Inspection on 19/12/07 for Jasmine

This inspection was carried out on 19th December 2007.

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

The inspector found 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

Jasmine 24/07/06

Jasmine 23/02/06

Jasmine 29/06/05

Jasmine 25/01/05

Jasmine 23/06/04

Jasmine 09/03/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Jasmine Dod Lane Glastonbury Somerset BA6 8BZ Lead Inspector Jane Poole Unannounced Inspection 19th December 2007 10:00 Jasmine DS0000030092.V355533.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 Jasmine DS0000030092.V355533.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. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jasmine Address Dod Lane Glastonbury Somerset BA6 8BZ 01458 832490 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) Bchant@somerset.gov.uk Somerset County Council (LD Services) Mrs Beverley Eileen Chant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 9 persons aged 18 - 65 years who have a learning disability (LD) and/or concurrent physical disabilities (PD). 24th July 2006 Date of last inspection Brief Description of the Service: Jasmine is registered to provide support for nine service users under the age of 65 who have a learning or physical disability. Somerset County Council runs the home. A registered manager is in charge of the day-to-day running of the home. Jasmine is situated in a residential area of Glastonbury and is close to the town centre. This has the local facilities of shops, banks, pubs and leisure amenities. Jasmine is adapted to be able to support highly dependent service users whilst maintaining a homely atmosphere. All accommodation is in single rooms. Outdoor space includes pleasing gardens to the rear. There is a large living / dining area and an additional lounge. There are sufficient numbers of adapted bathrooms. The lower ground floor contains a small self-contained flat. The flat consists of a bedroom with en-suite and a small living area including a kitchen. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. One inspector carried out this inspection over one day. Prior to this inspection the home completed an Annual Quality Assurance Assessment (AQAA). This gave clear details about the home and demonstrated a commitment to ongoing improvement. 5 members of staff and 6 relatives/carers completed questionnaires prior to this inspection and some of their comments have been included in this report. Many of the service users living at the home are unable to fully express their views but the inspector was able to meet with service users and observe care practices. The inspector was given unrestricted access to all areas of the home and all records requested were made available. What the service does well: Jasmine has a warm relaxed atmosphere and service users appeared content in their surroundings and comfortable with the staff who were supporting them. The home is well run; the manager was not at the home at the time of this inspection but staff were able to assist the inspector and made all records available. There is a commitment to ensuring that service users are involved in the home, whether this is by active participation or observation. Support plans give clear guidance for staff including information on how to assist service users to make choices. The procedures for the administration of medication are good and promote safe practice. Service users have access to healthcare professionals in line with their individual needs. There is a range of leisure and social activities for service users to take part in. The home assists people to visit family and friends and to access community facilities. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 6 There are robust recruitment procedures which minimise the risk of abuse to service users. Staff working at the home stated that they received training, which was relevant to their role and the needs of the service users. What has improved since the last inspection? What they could do better: The number of permanent staff employed at Jasmine is not sufficient to meet the needs of the current service user group. The home relies heavily on relief and agency staff. Staffing hours allocated to the home need to be reviewed to ensure that service users are provided with consistency. In addition to their care role staff undertake all domestic and laundry duties which takes them away from service users for periods of time. The home should ensure that there is a dedicated person to undertake domestic tasks. Staff were generally pleased with the training opportunities in the home but some would like training in food and nutrition. Some areas of the home would benefit from redecoration and there are insufficient hand washing facilities for staff, in personal rooms and in the laundry, to promote good infection control practices. Relatives/carers who completed questionnaires had mixed views on how well the home helped relatives and friends to keep in touch. Some people wanted more contact with families by phone and e-mail. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 7 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. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have their needs assessed before being offered a place at the home. EVIDENCE: No new service users have moved to the home since the last inspection. The inspector saw copies of pre admission assessments in support plans viewed. There have been no changes to the statement of purpose or the service user guide since the last inspection. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support plans give clear guidelines to staff to ensure that people are supported in their chosen way. Risk assessments are undertaken to enable service users to safely participate in day to day activities. EVIDENCE: The inspector viewed three support plans. All were comprehensive and gave clear guidelines for staff in how to assist people living at the home. The plans outlined peoples likes and dislikes as well as their needs. There is also information to assist staff to offer choices to people. As many of the service users do not have verbal communication the plans give advice on using pictures and objects of reference with individuals to offer choices and to help people to make decisions. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 11 There was evidence that service users and/or their representatives had been involved in the creation of the plan and the setting of goals and skill development areas. It was apparent that many staff working at the home are aware of service users non verbal cues that indicate their mood and enable staff to gauge when a person is enjoying an activity or interaction. Risk assessments are in place for individuals and control measures are recorded to minimise risks to service users. All staff working at the home are expected to read and sign support plans to ensure that everyone is consistent in their approach and assisting people in their chosen way. New staff spoken to stated that they had been given time to read support plans and to observe other staff. All staff who completed questionnaires answered ALWAYS to the question “Are you given up to date information about the needs of the people you support?” Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have opportunities to take part in a range of social and leisure activities. Mealtimes are relaxed and appropriate assistance is given to enable people to be as independent as possible. EVIDENCE: Currently no service users living at the home attend college or employment outside the home. The staff encourage service users to be involved in household activities, this may be active participation or observation. For instance the inspector noted that when lunch was being prepared two service users were in the kitchen observing staff and enjoying a pleasant interaction. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 13 Many activities take place in the home, which people attend according to their interests. There are regular sessions of music therapy, horticultural therapy, massage and aromatherapy. (Additional charges are made for these activities.) The months’ activities and outings are written on the board in the dining room and at the end of the month pictures and mementoes are added to an album. This forms a very nice record of activities that service users, family and friends are able to browse through. The album showed that people enjoyed trips out for meals, to the cinema, the seaside and shopping. The home assists people to keep in touch with family and friends. There has recently been Christmas parties and carol concerts that people outside the home have been invited to. On the day of the inspection one member of staff took a service user to stay with a family member. Relatives/carers who completed questionnaires had mixed views about how well the home assisted people to keep in touch. Some people said that the staff arranged visits several times a year and assisted with transport whilst other people felt that they like more contact with the home by phone and email. The majority of people felt that they were kept informed of important events. There is a weekly menu that is written with service users a week in advance to ensure that everyone is able to make choices about the food in the home. One senior member of staff is setting up a project to further involve service users in food choices, shopping and preparation. As many people have limited communication skills the member of staff has purchased artificial food to assist people to make choices and carry out shopping. This shows a strong commitment to service user involvement and skill development. The main meal of the day is in the evening with a lighter meal at lunchtime. The inspector observed the lunchtime routine. There was a choice of two meals but the inspector was unable to see how choices were made on this occasion. Service users were encouraged to be as independent as possible and specialist cutlery and crockery was provided where required. One person had a skill development plan for gaining greater independence with meals and it was noted that this was followed by staff at lunchtime. Care staff are responsible for cooking all meals in the home once they have undertaken basic food hygiene training. One member of staff wrote on their questionnaire that they felt staff would benefit from further training in food preparation and nutrition and staff spoken to agreed with this. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the administration of medication promote safe practice. Service users have access to appropriate healthcare professionals according to their individual needs. EVIDENCE: Care plans give details of the amount of assistance people require with personal care and any equipment needed. Two bedrooms and the main bathroom have ceiling tracking for hoists to support service users with severe mobility difficulties. The home employs both male and female care staff enabling people to have some choice about the gender of people who assist with intimate tasks. Service users have access to healthcare professionals in line with their individual needs. Records are maintained of all appointments and these show Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 15 that people are accessing doctors, dentists, chiropodists, dieticians, physiotherapists and speech and language therapists. Staff spoken to stated that the home had good relationships with the local surgery and always tried to take people to appointments if possible, but received home visits if not. Relatives/carers answered ALWAYS or USUALLY to the question “ Does the home give the care/support that you expect or agreed?” One relative commented about how supportive the home was when their relative was in hospital. The home uses a Monitored Dosage System (MDS) for medication. Each person has a locked cupboard in their room where their medication is stored. There is also a lockable fridge and storage cupboard, which is used for communal storage where necessary. Staff receive in-house training on the administration of medication. The inspector viewed the Medication Administration Records (MARs) and found them to be well maintained and correctly signed when received into the home and when administered, giving a clear audit trail. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All complaints are fully investigated within agreed timescales. All staff receive training in the protection of vulnerable adults and are aware of the procedure to be followed in the event of an allegation being made. EVIDENCE: The home has policies and procedures for making a complaint, recognising and reporting abuse and whistle blowing. All staff receive training in the protection of vulnerable adults and are aware of the County Councils policy. Staff spoken to were aware of the ability to take serious concerns outside the home. The complaints procedure is clearly displayed in the home. All relatives/carers who completed questionnaires knew how to make a complaint and all staff answered YES to the question “Do you know what to do if a service user or advocate has concerns about the home?” Since the last inspection the home has improved the way in which complaints are recorded. The complaints log shows that complaints are taken seriously and action is taken to investigate and address within set timescales. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 17 The manager stated in the Annual Quality Assurance Assessment that they are planning to inform service users more often about how to make a complaint and have a video to assist them with this. Staff gave evidence that they are aware of service users moods and are able to respond appropriately if someone is not happy or unwell. The inspector viewed the recruitment file of the most recently appointed member of staff. This gave evidence of a robust recruitment procedure that included obtaining written references, checks against the Protection Of Vulnerable Adults (POVA) register and an enhanced Criminal Records Bureau (CRB) disclosure. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Jasmine provides a comfortable safe environment for service users but some areas would benefit from redecoration. There are limited hand washing facilities for staff to promote good infection control practices. EVIDENCE: Jasmine is a purpose built home with 8 bedrooms on one level and a self contained one bedroom flat on the lower ground level. It is set in a residential area of Glastonbury close to local amenities. All areas of the home are fitted with a fire detection and emergency lighting system which is regularly tested. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 19 All bedrooms are for single occupancy and have wash hand basins. There is an assisted bathroom with ceiling tracking and also a sit in shower. Communal areas consist of a large lounge and dining room. The dining room appeared quite cramped when all service users were seated for lunch. Bedrooms seen by the inspector had been personalised to reflect the tastes and needs of their occupants. Aids and adaptations have been fitted throughout the home to assist service users to maintain independence. At the present time care staff are responsible for all cleaning and laundry which takes them away from the service users for large parts of the morning. The laundry is located on the lower ground floor and is not accessible to service users living in the main part of the house. There are no suitable staff hand-washing facilities in the laundry or in personal rooms. The inspector toured the building and noted that some areas were in need of redecoration, for example paintwork was chipped in hallways and some bedrooms. All areas seen were reasonably clean and fresh. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are inadequate numbers of permanent staff to meet the needs of the service users. Staff receive training which is relevant to the needs of the service users. EVIDENCE: There is a clear staffing structure for the home. In addition to the manager and deputy there are four support workers who take responsibility for the home in the absence of the manager or deputy. Unfortunately at the present time 2 support workers are away from the home for an extended period of time meaning that care assistants are often acting as shift leaders. The person living in the flat has their own team of core staff, including relief staff. The home employs 19 care staff, 11 have a National Vocational Qualification (NVQ) in care at level 2 or above. (Figures taken from AQAA completed by the Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 21 manager) In addition to NVQ training, staff have access to a large range of training opportunities. Records showed that staff have undertaken training in autism, dementia, mental health issues, equality and diversity, the mental capacity act and health and safety issues. All staff who completed questionnaires felt that they received training that was relevant to their job. New staff undertake the County Councils induction programme as well as completing an in house induction programme and shadowing more experienced staff. At times new staff have to wait some weeks before being able to attend the induction programme which limits the amount of involvement that they can have in the home when they begin work. Staff, and 1 relative, who completed a questionnaire raised concerns about the level of staffing at the home and the high use of agency staff. The inspector viewed the duty rotas for December and there were 112 shifts being covered by relief or agency staff. It was noted that the same relief or agency staff were being used to provide consistency for the service users, however it does raise concerns that the number of permanent staff is not sufficient to meet the needs of the service users. Staff stated that there has been no domestic support at the home for some months and so care staff are responsible for laundry and cleaning in addition to their care role. The inspector observed that care in the home was very task centred but interaction between staff and service users was friendly and respectful. One relative/carer wrote that staff were “enthusiastic and professional” another said that staff were “caring and supportive.” The inspector viewed the recruitment file of the most recently appointed member of staff. This gave evidence of a robust recruitment procedure that included obtaining written references, checks against the Protection Of Vulnerable Adults (POVA) register and an enhanced Criminal Records Bureau (CRB) disclosure. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management team is competent and has a commitment to ongoing improvement. EVIDENCE: The registered manager of the home is Bev Chant who has many years experience of working with the service user group and has a National Vocational Qualification in care at level 4. At the time of this inspection the manager was not at the home but the deputy was available throughout the day. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 23 All staff spoken to stated that the management in the home was extremely open and approachable. There are regular staff and service user meetings to gauge views and seek opinions. The deputy manager and the Annual Quality Assurance Audit (AQAA) gave evidence that the home is committed to ongoing improvement. There are annual reviews for all service users where views on the care provided are sought from representatives and professionals. The home is continually looking at further enabling service users to express their views. The home carries out audits on medication and accidents as part of their quality monitoring systems. Appropriate measures are in place to ensure the health and safety of service users. There are regular checks and servicing for equipment and staff receive training in health and safety issues. The staff undertake regular training in fire safety and practice fire drills are carried out. The inspector and deputy discussed how the home would be evacuated in the event of a fire at night and there appears to be no clear policy or guidance at the present time. Up to date certificates of insurance and registration are on display. Jasmine DS0000030092.V355533.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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 3 28 3 29 3 30 2 STAFFING Standard No Score 31 x 32 3 33 1 34 3 35 3 36 x 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 x 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 Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 25 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 YA33 Regulation 18 (1) Requirement Timescale for action 28/02/08 2 YA26 YA30 13 (3) The manager must review the number of permanent staff employed to ensure that it is sufficient to meet the needs of service users. The manager must ensure that 31/03/08 there are sufficient hand washing facilities for staff in the laundry and in rooms where personal care is carried out. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Jasmine Refer to Standard YA17 YA24 YA30 YA39 YA42 Good Practice Recommendations All staff should receive training in food and nutrition. The manager should ensure that all areas of the home are decorated to a good standard. The manager should ensure that there is a dedicated person to undertake domestic tasks. The manager should further develop the quality assurance systems in the home. The manager should ensure that the fire risk assessment DS0000030092.V355533.R01.S.doc Version 5.2 Page 26 looks at how service users would be evacuated if there was a fire at the home. Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Jasmine DS0000030092.V355533.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!