Inspection on 03/08/06 for Harewood House

This inspection was carried out on 3rd August 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Harewood House 26/02/08

Harewood House 29/11/05

Harewood House 26/05/05

Harewood House 23/12/04

Harewood House 07/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Harewood House 8 Shrubbery Terrace Weston Super Mare North Somerset BS23 2JZ Lead Inspector Nicola Hill Key Unannounced Inspection 3rd August 2006 09:30 Harewood House DS0000008116.V307158.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 Harewood House DS0000008116.V307158.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. Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harewood House Address 8 Shrubbery Terrace Weston Super Mare North Somerset BS23 2JZ 01934 620502 NONE 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) Mrs Valerie Murray Mrs Cheryl Peel Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (7) of places Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 2005 Brief Description of the Service: Harewood House is a converted Victorian house within a terrace set out on the hillside above Weston-Super-Mare seafront. The accommodation is set out over three floors with the first floor accommodation offering en-suite facilities; there are bathroom facilities on each of the other floors. This is a family run home, Mrs Valerie Murray the provider and Ms Cheryl Peel the registered manager. The home accommodates service users with learning disabilities aged 18-65 years and is also registered for service users with learning disabilities over 65 years of age. Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection of Harewood House was divided into two visits; the initial visit allowed the inspector to speak with the manager and review records at the home. The second visit later in the day allowed the inspector time to meet all of the service users and talk with them about their life at the home. The inspector spoke with the manager and home owner during the visit. The residents are very happy with the home, and pleased with the support from the manager and staff team. The residents also spoke about the forth coming holiday at Lyme Bay, and the barbecue that was planned for the following day. The overall impression of the home is that the residents live together amicably but are supported with individual lives. There are some areas for the manager to develop but overall the home provides a good standard of care. The fees for the home are negotiated on an individual basis and are dependant on the level of support needed. What the service does well: What has improved since the last inspection? Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 6 For the residents there have been lifestyle improvements in that work opportunities have been accessed, holidays planned and additional support provided for one resident to enable them to access the community more frequently. Financial systems have been further developed by the manager. 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. Harewood House DS0000008116.V307158.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 Harewood House DS0000008116.V307158.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 The outcome of this group is excellent. The information provided by the management is sufficient to allow potential service users to make an informed choice about the home; the process employed at the home to admit new resident allows for time to be spent with the individual making the transition to life at the home. EVIDENCE: Harewood House is a small establishment with seven registered beds. Several of the residents at Harewood have been there for several years; the most recent admission was November 2005. Since then there have been no vacancies at home, and therefore any new admissions. The inspector asked the manager of the home, Cheryl Peel, if the statement of purpose and service user guide had been updated. The manager was able to show the inspector that the statement of purpose, which is not in an accessible format, and the service user guide which is a format accessible to people with learning disabilities, had been reviewed to ensure all the information was up-to-date and reflected the current situation particularly with the changes to the CSCI. The manager stated that she would keep this document under review, as part of the process of reviewing policies and procedures related to Harewood House. The process for admitting service users to the home involved the potential resident visiting the home on several occasions, having an overnight stay and then being admitted to the home on a three-month probationary period. Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 9 After that time residents are given a contract with the home which states the terms and conditions of residency at the home. The inspector reviewed some of the case files and noted that the latest admission had no contract on file, it was brought to the attention of the manager who agreed it was an omission on her part and that a contract with the resident would be discussed and agreed. Harewood House DS0000008116.V307158.