Inspection on 30/06/06 for Landau Lodge

This inspection was carried out on 30th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 14 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Landau Lodge 30/06/09

Landau Lodge 04/06/08

Landau Lodge 28/11/07

Landau Lodge 06/06/07

Landau Lodge 14/03/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Landau Lodge Triton Road Kingston upon Hull East Yorkshire HU9 4HU Lead Inspector Simon Morley Key Inspection 30th June 2006 10:00 Landau Lodge DS0000064712.V303198.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 Landau Lodge DS0000064712.V303198.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. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Landau Lodge Address Triton Road Kingston upon Hull East Yorkshire HU9 4HU 01482 781042 01482 781062 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) Milbury Care Services Ltd Position Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 2006 Brief Description of the Service: Milbury Care own and manage Landau Lodge. The home is registered to provide care and accommodation for up to 6 adults between the ages of 18-65 who have a learning disability. The home is located to the east of Hull city centre and is purpose built. It is a six bedroom bungalow. All bedrooms are single with en suite facilities. Two of these have additional cooking facilities and can be used more as bed sits to promote independence. There is an office, large hallway, kitchen / dining room, laundry, quiet room and lounge. There is a sleep-in room for staff. There is wheelchair access throughout. The home has a garden to the side and rear. Building work was well underway to develop a smaller building in the grounds to provide additional facilities for two more service users – these were not yet registered for use. There is a car park area to the side with additional street parking. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. • • • The visit to the home lasted from about 10am to 5pm. This included talking to the staff and manager, a look around the home, and inspection of care and other records. One resident did not want to say anything to the inspector and other residents found verbal communication hard. Some time was spent observing staff interacting with residents as well. Questionnaires about the home were sent to all the care staff, one resident, three relatives of different residents, one doctor who the residents are registered with two people at Social Services Department who have helped resident move in. Two were returned from the staff and one from some one at Social Services no other questionnaires have been received yet. Peoples’ views about the home and what was found during the visit have been used to write this report and make judgements about the quality of care • • • What the service does well: • • Prospective residents needs are assessed before they move in so that all their needs should be able to be met after admission. Residents are supported to make some decisions about their lives to be as independent as they can and potential risks to residents are managed well to reduce any dangers. Staff spend time interacting with residents and also acknowledge their need for privacy and time alone. Residents were being supported to keep in touch with relatives. There were good arrangements to help ensure that residents’ personal and health care needs were met. The home was spacious, comfortable, safe and accessible to people with physical disabilities. Staff were keen to provide a good service and look after the residents as well as they could. DS0000064712.V303198.R01.S.doc Version 5.2 Page 6 • • • • • Landau Lodge What has improved since the last inspection? • The quality of individual plans that say what support each resident needs have improved but do need further development to include all the support people need. Some of the arrangements for looking after residents medication and making sure they get it at the right times has improved. The arrangements for staff training have improved to make sure they are competent to look after the residents well. The home has a new manager and overall the home is being managed in a better way to help improve the quality of care for residents. • • • What they could do better: This is what must be done to meet the minimum standards: • • All the things promised in the home’s brochure must be provided for residents to help improve the quality of their care. There must be a written and costed contract / statement of terms and conditions agreed between the home and each resident. This tells residents what they can expect for the fees and what the charges are for any ‘extras.’ These were not available at the last inspection either. Individual care plans must clearly describe how the services and facilities at Landau Lodge will meet the short and longer-term needs of residents and help them to achieve their goals and aspirations. These were not available at the last inspection either. These individual plans must cover all the care needs as listed in the minimum standard. This was not being done at the last inspection either. Residents must be given more opportunities for making decisions about: taking part in meaningful activities, becoming part of and participating in the local community and having access to and choice of a range of appropriate leisure facilities. This was not being done at the last inspection either. Storage for the most important medicines must be made secure before any of these medicines are stored in it. This was not done at the last inspection either. • • • • • • • • • Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 7 • • • • Damage to the home’s décor must be repaired and decorated. This was not being done at the last inspection either. Staffing levels must meet the recommended guidance. This was not being done at the last inspection either. All recruitment records must be available in the home for inspection. These were not available at the last inspection either. Staff new to working in learning disability services must receive Learning Disability Award Framework (LDAF) induction training within 6 weeks of starting work. This was not being done at the last inspection either. The new manager must apply for registration with the Commission. This was not done at the last inspection either. • This is what the home have been asked to do as good practice recommendations: • • 50 of care staff should achieve the required care qualification. The manager should write down what needs to be done to improve the quality of care for residents and make sure the improvements are carried out. 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. Landau Lodge DS0000064712.V303198.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 Landau Lodge DS0000064712.V303198.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were some good arrangements for helping residents move into the home and assuring them they will be looked after. This would improve by ensuring that all services promised in the homes brochure actually happen. EVIDENCE: Two new residents had moved into the home since the last inspection. They lived in the same home before and moved in together to keep their friendship going. There was a good brochure available about the home that had a range of information to help people to decide if they want to live there or not. The manager went to see them first to see what support they would need and make sure this could be offered at Landau Lodge. Care records contained a range of information about the needs of each person and how they would be looked after. This is essential information for staff so that they know what support each person needs. This information has been used to start to develop individual plans of care for each person. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 10 The manager was unsure if there were any agreed contracts or statements of terms and conditions that explained what the fees are, what would be provided for them and what may cost extra. This was an issue at the last inspection. These must be agreed at the time some one moves in to help them know what to expect. This is one of the promises the home says it will fulfil in its brochure, but does not. For example the owners of the home were taking benefit money off at least one resident to pay towards the cost of running a car for the home. Nobody knew if the resident had agreed to this or not. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Some specific needs of residents have been planned for and individual plans describe some of the support a resident would need from staff. These need further development to include all the needs of an individual as required by the minimum standard. This was an issue at the last inspection. Another promise made by the home is to write these individual plans in away that describes a person’s wants, needs, ambitions and dreams from their point of view. And then to add what the support the person wants from staff to help them achieve this. The current care plans are a long way from doing this. Residents were able to make some of their own decisions for example about their appearance, clothing, when they got up, went to bed, what they ate and how they spent their time in the home. Some of these choices were recorded in daily notes. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 12 Staff knew about the ways the residents communicated and this helped them to support the residents to make some of their own choices. Use of local community amenities was limited and residents had little say in what they could do outside of the home. Choice was limited to the occasional shopping trip, visits to and from relatives and the odd social event. This was because there was not enough staff to support residents to go out more frequently. This was an issue at the last inspection. It was unclear if residents knew about any ‘extras’ they were being charged for e.g. contributions to the home’s car. This was an issue at the last inspection. Thought has been given to the potential harm to residents from any aspect of their lives e.g. going out, cooking in the kitchen, and bathing. Residents are supported to lead independent lifestyles and staff try to keep risks to a minimum. This means that when some of the residents want to go out or do certain things e.g. go swimming, they need two staff to take them. Staffing levels do not allow this and this stops residents from being able to do some of the things they want. This was an issue at the last inspection. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15, 16 and 17. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There were poor arrangements for helping people follow their chosen lifestyles. EVIDENCE: Support for residents to engage in meaningful activities, go out, use and be part of the local community and have access to and choice of a range of appropriate leisure facilities is severely limited. Care plans do not say how and when residents will go out to shop, eat, exercise, visit places of interest, follow their hobbies and interests, join local clubs or learn. And there are not enough staff to support residents to use local community facilities. Daily records rarely refer to people going out other than to shop for necessities, visit relatives or have a quick walk around the block. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 14 Staff did go out, collect one of the resident’s relatives for a visit to the home, and lunch out. Otherwise staff were spending time in the home interacting with residents in the lounge. Daily records showed that residents kept in touch with their relatives. Staff thought that a lot more could be done to improve the quality of life for residents if there were more staff to help do this. Residents were seen to come and go freely from their rooms and use the lounge. Access to other communal areas, e.g. the kitchen and quiet rooms is restricted. These rooms are usually locked for safety, unless staff are able to accompany a resident. Staff plan menus/meals with residents and they shop together. They also promote healthy eating and were aware of any special dietary needs of the residents. Records are kept of peoples’ diet and weight is monitored. Any significant changes would be referred to appropriate community health services for support. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for supporting residents with their personal and health care were good. EVIDENCE: Staff were aware of residents individual needs and preferences about there personal care and were able to give them each the support they needed. There were detailed care records that indicated residents received good help and support with their personal and health care needs. Residents were registered with a GP and received regular health checks including dental visits, hearing and eyesight tests. Residents are supported to get their medication at the right times. There were good records about the amount of medication each person has and when it is administered. And all medicines were stored safely. There was an additional, empty storage area for more important drugs, which was not secure and must be made so if it is ever to be used. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were adequate arrangements for ensuring residents views are acted on and they are kept free from harm. EVIDENCE: Residents were able to tell staff their views and concerns on a day-to-day basis through their own ways of communicating. There were no formal complaints recorded in the complaints book. Since the last inspection staff have been trained in how to manage challenging behaviour. Some of the residents can be aggressive and it is important staff know how to cope with this. Staff also knew about abusive care practice and how to report this should they ever see any take place. This helps to keep residents free from harm. Landau Lodge DS0000064712.V303198.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 at least once during a 12 month period. 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. Landau Lodge was comfortable and safe, damaged décor detracted from having a homely feel. EVIDENCE: Landau Lodge is a purpose built, bungalow designed to be spacious. Residents all have a single room with en suite facilities, including a bath. Two rooms benefit from cooking facilities to promote more independent living. There is a communal lounge, kitchen/dining room, quiet room and laundry. Furnishings are of good quality. Two residents have chosen to share a bedroom and have a second room as a private lounge. Access to some communal areas is restricted in order to try and manage challenging behaviour of residents and keep them safe. This would impact on Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 18 the life of more independent residents with less challenging behaviour who would not need these restrictions. There was damage to décor in communal areas and private accommodation that needs to be repaired and/or decorated. This was an issue at the last inspection. The home was clean and tidy. Landau Lodge DS0000064712.V303198.