Inspection on 13/02/09 for Langdon Park 18

This inspection was carried out on 13th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Langdon Park 18 22/06/10

Langdon Park 18 11/08/09

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Langdon Park 18 18 Langdon Park Teddington Middlesex TW11 9PS     The quality rating for this care home is:   zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Simon Smith     Date: 1 7 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Langdon Park 18 18 Langdon Park Teddington Middlesex TW11 9PS 02089432255 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Metropolitan Support Trust Name of registered manager (if applicable) Mrs Trude Stenhammer-Wyatt Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The Registered Person may provide the following categories of care 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: Learning Disability - Code LD The maximum number of service users who may be accommodated is: 7 Date of last inspection Brief description of the care home Langdon Park is a purpose built care home that provides care and accommodation for a maximum of seven adults with learning disabilities. Staffing is available to residents 24 hours a day. The service is managed by Metropolitan Support Trust. The home is situated in a quiet residential area close to local shops and public transport links. There is a good standard of decoration throughout the home and a well-maintained garden. Each resident has a single room with en-suite bathroom. 7 Over 65 0 care home 7 Care Homes for Adults (18-65 years) Page 4 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: zero star poor service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 0 stars. This means the people who use this service experience poor quality outcomes. We used evidence from several sources to make this judgement about the home. These included visiting the home unannounced and speaking to residents, staff, the acting manager and the operations manager. We also looked at some written records, including residents care plans. The rating is poor mainly because of concerns about two incidents where money belonging to residents went missing from the home in December 2008. The home did not keep residents money in a safe place, report the incidents quickly and to the Care Homes for Adults (18-65 years) Page 5 of 31 appropriate people or check residents monies often enough. There are other areas the home needs to improve. These include keeping written information about residents up to date and giving residents a tenancy agreement to make sure that their rights are protected. The manager must be allowed to work full time at the home to make sure these improvements are made. What the care home does well: What has improved since the last inspection? What they could do better: Update written information about the home to reflect the change in management of the service. Issue residents with a tenancy agreement so that their rights as tenants are protected. Update assessments and support plans so that they reflect residents current needs. Carry out risk assessments where necessary so that residents are supported to take manageable risks. Act on what residents say so that residents have opportunities to take part in activities they choose. Ensure that staff have the skills to communicate effectively with the residents they support. Display a pictorial version of the menu. Make sure that all staff have attended training in the Protection of Vulnerable Adults, including refresher training where necessary, so that residents are protected from abuse. Improve the homes accounting and reporting procedures to protect residents from abuse. Keep the home free of unpleasant odours so that residents have a clean, fresh environment. Ensure that staff have sufficient rest to do their jobs effectively. Obtain Criminal Records Bureau Disclosures at the Enhanced level for all staff so that Care Homes for Adults (18-65 years) Page 7 of 31 residents are protected from abuse. Ensure that all staff have supervision at least six times a year so that they are well supported. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is written information about the home but this needs updating so that it reflects the change in management of the service. Assessments must be reviewed so that residents needs are accurately recorded. Residents must have a written tenancy agreement so that their rights as tenants are protected. Evidence: The home has a Statement of Purpose and a Service User Guide, which provide information about the service but these need updating to reflect the fact that Metropolitan Support Trust now manages the home. Residents needs were assessed before they moved to the home but these assessments need to be reviewed and updated to reflect changes in need since people moved in. This issue has been highlighted in monthly monitoring (Regulation 26) visits Care Homes for Adults (18-65 years) Page 10 of 31 Evidence: made by Metropolitan Support Trust managers. Residents files contained a standard Metropolitan Support Trust tenancy agreement but these were lengthy and not presented in an accessible format. There was evidence that independent advocates had been engaged to support residents in understanding their rights and responsibilities as tenants of Metropolitan Support Trust. This is a very positive move but residents must also have a written tenancy agreement to ensure that their legal rights as tenants are protected. Care Homes for Adults (18-65 years) Page 11 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans must be kept up to date so that residents needs and strengths are recorded and known by staff. Risk assessments must be carried out where necessary so that residents are supported in taking manageable risks. Residents are supported to make decisions about their lives. Evidence: All residents have individual care plans but much of the information held on the three