Inspection on 02/05/07 for Hamilton Court

This inspection was carried out on 2nd May 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 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hamilton Court 07/06/06

Hamilton Court 16/11/05

Hamilton Court 19/05/05

Hamilton Court 23/03/05

Hamilton Court 16/12/04

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

CARE HOME ADULTS 18-65 Hamilton Court 2 Hinstock Road Handsworth Birmingham B20 2EU Lead Inspector Julie Preston Key Unannounced Inspection 31st May 2007 10:00 Hamilton Court DS0000054608.V336531.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 Hamilton Court DS0000054608.V336531.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. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamilton Court Address 2 Hinstock Road Handsworth Birmingham B20 2EU 0121 5154955 0121 5154680 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) Tudor Views Ltd Vacant Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13) of places Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. That the home provides personal care only for thirteen people for reasons of mental disorder, excluding learning disability or dementia. (13MD) Service users must be aged under 65 years. That a minimum of two staff are on duty at all times, one of whom should be designated senior. That the manager completes the Registered Managers Award or equivalent by April 2005. That additional garden space is created for the service users to the side of the home which affords a degree of privacy for service users, within 4 months of registration. That the home may provide care and accommodation for one named service user in need of respite care for reasons of learning disability. 7th June 2006 6. Date of last inspection Brief Description of the Service: Hamilton Court is a large detached house situated opposite a park in the Handsworth Wood area of Birmingham. The home provides care to people with mental health problems and currently has an all male service user group, employing a predominantly male staff team. Shopping, leisure and public transport facilities are within walking distance of the home. Bedrooms are available on all floors and there are two lounges on the ground floor, one of which is a designated smoking area. Information is shared with service users at regular house meetings. Service users contribute to the cost of living in the home from their welfare benefit. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over one day. Time was spent talking to service users about what it is like to live in the home and observing staff supporting service users with day-to-day tasks. The inspector had lunch with service users and a tour of the premises took place. Records that describe service users care, health and safety management and staff recruitment and training were sampled. Medication storage and administration practice were looked at as well as the records for some service users. There were no immediate requirements as a result of this fieldwork. What the service does well: What has improved since the last inspection? Care plans and risk assessments describe clearly how service users should be supported and safeguarded. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 6 Activities are better organised so that service users have more opportunities to take part in things they enjoy. Staff keep a record of food eaten by service users so that their health can be monitored. New floor covering has been fitted in the designated smoking room, bedrooms had been refurbished and some minor repairs had taken place creating a more pleasant environment for service users. 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. Hamilton Court DS0000054608.V336531.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 Hamilton Court DS0000054608.V336531.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): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home implements good systems of admission to ensure that service users assessed needs can be met prior to them moving in. Service users have access to information about the home to help them decide whether to move in and be confident their needs can be met there. EVIDENCE: There is a statement of purpose and service user guide, that explain the services and facilities provided, so that service users have access to information about the home before they decide to move in. At this visit it was reported that a new service user had recently been admitted to the home. An assessment of the person’s needs was seen to be in place, which had been completed by staff at the home and other mental health care professionals. The assessment described the person’s needs and identified known risks and the controls in place to manage them. There was a care plan on file that explained how to support the service user, based on the information collated from the pre admission assessment. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 9 The deputy manager was able to describe the process of admission and confirmed that service users were offered trial visits to the home in order to decide whether their needs could be met there. This was reflected in the service users daily records. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning and risk assessment systems are satisfactory and provide staff with the information they need to effectively support and care for service users. Service users have opportunities to make decisions about their lifestyles and their independence is promoted. EVIDENCE: Three care plans were sampled at this inspection. In some cases the plans were not signed or dated to enable the reader to determine that they were relevant to service users current needs. However, the information contained in the care plans sampled clearly described service users needs and the support they require in their day-to-day lives. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 11 Staff present at this visit demonstrated knowledge of their role in caring for service users and the importance of supporting individuals to maintain and develop their independence. Service users commented that this was important to them. One person said, “I like cooking for myself, it helps me with my skills”. Risk assessments were seen to be in place that identified the action to be taken by staff to reduce known risks to service users health and well being. Those sampled were concisely written and staff were able to describe the steps that are taken to promote service users welfare, which was consistent with the risk assessments observed. Service users have a range of communication needs, including first languages other than spoken English. Staff were observed communicating with service users in their first languages and it was positive to note that a designated member of staff had been recruited to support a service user who’s first language is BSL (British Sign Language). House meetings take place on a regular basis. From observation of the records and discussion with service users, it was evident that individuals are encouraged to make decisions about the running of the home. House rules had been agreed by the service user group and activities, menus and day trips decided upon at a recent meeting. Hamilton Court DS0000054608.V336531.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 good. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in activities they enjoy and keep in touch with their friends and relatives. Service users enjoy their meals and opportunities are provided for individuals to prepare their own food as a means of developing independence. EVIDENCE: The home has employed an activities co-ordinator who meets with service users each week to plan various trips and community based activities. Records of these meetings were observed and from sampling of service users daily records it was evident that planned activities had taken place, such as walks, shopping, bowling and visits to the local leisure centre. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 13 Service users showed the inspector photographs of recent parties that were displayed in the dining room and said they had enjoyed getting dressed up for the occasion. Service users are supported to use resources that reflect their cultural needs such as attendance at BID (British Institute for the Deaf) clubs and places of worship. The care plans sampled showed that information had been recorded about the contact arrangements for service users to see their families and friends. At this visit service users made and received personal telephone calls and were given privacy to do so by the staff team. The inspector had lunch with some of the service users. Plated meals were sent from the kitchen consisting of fish, chips and mushy peas. It appeared that service users had not been consulted about what they would like to eat, however all said they enjoyed the meal and could choose another option if they wanted to. Menus sampled for the month of May showed that on several occasions the same meal had been offered for both lunch and dinner. This was raised during the visit as an issue for review as it was questionable that everyone would make this choice. An e-mail was received from the registered provider on the same day as the inspection to confirm that service users had made this choice and had told kitchen staff that the meal was what they wanted to eat. There is not sufficient space for service users to sit together at the dining table, as it is too small. Other tables and chairs have to be moved into the dining room to accommodate the number of people sitting down to a meal. Staff did comment that often service users eat at different times which reduced the numbers, however as more service users move into the home it will be necessary to review these arrangements for their comfort at mealtimes. It was pleasing to note that service users who require assistance to eat their food were supported in a culturally sensitive way so that cutlery was not used to help the person eat in a traditional way. Some service users said that they enjoy cooking their own food and have opportunities to do so. One person said that he goes shopping for ingredients to make his own meals and likes doing this. Specific diets are planned for and care records showed that service users dietary needs for both health and cultural reasons had been assessed. Since the last inspection, staff have begun to record the food consumed by service users so that their health and well being can be monitored effectively. Hamilton Court DS0000054608.V336531.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 personal and health care needs are assessed and there are plans in place to meet their needs. Medicines management is good so that service users receive their medication safely and maintain good health. EVIDENCE: Three personal care plans were sampled. Information was seen to clearly describe service users needs and preferences and staff were able to describe the care provided which was consistent with the content of the plans sampled. There was emphasis within the care plans seen on promoting the strengths of each service user so that they maintain independence with their personal care. One service user said, “I choose my own clothes and decide whether to have a bath or shower. It’s my choice”. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 15 It was noted that all service users were dressed in styles that reflected their gender, age and culture. A high number of male staff work in the home, which is consistent with the gender of the service user group. Clinical waste disposal had not been considered for service users with continence problems. Staff had been disposing waste with household refuse despite the home having a contract for clinical waste removal. This was satisfactorily resolved during the visit. Health care records were tracked for three service users. All showed that each person had visited their GP, dentist and optician on a regular basis. Care plans for the three service users were observed which identified their mental health care needs and the action to be taken by staff in the event of a possible relapse. Records had been maintained to monitor the health of service users with ongoing physical conditions and staff present during this visit were able to describe how to recognise symptoms that service users were not well, which was consistent with the information seen in the care plans sampled. Medication was noted to be securely stored in a locked cabinet or refrigerator. The medication prescribed to three service users was tracked, which showed no anomalies indicating that they had received their medication as prescribed. Written protocols were observed for the administration of PRN (as required) medicines. The staff on duty were able to describe the circumstances under which such medicines should be used which was in accordance with the protocols seen. Records showed that the temperature of the medication fridge is taken on a daily basis so that staff can be sure service users medication is being stored in a safe manner. Hamilton Court DS0000054608.V336531.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): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for service users representatives to make complaints about the service are satisfactory so that they can be confident their views will be listened to. Service users are not adequately safeguarded by the home’s adult protection procedures. EVIDENCE: Two complaints had been made about the home since the last inspection in June 2006. Both had been dealt with using the home’s complaints procedure to the satisfaction of the service user and the CSCI informed of the outcome of each investigation. The complaints procedure was not observed at this visit, however service users commented that they were aware of the right to raise concerns and were confident that they would be listened to and taken seriously. Some service users demonstrate behaviour that challenges service provision. The management plans in place that describe how to minimise risk to service users and agreed responses to the behaviour, were in one case not sufficiently detailed to enable the reader to determine how to support the person. This could lead to service users being placed at risk of harm or offered inconsistent Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 17 care. This was addressed with staff and assurances were given that the behaviour management plan would be reviewed. Adult protection training had taken place as an in house event for staff. Certificates of successful completion were not available for all staff as they had been stored off site. It was noted that the training was in the format of a multiple-choice questionnaire. Some staff had scored poorly or not answered questions, although their records identified that they had received the training. This must be reviewed so that service users can be confident that the staff team are aware of their role in protecting vulnerable adults in line with the home’s policies and procedures. Hamilton Court DS0000054608.V336531.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): 24, 26, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. In the main, the home is well presented, comfortable and clean, which provides a satisfactory environment for service users to live in. EVIDENCE: Hamilton Court is situated close to Birmingham City Centre, places of worship and local amenities such as shops and public transport routes. A tour of the premises showed some improvements since the last inspection. New floor covering had been fitted in the designated smoking room, bedrooms had been refurbished and some minor repairs had taken place creating a more pleasant environment for service users. At this visit the home was warm and clean. One bedroom with an en suite shower facility was in need of some attention as the room was heavily damaged by condensation, particularly in the shower room where both the Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 19 walls and ceiling were stained with mould. This is not pleasant for the service user and must be addressed for the person’s comfort. Otherwise bedrooms and shared space were well furnished and comfortable. One service user stated that he loved his bedroom and had been encouraged to furnish and arrange it according to his tastes. The home has a laundry room, which is situated, away from areas where food is stored, prepared and eaten to reduce risks of food contamination. Since the last visit liquid soap and paper hand towels had been provided so that staff could wash after completing laundry tasks. This facility was not available in all bathrooms, which must be addressed to reduce the risk of cross infection within the home. Hamilton Court DS0000054608.V336531.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): 32, 34, 35, 36 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Information relating to staff recruitment, training and supervision is not sufficient to establish that service users are protected by robust procedures. EVIDENCE: Staff were observed working with service users and had clearly developed good relationships with them, talking to them in a respectful and friendly manner. This was confirmed by service users who commented, “they’re very friendly and helpful” and “I like all of them”. The recruitment records for two members of staff were observed. One person with no previous experience of working with the service user group living at the home, had not completed an induction or had any formal supervision with senior staff and was on the rota to work alone at night. This was addressed by the person in charge, however this practice could have placed service users at risk and had not been identified by senior staff prior to this visit. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 21 In one case references did not identify that the person had the skills, experience and knowledge necessary to work within the home. One document was addressed “to whom it may concern” and was a character reference; the other was a copy of an award that the person had been nominated for in their previous employment. There was no evidence that this had been followed up prior to the person’s employment at the home. Staff training records sampled were in some cases incomplete. Fire safety certificates issued in September 2006 had not been filled in so that it was not possible to evidence that satisfactory training had taken place for the protection of service users. A member of staff with sleep in responsibilities had completed fire evacuation training; only this was at another home, which may not be reflective of the arrangements at Hamilton Court. The inspector did not receive the AQAA (Annual Quality Assurance Assessment) until after this fieldwork had taken place. The AQAA provides details of the home’s quality assurance systems, including staff training. Information about the number of staff with NVQ Level 2 and Basic Food Hygiene training had not been completed on the AQAA. A staff training matrix was in place within the home, however it was not up to date. The most recent matrix was not received by the CSCI at time of writing this report. Staff supervision records sampled showed that in some cases no formal sessions had been provided to staff. Criminal Records Bureau checks had been completed for staff prior to their employment for the protection of service users. The records sampled did not evidence that regular mandatory and service user specific training had been provided so that staff are equipped to meet service users needs both individually and as a group. Hamilton Court DS0000054608.V336531.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): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home promotes the health and safety of service users and systems of quality assurance are in place to review the standard of care delivered. EVIDENCE: The home has recruited a trainee manager who has not submitted an application for registration with the CSCI. The home has been without a registered manager for a number of years, although it was positive to note at this visit that several improvements had been made leading to better outcomes for service users, such as more frequent activities and consistent care planning. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 23 The home has made progress to develop and implement systems of quality assurance. It was pleasing to note that visits by a representative of the registered provider continue to take place, which report on the quality of care provided within the home. House meetings take place on a more regular basis so that service users views on the running of the home are sought and acted upon. A representative of the registered provider confirmed that spot checks take place on a 3-6 monthly basis at which full audits of the premises and records management are conducted. The home’s fire safety records were observed which demonstrated regular testing and servicing of fire equipment. Up to date certificates of service were available for gas and electrical appliances. Arrangements had been made for the provision of fire safety equipment that is suitable to meet the individual needs of service users. There was evidence in health and safety records that the equipment was tested regularly to ensure it remained in good working order for service users protection. Fire evacuation plans were not in place for service users, so that staff had clear instruction about how to escort individuals from the premises in the event of an emergency. It was reported after this fieldwork that plans had been implemented for each person. Hamilton Court DS0000054608.V336531.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 3 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 2 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 1 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 2 X 3 X X 3 X Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 25 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 YA23 Regulation 13(6) Requirement Care plans that describe how to support service users who demonstrate challenging behaviour must clearly identify the action to be taken by staff to reduce risks to the person so that a consistent approach is provided. Staff must receive training in the protection of vulnerable adults so that the needs of service users are safeguarded. The bedroom damaged by condensation must be refurbished for the comfort and well being of the service user. Suitable hand washing and drying equipment must be provided in all bathrooms to reduce the risk of cross infection. The recruitment and selection procedure must ensure that satisfactory checks are made of the person’s suitability to DS0000054608.V336531.R01.S.doc Timescale for action 01/07/07 2 YA23 YA35 13(6) 30/07/07 3 YA26 23(2)(b) 15/08/07 4 YA30 13(3) 01/07/07 5 YA34 7, 9, 19 Sch 2 01/07/07 Hamilton Court Version 5.2 Page 26 6 YA35 18(1)(a, c) work in the home for the protection of service users. A review of staff training needs must be conducted to ensure that mandatory and service user specific training is delivered for the ongoing protection of service users. Records of such training must be maintained. Unmet from last inspection on 07/06/06. 15/07/07 7 YA36 18(2) Staff must receive sufficient induction and supervision to ensure that they have the necessary skills to support the service user group. 01/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA6 YA17 YA18 YA37 Good Practice Recommendations Care plans should be signed and dated so it is clear that the information is relevant to service users current needs. The dining space should be reviewed so that service users can eat together if they wish to do so. Clinical waste disposal should be arranged prior to the placement of service users that require this facility. The manager should submit an application for registration to the CSCI. Hamilton Court DS0000054608.V336531.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Hamilton Court DS0000054608.V336531.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!