Inspection on 18/12/06 for Grosvenor Terrace, 52-60

This inspection was carried out on 18th December 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 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grosvenor Terrace, 52-60 16/02/09

Grosvenor Terrace, 52-60 05/02/08

Grosvenor Terrace, 52-60 18/05/06

Grosvenor Terrace, 52-60 18/10/05

Grosvenor Terrace, 52-60 02/06/05

Grosvenor Terrace, 52-60 11/11/04

Grosvenor Terrace, 52-60 23/08/04

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 Grosvenor Terrace, 52/60 52/60 Grosvenor Terrace Camberwell London SE5 0NP Lead Inspector Lisa Wilde Unannounced Inspection 18 & 22 December 2006 10:00 th nd Grosvenor Terrace, 52/60 DS0000060236.V324497.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 Grosvenor Terrace, 52/60 DS0000060236.V324497.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. Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grosvenor Terrace, 52/60 Address 52/60 Grosvenor Terrace Camberwell London SE5 0NP 020 7277 1619 020 7277 1619 52grosvenor@odysseycsft.org www.odyssey-csft.org Odyssey Care Solutions for Today 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) *** Post Vacant *** Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2006 Brief Description of the Service: 52-60 Grosvenor Terrace is a home that has rooms for eight service users with learning disabilities. It is in a residential street just a short distance from the shopping area of Walworth Road. The home is made up of two large Victorian terraced houses that are connected with a garden and patio at the back. There is a disabled parking bay outside the home that is used for the home’s minibus. On the ground floor are 2 bedrooms that are wheelchair accessible. No 60 has a specially adapted kitchen for wheelchair users. The home is close to local shops, entertainment and public amenities. There is no lift in the home. There were no vacancies at the time of this inspection and all the current service users have been at the home for a number of years. The service user part of the fees for a place at this home are £62.35. There are contributions towards transport of £4.25 if on the lower rate of Disability Living allowance or £11.06 if on the higher rate of Disability Living Allowance. The home makes the report of the Commission’s inspections available in the staff office. Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days in December 2006. The inspector spent one day at the home talking with service users and staff and looking through documents and then papers were faxed to the inspector later in the week. Most service users at this home cannot speak and the inspector spoke to relatives at the last inspection a few months ago. The main problem at this home for past year has been the large number of permanent staff vacancies and the lack of a permanent Registered Manager. What the service does well: A lot of things at this home are good. • • • • • • • • • • • • • • Staff find out what service users want and write this down for them. Staff write plans so they can help service users do what they want to do. Staff help service users make decisions. Staff listen to families and other people who know what service users want. Service users get to go out and do the things they want to do. Service users choose their own food and join in with cooking as much as they are can. Staff make sure service users go to the doctor when they need to. Staff give medication to service users properly. Staff protect service users from people who might hurt them. Service users have their own bedrooms. Service users can decorate their bedrooms how they want to. The home is clean and comfortable. Staff make sure the building is safe. The organisation checks out new staff before they start working at the home. DS0000060236.V324497.R01.S.doc Version 5.2 Page 6 Grosvenor Terrace, 52/60 • Staff find out what service users and their families think and put in place plans to make things better. 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. Grosvenor Terrace, 52/60 DS0000060236.V324497.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 Grosvenor Terrace, 52/60 DS0000060236.V324497.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): 2&5 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new service users have moved to this home for many years so it is not possible or useful to try and assess what happens when someone wants to move to the home. There was a previous requirement that the Registered Manager must ensure that service user contracts must be signed by the service user or their representative e.g. family member or advocate and dated. This has now been done as far as is possible. Grosvenor Terrace, 52/60 DS0000060236.V324497.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): 6, 7 & 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Staff work with service users to find out what they want and write down things that they will do and get better at over the next few months. This means that service users lives do not just stay the same but they are trying new things and improving. This work has not been as good over the last few months because two managers of the service have left. Work that is identified in the annual review of the service users lives is not always done quickly enough which means that service users do not always get what they want or need when they need it. Service users are supported to make decisions as far as possible and most of them have family who are involved to help them make those decisions. Someone is brought in from a local agency to offer more support