plans checked was old and out of date. This was confirmed by monthly monitoring visit reports, one of which stated Not all service users have client assessments/support plans. Another monitoring visit report noted that some residents annual reviews were overdue. It is important that residents have care plans that reflect their current needs, goals and aspirations so that they receive appropriate support. Residents keyworkers Care Homes for Adults (18-65 years) Page 12 of 31 Evidence: must ensure that care plans are kept up to date and regularly reviewed. Some of the risk assessments carried out to support residents in taking manageable risks also needed review. Residents are supported to make decisions about their lives. They are able to choose the way in which they spend their time and to have privacy when they want it. Residents are also able to access independent advocacy services if they wish to do so. Care Homes for Adults (18-65 years) Page 13 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff must provide support so that residents have opportunities to take part in activities they enjoy. Staff must act on the suggestions made in residents meetings so that residents have opportunities to participate in their local community and to maintain contact with their families. Staff must ensure that they interact with residents respectfully so that residents dignity is maintained at all times. Staff consult residents about the menu so residents are able to make choices about whjat they eat. Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: Staff said that most residents used the local resource centre until its closure and that residents day opportunities since then have been organised on an ad hoc basis. Whilst it is desirable that residents are not tied into an inflexible regime, there is a need to plan activities to ensure that residents have opportunities to take part in activities that reflect their individual wishes. Residents have some opportunities to participate in their local community and to maintain contact with their families but a number of areas needing further support emerged from the minutes of the last residents meeting, which were read by a member of staff at a team meeting during the inspection. One resident wanted support to contact his brother and another wanted to visit his sister in Scotland. A third resident said he wanted to try college and bowling and a member of staff said one resident had not had a holiday since moving to the home. The home must ensure that residents receive support to take part in activities they choose and to maintain contact with the local community and their friends and families. Interaction between staff and residents was generally positive during the inspection but a small number of instances were observed where staff communication with residents could have been better. There was evidence that the acting manager aims to improve this area as she spoke to staff during the team meeting about maintaining good communication when giving personal care. Care staff cook and prepare meals, which is appropriate given the size of the home. Staff said that one member of the team is responsible for consulting with residents and developing a menu for the week based on their wishes. The weeks menu was displayed on the kitchen wall but this could be made more accessible to residents with the addition of a pictorial version. The menu indicated that residents receive a varied and well balanced diet. Staff said three residents have specific dietary requirements. There was evidence that a speech and language therapist had provided advice about supporting residents with eating and drinking when necessary. Care Homes for Adults (18-65 years) Page 15 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have access to appropriate health care and treatment when they need it. The home works well with other professionals in making sure residents receive good care. Some of the written information about health and support needs requires updating so that residents needs are accurately recorded. Medication is stored and administered safely. Evidence: Some residents have complex healthcare needs and others have needs associated with conditions such as dementia. The acting manager said that the home has access to excellent support from the local community health team. There was evidence that the home seeks the advice of healthcare professionals where necessary about residents care. District nurses were visiting two residents regularly at the time of inspection to change dressings and monitor pressure ulcers. There was also evidence that residents Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: with ongoing conditions such as epilepsy have access to appropriate care and regular monitoring by specialist professionals. Whilst the health care available to residents is good, some of the written information about residents health and support needs required updating. For example the moving and handling guidelines on file for one resident were out of date due to changes in the residents needs. Keyworkers must ensure that information about residents health and support needs is up to date and reviewed regularly. Medication was stored appropriately and there is a written medication policy. Staff who administer medication attend training before they are authorised to do so. A list of staff authorised to administer medication and sample signatures for these staff are held on file. No residents currently manage their own medication. All medication coming into or leaving the home is recorded. Medication records for three residents were checked and found to be accurate. Care Homes for Adults (18-65 years) Page 17 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate procedures are in place for the management of complaints. Training is available for staff in the protection of vulnerable adults but some staff need to attend this training so that residents are