Inspection on 17/12/07 for Hamilton Lodge

This inspection was carried out on 17th December 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hamilton Lodge 07/09/09

Hamilton Lodge 03/12/08

Hamilton Lodge 17/08/06

Hamilton Lodge 02/05/06

Hamilton Lodge 20/10/05

Hamilton Lodge 04/05/05

Hamilton Lodge 07/12/04

Hamilton Lodge 30/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Hamilton Lodge Thelma Turner Homes Ltd, Hamilton Lodge Carr House Road Doncaster DN4 5HP Lead Inspector Valerie Hoyle Key Unannounced Inspection 17th December 2007 10:00 Hamilton Lodge DS0000042678.V344936.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 Lodge DS0000042678.V344936.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 Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamilton Lodge Address Thelma Turner Homes Ltd, Hamilton Lodge Carr House Road Doncaster DN4 5HP 01302 556046 01302 329049 hamiltonvoyage@tiscalli.co.uk 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) Voyage Ltd Denise Josephine Annable Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2006 Brief Description of the Service: Hamilton Lodge is a Care Home registered to provide care for people with a Learning Difficulty. The home consists of a main building and a separate house that has been converted into 2 semi-independent living flats. The main building of the home has a good range of communal areas, which include 2 dining rooms and separate lounge spaces. All the bedrooms in the main building are single occupancy and have en-suite facilities. Each of the 2 semi-independent living flats are fully self-contained. The home is situated close to a municipal park and local shops. There is a large supermarket close buy and the centre of Doncaster is approximately 1.5 miles from the home. There is a high staff ratio provided and emphasis is put on people who use the service integrating with the community and especially using the local college for education. Information gained on the 17th December 2007 indicates that the current fees range from £1055.61 to £2100.34 each week. Additional charges include, meals whilst out of the home and personal toiletries. The home provides information to people who use the service and their relatives prior to admission into the home. Service Users Guides are available in all bedrooms or on request from the manager. The last published inspection report is available on request from the manager. Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over 6 hours, this included a partial inspection of the building. Five people who use the service and five staff was spoken to during the visit; their views are included throughout the report. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We currently use a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people whose knowledge about social care services comes directly from using them. Lee Fiskell (Expert by Experience) and his supporter Donna Gibson accompanied the Inspector for two hours and spent time speaking to staff and people who use the service. An ‘easy read’ summary is available for this report for people to read about the views and experiences of people who live at Hamilton Lodge. Occupancy at the home remains high with all 10 beds occupied. Two peoples care plans were examined and policies relating to medication, complaints, and safeguarding procedures were looked at. Four staff recruitment and training records were examined to ensure people who use the service were protected. Five CSCI service users and relative questionnaires were sent to the home, four service user survey, two relatives surveys, and two health care professionals surveys were returned. The information has been collated and their views are contained within this report. The registered manager Denise Annable was present throughout this inspection and assisted with the inspection process. The registered manager had completed and returned the Annual Quality Assurance Assessment (AQAA) dated 29th May 2007 and the information gained is included in this report. An annual quality assurance assessment (AQAA) is a self-assessment and a dataset that is filled in once a year by all providers whatever their quality rating. It is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. What the service does well: Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 6 There was a warm, friendly atmosphere in the home, and people were happy and busy going about their everyday lives. People enjoy being independent with support from staff. People were supported by a stable staff team, and a registered manger who expects high standards of care. All staff spoken to during the inspection said that they felt supported and they knew who to contact if there was a problem. Staff praised the training provided and said they were given the skills to support service users. Staff also said that they were clear about policies and procedures that helped service users feel safe and protected. Comprehensive person centred care plans were in place for all people, and there was clear evidence to confirm they were fully involved in developing the plans. People said staff supported and encouraged them to be independent and to do the things they liked. The staff were very good in the way they encouraged people to live a full and stimulating lifestyle. People told the expert by experience that staff supported them to take part in a variety of social activities including trips to the theatre, shopping, meals out, going to college and undertaking voluntary and paid work. People said mealtimes were flexible “if they were not hungry they could eat later”. Pictures of the meals helped people to exercise choice, although the day’s menu had not been displayed when the expert looked around the home. People said staff supported them to go shopping for food, and helped make shopping lists to ensure they had ate balanced meals. People said staff helped them to choose holidays and the two people who had just returned from centre parks said they had a great time walking and swimming. People told the expert by experience that staff were very good at listening to them. They said if they had a problem they would talk to Denise (registered manager) in the quiet room, or speak to another member of staff if she was not there. People said they liked their bedroom and they told the expert by experience that they liked having their own bathroom, as it meant they didn’t have to wait. What has improved since the last inspection? Since the last inspection procedures had improved to ensure PRN medication (medication to be administered when required) were administered when needed. Comprehensive guidelines for all people who use the service were examined. The improvements were robust and ensured medication was administered as prescribed. Staff said they were clear about when to administer PRN medication based on signs/indicators in people’s behaviour. Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 7 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 Lodge DS0000042678.V344936.R01.S.doc Version 5.2 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 Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were assessed before moving into the home to ensure their needs could be met. EVIDENCE: Although there had been no recent admissions into the home, the process for admission of people was discussed with the registered manager. The manager said admissions were not made to the home until a full needs assessment had been undertaken. The assessments were conducted professionally and sensitively and involved the individual, and their family or representative, where appropriate. Where the assessment had been undertaken through care management arrangements the manager would insist on receiving a summary of the assessment and a copy of the care plan. Two assessments were examined, and the information recorded were comprehensive and current. CSCI ‘Have your say about…..’ surveys received confirmed people were involved in decisions about moving into the home. People said they had received sufficient information prior to moving and one person said they had made several visits to the home, having tea and meeting other people before moving into the home. Hamilton Lodge DS0000042678.V344936.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 and 9. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home promotes philosophies to enable people at the home to meet their full potential, with clear care plan instructions and risk assessments to maximise their safety and protection. EVIDENCE: Two care plans were examined and they follow good practise guidelines to ensure the plans were person centred. Staff was able to describe in detail the needs of people who live at the home. Keyworkers help people to be fully involved in developing their care plans and people said they were encouraged and supported to do the things they enjoy. Health action plans provided clear information about how people were supported to attend medical appointments. Surveys received from healthcare professionals confirm that staff sought support by professionals where specific information and advice was needed. Crisis risk assessments were comprehensively written including behaviour reaction plans which gives clear instructions to staff where needed. Plans were regularly reviewed, and updated as peoples need changed. Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 11 Relatives and carers surveys received confirmed that staff involved people in making decisions about lifestyles. One care plan examined confirmed peoples involvement in the process, as the person had written it, with support from staff. Hamilton Lodge DS0000042678.V344936.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 and 17. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were able to make decisions and choices about their lifestyle and were supported by staff to develop new skills. Social educational and recreational activities meet individual needs. EVIDENCE: People who use the service were able to enjoy a full and stimulating lifestyle with a variety of options to choose from. Regular meetings take place to enable people to discuss activities, such as fund raising, outings and leisure activities. People said they enjoyed going out to the local pub for lunch, while others enjoy shopping in the town. One person showed the inspector photographs of social evenings and outings, which was kept in an album. The inspector observed staff supporting people to make Christmas cards while others were helping in the kitchen. People told the expert by experience that they liked to visit museums and they said how much they had enjoyed a trip to the theatre. The expert by Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 13 experience was invited to look around the home by people and they told him that staff only went into their room if invited. They told the expert that they had a key to their room, and enjoyed spending time in the privacy of their room. People were encouraged and supported to continue with their education and a number of people said they had friend outside of the home. A number of people are in employment whilst others attend training centres during the week. Two people had returned from a short holiday at Centre Parks on the day of this inspection, and they said that they had enjoyed the break very much. The staff supported people while on holiday, which involved walking, and swimming and going out for meals. All people were supported to choose holidays including holidays in caravans and hotels. People were encouraged and supported to go shopping for their food. Staff spent time making shopping lists with people to ensure the meals provided would be well balanced. People were encouraged to eat healthy foods and staff helped people to prepare their meals. The home has been awarded a five star food hygiene award, which the home is very proud of. The main meal takes place at teatime when most people would be in. People told the expert by experience that if they were not hungry at the time of the meal they could have it later. Hamilton Lodge DS0000042678.V344936.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 and 20. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy were put into practice. EVIDENCE: People who use the service were encouraged and supported to manage their own healthcare including visits to the doctors, dentist and opticians. Health action plans were well-established providing clear written instructions about what help people may need to attend appointments. Staff members were very alert to changes in mood, behaviour and general wellbeing and fully understood how they should respond and take action. People were supported with appointments with consultants to ensure their mental health needs were met and relatives were encouraged to attend the appointments, with the agreement of the individual. The home has a sustained record of full compliance with the administration, safekeeping and disposal of Controlled Drugs. Care staff have the required accredited training. The homes policies, procedures and guidance support and Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 15 inform safe practice. Staff was observed safely administering medication to people and medication administration records (MAR) were audited and found to reflect the medication administered. Since the last inspection procedures had improved to ensure PRN medication (medication to be administered when required) were administered when needed. Comprehensive guidelines for all people who use the service was examined. Staff said they were clear about when to administer PRN medication based on signs/indicators in people’s behaviour. Hamilton Lodge DS0000042678.V344936.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 and 23. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were able to express their concerns, and have access to a robust, effective complaints procedure, and were protected from abuse, and have their rights protected. EVIDENCE: There was a complaints procedure that was available to people who use the service and visitors. The procedure was also referred to in the service users guide, identifying the stages to follow; this included the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection was included in the procedure. Examination of the complaints records showed that there were no complaints recorded since the last visit to the home. People who use the service said that they were confident that the manager would deal with any concerns they may have. One healthcare professional survey received confirmed that the home was very proactive in the way they deal with concerns. A complements /concerns record was examined and discussed with the manager. She should consider changing the way entries are made in the book to ensure confidentiality of information is maintained. CSCI surveys received confirmed that people know what to do if they had any concerns, and relatives said although they had never had to make a complaint and were confident that the manager would deal with any issues. Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 17 There was a comprehensive Safeguarding Adults and Whistleblowing policy and staff follows the procedures to those standards. People told the expert by experience, that is they didn’t feel safe they would talk to the manager or their keyworker. The registered manager would investigate fully any allegations of abuse and would follow the necessary procedures if any were substantiated. The registered manager holds discussions with staff to talk over issues and how to recognise different forms of abuse. Hamilton Lodge DS0000042678.V344936.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 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people to live in a safe, well maintained and comfortable environment, which encourages independence. EVIDENCE: The home had a warm, homely and friendly atmosphere, and people were encouraged to see the home as their own. People were happy to show the Inspector and the expert by experience around the home and they were happy with their choice of decoration and private bathing facilities. All bedrooms were individualised to their taste including posters of their favourite pop stars and football teams. The home was clean, tidy and well maintained. People were encouraged to assist with daily routines including tidying their bedroom and doing their laundry. CSCI surveys confirmed that the home was always clean and welcoming. Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home were trained, skilled and sufficient in numbers to support people who use the service, in line with their terms and conditions, and supports the smooth running of the home. EVIDENCE: Staff rotas examined confirmed there was sufficient numbers and skill mix to meet the complex needs of people who live at the home. Staff should be commended for supporting people to live a full and independent life. The atmosphere created by everyone involved at the home, makes it a homely place for people to live. People said they liked living at the home, “staff are great”. Training records examined show staff have the required skills and competencies to deliver a good service. Discussion with the manager and staff confirmed that there was a stable staff group who had worked at the home for a good number of years. Staff said they enjoy working at the home, and feel supported. The introduction of a new computer-training programme has Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 20 enhanced the training opportunities for staff. Staff said it was a good way to improve their knowledge, although the programme was quite demanding. There was a robust induction and probationary package, which was service specific. The manager only confirms permanent employment when satisfied that competence and progress has been shown to be satisfactory against their high standards. Information received on the Annual Quality Assurance Assessment (AQAA) confirmed that sixteen of the thirty-one (permanent) staff employed at the home held NVQ Level 2 or above, while other staff were working towards an NVQ award in care. There were robust recruitment and selection procedures that ensure people who use the service were safe and protected. A number of staff recruitment files were examined, and there was evidence that all the required employment checks had been undertaken prior to commencing work at the home. Evidence confirmed all staff had a CRB (Criminal Record Bureau Record) check. The manager should check the date on all existing CRB’s as good practise suggests that a new CRB check should be carried out every three years, to ensure the information is up to date. Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were protected by sound management practises, and their views were actively sought to improve the service. EVIDENCE: The registered manager has a wealth of experience and staff and relatives spoke highly of her ability to direct the home, to provide a good standard of care. She holds a relevant management qualification and undertakes training to maintain her skills and knowledge. The ethos at the home promotes team working and all staff were involved in making decisions about the way they want to support people, to be as independent as possible. The manager had developed a quality assurance survey with the agreement of the carers/relatives and advocacy services. The most recent surveys were Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 22 undertaken in May 2007 and the manager said the outcomes for people who use the service was positive. Consideration should be given to develop a survey for relatives and other stakeholders; this would give all involved at the home an opportunity to give their views. Regular residents meetings take place and people said they were comfortable talking to the manager or their keyworker if they had a problem. Procedures were in place for the maintenance and servicing of appliances and equipment, promoting and protecting the health, safety and welfare of staff and residents. Information received in the AQAA confirmed the dates that equipment had been serviced. Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 3 X Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA22 YA34 Good Practice Recommendations Methods of recording comments/concerns should be reviewed to ensure confidentiality is maintained. The manager should check the date on all existing CRB’s as good practise suggests that a new CRB check should be carried out every three years, to ensure the information is up to date. The views of family, friends and other stakeholders should be sought to assess how the home is achieving goals for people who use the service. 3. YA39 Hamilton Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Lodge DS0000042678.V344936.R01.S.doc Version 5.2 Page 26 - 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. 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