Inspection on 07/05/08 for Laglin House

This inspection was carried out on 7th May 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Laglin House 12/12/06

Laglin House 21/02/06

Laglin House 19/06/05

Laglin House 02/02/05

Laglin House 16/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Laglin House 168 Leigham Court Road London SW16 2RG Lead Inspector Mary Magee Key Unannounced Inspection 7th May 2008 09:30 Laglin House DS0000022801.V362515.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 Laglin House DS0000022801.V362515.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. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laglin House Address 168 Leigham Court Road London SW16 2RG 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) 020 8769 8655 Mr Hussain Modile Mrs Elizabeth Modile Mrs Elizabeth Modile Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 4 12th December 2007 Date of last inspection Brief Description of the Service: Laglin House is a small care home registered to provide care and accommodation for a maximum of four individuals who have ongoing mental health needs. The premises a mid-terraced house is located on a residential road in Streatham. Public transport links are very good. Bedrooms are single occupancy and located on the ground, first and second floor. Communal areas include a spacious lounge, a kitchen/ diner and a conservatory on the ground floor. Fees range from £850 to £950 per week. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key unannounced key inspection was carried out over one day. We met with the registered manager, two support workers and both residents. All present were helpful and facilitated the inspection. Discussions also took place some days later by telephone with relatives and a healthcare professional. We examined the written information received in the completed AQQA, also the service history. Also viewed were both residents’ and staff personnel files. Case tracking was used to evaluate the service. A selection of records relating to the maintenance and upkeep of the home were viewed too. We toured the premises, this included the communal areas, two vacant bedrooms were viewed. What the service does well: What has improved since the last inspection? This is the first inspection following a refurbishment programme. The home following a variation request and site visit has increased occupancy levels to four bedrooms. The home is well finished with good quality furniture and furnishings. Appropriate staffing levels are available to meet the needs of residents. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Laglin House DS0000022801.V362515.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 Laglin House DS0000022801.V362515.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents have all the necessary information available to them about the services so that they can make an informed choice. Contracts are agreed with residents. Before offering an individual place at the home a pre admission assessment is carried out first. The pre admission assessments are rather brief and may impact on the ability of the service to make an informed decision on the suitability of the admission. EVIDENCE: The service makes available relevant information on the services available. Both residents visited the home before moving in to live there. The assessment process was examined for both residents. This was achieved by viewing records of the preparation for admission and from discussion with both individuals. The manager consulted the assessment information supplied by mental health professionals before a decision was made to accept the application for admission and offer a placement. The evidence provided on both residents’ files confirmed that each individual had an assessment undertaken by the manager before admission to the home. The manager also is efficient in obtaining a summary of the care plan developed by care management. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 9 The home has in place a staff team with experience and skills. The majority of the team work part time at another service that is owned by the same provider. The written assessments completed to inform care planning are rather brief. They should incorporate more information to assist decision-making on the admission and assist with good care planning. A requirement is stated. Both residents received contracts at point of admission, copies held on files. Laglin House DS0000022801.V362515.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 adequate This judgement has been made using available evidence including a visit to this service. The small-scale environment resident’s find is beneficial. The service helps support residents to take control of their lives and be involved in decision-making. Each resident is consulted on and agrees to a care plan and a risk assessment. The information recorded is quite limited and may hinder progress in achieving goals and aspirations. EVIDENCE: The written care plans for both residents were examined. Residents said that they were consulted and had agreed the written care plans. Signatures were present acknowledging this. Care plans for both individuals include basic information necessary to support residents, but they are neither detailed or person centred. There is no description of how goals may be achieved, not much reference or link CPA meetings or to the care plans provided by mental health professionals. Goals and aspirations for each resident are not reflective of individual need. A brief description of risks and how to manage these is recorded. The manager and staff demonstrate experience and skills in supporting individuals with