Inspection on 17/01/06 for Green The (3)

This inspection was carried out on 17th January 2006.

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

The inspector found 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Green The (3) 23/08/07

Green The (3) 14/08/06

Green The (3) 11/10/05

Green The (3) 10/02/05

Green The (3) 24/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Green The (3) 3 The Green Sutton Surrey SM1 1QT Lead Inspector David Pennells Unannounced Inspection 17th January 2006 16:20 Green The (3) DS0000007140.V278510.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 Green The (3) DS0000007140.V278510.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. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Green The (3) Address 3 The Green Sutton Surrey SM1 1QT 020 8641 9348 020 8644 5399 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.caremanagementgroup.com Care Management Group Limited Mr Simon Daniel Burrowes Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents with challenging behaviour Date of last inspection 11th October 2005 Brief Description of the Service: 3, The Green, Sutton is owned, managed and staffed by the Care Management Group (CMG). The home provides residential care for up to seven male adults with learning disabilities and associated challenging behaviour / mental health problems. The home is a large detached Victorian property situated just to the north of Sutton Town Centre - close to local shops, transport links and this busy town’s many social, commercial and educational amenities. The house itself has six single bedrooms, and communal space comprises of a main lounge and conservatory (which is used as a smoking room), a separate dining room, and a kitchen. There are sufficient bathrooms and toilet facilities located throughout the home. Across a courtyard there is a games room - and the manager’s office is located beyond this. Upstairs in this ‘stable’ block, there is a bed-sitting room - which acts as a separate self-contained ‘flat’, used for the encouragement and development of a service user’s independence skills. There is limited parking on site at the front and side of the house, and onstreet spaces available on ‘The Green’. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The aim of this inspection visit - as the previous inspection visit had covered all the key national minimum standards - was to meet with service users, to check staffing, and to review the requirements and recommendations from the last visit. Arriving late in the afternoon, the inspector found himself walking into a small crisis moment at the home - which was handled professionally and calmly. Following his time in the home, the inspector left at approximately 7.00pm, having spent some time speaking to and engaging with both service users and staff. This (unannounced) inspection visit found the staff and service users generally in good spirit - but staff members somewhat ‘pushed’. Staff movements had led to degrees of staff rostering difficulty across the festive period, and the management of the home was developing into a new manager / deputy arrangement in place, with the departure of the previous deputy manager to a new CMG project soon to be completed in the Croydon area. The new deputy at the home welcomed the inspector and was cooperative, assisting the inspector to review requirements and recommendations set at the last inspection visit, and taking a keen interest in the process - this being his first experience of being on the ‘front line’ during an inspection visit. The inspector is grateful to the deputy for his assistance and for the hospitality given him during the visit. The inspector also thanks the service users for their welcome, and their understanding and cooperation during the inspection. What the service does well: The previous inspection report quotes the users of the service - be they service users or relatives /advocates of service users: Three relatives of service users responded to the Commission’s written survey. One service user’s relative replied positively to the Commission’s questionnaire and commented: ‘We are very happy with the way ‘X’ has progressed at 3, The Green, and he is very content there.’ Another relative, indicating that they were also happy with the way their relative was looked after, stated; ‘I could not wish for a better place for ‘X’ to stay; the staff are all brilliant.’ No relative indicated that they ever had made a complaint about the service and all were satisfied with the overall care provided. Six of the seven service users at the home also completed the Commission’s questionnaire – clearly with some staff help – but all again indicated that they were happy with the service, knew who to talk to if they were unhappy with the service, and felt the care provided was respectful, positive – and stated they liked living there. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 6 The inspector remains impressed by the way in which the staff team handle a difficult job with professionalism and quiet determination. In recent times the inspector has seen the positive development of some service users at the home - demonstrating the effectiveness of consistent working practices. What has improved since the last inspection? What they could do better: Six requirements are set at this inspection, two of which in relations to new staff - were turned into an Immediate Requirement Notice (see below). The four remaining requirements relate to the need for fridge and freezer temperatures to be taken consistently; for medication records and procedures to be tightened; for the furniture / furnishings in the first floor office to be improved (not just by removing them from the manager’s office), and for staff to be trained and qualified to NVQ Level 2 urgently - to meet the minimum standard target of 50 staff to be qualified by December 2005. Due to concerns about the employment status of one staff member, the inspector returned to the house the following lunchtime (18/01/06) to clarify the situation with the registered manager and then returned the following evening (19/01/06) to deliver an Immediate Requirement Notice regarding the steps that were necessary to continue this staff member’s direct employment. The inspector is able to report that the required evidence of the completion of induction training and the full recruitment documentation and staffing rotas were with the Commission by the required date and the home has therefore met the immediate requirement conditions in full. Simon Burrowes, the home’s Manager was previously the Deputy here, and this gives him great long-term insight into the service users at the home and Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 7 also into the running of the premises. It became apparent that loss of staff over the festive period had left him wanting for staffing input - undertaking a number of duty shifts himself - and possibly ‘clouding’ his perception of the necessary steps to take when employing a staff member under a PoVAFirst check. He has now put in place all necessary cautions -these to be maintained until the full enhanced CRB check returns - when the employee can begin to work fully in an ‘unsupervised manner’. 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. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 8 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 Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 9 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): None specifically examined at this inspection. The home provides service users & other interested parties with full details to enable them to make an informed choice about choosing to live at the home. Service user’s needs and aspirations are assessed, understood and implemented at the home – through the thorough and considered exploration of behaviours, wishes and needs, fully including the service user’s views. EVIDENCE: The two judgement statements above cover the first three standards within this section; the fourth and fifth were not inspected at this visit; it is known, however that they were both found ‘met’ in the previous inspection cycle and there is nothing to suggest to the inspector that any of the issues in standards 4 and 5 have changed fundamentally at the home. Admissions to the home are rare; the community is very stable - the most recent departure of a service user - which took a significant period of time to prepare for by both the home and the care manager - was countermanded when they returned to the home (the room was kept open pending confirmation of departure) having decided that the move was not for them. Green The (3) DS0000007140.V278510.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): None inspected at this visit. The home creates and maintains care plans and assessment documents designed to ensure that the needs of service users are realistically met in a focused and individual way. Service users can be assured that their rights to individuality and selfexpression are protected, whilst acknowledging the community aspect of living at The Green. Consultation and sharing of information will involve, and take into account, the wishes and aspirations of the service user. Service users can generally be assured that risk-taking will be an integral part of the support / protection plans put in place by the home. Service users and staff can be assured that information kept relating to them will be kept appropriately safely in line with legislative requirements. EVIDENCE: All the above standards were found met at the last inspection visit, with no requirements or recommendations being set; the inspector had no reason to believe that any situation had changed fundamentally in this regard, so just reiterates the judgement statements from the last report. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 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): 16 & 17. Service users can be assured that the service provides opportunities for them to engage in activities both within and outside the home, and to adopt a lifestyle suited to their individual needs and preferences. Relatives / friends can expect a positive welcome from the home, within the context of respect for a service user’s own choice and decision-making. A fuller focus on the involvement of service users in formal decision-making would benefit both service users and staff in developing a sense of corporate responsibility for their behaviour and the services provided - and encourage the community to ‘gel’. Service users can expect to be provided with a good standard of nutritious and wholesome food, whilst acknowledging the right to their own stated choice and ensuring that mealtimes are a pleasant and enjoyable time. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 12 EVIDENCE: The above judgement statements - other than the third paragraph - are taken from the previous inspection report - where the only requirement related to ensuring fridge and freezer temperatures were undertaken - which still remains, as the finding was that these records were severely neglected again. One staff member was consistently ensuring records were kept - at least evidencing an ongoing compliance with temperature levels from time to time however they must be taken on a regular daily basis without fail to ensure best food safety practice. Service user meeting minutes were also poorly recorded; and the record book this time shows only two - in April and August 2005 - being recorded. Staff meetings records were also not held in good order; they were being held regularly up to the date of the previous inspection visit, and thereafter records suggest that they had been held very infrequently. The need to discuss the service with service users - and to discuss issues between staff - are essential for the house to function as well as it can - involving service users as fully as possible, emphasising their full involvement in the life of the home. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 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): 20. Service users can be assured that their personal, health care and emotional needs will be recognised and met by the home’s daily service input and through longer-term assessment and care planning programme. The systems adopted by the home regarding medication should ensure the safety and consistent treatment and support for each service user, provided that tight attention is paid to all relevant records. EVIDENCE: Standards 18 & 19 were found ‘met’ at the last inspection and standard 19 relating to medication - was let down by concerns about the proper recording of the criteria and conditions surrounding the administration of ‘discretionary’ drugs (also known as ‘prn’ / ‘when required’ drugs). Whilst the inspector found the majority of medication records in order and consistently maintained, this inspection showed that some ‘prn’ medication records were at clear variance to the ‘signed off’ medication pro-formas more recently introduced by the registered provider. In-house ‘Guidelines’ sheets gave differing instructions; whereas in respect of one medication dose a specific strength had been agreed by the GP’s signature, instructions elsewhere (which also could have been consulted) allowed up to four times that stated strength to be administered. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 14 One significant medication error - in the administration over three days of a drug that had been previously discontinued - was also found, and openly acknowledged as a mistake by the manager - this due to the pharmacist continuing to dispense a dose that had in fact been previously formally stopped. Such errors must be more carefully filtered out of the (otherwise fairly watertight) systems employed at the home. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 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): None inspected at this visit. Service users can be confident that their comments and complaints are responded to, with appropriate action being taken in a timely fashion. The home provides adequate support to service users to ensure that they are protected from harm and any form of abuse. EVIDENCE: The above judgement statements are taken from the last inspection report, which clearly shows that both standards were found ‘met’; the inspector found nothing to suggest that the situation at this visit had changed. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 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): 28 & 30. Service users can expect to live in a clean, warm and comfortable environment designed to meet their individual needs and providing adequate services and domestic facilities. Service users can be assured that, once the emergency call bell facility has been restored, the home will be a safe environment in which to live, without unnecessary risk. EVIDENCE: The above judgement statements were written in the last report summarising the outcomes for the home, with just two requirements set against them, with regard to the carpeting in the front hallway - and the furnishing in the staff office on the first floor. It is understood that the carpeting in the main hallway has now been measured up by the contractor - and new kitchen units and equipment is to be delivered and installed at the same time - this leading to a substantial upgrade in the quality of the service user’s ground floor environment. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 17 The first floor staff office is still in need of upgrading to make it an environment conducive for the staff to take care of; and thus strengthen the quality of the resultant recording and documents produced in this space. The sense of desolation, and even disrespect, in the office currently does not encourage a sense of pride in the area; even the freezer doesn’t have its temperature taken regularly! Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 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): 34 & 35. Service users can be assured that they will be supported at all times by staff who are experienced and competent in their work, being provided in sufficient numbers to meet their identified needs. Service users can expect to be provided a service that generally ensures their safety and protection from abuse – though management vigilance is needed to ensure that full checks are undertaken using the (usually) thorough CMG recruitment processes and stringent ongoing staff support arrangements when choosing to employ a staff member under PoVAFirst conditions. EVIDENCE: Following on from a situation at the last inspection visit, when it was found that a staff member had started work without a CRB check being undertaken, this time it was found that a new member of staff had been started at the home - with a PoVAFirst check having been completed - but with inadequate documentation being available to evidence the extra-stringent attention that must be paid to checking and supervising this person before the full CRB check returns, including induction, support and supervision. These personnel checks have to be undertaken very closely to satisfy the employer that the person is trustworthy - including investigating gaps in previous employment history - and through seeking the fullest range of references from previous employers possible. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 19 A full induction must also be evidenced for the staff member and close supervision of the staff member during this PoVAFirst period is required to be provided to ensure that the staff member is not left unsupervised with service users. The inspector had to return to the home the following day to clarify the situation with the manager of the home, and then returned the following evening with an ‘Immediate Requirement Notice’ concerning these above steps and requiring that the Commission be furnished with sufficient evidence to show that these checks had been undertaken, that suitable induction had been completed and that the staff member was being appropriately supervised. The inspector can confirm that the manager met this Notice in full within the required timescale. The inspector can also confirm that he is currently assisting the registered provider to re-write their policy guidance on using staff with only a PoVAFirst check. In mitigation, the manager was able to state that he was under the impression that staff could start with a PoVAFirst - little realising the greater steps that have to be taken. The induction record was not completed due to the seemingly genuine stress the service was under at the time of the new staff member starting. It is hoped that the revised guidance from the registered provider will clarify this for managers across the board in CMG properties. Regarding NVQ training at the home - which has been in deficit for some while and continues an issue for care staff, it is understood that by 11.01.06 at least half the staff team have been signed on to undertake their NVQ at Level 2. The December 2005 deadline for 50 to be qualified at Level 2 is now passed -so the recommendation now becomes a stated requirement. The deputy manager is to undertake the Registered Manager’s Award (Level 4), and the Senior Support Worker at the home is undertaking the NVQ at Level 3. The registered manager plans to complete his Registered Manager’s Award by March 2006. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 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): 42. The home operates management systems that ensure that service users benefit from a well-run, competently managed and safe environment. Service users can be assured that generally their rights and interests are well served and protected through the home’s approach to record keeping, policies & procedures, and the day-to-day conduct of the home. Service users can be assured that their welfare and health & safety is safeguarded through the home’s rigorous adherence to appropriate guidance and regulations concerning best safety practice. EVIDENCE: The above judgement statements are quoted from the previous inspection report - which made these judgements with just one requirement outstanding that of ensuring that the emergency call bell was restored to operation. This had been achieved - so this section of standards is considered, from both inspection outcomes, fully ‘met’. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 21 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 1 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X x X X X X 3 X Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? YES 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 Requirement Timescale for action 17/01/06 16(2)(h) (i) Records of fridge and freezer temperatures must be carefully documented and held; the ability to evidence best food safety practices must be emphasised at all times. Timescale of 11/10/05 not met. 13(2) & 17 Information and guidance especially relating to ‘prn’ (discretionary) medication must be rigorously maintained and immediately updated as necessary. Timescale of 18/10/05 not met. 2. YA20 21/02/06 3. YA28 23(3)& 12(5) Furniture & furnishings in the 15/02/06 first floor office must be improved to make the environment more pleasant and more ‘office-like’ to encourage a culture of professionalism, and to indicate the value staff and their written / recording work are held in. Timescale of 15/12/05 not met. Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 23 4. YA32 18(1) A minimum of 50 of the care staff team must be qualified nominally to NVQ Level 2 in care as soon as practicable. Timescale of 31/12/05 exceeded. Immediate Requirement Notice set: That all staff must be thoroughly checked by rigorous pre-employment checks prior to being allowed to work under a PoVAFirst check rather than the full Criminal Records Bureau Enhanced Level check. 31/12/06 5. YA34 19 23/01/06 6. YA35 17 - Sch 4 & Part of Immediate 18 Requirement Notice: Induction training must be carefully monitored and completed - for all new staff starting work at the home. 23/01/06 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 YA16 Good Practice Recommendations It is recommended that service users should be encouraged to agree a minimum period (perhaps 6-8 weeks) between house meetings, and that they should be regularly held and minuted - to ensure that an equal opportunity for ‘lesser’ issues to be heard is also provided. The (registered) manager should be qualified to NVQ Level 4 in Management and Care by December 2005. Mr Burrowes is close to completion of his course. 2. YA37 Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Green The (3) DS0000007140.V278510.R01.S.doc Version 5.1 Page 25 - 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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