category(ies) of Learning disability (1), Physical disability (1) registration, with number of places Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 Brief Description of the Service: Glen Cottage is a purpose built care home providing personal care for one service user. The house is owned by Knightstone Housing Association who are responsible for the maintenance of the home. CIC (Community Integrated Care), a national care provider, is the registered organisation and is responsible for the running of the registered home. Accommodation consists of one bedroom, a large en suite bathroom, a large a spacious entrance lobby with wheelchair access to the lounge/ dining room, a kitchen which is wheelchair user designed as well as level access in to the spacious corner plot garden, and the front area which had parking for several cars. Aids and adaptations have been put in place to meet the needs of the service user living at the home. There is a car available for the use of the service user with support of CIC staff. There is a twenty-four hour service provided, with one to one support in the home and two to one support outside of the home, with a carer being on sleep in duties at night. The home is situated in a residential area with easy access to community facilities and the larger towns and cities. The scale of charges was unclear on the pre-inspection questionnaire; however, this last documented fee charging form confirmed as being made up as a weekly charge of £2521.92 per week in 2005. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site inspection visit to the home took place between the hours of 10.00 and 15.00 hrs on the 9th January 2007. This site visit was the culmination of pre-field work inspection activities including – • • • • • • A full review of the history of the service since the last inspection Gathering information from a variety of professional sources, including The Commission’s database Pre-inspection information provided by the home Contacts with a family member and other external stakeholders have been made to obtain external feedback Linking with CSCI staff who have knowledge/visited the service This was a key inspection, being part of a new inspection programme, called “Inspecting For Better Lives “ which measures the service against the core and/or key national minimum standards, and focuses on quality outcomes of people using the service. One regulation inspector carried out the visit, Richard Slimm. While in the home the inspector was able to meet the one resident accommodated, carrying out case tracking centring on this service user. Additional paper work where necessary was reviewed, a tour of the premises took place, and the registered manager and staff members, including the key worker of the service user were interviewed. What the service does well: The service provides a safe homely environment for the service user. The service user has access to a car with the support of CIC staff. The service user’s various methods of communication are documented and understood, as the resident does not have speech or spoken language. Daily chronological records of care and support provide a good quality assurance and promote consistency of interventions and staff support practices. They also monitor any changes that may need to be added to the plan of care for the resident. The service users health care needs are monitored and appropriate services accessed to meet identified needs. The home provides complete privacy for the service user, who receives regular holidays away from the home. Arrangements are in place that enable the resident to attend activities outside of her home, but these would appear to be limited by some historical issues for the resident concerned. The resident is well supported both inside and outside of the home, with two to one support outside of the home. A recent commissioner / social service review Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 6 identified these support levels need to be kept under regular review as the needs of the resident have stabilised over a significant period of time. 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. The summary of this inspection report can be made available in other formats on request. Glen Cottage DS0000012366.V322842.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 Glen Cottage DS0000012366.V322842.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 – Systems of assessment were available that could be used should a different or new service user be admitted only. Such assessments would be undertaken by people competent to do so, involving the prospective service user, using an appropriate communication method and with an independent advocate as appropriate. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service user has lived at the home since it was built and started to operate in the mid nineteen nineties. As the service only accommodates one tenant and has done so since it opened there is no turnover. Consequently it is not possible to measure this standard in regard to this service, however, there was evidence that re-assessment did form part of the review process, both inhouse and by Portsmouth City Council who purchase the service. As the service user has made significant improvements and has developed over the years living at the home, the social worker who last reviewed the placement feels the levels of support needs to be monitored and kept under regular review. Glen Cottage DS0000012366.V322842.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 were assessed The registered manager has developed and agreed with the service user an individual plan, which includes treatment and rehabilitation, describing the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations and achieve goals. Staff members respect the service user’s rights to make decisions, and that right is limited only through the assessment process, involving the service user, and as recorded in the individual service user plan. Staff members enable the service user to take responsible risks, ensuring they have good information on which to base decisions, within the context of the service user’s individual plan and of the homes risk assessment and risk management strategies. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 10 EVIDENCE: There is a full and comprehensive plan of care in place. However, due to the needs of the service user who has significant communication deficits, staff members have had to work hard to establish the views and wishes of the resident. Over the years this has been achieved by the quality of recording and the low turnover of staff, thus providing essential continuity. The resident clearly takes longer to get to know people, but has developed quite clear methods of communication which staff members appeared to know and recognise. These issues are documented in the plan of care and the daily support strategies that are in place. Other areas of daily living, including access to a local day service and general health care maintenance are all clearly documented. Clear risk assessments were also evident to guide staff in their interventions, thus reducing the risk of behaviours that may challenge the service. The recent review of the placement left the social worker to identify that support levels that are currently 2 to 1 in the community will need to be kept under review as the resident no longer regularly displays behaviours that challenge significantly due to the success of the placement and the consistent interventions of the staff team. It was evident that the resident felt safe and secure in her home, and was respected by the staff team who care for her. The resident had clearly developed meaningful relationships with staff members who understood the needs and the communication methods used by the resident. As a consequence there was evidence that the resident could form new and meaningful relationships if given the time and opportunity to do so. There was little evidence of the resident being supported and enabled to develop relationships and / or friendships outside of those professional services and staff involved in her day to day support. This may be an area that could be further exploited, but will need to be handled with care and sensitivity given the needs of the resident. Glen Cottage DS0000012366.V322842.