mental Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 11 health related issues, also how to manage appropriately any associated risks. Written accompanying information on how to reduce any associated risks is limited in content and needs to be further developed as also do care plans. A requirement is stated. Both residents have spent a brief period at the home, one was admitted three weeks previously. He is adapting well to his new surroundings and is making steady progress. The second resident has lived at the home for three months. Neither care plans are due for reviewing. Daily notes indicate that staff provide appropriate support and that is effective. A care coordinator was spoken to by telephone; he confirmed too that currently steady progress is being made by a resident, although it is early days in the placement. Both residents manage their own finances. According to the records seen staff also support residents with applying for relevant benefits, freedom bus passes. Residents take responsibility in their lives, both are involved in meal preparation, also undertaking personal laundry chores. Risks associated with accessing the community were completed for both residents; as a result both residents access the locality independently. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Individual rights are respected with responsibilities given. Residents have the opportunity to be involved in meaningful activities and develop valuable independent living skills. Residents are able to enjoy the food they prefer. EVIDENCE: The manager and staff are aware of the need to support residents to develop their skills including communication, emotional and independent living skills. The home has a history of promoting the rights of individuals, supporting and encouraging them to follow their interests and be integrated into community life. For the previous two residents the outcomes were excellent, both moved to supported housing/independent living. The inspector received positive feedback of the encouragement and support that both residents received at the home. The current residents have not lived at the home for long. As a result neither are yet participating fully in community activities. The home makes available Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 13 information on the opportunities available so that both individuals can engage as appropriate. Neither residents have yet an activity programme in operation, this should be encouraged. Relatives and visitors are welcome at the home. A resident was observed receiving and entertaining guests, staff engaged with the visitor and made her welcome. The resident spoke freely with staff and the inspector. He appeared relaxed at his new placement, his rapport with staff was observed to be good. Later he went out to check out local facilities in the community. A family member spoken to told of his progress since admission. He has en rolled to start on a course in a local college. The conservatory area was in use by another resident. He was relaxing and appreciating the fine weather. He feels confident that the placement offers him an opportunity to develop more living skills. He currently chooses not to engage in communal activities, that choice is respected. The service actively supports people to be independent and considers individual capacities and need. Residents are involved in domestic routines of the home. They take responsibility for their own room, menu planning and cooking meals, making sure that they are able to enjoy meals that they like. The menu includes a variety of dishes, and caters for varying cultural and dietary needs. Laglin House DS0000022801.V362515.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 health of residents is promoted with appropriate action and intervention taken as necessary. Residents are supported to manage their own medication but more appropriate procedures need to be in place for undertaking assessments for people self-administering. EVIDENCE: None of the residents require support with personal care. Both are fit and active. Residents dress in clothes that they choose and feel comfortable in. Consistency is ensuring through key working. Records are made of monthly key working sessions. Staff receives training on mental health conditions and how to effectively support people experiencing these conditions. Residents are supported and facilitated to take control of and manage their own healthcare. They receive support to attend appointments with health care professionals. Both are registered with a GP. Conditions are monitored on an ongoing basis by staff that recognise any changes that arise. Communication with community psychiatric nurses and Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 15 care coordinators is good. The reports made of the outcome of CPA meetings are supplied to the home. The home has medication policies and procedures in place. Medication profiles are recorded for each resident. The home records all medicines received, administered, and returned from the service. There was no evidence of mishandling. MAR sheets for a resident were checked, these were found satisfactory. Staff that are trained and competent according to the manager administer medication. Supporting evidence of this was found during the inspection. Not all staff received medication training; provision for this is made in training programme. A second resident is self-medicating. The service monitors compliance with medication by spot-checking, but no assessment is in place to demonstrate an assessment was completed by the home. Areas for improvement: A risk assessment is needed for the resident who is managing his own medication and this must be reviewed regularly to ensure his safety and ongoing compliance. Laglin House DS0000022801.V362515.