Inspection on 22/05/07 for Ideal Home

This inspection was carried out on 22nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Ideal Home 19/11/08

Ideal Home 21/05/08

Ideal Home 02/05/06

Ideal Home 03/11/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Ideal Home Knowsley Drive Gains Park Shrewsbury Shropshire SY3 5DH Lead Inspector Mike Moloney Key Unannounced Inspection 22nd May 2007 09:30 X10029.doc Version 1.40 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 Ideal Home DS0000064647.V332633.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 Older People and 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. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ideal Home Address Knowsley Drive Gains Park Shrewsbury Shropshire SY3 5DH 08706092432 08706092435 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) Minster Care Management Limited Pamela Johnson Care Home 50 Category(ies) of Dementia (12), Mental disorder, excluding registration, with number learning disability or dementia (26), Old age, of places not falling within any other category (6), Physical disability (6) Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd May 2006 Brief Description of the Service: Ideal Home is situated in the village of Gains Park approximately 5 miles from the centre of Shrewsbury. It is located in a residential area, within walking distance of a local post office, shops and pub, with its own car parking and gardens. It is a private care home registered to provide care and accommodation for up to 50 people, including people with a mental disorder, both under and over 65 years old, elderly people and a small number of people with a physical disability. The home is owned by Minster Care Management Limited. Ms Pamela Johnson is the registered manager and is responsible for day-to-day running, staffing and the development of effective policies and procedures within the home. The accommodation has 3 fairly distinct areas, the main house and converted coach house, which provide accommodation on ground and first floors and a purpose built extension to the rear of the property, which is all on one level. The fees range from £335 to £387.50 per week. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service What the service does well: What has improved since the last inspection? What they could do better: Whilst it was clear that the service users were content with their lives within the home it was difficult to establish whether or not their lives could be enhanced further. The home’s records lacked clarity and the repetitive nature of the recording made them potentially confusing and unwieldy to use. A more focussed approach to the information that they should contain would be beneficial to all those who were trying to monitor any progress made by individuals. Risk assessments would also benefit from more clarity and more information making them more easily used by the staff when trying to ascertain whether or not an individual or group of individuals would be safe in various situations. Recruitment procedures should be reviewed and the practice of allowing staff to start work without a full Criminal Records Bureau clearance must stop unless it can be shown that any resultant shortage of staff would present more of a safety hazard to the service users. Such practice should only be adopted in exceptional circumstances and under appropriate supervision. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 6 Staff should receive formal recorded supervision at least 6 times a year so that issues around care and their delivery of it can be addressed in a confidential and systematic way. A comprehensive quality assurance process needs to be developed so that the proprietors and the managers can regularly check that the needs of the service users are being met both individually and collectively. This would then help to identify such things as the shortfalls in the care planning and risk assessment processes as well as those within the staff supervision system. 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. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5 Quality in this outcome area is good. Prospective residents and their representatives have the information needed to choose a home which will meet their needs. They also have their needs assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A number of records belonging to people who had been recently admitted to the home were looked at. These contained care management assessments of need in addition to further information that had been obtained by the home. Copies of the homes service user guide and statement of purpose were also seen to have been made available to visitors as well as the residents. Looking at the records as well as reading the responses to the questionnaires sent out Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 9 by the Commission for Social Care Inspection prior to this inspection it was also clear that people are encouraged to visit the home before deciding whether or not to live there. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. The health and personal care that a resident receives is based on their individual needs but this is not well documented and guidance to staff in the form of risk assessments do not clearly and reliably identify any issues and how to manage them. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 11 EVIDENCE: The records of a number of the service users were looked at and the daily notes showed that the new service users were monitored closely after admission. Evidence was seen of involvement of professionals as and when necessary. Whilst the records included information relating to cultural needs and religious beliefs of the service user a number of the client descriptions were incomplete and not all had a photograph on the file. Sections relating to daily living and social activities were also incomplete. The inspectors noted that information was available in a number of formats in each persons file often creating unnecessary and confusing duplication. Looking at the records also established that not all of the elements of the care plans, such as manual handling risk, had been risk assessed and where this had been done there had been no review for some time. The information within the risk assessments was limited and the manager agreed that they would need to be redeveloped so as to be effective. The home was seen to have appropriate storage, policies and procedures for the safe handling and management of medications. There were also appropriate arrangements for the monitoring of those service users who wished to keep and manage their own medication. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. Residents are able to choose their life style and social activities, however, the home is unable to show that they have encouraged those who are more withdrawn to become more involved. They are able keep in contact with family and friends. Residents receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 13 EVIDENCE: Information contained within the records of a number of the service users indicated that they take part in few activities within the home. An example of this is that one of the service user’s records showed that he had been involved in five activities in or out of the home within the last eight months. This was typical of the records looked at during the inspection. However, the manager did say that one of the service users was about to start attend a day service provided by the local authority for two days a week. During the morning a number of the service users were observed taking themselves out into the local community and further into the town. A basic risk assessment was seen to be in place for those who did this. The home was also seen to have a vehicle available to take service users out on social events as well as to healthcare appointments. Staff working with the older residents said that the service users were occasionally offered the chance to play bingo although this was not as part of a timetabled programme of activities. Looking at the records and talking with a number of the service users confirmed that they are encouraged to receive visitors from both family and friends. The manager also confirmed that one of the service users is helped to host the religious meetings that are part of her religious practice. The staff did mention that one of the service user’s is able to keep a pet cat in her bedroom. During the inspection lunch was seen to be served. This was seen to be an appetising lasagne. This was different to what was shown on the menus on the notice board outside the office but the service users did say that they enjoyed it. Staff explained that they had asked each individual what they would like the day before so that if someone did not like what was being offered an alternative could be provided. Service users were also seen to be eating salads and one lady explained that she was being encouraged to lose some weight and the staff who joined in this conversation were very complimentary about how she was doing. All of the service users spoken to were very complimentary about the meals. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There had been no complaints received by the home since the last inspection. All of the residents spoken to said that they feel able to talk to the manager if they had a complaint to make. The home was seen to have a copy of the local policies and procedures for the protection of vulnerable adults. The records showed and the staff confirmed that they had received training in such matters. There had been a number referrals into those procedures by the home. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 16 EVIDENCE: The accommodation has 3 distinct areas, the main house and converted coach house, which provide accommodation on ground and first floors and a purpose built extension to the rear of the property, which is all on one level. Each area was seen to have communal areas that suited the needs of the residents of each part of the home. The corner of one of the lounges was, however, being used to store hoists and the manager explained that this was due to a lack of storage space. The home was seen to be commendably clean and well maintained. The laundry was clearly very well organised and run dealing with a wide range of washing needs. Members of the cleaning team were spoken to. They described their effective and efficient cleaning routines and programmes. A number of bedrooms were looked at with some at the invitation of the occupant. These were all seen to be personalised with items ranging from personal furniture to electrical equipment to pictures on the walls to large collections of books. Each room was seen to be equipped with a lock and a number of the service users had made use of this facility with some being left locked on the day of the visit. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. Staff in the home do not receive appropriate initial training but are generally skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. However, the recruitment procedures adopted by the home create an unacceptable level of risk that people who are unsuitable to work with vulnerable people are employed at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of a number of staff who started work since the last inspection were looked at. The start dates of the individual members of staff were not immediately apparent form their files and it took some time for the manager to provide this information. From this information it was clear that at least one of the new staff had commenced working prior to a complete Criminal Records Bureau check having been completed. Discussions with the manager Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 18 established that this was standard practice by the home using procedures that should only have been followed in exceptional circumstances. Talking with one of the new staff as well as the manager confirmed that a Skills for Care based induction programme is not being used by the home. Looking at individual staff files indicated that some of the mandatory safety training was being carried out, however, a full resume of who had received what training was not available at the time of the inspection. Talking with the staff confirmed that a number have been able to achieve NVQ2 in care whilst working at the home. The records showed that 15 of the 22 staff had been able to achieve this. Talking with the staff also confirmed that they had received 1st Aid, protection of vulnerable adult and moving and handling training in the last twelve months. Looking at the staffing rotas as well as talking to the staff on duty at the time of the inspection confirmed that they are available in appropriate numbers to meet the needs of the service users. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is adequate. Safety systems relating to the building and its contents are well managed, however, there is no effective quality assurance systems and the manager is unable to show a full awareness of what is happening within the home in some crucial areas of its performance. This judgement has been made using available evidence including a visit to this service. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 20 EVIDENCE: Talking with the manager established that has achieved the Registered Managers Award and is still working towards an NVQ4 in care which are the qualifications that are considered appropriate for someone who manages a service such as this. Talking to the manager also established that there are few quality assurance checks carried out by the proprietors with the monthly visits required to be carried out under Regulation 26 of the Care homes Regulations 2001 being carried out infrequently. The manager herself says that she does not receive any formal, recorded professional supervision with the rest of the staff team receiving theirs on an irregular basis. The manager also stated that there was no quality assurance or annual development plan in place for the home. Various other records were also looked at. From these it could be established that a variety of safety checks take place on a regular basis. These included such things as fire safety checks, electrical checks on portable electrical appliances, fridges and freezers as well as the bath water temperatures. The risk assessment and storage of hazardous substances was looked at and this was found to be appropriate. Accident records were available for inspection and these were completed appropriately. The home assists some of the service users to manage their cash. The systems used to manage this was looked at and discussed with the manager and the administrator and were seen to be appropriate. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 x 3 3 4 x 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 ENVIRONMENT Standard No Score 19 3 20 x 21 x 22 x 23 x 24 x 25 x 26 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 x 33 2 34 x 35 3 36 2 37 x 38 3 Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 22 no 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 OP7 Regulation 15(1) Requirement Care plans must be developed for all of the service users that clearly identify what their needs are and how they should be met. Plans must be developed which show how the home is assisting the service users to develop their social opportunities. The home must not allow staff to commence work with the service users without a full Criminal Records Bureau check, except in exceptional circumstances, in order to ensure that the staff are fit to work with vulnerable people. Care staff who are recruited by the home must undergo induction training based on the standards outlined by Skills for Care to ensure that they have the basic skills to work with the client group. The home must develop an effective quality assurance monitoring system based on seeking the views of the service users that checks whether or not the home is meeting their needs. DS0000064647.V332633.R01.S.doc Timescale for action 31/08/07 2 OP12 15(1) 31/08/07 3 OP29 19(1)b 30/06/07 4 OP30 18(1)(c)i 30/06/07 5 OP33 24(1) 31/08/07 Ideal Home Version 5.2 Page 23 6 OP36 18(2) The staff must receive recorded professional supervision at least 6 times a year so that issues of practice and care can be discussed regularly and formally. 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. Ideal Home DS0000064647.V332633.R01.S.doc Version 5.2 Page 25 - 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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