when making decisions and telling staff what they want but staff could do more to make sure that this type of help is from someone who has more experience of the type of thing that service users have been through. If this was done them staff could Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 10 be more certain that they were finding out what the service users really want and feel. Staff work with service users to find out what may harm them and what help they may need but there are not always plans drawn up afterwards to get rid of this harm or make sure that the risk is as small as possible. This means that service users may be put at risk or they may not be supported to do things that would make them more independent. EVIDENCE: There was a previous requirement that the Registered Manager must ensure that the care planning and goal setting systems are regularly recorded and monitored. Files showed that there are new systems being used to make sure that service users set goals with their keyworkers and that these are monitored. Not all elements of the care plans and support guidelines were reviewed every six months as required. (See Requirement 1) There was a previous requirement that the Registered Manager must ensure that all service users needs, including needs around culture, ethnicity, religion and gender are considered and addressed in the care plan. This is not yet being done and while this is an important issue, given the lack of permanent staff and the absence of a permanent Registered Manager, it is not the time for the home to be focussing on these areas. These requirements will be written as recommendations in this report, not because they are less important but to give the new staff team and manager time to settle in and concentrate on improving basic standards of care. Discussion was held about the work that could be done to assist staff to acquire a little of the particular language that one service user speaks as their first language. (See Recommendations 1 & 2) There was a previous requirement that the Registered Manager must ensure that all action identified in the service user reviews are carried out in a timely manner. The acting manager and service manager agreed that given the current staffing problems, this requirement is not met. (See Requirement 2) There was a previous requirement that the Registered Manager must ensure that staff research agencies and individuals who can advocate or offer peer support for service users and who share some of the same culture, heritage and disabilities. The home has approached the current advocate that they use who does not know of any additional formal advocacy agencies. Again as mentioned previously this is not the time for the home to be focusing on large pieces of work finding other peer support or advocacy across the borough so again this will be written as a recommendation for now until a more appropriate time. (See Recommendation 3) Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 11 There was a previous requirement that the Registered Manager must ensure that plans to manage and minimise risk are drawn up whenever a risk is identified in an assessment. Risk assessments are in place but not all elements of the forms are completed so not all elements of the risk or how to manage them have been identified and addressed. (See Requirement 3) Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users have individual weekly programmes that include doing things in and outside of the home. Staff support service users to keep in touch with their families. Service users are offered varied and healthy meals. EVIDENCE: There was a previous requirement that the Registered Individual must ensure that the home’s transport is repaired or that effective alternatives are accessed in the interim. This has now been done. There was a previous requirement that the Registered Manager must ensure that the kitchen is not locked at night. This is no longer done. Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 13 Grosvenor Terrace, 52/60 DS0000060236.V324497.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): 18, 19 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are supported by staff in the way that they choose and their health need are met by going for regular appointment at the GP. When service users needs special help, meetings are held with all people involved in their care to make sure that decisions are made in their best interests. Medication is given to service users safely and recorded properly. EVIDENCE: Service users are supported to attend the GP and other clinics regularly and records are kept of these visits. Best interest meetings are held when decisions need to be made about medical treatment to which the service user cannot consent. Service users have written guidelines for staff telling how they like to have things done for them Medication stocks and records were checked and all were in order. Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. 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. Complaints and concerns are taken seriously and investigated properly. Service users are protected form abuse by staff being trained in policies and procedures around safeguarding vulnerable adults. EVIDENCE: There was a previous requirement that the Registered Manager must ensure that the timescales for all investigations of complaints are recorded in the complaints book. There have been no complaints since the last inspection apart from one which is being dealt with by senior staff in the organisation. There was a previous requirement that the Registered Manager must ensure that records are complete and show that all staff have had recent training around protection of vulnerable adults. This has been done and records of the attendees were sent though to the inspector following the inspection. There was a previous requirement that the Registered Manager must ensure that there is an unexplained bruising procedure that includes calling the GP to investigate unexplained bruises and informing relatives as soon as possible and other agencies when necessary. This is now in operation and has been used effectively recently. Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home is clean and comfortable throughout and the communal areas are large enough although there is some decoration needed. EVIDENCE: There was a previous requirement that the Registered Individuals must ensure that work must be done on all the bathrooms and toilets, particularly the upstairs bathroom in No 60, to ensure they are homely rather than institutional with regard to decoration and fittings. This has now been done, although there were still one or two more small things that could be done to make the bathrooms more attractive. There was a previous requirement that the Registered Individuals must ensure that the corridors and lounges are reasonably decorated i.e. paint and wallpaper that is dirty, has been scuffed or taken off is made good. This has not been done yet but there is a plan to do so. (See Requirement 4) Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 17 There was a previous requirement that the Registered Individual must ensure that the home is issued with clear guidance about who is responsible for repairs and maintenance in the home and that all necessary repairs are carried out in a timely manner. This has now been done. There was a previous requirement that the Registered Individuals must ensure that the washing machine and dryer are moved out of the kitchen. Further discussions were held about this and it appears that two service users in wheelchairs would be able to take some part in their laundry if they were enabled to do so and if there were laundry facilities kept downstairs. In this instance the positive effect of supporting service users to do more for themselves could outweigh the risk of infection in the large kitchen and if the home conducts those risk assessments and changed the equipment to domestic machines this would be acceptable. (See Requirement 5) There was a previous recommendation that the Registered Manager should make sure that the pictures and decoration throughout the home reflects the different cultures and ethnicities of the service users in the home. The home has worked on this issue. Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users are not being offered the best support possible due to the large number of permanent staff vacancies. Service users are protected by the home’s recruitment procedures. Staff are offered training but there may be gaps in this training. Staff are supervised regularly by a manager which means that service users are offered support from staff who are receiving enough support and guidance. EVIDENCE: There was a previous requirement that the Registered Individuals must ensure that the Commission’s recruitment form is completed for all staff and held on file at the home. This is now being done. All permanent staff hold or are undertaking the required NVQ but the home uses so much agency or bank staff that the acting manager could not confirm Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 19 that 50 of care was being offered by staff who hold the qualification. (See Requirement 6) There was a previous requirement that the Registered Individuals must ensure that the current staff vacancies are recruited to as a priority. This has not yet occurred although there are interviews planned shortly after this inspection. (See Requirement 7) There were previous requirements that the Registered Individuals must ensure that the staff training records are complete and that there is a training and development plan in the home that assesses what training is necessary for each role to meet the needs of service users and identifies the required training for the year ahead and that the Registered Manager must ensure that all staff receive at least annual appraisals of their work that include identifying any training and development they need to meet the needs of service users and the aims and objectives of the home. There are documents that state what training has been done and what training is needed for all staff but they do not reflect all the training needs that have been identified in the appraisals. In addition, timescales are not put in the training documents to make sure that if planned training is cancelled that it is done at a later stage in the year. (See Requirement 8) Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 & 43 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. There is no Registered Manager in post, which means that the home cannot be managed as well as it should be. Staff gather the views of service users and their families and tries to make sure that the home gets better in the ways service users want. Service users are protected from harm by staff operating health and safety procedures effectively. Service users’ money is not looked after properly. EVIDENCE: Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 21 There was a previous requirement that the Registered Individual must ensure that there is a manager in post who submits and application to be registered to the Commission and who holds or