protected from abuse. Accounting procedures and reporting must be improved so that residents are protected from financial abuse. Evidence: Metropolitan Support Trust has a complaints procedure for people who use its services. There is a symbol assisted version of this document. Metropolitan Support Trust also has a whistle blowing procedure, which enables staff to report any concerns they have about poor practice. The homes training records provided evidence that Metropolitan Support Trust provides training in the recognition, prevention and reporting of abuse but some staff needed to attend refresher training in this area. The inspection found evidence of two incidents where money belonging to residents had gone missing from the home. The mothly monitoring visits had also identified one of these incidents. Fifteen pounds belonging to each resident and 160 pounds belonging to one resident had gone missing from the homes office in December 2008. Only one of these incidents was reported to the police, local authority and CSCI and Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: then not until approximately a month after the money went missing. The London Borough of Richmond hosted a strategy meeting in February 2009 to draw up a protection plan for residents and to identify improvements the home must make around safeguarding residents. The meeting identified concerns that the home did not keep residents money in a secure place, report the incidents to the appropriate agencies in good time or check residents monies often enough to identify when the funds went missing. The home must improve procedures around accounting to ensure that residents are protected from abuse. The acting manager advised that Metropolitan Support Trust has agreed to reimburse all residents for the money they lost in the incidents. The people managing the home at the time the money went missing have now left Metropolitan Support Trust. The acting manager said that residents monies are now kept securely and checked daily and that access to finances is restricted to nominated staff. Three residents cash books and balances were checked during the inspection and found to be accurate, with appropriate records of transactions in place. Care Homes for Adults (18-65 years) Page 19 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, safe and well maintained. The communal areas of the home are spacious and homely. Residents bedrooms reflect individual preferences. The home is clean and hygienic but there were unpleasant odours in some parts of the building. Evidence: The home is situated in a quiet residential location close to local shops, open spaces and public transport links. The house has spacious communal areas including a large open plan kitchen dining room, separate dining area, a lounge and conservatory. There is a well maintained rear garden. Discarded cigarette ends detracted from the appearance of the garden at the time of inspection. An ashtray should be provided for the disposal of cigarettes. All residents have single rooms with en suite bathroom. One residents bathroom had a strong urine odour. Staff said that they had tried a number of cleaning products but Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: that these had failed to address the problem. In addition, one of the communal bathrooms smelled damp and musty. This issue must be addressed. Care Homes for Adults (18-65 years) Page 21 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Vacant posts and high sickness levels mean that the home uses lots of agency staff at present. Establishing a stable staff team is a priority for the home so that residents are cared for by staff who know them well. Team meetings had not been happening often enough and some staff have not had supervision often enough in recent months. Staff must provide appropriate documentation before they start work so that residents are protected by the homes recruitment process. Training is available for staff in core areas. Evidence: Staffing is available to residents 24 hours a day. The acting manager said the staffing establishment at the home is 12 full time posts. At the time of inspection three of these posts were vacant. The acting manager said that recruitment to the vacant posts was planned in the near future. Metropolitan Support Trusts monthly monitoring visits identified that there are Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: currently high levels of sickness, not enough shift leaders available and that staff are working too many days in a row without a day off. The vacant posts and high sickness levels mean that the home uses lots of agency staff at present. Establishing a stable staff team is a priority for the home as it is important for residents that staff who work with them know their needs well. The home must also ensure that staff do not work so many consecutive days that they cannot do their jobs effectively. The monthly monitoring visits also identified that team meetings had not been happening often enough and that some staff had not had supervision often enough in recent months. The acting manager has introduced team meetings since her arrival and must ensure that all staff have supervision at least six times a year. Six staff files were checked. These demonstrated that staff have to provide proof of identity and two references before they start work at the home. Staff files also contained evidence of Criminal Records Bureau Disclosures but one Disclosure was at the Standard, rather than the Enhanced level. The acting manager said that the agencies used by the home provide regular updates on the Criminal Records Bureau Disclosure status of agency staff. The training record provided evidence that training is available for staff in core areas including moving and handling, fire safety, medication, infection control, health and safety, food hygiene and the Protection of Vulnerable Adults. Care Homes for Adults (18-65 years) Page 