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. JUDGEMENT – we looked at outcomes for the following standard(s): Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 12 Standards 12, 13, 15, 16 and 17 were assessed – Staff members help the service user to be involved in activities that include informal opportunities to enhance their education or training, e.g. independent living skills, and/or take part in valued and fulfilling activities. Staff members support the service user to become part of, and participate in, as far as possible, the local community in accordance with assessed needs and the individual Plan. Staff members support the service user to maintain family links and friendships inside and outside the home. The daily routines and house rules promote independence, individual choice and freedom of movement. The registered person promotes service user health and well being by ensuring the supply of nutritious, varied, balanced and attractively presented meals in a congenial setting and at flexible times. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users plan of care provided a structure to the resident’s week. However, it is important to note there must always be flexibility in such matters to continue to avoid behaviours that challenge the service. Staff members are aware when the resident does not wish to engage in activities and respond in a manner appropriate to the age and status of the service user. The service user does attend some sessions at a local day service for people with learning disabilities, but does not appear to attend sessions with other people with similar interests and / or needs. The degree to which the service user might be enabled to engage in educational activities, is likely to be less important than enabling those around her to understand her and to respond to her needs and wishes in ways that she would prefer. It was clear that the routines around the house are totally driven by the needs and wishes of the resident, wit no restrictions, other than health and safety related matters in place the resident is free to move around her home as and when she likes. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 13 The resident is supported and encouraged to maintain links with her relatives, one of whom lives locally and is regularly involved in reviews and other decision-making areas that may affect the resident. As identified above the degree to which the resident is actively encouraged and supported to develop other relationships could potentially be exploited more by offering other opportunities. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 were assessed – Staff members provide sensitive and flexible personal support and care to maximise the service user’s privacy, dignity, independence and control over day to day living. The registered person ensures that the healthcare needs of the service user are assessed and recognised and that procedures are in place to address them. The registered manager and staff encourage and support the service user to be as involved as possible in the administer and control of their own medication, within a risk management framework, and in compliance with the home’s policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 15 EVIDENCE: The staff team includes both male and female staff all of who are involved in supporting the resident with her personal care. The plan of care indicates clearly what the needs of the service user are in this aspect of daily living and the inspector was assured that no issues regarding staff gender and personal care have been identified. It was evident that staff members take care to protect and promote the privacy of the resident. Staff members were observed knocking doors before entering rooms and keeping doors to bathrooms and bedrooms closed when engaged in providing personal care. Some information on the notice board should be removed and placed in the service users personal record file and / or the drug cupboard to fully promote confidentiality. The manager should give thought to where the notice board is placed, e.g. – staff area of the home. As identified above action is taken to ensure the health care needs of the service user are identified and met by the relevant health care service. The resident is fully dependent on staff support in most aspects of daily living including the management and administration of medications. Practices and policies and procedures in place at the time of the visit appeared to promote the safety of all involved in this area of service provision. Medications are locked away in the drug cupboard, which is sited in the staff office area of the home. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 were assessed – The registered person ensures that there is a clear and effective complaints procedure, which includes the stages of, and timescales, for the process, and that the service user and/or their advocate know how and to whom to complain. The registered person ensures that the service user is safeguarded from physical, financial or material, psychological or sexual abuse, neglect, discriminatory abuse or self-harm or inhuman or degrading treatment, through deliberate intent, negligence or ignorance, in accordance with written policy. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: Given the needs of the service user it is unlikely if a formal complaints procedure is going to be of much meaning to the resident. However, it was evident that the staff team listen and respond to the wishes of the resident, and this was evidenced by the diminishing degree of negative behaviours exhibited by the service user that challenge the service. The manager assured the inspector that all relevant others have access of copies of the CIC complaints procedure, and this is also available in other formats for service users with learning disabilities. The home operates with a clear understanding of adult protection and uses the local POVA (Protection of Vulnerable Adults) procedures drawn up with the lead Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 17 agencies involved in adult protection. Staff members spoken to confirmed they had received training in POVA and were aware of what to do in the event of any suspected abuse. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 were assessed – The home’s premises are suitable for its stated purpose; accessible, safe and well maintained; meet the service user’s individual needs in a comfortable and homely way; and have been designed with reference to relevant guidance. The premises are kept clean, hygienic and free from offensive odours throughout and systems are in place to control the spread of infection, in accordance with relevant legislation, published professional guidance and the purpose of the home. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a purpose built bungalow with wheelchair accommodation on all ground floor areas and access to the gardens front and rear for the sole service user accommodated. There is staff accommodation and a small office provided via a stair to the upper floor sited in the roof space with dormer style windows. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 19 This includes a sleep in facility and a staff toilet/ bathroom and some storage space. The bungalow was built in the mid 1990 s and provides a modern and valuing home that blends with the local area well. The Knightstone Housing Association who rent the accommodation to the resident who has a licence agreement owns the home. Externally it was noted that some areas of the UPVC frames are in need of cleaning due to the build up of dust, cobwebs and other debris. All other areas of the home were well maintained and presented. The home was cleaned to a good standard, and staff members support the resident in all aspects of daily living including the upkeep of the cleanliness of her home. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 were assessed – Staff members have the competencies and qualities required to meet the service user’s needs and achieve Sector Skills Council workforce strategy targets within the required timescales. The registered person operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of the service user. The registered person ensures that there is a staff training and development programme which meets Sector Skills Council workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of the service user. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector was advised by the service manager that the registered manager is currently undertaking a course of training leading to the achievement of an NVQ 4 with the RMA (Registered managers award). Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 21 There are four staff members working at the home including the manager. Two of the other staff members have NVQ 2 and NVQ 3 respectively, and one of these staff had completed the promoting independence NVQ relevant to adult services. The training officer for the local CIC branch advised the inspector that the CIC induction programme for all staff links to the LDAF (Learning Disability Award Framework) which is a national initiative accredited by Skills for Care (formerly TOPPS). There was clear evidence that CIC carry out all necessary checks on staff in line with best practice and POVA guidance, as well as the standards. Records and staff members interviewed confirmed that the organisation adopt a thorough and robust staff selection and recruitment procedure that promotes the protection of the resident. The provider has declared that in addition to the above training staff have received the following courses in the past 12 months – Fire training Moving & Handling Food hygiene First Aid Medication assessment There are plans to provide all staff with fire training every 3 months – medication assessment every 6 months and moving and handling every year. All staff will also be provided with training in crisis interventions and prevention. Staff spoken to confirmed they received regular supervision and their training and developmental needs are discussed in individual support sessions. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 were assessed – The registered manager is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. Effective quality assurance and quality monitoring systems, based on the observations of outcomes for the service user, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. The registered manager ensures so far as is reasonably practicable the health, safety and welfare of the service user and staff. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager has been registered at the service for a number of years. The registered manager is due to complete the NVQ 4 RMA qualification in this year 2007. The manager was able to demonstrate the skills needed to run a small residential care home for one service user, managing a small team of support workers. CIC provide all other support needed via the organisations other managers and departments such as human resources etc. The registered manager had worked with the service user prior to being registered as the manager and had a good knowledge of the residents needs. While the service user could not be engaged in written of verbal feedback to support the quality assurance process, it was evident that the staff team had a good understanding of what the resident liked and equally what she disliked. Action was being taken to ensure the residents wishes were respected in all aspects of daily living, and staff members were observed to place the resident at the centre of the home’s running. Her relative who is invited to attend reviews also represents the resident, and formal reviews are attended by a social worker from the local authority funding the placement. There was evidence of good practice in the area of health and safety. All staff members have training in basic first aid, food hygiene, fire precautions and manual handling and moving. Fire precautions systems are maintained, tested and records of tests and servicing kept up to date. Staff members are aware of infection control and are routinely provided with gloves, aprons and chemicals to reduce the risk of cross infection. Chemicals are kept safely, and COSSH records maintained. Fridge and freezer temperatures are records, and food was being stored appropriately. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 24 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 X 2 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 YA15 Good Practice Recommendations It is recommended that the registered persons provide opportunities that enable the service user to integrate more into society and the local community, perhaps by using advocates that do not work directly for the professional agencies providing services, thus enabling the resident to begin to be supported to form informal networks and contacts from outside of those professional agencies. This could also enable and encourage the service user to develop new links and relationships with people of a similar age and with similar interests/needs. It is recommended that the landlords of the home be alerted to the need to clean the white UPVC exterior of the home. The registered providers should apply the following standard to staff training and development - Staff working in learning disability services use Learning Disability Award Framework (LDAF)-accredited training to provide underpinning knowledge for progress towards achieving DS0000012366.V322842.R01.S.doc Version 5.2 Page 26 2. 3. YA24 YA35 Glen Cottage R/NVQ’s. Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Glen Cottage DS0000012366.V322842.R01.S.doc Version 5.2 Page 28 - 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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