begins the NVQ Level 4 Registered Manager Award (followed by the NVQ Level 4 in Care). The acting manager has submitted an application but he has not applied for the permanent position. There have been manager interviews held and the organisation is waiting to appoint someone shortly. (See Requirement 9) There was a previous requirement that the Registered Individuals must ensure that the home must develop an annual development plan that reflects aims and outcomes for service users. Views of family, friends, advocates and other stakeholders (e.g. G.P.s, local community) must be sought annually to feed into this development plan. The organisation has introduced systems to bring together and monitor outcomes for service users and will be introducing a more formal quality assurance system in the next few months. There was a previous requirement that the Registered Manager must ensure that relatives are told about the Commission’s inspections and copies of the reports are made available to them. This is now being done in Relatives Meetings. There was a previous requirement that the Registered Manager must ensure that weekly tests of the fire system are conducted as required. This is now being done. Service users’ money was checked and all systems for accounting and monitoring for the money are mostly robust and effective but could be improved in some areas. (See Requirements 10-12) Throughout the inspection the inspector noted that the home would benefit from more effective filing and archiving systems. (See Recommendation 4) Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 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 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 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 2 X 3 X X 3 2 Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 23 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 YA6 Regulation 15 Requirement The Registered Manager must ensure that all elements of the care plans and support guidelines are reviewed at least every six months as required. The Registered Manager must ensure that all action identified in the service user reviews is carried out in a timely manner. Previous requirement: Unmet timescale 31/08/06 The Registered Manager must ensure that all elements of risk assessments and management plans and forms are filled in and completed. The Registered Individuals must ensure that the corridors and lounges are reasonably decorated i.e. paint and wallpaper that is dirty, has been scuffed or taken off is made good. Previous requirement: Unmet timescale 31/08/06 The Registered Individuals must ensure that the washing machine and dryer are exchanged for domestic machines and risk assessments and management plans are drawn up to manage DS0000060236.V324497.R01.S.doc Timescale for action 31/03/07 2. YA6 15 31/03/07 3. YA9 13 (4) (a) & (c) 31/03/07 4. YA24 23 (2) (b) 31/03/07 5. YA30 16 (2) (j) 31/03/07 Grosvenor Terrace, 52/60 Version 5.2 Page 24 6. YA32 18 (1) (c) (i) 18 (1) (a) 7. YA33 8. YA35 YA36 18 (1) (c) (i) 9. YA39 S11 Care Standards Act 10 YA43 13 (6) 11. YA43 13 (6) 12. YA43 13 (6) any risks of using these machines in the kitchen. The Registered Individuals must ensure that 50 of care is offered by staff who hold the required NVQ. The Registered Individuals must ensure that the current staff vacancies are recruited to as a priority. Previous requirement: Unmet timescales 28/02/06 30/09/06 The Registered Individuals must ensure that there is a training and development plan in the home that reflects training needs identified in annual appraisals. Part of previous requirement: Unmet timescale 31/08/06. The Registered Individual must ensure that there is a manager in post who submits and application to be registered to the Commission and who holds or begins the NVQ Level 4 Registered Manager Award (followed by the NVQ Level 4 in Care) Previous requirement: Unmet timescale 31/07/06 The Registered Individuals must ensure that all transactions involving service users’ money are signed by two staff. The Registered individuals must ensure that all withdrawals from service users accounts are crosschecked against the bank statements. The Registered Individuals must ensure that all service users or their families are issued with monthly statement of their accounts. 31/03/07 31/03/07 31/03/07 31/03/07 31/01/07 31/01/07 31/01/07 Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 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. Refer to Standard YA6 Good Practice Recommendations The Registered Manager should ensure that all service users needs, including needs around culture, ethnicity, religion and gender are considered and addressed in the care plan. Previous requirement made into a recommendation until a more appropriate time to focus on these areas. The Registered Manager should ensure that staff receive training in the particular language of one identified service user. The Registered Manager must ensure that staff research agencies and individuals who can advocate or offer peer support for service users and who share some of the same culture, heritage and disabilities. Previous requirement made into a recommendation until a more appropriate time to focus on these areas. The Registered Manager should archive any old and unnecessary information and improve filing systems throughout the home. 2. 3. YA6 YA18 YA7 4. YA41 Grosvenor Terrace, 52/60 DS0000060236.V324497.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup DA14 5RH 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. 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