23 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management support provided to the service has been inconsistent in recent months but the acting manager has a good understanding of the improvements that need to be made and a commitment to achieving these. The manager should have no additional management responsibilities so that they have time to manage the registered care home effectively. Staff must provide appropriate ensure that so that residents have opportunities to participate in activities they choose. The home carries out regular checks so that residents health and safety is maintained. Evidence: The registered manager has been absent from the service for some time, which has affected the consistency of management support available to staff and to the service in general. The Metropolitan Support Trust is liaising with the registered manager Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: regarding a planned return to work. The acting manager had been in post for three weeks at the time of inspection and has a good understanding of the areas in which the service needs to improve. To achieve the necessary improvements it is important that the manager has no other management responsibilities in addition to the registered care home. There was evidence that residents opinions about issues that affect them are sought at meetings, which are supported by staff. As highlighted in previous sections of this report, these meetings have identified a number of activities in which residents wish to take part. Staff must ensure that residents are supported to participate in activities they choose. The homes health and safety records were checked. The water test certificate was issued in October 2008 and the homes lifting equipment was serviced in November 2008. The landlords gas safety record was issued in August 2008. The homes electrical installation certificate is valid until November 2009. The home has appropriate Employers Liability Insurance. The home has an appropriate fire alarm and emergency lighting system, which was serviced by an engineer in December 2008. Staff check the fire alarm system regularly using different call points. The fire log book states that the fire fighting equipment was serviced in September 2008 and the last fire drill was held in February 2009. The acting manager said that portable appliances were checked for electrical safety in September 2008. Care Homes for Adults (18-65 years) Page 25 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 1 4 The Registered Person must update written information about the home to reflect the change in management of the service. Information about the home must reflect the service provided. 30/03/2009 2 2 14 The Registered Person must ensure that residents assessments are reviewed and updated to reflect changes in need since people moved in. Assessments must reflect current needs. 30/03/2009 3 5 5 The Registered Person must 30/03/2009 issue residents with a formal tenancy agreement to ensure that their rights as tenants are protected. Residents rights must be protected. Care Homes for Adults (18-65 years) Page 27 of 31 4 7 15 The Registered Person must ensure that residents care plans are kept up to date and regularly reviewed. Care plans must be up to date to make sure they accurately reflect residents needs and choices. 30/03/2009 5 12 16 The Registered Person must ensure that residents receive support to take part in activities they choose and to maintain contact with the local community and their friends and families. Residents need opportunities to take part in activities they enjoy and to maintain relationships with people who are important to them. 30/03/2009 6 16 12 The Registered Person must 30/03/2009 ensure that staff have the skills to communicate effectively with the residents they support. Staff must be able to communicate effectively with the people they support. 7 18 12 The Registered Person must ensure that information about residents health and support needs is up to date and reviewed regularly. It is important that staff work with up to date information about residents needs. 30/03/2009 Care Homes for Adults (18-65 years) Page 28 of 31 8 22 13 The Registered Person must ensure that all staff have attended training in the Protection of Vulnerable Adults, including refresher training where necessary. Staff must be aware of their responsibilities in relation to safeguarding vulnerable people. 30/03/2009 9 23 13 The Registered Person must 16/03/2009 ensure that the homes accounting and reporting procedures protect residents from abuse. Residents must be protected from abuse. 10 30 23 The Registered Person must 30/03/2009 ensure that the home is free of unpleasant odours. The home should be fresh and clean at all times. 11 33 18 The Registered Person must ensure that staff do not work so many consecutive days that they cannot do their jobs effectively. Staff must have enough rest to do their jobs well. 30/03/2009 12 34 19 The Registered Person must obtain Criminal Records Bureau Disclosures at the Enhanced level for all staff. The home must check the criminal records of all staff. 30/03/2009 Care Homes for Adults (18-65 years) Page 29 of 31 13 36 18 The Registered Person must 30/03/2009 ensure that all staff have supervision at least six times a year. Staff must receive regular supervision and support. 14 37 9 The Registered Person must ensure that the manager has sufficient time to manage the care home effectively. The manager must be given time to manage the home. 30/03/2009 15 39 12 The Registered Person must ensure that residents wishes are acted upon. Residents must be consulted about the service they receive. 30/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 17 24 Display a pictorial version of the weekly menu. Provide an ashtray for the disposal of cigarettes. Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - 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!