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service is open, it encourages the views of residents, family relatives and health professionals. Staff are familiar with procedures that safeguard vulnerable adults. EVIDENCE: Residents, relatives and others associated with the service are satisfied with the service, they feel safe and well supported and know how to raise issues. The complaints procedure is included with the service user’s guide and supplied to residents at point of admission. No complaints were recorded since the service resumed in February 2008. The local authority policies and procedures for safeguarding adults are displayed for all to see. According to the AQQA supplied staff are trained to look out for signs of abuse or neglect and of the appropriate procedures to follow. Staff received training in 2006, not all staff records are completed to confirm training is up to date. Both staff members on duty are familiar with the relevant policies and demonstrate that they know what to look out for. According to training plan for 2008 training in safeguarding adults is due to take place in 2008. A recommendation is made. All staff have CRB Enhanced Disclosures with POVA checks, but there are some shortfalls in recruitment procedures. See staffing section Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 17 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 25 27 28 30 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Residents see this home as their own. It is a small wellmaintained attractive home where people can achieve maximum independence in a non-institutional environment. The home is conveniently located with good access to public transport and amenities. EVIDENCE: This small scale service offers a lovely homely environment that is clean and well presented. It is appropriate for the lifestyle of residents, for the diverse needs of others that may use the service. Residents find that they can enjoy maximum independence and benefit from living in a discreet non-institutional environment. Single occupancy bedrooms are provided, above average in size and en suited. Bedrooms offer privacy, each resident is offered a key to his own bedroom as well as a key to the front door. All are well maintained and have good quality furnishings and decor. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 18 Additional communal areas are provided; there is a large well-furnished lounge with good quality leather sofas, a conservatory, and kitchen/diner. Residents are encouraged to see the home as their own. The kitchen is designed to enable and promote the involvement of residents in domestic tasks as part of developing and maintaining self help skills. The premises are maintained to a high standard, are attractive with pleasing décor. Repairs are dealt with promptly. A repair was underway in an upstairs bathroom following a recent leak on an internal pipe. Residents find that there is sufficient hot water and the temperature in the home is adapted to suit individual needs. One are needing attention is the regulating of hot water temperatures. Hot water temperatures are not high, however this is currently not monitored; it is referred to in Standard 42. The kitchen is clean and hygienic. The fridge and freezer are kept fresh and clean but temperatures are not monitored to check efficiency. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Appropriate numbers of suitably skilled staff are available on duty to meet the needs of residents. Staff has an induction programme, they receive supervision and support. The service provides training and development for staff and recognises training needs. Some lapses have taken place in the training programme, plans are in place to respond to these lapses. EVIDENCE: The staff team consist of ten care workers that are employed permanently. These staff members also work at another other home owned by the proprietor. Recruitment files for six of the staff were viewed. All staff files seen had evidence of relevant CRB Enhanced Disclosures with POVA checks. On three of the staff files shortfalls were found, For worker one a work permit was unavailable, For a second member of staff the reference from the previous employer (care work) was unavailable, the professional reference supplied did not relate to care work. For a third member of staff the professional reference supplied from another employer was not authenticated by a stamp or headed notepaper. A Requirement is stated in relation to staff recruitment. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 20 A staffing rota for the last month was viewed. There are enough qualified competent and experienced staff to meet the health and welfare of residents. Two support workers plus the manager are on duty during the day, one waking night worker is available throughout the night. Staffing rotas take into account routines and individual needs and are appropriate for the needs of the current two residents. Some recommendations are made. Staffing rotas should include the surname of staff members on duty. Copies of rotas should be retained and available at the home. The service makes provision for training staff. There are some anomalies, certifications absent on some files. The majority of staff received training in mental health related conditions. A training adviser is employed to supply training in related topics. A training plan is in place to address individual training needs and includes the period from April 2008 to end of September. The manager recognises that there are currently gaps in individual skills and knowledge; some of the gaps include POVA, First Aid and medication. The plan sets out to address these. A requirement is stated that the training needs of the staff are responded to by end of September 2008. Records were seen confirming supervision for staff. Handovers take place at the change of shift; records are made of communication at this time. Staff spoken to are clear about their roles and what is expected of them. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home that is well run. The manager is experienced and leads by example. The service focuses on achieving best outcomes for residents but there are no monitoring systems in place to evaluate and confirm the quality of services. Health and safety issues are generally promoted but shortfalls in the procedures have the potential to place residents at risk. EVIDENCE: The manager is experienced and knowledgeable. She is a good role model and demonstrates good awareness and understanding of equal opportunities issues relating to residents and staff. She promotes and leads a service that focuses on the individual, and takes account of equality and diversity issues. The service is responsive to the needs of residents. Residents are encouraged and supported to develop independence; they take responsibility for managing their own finances. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 22 Evidence was gained from speaking to a number of people directly receiving or associating with them that communication is good. Manager and staff work well with residents, relatives and health professionals. The views of residents and staff are listened to. However this has not been used with effect or translated into a quality assurance process yet. The AQQA was well completed and contained supporting evidence for much of the practice but there are some inconsistencies. The service needs to develop an effective method to monitor and evaluate the quality of the service. A requirement is stated. This will help identify areas that are working well also areas where there is a need for improvement. The service according to completed AQQA and from discussions with the manager demonstrates a good level of self-awareness. It recognises some of the areas that it needs to improve but some essential elements of health and safety checks have been overlooked. No regular health and safety environmental checks take place. There are areas that need attention in the home, how water temperatures are not monitored to check if they are within safe limits, neither is the temperature checked of hot food cooked at the home. Fridges and freezers are kept clean but no check is made of temperatures and reliability of the equipment. A requirement is stated that health and safety polices and procedures be reviewed so that the health and safety of residents and staff is promoted. Health and safety is promoted generally and the service has a good history in this aspect. Records present confirmed that essential equipment is serviced, the premises are well maintained, and fire drills are conducted. A report from fire prevention officer in 2007 reported that the premises were satisfactory. Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 2 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 3 25 3 26 X 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 2 2 X 2 X Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 24 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 YA2 Regulation 14 (1) a, b, c, d. Requirement Pre admission assessments must consider fully an individual’s assessed needs, goals and aspirations, this so that an informed decision may be made on the suitability of the placement/admission. Care plans must be more informative and reflect CPA plans. In addition to the input of residents, plans need to record how individual goals in respect of health, welfare and social care needs are to be met. Also any risks associated with individual must be recorded. Hot water temperatures must be regulated to avoid any risk of scalding to residents. Health and safety checks need to be in place to monitor compliance A risk assessment is needed for the resident who is managing his own medication. This must be reviewed regularly to ensure his safety and ongoing compliance Member of staff recruited and employed to work at the home must be thoroughly vetted first. Information detailed in Schedule DS0000022801.V362515.R01.S.doc Timescale for action 30/06/08 2 YA6 YA9 YA20 15 (1) 30/06/08 3 YA27 YA42 13 (4) a 30/06/08 4 YA20 YA9 13 (2) 30/06/08 5 YA34 19 (4) a, b, c. 30/06/08 Laglin House Version 5.2 Page 25 6 YA35 18 (1) c 7 YA39 24 (10 a, b, c. 8 YA42 YA40 12(1) a 2 must be available for each staff member. Individual training needs and gaps in skills identified must be responded to in the planned training programme. An effective quality assurance system needs to be developed for the service based on seeking the views of residents/stakeholder, for reviewing and improving the quality of care provided. Health and safety policies and procedures need to be reviewed; procedures in place must promote the health and safety of residents. 30/09/08 30/06/08 30/06/08 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 Refer to Standard YA2 YA12 YA33 YA33 Good Practice Recommendations Information supplied by care management and mental health professionals should be summarised and used to develop more informed assessments Residents should be encouraged and enabled to develop activity programmes to respond to individual goals and aspirations Staffing rotas should include the surname of all staff on duty, Copies of staff duty rosters should be retained at the home for inspection Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Laglin House DS0000022801.V362515.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!