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 The outcome of this group is excellent. The service has a sustained record of delivering a quality service based on the belief that residents should be able to take control of their lives. EVIDENCE: The inspector reviewed the documentation with the manager, and was able to see that the care file for each individual resident had a personal plan, daily records, health care records, referrals for specialist services i.e. work placement referral, daytime activities. The service plans from the social services department were reviewed on a regular basis. As well as this the home has a service user plan which has identifies any support needed for residents to be as independent as possible. All of the residents have a full assessment of need, and from this the service user plan has been drawn. The newest resident of the home did not have an in-house care plan however the manager assured the inspector that this was going to be addressed. One resident stated that she wished to have included on her care plan the list of her responsibilities at the People First advocacy group, the manager agreed to do this with the resident. The daily records were very informative and used in Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 11 conjunction with the communication books provided a good source of information about the day-to-day running of the home. For some of the residents who may be vulnerable due to their disability, the manager has carried out risk assessments and jointly agreed with residents a safe plan of action. The inspector was also able to discuss service user plans with the residents at the home. The residents were aware that the care plans held at the home linked into what they did outside the home. For example, one resident who attends the local day centre also has a plan of the activities of followed there, which includes the proposed outcomes for the activities. All residents at Harewood House, able to self advocate, and speak up and expressed their wish. They were able to confirm that they were happy to do so to raise any issues or concerns with the manager for the home or with the proprietor Val Murray. The residents were not aware of all the records that were held on the home, however they appreciated that any important records were in the office for example things like hospital appointments, and they could rely on being prompted to attend. The residents are very active in the day-to-day running of the home, there are involved in the majority of decisions about how the home is developed, and they have regular house meetings to discuss things of importance to them. Harewood House DS0000008116.V307158.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 This outcome group is judged as excellent. The promotion of the individual is central to the homes aims and objectives, and ensure that residents have an ordinary but meaningful life in the home and are part of the local community. EVIDENCE: The inspector spoke to all the residents at the home during the visit. Some spoke to the inspector on a one-to-one basis in their rooms, whilst others spoke to the inspector in the communal area. The choice was left to the resident, however most of the residents were happy to talk with the inspector in their rooms and show how their rooms were furnished to individual taste and style. The residents talked about the various activities follow-up during the day. Some of the residents have daytime job to have had these for a considerable amount of time, whilst others are in the process of either applying all working toward supported employment. The day-to-day running of the home is dependent on the needs of the residents, also important is that the routines of the home are very flexible and residents can make major choices in their life. Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 13 For example whilst the inspector was at the home one of the residents came home from the day centre feeling unwell, and the home were able to support this. The staff team also make sure that the day-to-day life of the resident is supported in such a way so as to maximise their contact with the community, for example, several of service users attend evening clubs, visit the cinema and also maintain contact with their families. At the time of the inspection one of the service users had a birthday and it was evident that all the residents joined in celebrating of the birthday and had made an effort to purchase cards and present in order that the occasion was a celebration. The inspector discussed the manager of the way in which activities, education and work opportunities was being sought. The manager was able to show evidence to the inspector that referrals for work placements were made for residents, often the resident were supported on a one-to-one basis during the placement. However the employment was seen as an opportunity to promote the individuals independence and their self-esteem at being able to maintain a job. Some of the residents work in the local advocacy group, People First. This provides a way in which the resident has responsibilities was providing support and help to their peers. The day of the inspection was also shopping day and the inspector was able to observe the food coming into the house. There was a very good selection of food, and a variable menu, which was adjusted depending on the weather. The following day, Friday, there was a barbecue planned as a celebration for the resident’s birthday. The meal times are relaxed, and all the residents eat together in the kitchen of the home, which has large dining table. The residents who have issues with diet and weight loss supported by the manager to follow a specific diet, and one resident in particular has been successful with a weight loss programme. Harewood House DS0000008116.V307158.