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34 and 35. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were clear about their role and the aims of the home. They worked in ways to try and promote people’s individuality and chosen lifestyle. Some staff had or were working towards the required care qualification that demonstrates they are competent at their job. More staff should have achieved this by now. There are three staff on duty during the day, two overnight (one who sleeps). The manager is available for support and works a small number of shifts looking after the residents. Care staff also do the cooking and cleaning, where possible with the involvement of residents. There should be, according to the manager, times when more staff are on duty. But for the whole month of June this happened once. Rotas showed that on occasions there was even less than three staff on duty. No agency staff are used as new faces may upset residents. The is amounts to les than 360 care hours per week but the home must provide 420 care hours per week to meet the recommended guidance. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 20 Not having enough staff means that positive outcomes and the opportunity to lead independent lifestyles for these residents are severely restricted as a result. There must be adequate staffing levels to meet the needs of residents. Future admissions of more residents would make the situation worse. Training for staff had improved since the last inspection. Staff had received a range of training to help them be more able to look after the residents well. Since the last inspection the manager had obtained a new induction training pack for staff who have not done this type of work before. They must complete it within 6 weeks of starting work at the home to get some initial competence to be able to do the job. No new staff had been recruited to work in the home since the last inspection except for the manager. Her recruitment records were unavailable for checking but she did say that the required checks had been made. Recruitment records must be available in the home for inspection though. Landau Lodge DS0000064712.V303198.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good management arrangements of the home. EVIDENCE: Staff said that they get good support from the manager who has helped to make improvement since the last inspection. The manager has not yet applied for registration with the Commission but is qualified and competent to run the home. The administration and management of the home had improved and was more organised helping to improve the lives of the residents living there. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 22 As well as day-to-day interaction with staff, residents and their relatives can say what they think about the home through regular satisfaction surveys. There are regular management checks on the running of the home as well to make sure that people are cared for well. There was no written information available about how the home will continually try and develop. It was recommended that some type of annual statement be written down that says how the home will develop in the future. The home was well maintained and maintenance certificates were available for inspection. Landau Lodge DS0000064712.V303198.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 2 2 3 3 X 4 X 5 1 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 4 Requirement All the facilities and services promised by the registered person in the statement of purpose must actually be provided in reality. There must be a written and costed contract / statement of terms and conditions agreed between the home and each resident. (Previous target of 30/06/06 not met). Timescale for action 31/10/06 2. YA5 5 31/10/06 3. YA6 15 Individual care plans must 31/10/06 clearly describe how services and facilities at Landau Lodge will meet the current and changing needs of residents and help them to achieve their goals and aspirations. (Previous target of 30/06/06 not met). Individual plans must cover all aspects of personal, social and health care needs as listed in national minimum standard 2. (Previous target of 30/06/06 not met). 31/10/06 4. YA6 15 Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 25 5. YA7 6. YA12 7. YA13 8. YA14 9. 10. YA20 YA24 10, 12, 16 Residents must be given more and 18 opportunities for making decisions about: taking part in meaningful activities, becoming part of and participating in the local community and having access to and choice of a range of appropriate leisure facilities. (Previous target of 30/06/06 not met). 10, 12, 16 Residents must be given more and 18 opportunities for making decisions about: taking part in meaningful activities, becoming part of and participating in the local community and having access to and choice of a range of appropriate leisure facilities. (Previous target of 30/06/06 not met). 10, 12, 16 Residents must be given more and 18 opportunities for making decisions about: taking part in meaningful activities, becoming part of and participating in the local community and having access to and choice of a range of appropriate leisure facilities. (Previous target of 30/06/06 not met). 10, 12, 16 Residents must be given more and 18 opportunities for making decisions about: taking part in meaningful activities, becoming part of and participating in the local community and having access to and choice of a range of appropriate leisure facilities. (Previous target of 30/06/06 not met). 13 The controlled drugs cabinet must be made secure before any controlled drugs are stored in it. 23 Damage to the home’s décor must be repaired and decorated. (Previous target of 30/06/06 not met). 30/06/06 30/06/06 30/06/06 30/06/06 31/10/06 31/10/06 Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 26 11. YA33 18 12. 13. YA34 YA35 14. YA37 Staffing levels must meet the recommended guidance. (Previous target of 30/06/06 not met). 17 & 19 All recruitment records must be available in the home for inspection. 18 Staff new to working in learning disability services must receive Learning Disability Award Framework (LDAF) induction training within 6 weeks of starting work. Section 11 The new manager must apply for registration with the Commission. (Previous target of 30/06/06 not met). 31/10/06 31/10/06 31/10/06 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA32 YA39 Good Practice Recommendations 50 of care staff must have achieved NVQ 2. There should be an annual development plan for the home based on the aims and outcomes for residents. Landau Lodge DS0000064712.V303198.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Landau Lodge DS0000064712.V303198.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. 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