Inspection on 27/06/06 for Hft - Orchard View

This inspection was carried out on 27th June 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hft - Orchard View 12/06/07

Hft - Orchard View 07/02/06

Hft - Orchard View 03/02/05

Hft - Orchard View 20/07/04

Hft - Orchard View 24/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hft - Orchard View 7 Waterloo Road Bidford On Avon Warwickshire B50 4JP Lead Inspector Kevin Ward Key Unannounced Inspection 27th June 2006 07:45 Hft - Orchard View DS0000004245.V301550.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 Hft - Orchard View DS0000004245.V301550.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. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hft - Orchard View Address 7 Waterloo Road Bidford On Avon Warwickshire B50 4JP 01789 490730 01789 772790 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.hft.org.uk Home Farm Trust Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 Brief Description of the Service: The home is a purpose built, large bungalow for six people with severe learning and physical disabilities. It is part of the Arden Vale Scheme located on a rural campus of the parent body, Home Farm Trust. The site has another 2-unit home for a total of 9 residents, and a large activity centre, which most residents use to some degree during the week. All bedrooms are single without en-suite facilities, there are vanity sinks in each bedroom. The home is fully wheelchair accessible. There are three bathrooms, two with specialist baths (easibaths) and a walk in shower room. There is an enclosed garden area. It is paved with border shrubs, water feature and garden furniture and is easily accessible for service users. The home is near to the village of Bidford on Avon, where there are a number of local amenities. Stratford is approximately 9 miles away, Redditch is 12 miles and Evesham is 8 miles away, where there are a variety of facilities available. Full personal care is provided. The current charges (27/6/06) are £1478.00 per week. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection focused on assessing the main key Standards and on reviewing progress to meet the requirements that were made at the last inspection. As part of the inspection process the inspector reviewed information about the home that is held on file at the Commission, such as notifications of accidents and incidents. The manager of the home also completed and returned a questionnaire containing further information about the home. The inspection included meeting with the people living at the home and taking with two service users who have good communication skills. Questionnaires were sent to service users and their relatives, prior to the inspector’s visit, which were all completed and returned. The inspection also involved talking with the staff and team leader who were on duty. A number of records, such as care plans, staff files and fire safety records were also sampled for information as part of this inspection. What the service does well: No new people have moved into the home since the last inspection. The home has a vacancy and the manager explained that anyone moving to the home will have their needs fully assessed and have the opportunity to visit the home before deciding to move in. Person Centred Plans are in place, containing photographs to make the information more meaningful to the people living at the home. Other plans and risk assessments are also available to inform staff of the correct support required by people. The people living at the home looked comfortable and at ease with staff and staff were seen to be friendly and attentive to their needs. One person commented that “staff are nice and kind”. Staff were mindful of the need to respect people’s privacy and dignity and to carry out personal care tasks behind closed doors. The people at the home attend the Home Farm Trust day service, adjacent to the home most of the week. When they are not at the day service they receive support from Orchard View staff to go out places or to enjoy activities at home. One person has painted a very attractive picture, which was seen to perfectly match the décor in her room. People are consulted over the food provided at the home and their preferences are recorded in their person centred plans. Pictorial aids are in place to help people to make food choices and advice is sought from the community dietician where necessary. There have been no complaints at the home since that last inspection. Staff are trained in “vulnerable adult abuse” and procedures are in place for reporting any concerns they may have. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hft - Orchard View DS0000004245.V301550.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 Hft - Orchard View DS0000004245.V301550.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): 2 and 5 The judgment for this outcome group is good. Systems are in place for assessing people’s needs before they move in and for issuing them with terms and conditions so that their rights are appropriately safeguarded. EVIDENCE: No new service users have moved into the home during the last year, so it was not possible to fully assess Standard 2 on this occasion. The manager explained that the home had a vacant room and confirmed that any new people referred to the home would be provided with a full assessment and have opportunities visit and meet with the current service users before they move in. Service user contracts are in place containing details of the service that people can expect from the home and the cost of any additional staff support charges. Information provided by the manager confirms that the fees do not included the cost of personal items, such as hairdresser, toiletries, outings, magazines, flowers and holidays. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 The judgement for this outcome group is good. People’s needs are reviewed with their involvement and they are supported to take participate in making choices about their care and decisions in the home. EVIDENCE: A sample of care plans were examined and found to contain satisfactory levels of information to support staff to deliver sensitive care and support. The care plans also contain good information regarding people’s communication needs and pictorial information is available in the home to help staff to consult with people. Person centred plans (PCP’S) are in place containing helpful details of people’s personal histories and preferred care routines with photographs to make the information more accessible to service users. The record of personal routines is a good means of assisting people with high communication needs to make decisions about their everyday living preferences. People’s likes and dislikes are also recorded and service user meetings are taking place on a regular basis. The meetings provide an opportunity fro people to be consulted about everyday issues, such as holidays and activities. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 10 An examination of recent meeting notes indicates that service users are being supported to contribute to everyday decisions, such as holidays and activities. Comments by service users also confirmed that they chose their bedroom colours and were supported to shop for other items, such as curtains, pictures and lights. One person sat with the inspector and helped to explain the contents of her PCP. The service user was wearing jewellery, as detailed in her plan, indicating that the home seeks to respect service users wishes, as recorded in their PCP’s. Service users’ records demonstrate that people’s care needs are being routinely reviewed with the involvement of service users and their relatives. This was verified by a service user at the home. Risk assessments are in place to take account of recognised hazards to service users, such as bathing, bed rails, wheelchair use and moving and handling. The risk assessments have been dated to indicate they have recently been reviewed. A range of generic risk assessments are also in place to support safe activities and a hazard free environment. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The judgement for this outcome group is good. People are supported to have access to a satisfactory level of social activities and provided with meals they like. EVIDENCE: During the week service users are provided with part time access to day services run by Home Farm Trust (Resource Centre). One service user receives extra 1:1 staffing support to help her to attend the resource centre and to participate in the activities provided. Comments made by service users and staff indicate that a suitable range of activities and outings are provided by the home, over and above the activities provided by the day service, such as shopping, bowling, parks, Lavender fields, theatre and holidays. Photographic evidence of many outings is kept in people’s person centred plans. Comments made by relatives in the “comment cards,” sent out as part of the inspection process, indicate that they are made welcome at the home and are consulted over events in service users’ lives. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 12 Training information provided by the manager indicates that staff are being provided with sexuality / personal relationship training, so that they can give sensitive advice and support to people where required. This was verified by staff comments. The people living at the home are encouraged to take part in some domestic chores and to take some personal responsibility for their lives and for the running of the home, e.g. attend care reviews, tidying bedrooms, shop for personal items and groceries. Comments made by two people with good verbal communication confirmed that they are involved in menu planning and shopping for groceries. Individual’s food preferences are also recorded in their personal plans. Pictorial meal cards containing pictures of a variety of foods are available in the home, to assist staff to consult with people regarding their food preferences. Staff were observed to support people sensitively at breakfast and lunch time, so that they enjoyed their food in an unhurried and relaxed manner. The dining area is spacious and has attractive dining furniture with sufficient seating for everyone to dine together. One service user is being supported to maintain a special diet. Entries in records confirmed that the home has sought appropriate advice from a dietician and adjust the menus to take account of this persons needs. Two fruit bowls in the dining area were observed to well stocked with fresh fruit for people to enjoy. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Overall the judgement for this outcome group is good. People are provided with appropriate support needs to meet their personal care and health needs. Access to well person checks is necessary so that any developing health needs may be identified and addressed at an early stage. EVIDENCE: The 7 people currently living at the home are all women and the staff team is made up solely of female staff. Consequently people’s intimate personal care needs are met in a gender sensitive manner. Staff were seen to support people to rise in a sensitive and unhurried manner and to support people to enjoy a relaxed breakfast time. Comments made by staff and a person living at the home confirmed that people’s bedtimes vary in accordance with their preference and tend to range between 8pm and 11pm. The people living at the home were all well groomed and dressed in age appropriate, well laundered clothing. Comments by two people confirmed that they choose what they want to wear each day and are supported to shop for their own clothes. As previously noted people’s personal routines and needs are recorded in their Person Centred Plans so that staff are able to meet their needs sensitively, in the way they like. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 14 Entries in people’s health notes indicate that they are being supported to gain access to appropriate healthcare support from consultants and other health professionals where they have diagnosed health needs. Epilepsy protocols are in place, signed by a consultant, so that staff are aware of the correct procedure to follow in the event that people have seizures. Comments by staff indicated a satisfactory understanding of these procedures and confirmed that they had received epilepsy training. Charts are in place for recording any marks or bruises so that these can be monitored and explained. Entries in people’s records indicate that that they are being supported to attend routine appointments with dentists and opticians but are not routinely provided with well person checks. The manager agreed to follow this up with the local GP surgery. Specialist lifting equipment, beds, mattresses and other equipment are in place to support appropriate moving and handling practices. Discussions with staff indicated a satisfactory understanding of one person’s skin care needs and described appropriate measures in place to avoid the potential for sores developing. A member of staff confirmed that none of the current people living at the home have sores or skin care needs that require the involvement of the nursing services. A suitable lockable storage cabinet is in place at the home for the safekeeping of people’s medication. A sample examination of recent medication records highlighted no anomalies. Protocols are in place advising staff under what circumstances they may give out “PRN” (as necessary) medications. A photo of each person was seen in the medication folder, in front of their medication record to avoid any confusion over the identity of the person for whom the medication is intended. Systems are in place for recording medication into the home and to account for medication returned to the pharmacist. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The judgement for this outcome group is good. Suitable procedures are in place for recognising and responding to suspicions of abuse and for dealing with complaints. EVIDENCE: There have been no complaints to the Commission for Social Care Inspection since the last inspection and the manager confirmed that there have been no complaints made directly to the home during the same period. Comment cards returned by relatives confirm that they have had no recent cause to complain and that they are appropriately consulted by the home. Notes of meetings involving the people at the home indicate that they are regularly consulted to check they have no concerns. Pictorial information is in place to help people to share how they are feeling and comments made by staff demonstrated a good understanding of the importance of people’s none verbal communication. A complaints procedure is available for staff at the home. Comments by staff confirmed that they are provided with vulnerable adult abuse training. Discussions with staff demonstrated a satisfactory understanding of different types of abuse and of non-verbal cues that might suggest a cause for concern. A member of staff confirmed that she was provided with adult abuse training as part of her induction programme. Comments by staff confirmed that they are aware of how they may raise any concerns they might hold about the way in which the home is run. There have been no adult abuse investigations since the last inspection. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The judgement for this outcome group is good. People are provided with a comfortable, clean and well equipped home to live in. EVIDENCE: The home is situated in a rural location in large grounds. All the rooms are at ground floor level and there is good wheelchair access throughout the home and garden. There have been recent improvements to the central courtyard area, which provides pleasant space for people to sit out during the summer months. Overall the home is attractively decorated and well furnished with domestic style furniture. The manager explained plans to re decorate a bathroom shortly, where the emulsion has been marked by condensation. Comments by two people living at the home confirmed that they had been involved in choosing the colours for their bedroom. The bedrooms are well decorated and have been personalised and made comfortable, in keeping with people’s preferences. One person told the inspector how she had recently enjoyed a shopping trip to choose lights and pictures for her bedroom. The home is well equipped with moving and handling equipment to assist people to make safe transfers. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 17 The home is very clean and free from any unpleasant odours. Staff were seen to make appropriate use of protective clothing in the home when preparing to undertake care tasks. Suitable arrangements are in place for managing continence. Kylie sheets are available and a macerator is used for destroying continence pads. The laundry is well equipped and appropriately situated, well away from food preparation areas. Staff training information provided by the manager confirms that staff at the home are provided with infection control training. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 The judgement for this outcome group is adequate. Suitable staff are available in sufficient numbers to meet the needs of the people living at the home. The rating for this group of Standards is undermined by shortfalls in mandatory training for staff. EVIDENCE: A sample examination of staff rotas and comments by staff and manager confirmed that the home continues to provide suitable levels of staffing to meet the needs of the people living at the home. Typically this includes three staff on duty during the day and a waking night staff and a sleep in worker at nighttimes. One person also receives additional staffing to enable her to receive 1:1 support to participate in day service activities. Overall the staff team has a stable core of people who have worked at the home for a number of years, thus providing consistency of care for people. The files of the two most recent staff recruits were examined. The files were contain evidence to confirm that a suitable recruitment procedure is in place and to verify that appropriate measures are taken to ensure that staff are suitable to work at the home. This includes evidence of Criminal Record Bureau checks and references. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 19 Comments made by staff indicate that most people have been provided with a good range of training over a number of years, including access to NVQ training. However the training information provided by the home indicates a requirement to provide mandatory training updates for staff, e.g. food hygiene. The new manager has carried out an audit to address this matter and said that progress is being made to catch up and plan further courses where training is outdated. A more recently recruited member of staff confirmed that she had been provided with a suitable induction programme when she first started at the home. Information provided by the manager states that 69 of staff have been achieved NVQ level 2 qualifications and 9 staff hold a current first aid certificate. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. The judgement for this outcome group is adequate. Overall the home is well managed. The rating for this group of Standards is compromised by the need for robust quality assurance systems. EVIDENCE: The manager has 16 years experience of working with people with learning difficulties, whilst employed by the Home Farm Trust. The manager has completed the NVQ level 3 in Care qualification and reported that she has applied for a place on the Registered Managers Award training course. The manager will also need to complete the level 4 in Care training so that she is fully equipped for the role of Registered Manager. Monitoring visits are currently being carried out by the line manager for the home and copies of the reports are being held at the home for the manager to take action to resolve any issues identified. Discussions with the manager indicated that she carries out periodic checks of important areas of practice, such as care plans and medication but that these are not formally recorded and specific auditing tools are not used for this purpose. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 21 There are also no systems in place for routinely reviewing quality in the home, based on the consultations with relevant people (service users, relatives and professionals), e.g. annual questionnaires and action plans. Information provided by the manager in the pre-inspection questionnaire indicates that relevant Health and Safety checks are being carried out by the home. The fire log was checked and demonstrates that fire alarm and lighting tests are being carried out at the correct frequency and that fire safety equipment is being appropriately maintained in good working order. A hot water monitoring log is routinely completed at the home to enable the manager to monitor safe water temperature levels so that people are not at risk of being scalded. Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000004245.V301550.R01.S.doc 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hft - Orchard View Score 2 x x x x 3 x Version 5.2 Page 23 3 2 3 x 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. 1 2 Standard YA19 YA35 Regulation 12 (1) (a) 18 (1) (a) Timescale for action Make arrangements for people to 14/08/06 be provided with well persons checks on an annual basis. Proceed with plans to promptly 30/09/06 up date staff on mandatory training subjects where necessary. Confirm plans to undertake the 07/07/06 Registered Managers Award and NVQ level 4 in Care. Establish a quality assurance 14/08/06 system underpinned by consultations with service users, relatives and relevant professionals. Requirement 3 4 YA37 YA39 9 (2) (b) (i) 24 Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hft - Orchard View DS0000004245.V301550.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Hft - Orchard View DS0000004245.V301550.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. 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