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome group was excellent. Residents have flexible personal support which is responsive to change in needs and service users particular preferences. EVIDENCE: The majority of the residents at Harewood House need minimal support with their personal care. For those who do require support, there are male and female staff available should this be an issue. The underpinning ethos at Harewood House is that support is offered to enable residents to meet their optimum personal appearance and promote confidence and self-esteem; for example, the staff may suggest changes in clothing, which may be more coordinated or more appropriate to the prevailing weather conditions. There are sufficient bathrooms around to allow for the privacy of all the residents. The inspector was able to see held on the case files records of any healthcare interventions, also a yearly plan for health care intervention e.g. optician. Some of the residents require more intervention than others, for example one resident is supported to attend the local GP practice for a weekly injection. Currently at the home there is a wide range of health care needs, the home support insulin-dependent diabetes, sensory impairments and physical disabilities. The home is to be commended on successfully meeting the wide variety of health care needed of the residents. The manager is pro-active in seeking any support or training needed in order to support the resident more Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 15 fully, for example, NVQ training. There was no evidence of health action plans (Valuing People objective) being developed in the home. The manager was able to demonstrate the efficiency of the medication procedures in place at the home. There was ample information available for members of staff who have responsibilities to administer medication about the type of medication prescribed, its purpose, and any potential side-effects. The home promotes the independence of residents and supervise the self administration of insulin. The medication records appeared to be up-to-date and accurate, and the inspector was able to see that all medication was stored effectively and safely. The home primarily uses Nomad trays for those residents on regular medication; regular reviews of medication take place with the GP or the consultant psychiatrist. Harewood House DS0000008116.V307158.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The outcome for this group is excellent. The service has a very clear complaints procedure, people associated with the home know that if a complaint is made it will be dealt with in a timely fashion. The adult protection procedures in place at the home ensure that referrals are managed effectively and with sensitivity. EVIDENCE: The complaints procedure at Harewood House is available to all residents, and is displayed on the board outside the office. The complaints procedure is also discussed with each individual resident on admission, and is included in the statement of purpose and service user guide. The inspector discussed with the residents what they would do about a situation that was troubling them, and all were unanimous in their response like they would go directly to the manager Cheryl Peel and challenge her about the situation. If the situation continued and was not resolved fully by the manager, then the residents felt that they could go to Val Murray who is the owner of the home there have been no complaints and all the resident stated their satisfaction with service they had received at Harewood House. The Commission has received one referral under the adult protection system for the home, and this matter has been satisfactorily resolved. The staff at the home are due to attend an abuse awareness update, and this will ensure that all the staff understand what constitutes abuse and how to report incidents of abuse. The recruitment procedures at the home protect residents from potential abuse by requiring references to be provided; the manager must be able to Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 17 demonstrate the protection of the residents by having references for all staff working at the home available for inspection. Harewood House DS0000008116.V307158.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28, 30 The outcome of this group excellent. The environment at Harewood house is appropriate for its residents; the manager is proactive in planning maintenance and repairs. The furniture and fittings at the home are all domestic in variety, and the overall impression is of a large family house EVIDENCE: The environment at Harewood House, although a converted Victorian property, is very good, and provides a warm and comfortable home to its residents. The residents are encouraged to see it as their own home and are consulted in matters such as redecoration. For example, the resident were involved with the fitting of new kitchen and were with compliant with the arrangements made for alternative provision of hot meals when it was necessary. The home layout is such that it provides small group living where residents enjoy maximum independence. All of the residents have single rooms which are furnished to their own personal taste. There are communal areas on the ground floor of the home and a garden for the resident to use. The residents are also supported to use the laundry facilities at the home which are easily accessed on the ground floor. Some of the residents have pets; currently at the home there are two cats, two goldfish and a bird. Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 19 Harewood House DS0000008116.V307158.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 The outcome group all this section is good. The recruitment process although clearly defined and meeting the standards, however the manager was unable to demonstrate that it was followed. Regular supervision should to be introduced for the staff about the home. EVIDENCE: Since the last inspection the home manager has been successful in obtaining one-to-one time for the resident who had been registered blind. This has enabled both the resident and staff to benefit and experience from this specific time which is planned to support the resident to achieve identified goals. The home has recruited one new member of staff since the last inspection. The inspector was able to review the recruitment process for the new member of staff. The recruit processes were followed in obtaining an application form, references, a CRB check (where necessary) had been followed, however, it was noted that although the inspector was informed that references for the staff member had been obtained prior to starting at work, the references were not available for inspection. The inspector allowed the manager time to produce the references, but was informed that they could not be found and also the person they related to was no longer employed at the home. The manager was requested to confirm this in writing to the Commission. The other person employed at the home since last inspection is the daughter of the manager, who had been visiting the home on an informal basis. Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 21 The staffing levels reflect the needs of the residents and rotas are flexible to fit around the lifestyles of individuals, for example there is an additional allocation of workers where there is an activity outside the home e.g. swimming. Staff meetings are not held regularly at the home be cars the manager has daily contact with the majority of the team. The manager also admitted that due to be very close contact she has with the team, formal recorded supervision sessions were not happening. The manager and inspector discussed the easiest method to introduce supervision to the home, this will be done on a gradual basis so that the manager is confident in the system that she is using, and that supervision sessions are purposeful to the. The manager also has an appraisal system that she intends to implement at home which will identify the training needs of the individuals working there. Generally there is a low turnover of staff at home, and staff enjoy working with the residents much as residents stated to the inspector that they enjoyed working with members of staff. The inspector specifically addressed questions about the staff to the residents to ensure that they were treated appropriately, with respect and that any queries raised were dealt with in a manner that met their expectations. The residents were able to confirm that and also felt Heidi (support worker) was definitely one of the gang and possibly should move in. Training for the staff group had been arranged for abuse awareness, and fire training. The staff working at Harewood House mostly work part-time, several have NVQ in care. There is minimal use of any agency staff, as staff working at Oakleigh House will cover any shortfall is in provision at Harewood House. Harewood House DS0000008116.V307158.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 The outcome group for this section is good. The key national minimum standards under this section are generally met but quality assurance and supervision are the areas the manager needs to address. EVIDENCE: The manager has the required qualifications and experience to run the home, and the home appears to them smoothly providing a good service to its residents. The manager is very person centered in her approach and support staff to have a resident focused attitude. The policies at the home undergo review on a yearly basis and the manager is very insistent that policies and procedures are changed to meet current legislation or good practice guidance. The inspector and manager discussed the latest social care good practice information produced by the Commission, and the inspector will be sure that copies are sent to the manager for inclusion into the procedures of the home. Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 23 The implementation of health and safety at the home is good with regular monitoring of systems to ensure that they are not a hazard to either staff or residents. At the time of the inspection the hot water boiler had broken down, and alternative arrangements were made for the residents personal hygiene. The residents, who stated that they had alternative facilities available to them, confirmed this. The boiler repair is waiting for a new part which had been at home within five working days. The home does not currently have a quality assurance system that monitors the outcomes of the processes and procedures at the home. The inspector suggested using a quality audit, which would be an audit of the system of the home over a year. The manager will was receptive to the suggestion and would be able to implement and link it into the AQQA assessment system currently being piloted by the Commission. The manager ensures that the resident survey is circulated on a six monthly basis. However there is no evidence that the results of the survey influence development at home as the responses of the survey inevitably come back as residents being satisfied with the service they receive. The inspector also went through all the monies held on behalf of residents at home, all the cash was found to be accurate and tallied with record at the home. Three service users have bank accounts; records of statement and bank books were held on their behalf. The inspector reviewed the statement to ensure that expenditure was appropriate and was focused on the residents need. Harewood House DS0000008116.V307158.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 3 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 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 X X 3 X Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 25 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 YA34 YA23 Regulation 17,19 Requirement 2. YA36 24,18 The recruitment process, which has been designed to protect residents, must be fully implemented. Individual staff supervision must 03/11/06 be introduced. Timescale for action 03/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard YA35 YA39 Good Practice Recommendations Training records should be updated to reflect the qualifications and experience of the staff team. The home introduces a quality audit, which measures the outcome of the policies and procedures implemented at the home. Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aylesbury Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury Buckinghamshire HP19 8JR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Harewood House DS0000008116.V307158.R01.S.doc Version 5.2 Page 27 - 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!