Inspection on 25/01/06 for Leigh Bank

This inspection was carried out on 25th January 2006.

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

The inspector 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Leigh Bank 11/08/06

Leigh Bank 26/10/05

Leigh Bank 05/01/05

Leigh Bank 07/07/04

Similar services:

Littledale Hall Therapeutic Community

Bennett House

Padgate House

Mary & Joseph

Westcliffe House

Richards House

Hamer Cottage

Turning Point (Hoole Road)

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

CARE HOME ADULTS 18-65 Leigh Bank Leigh Bank 4 Glebelands Road Prestwich Manchester M25 1NE Lead Inspector Lucy Burgess Unannounced Inspection 25th January 2006 09:45 Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 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 Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 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. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Leigh Bank Address Leigh Bank 4 Glebelands Road Prestwich Manchester M25 1NE 0161 773 1523 0161 773 0125 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) Turning Point Care Home 11 Category(ies) of Past or present alcohol dependence (11), Past or registration, with number present drug dependence (11) of places Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the maximum registered numbers there can be up to 11 people with past or present alcohol dependence and up to 11 people with past or present drug dependence. The service should employ a suitably qualified and experienced Team leader who is registered by the Commission for Social Care Inspection. 26th October 2005 Date of last inspection Brief Description of the Service: Leigh Bank is an 11-bedded residential care home for younger adults (18yrs 65yrs) with problems associated to drug and alcohol misuse. At the time of the inspection only 8 people were resident at Leigh Bank. The property is situated in Prestwich, Manchester and is close to the M60 motorway network. It is convenient to local shops, leisure facilities and the metro tram network. The accommodation is an old Victorian style semi detached house in keeping The accommodation comprises of 7 with other properties within the area. single bedrooms and two double rooms. All services such as heating, lighting, food, accommodation, staffing costs and laundry facilities are included as part of the fees. A large well maintained garden is available to the rear of the property. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day for a period of 6 hours. The inspector took the opportunity to view records as well as talk with a number of residents and staff. Discussion and feedback was also held with the Team leader. The project is registered to provide accommodation for 11 people. There were 8 residents at the project at the time of the inspection. Those key standards not looked at during the last visit were addressed. What the service does well: What has improved since the last inspection? The team leader has a good understanding of the needs of the residents and issues related to their drug and alcohol misuse. This knowledge is to be used to develop the group work sessions looking at areas of support needed by the residents. Work has been carried out to the environment. Some of the rooms have been redecorated as well as new carpets and curtains purchased for each of the bedrooms. The decision-making involved both staff and residents and will improve the appearance of the project. Improvements have been made to the risk assessments. Information includes more detail about the area of risk and how this is to be addressed. Training has also been planned for staff in this area, so they can develop their understanding when completing the assessments ensuring everyone is safe. Arrangements are in place for the support team to complete training in medication and NVQ level 3. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 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. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 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 Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: The key standard was addressed during the last inspection held on the 26 October 2006. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 9 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): 6 and 9 Care plans and risk assessments are in place providing staff with clear information about how needs should be met. EVIDENCE: Individual files are held for each of the residents. Information includes; • initial assessment including background history, • care plan, • risk assessments, • diary notes and 1-2-1 notes, • a licence agreement, • agreements in relation to behaviours, noise, appliances etc. As placements at the project are on a short-term basis dependant on need, varying from 3 months onwards, plans are reviewed and up dated on a monthly basis. Information is discussed and agreed directly with each resident during the 1-2-1 meetings. Copies of the plans are then forwarded to the relevant care team leader/funding authority. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 10 As previously identified Turning Point has a risk assessment/management policy in place. Individual risk assessments are currently being reviewed and up dated to include more detailed information about the identified risk and how these are to be met by both staff and resident. Development/training days have been identified for the team at Leigh Bank to look at the process of drawing up care plans and risk assessments, providing staff with the information needed in completing the documents ensuring continuity. As outlined further within the report, areas of risk have been identified with one of the residents. This included an eating disorder and self-injurious behaviours. A referral has therefore been made to an eating disorder clinic so the additional support can be provided focusing on this area of need. As the project is relatively small, informal day-to-day contact is made between residents and staff with the views and opinions of both parties can be easily aired. This method is used as well as formal meeting and discussions. Feedback received from the residents was positive. Individuals were happy with the support provided. Interactions between with staff and residents were seen to be open and friendly. Residents felt they could speak to members of the team in confidence. Further discussion and observations were made between residents and an individual visiting the project for assessment. Individual spent time explaining the project, expectation of the service and routines as well as answering questions about support and opportunities available. This gave the visitor an overview of the rehab project prior to his assessment and would enable him to make an informed decision about the service provided. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 11 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): 11, 12, 13, 14 and 15 The structure and routine within the project are such that residents and staff are able to address individual needs as well as develop their confidence and abilities so they feel able to positively move on from rehab. EVIDENCE: Routines at the project consist of structured group work, voluntary work, college and leisure activities. Whilst the group work sessions are a compulsory part of life at Leigh Bank other activities are based on individual choices. Each residents is expected to attend the morning group work and 1-2-1 sessions with their key worker. ‘home work’ is given and residents are asked to reflect on themselves, about their needs, behaviours etc and look at achievable outcomes. The team leader is looking at developing the current group work to include sessions in relation to anxiety and stress management. Routines around the formal group work sessions are flexible and are dependant on individual preferences. Where restrictions are in place these are stipulated in the licence agreement. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 12 Those residents spoken with identified a number of areas they are involved in, This involves these include undertaking voluntary work with Fairbridge. supporting youths between the age of 13 and 25 years. One individual attends college, completing courses in English and Maths, whilst leisure activities include swimming, mountain biking, pictures and football matches. The staff will provide support to residents where necessary when accessing services and facilities within the surrounding and wider community. Community resources are accessed by local transport. In relation to the running of the project residents are also actively involved in carrying out household tasks including cleaning, washing, cooking and shopping. Residents continue to hold weekly meetings and nominate a ‘resident rep’, specific tasks are then shared out during the meetings. The ‘resident rep’ will also attend the staff meetings to share information/ideas etc. Residents continue to plan and cook the evening meal. Individuals take it in turn to cook for the other residents. Individual arrangements are made for breakfast and lunch. The staff team monitor the diet ensuring that a healthy balanced diet is encouraged. Records are made of the evening meals served. Drinks and snacks can be made throughout the day. Residents living at the project come from different areas. Whilst some have family and friends near by others have further to travel. Where possible encouragement and support is provided for residents to maintain these relationships. Visits take place both away and at the project. Arrangements can also be made for visitors to stay over night as part of the rehabilitation process. A risk assessment would be completed. Residents spoken with have found the placement supportive and enabled them to make positive steps as part of their recovery. Comments made included ‘I’m enjoying it’, ‘you get out what you put in’, ‘rehab works when the time is right’, ‘it’s all about preparing you for when you move on’ and ‘we have opportunities to try new things, so we can plan for the future’. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 13 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): 18, 19 and 20 Relationships with health care professionals are effective and provide positive support networks for the residents ensuring their health needs are promoted. The medication system needs to be improved to reflect the safe practice ensuring residents are protected. EVIDENCE: Information is held in relation to the health needs of residents. Health care professionals are accessed for additional support and advise ensuring residents receive the relevant medical support as part of the rehabilitation programme. Each residents has access to a local GP as well as other health care professionals when necessary. Where individuals have additional needs such as mental health needs, psychiatric services would be accessed to offer further support and advice. Additional support is being accessed for one residents who has an eating disorder, a referral has been made to an Eating Disorder Clinic so that more focused guidance and support can be offered to address the particular needs. Individuals living at Leigh Bank are independent and able to manage their own personal care needs. Bathing/showering facilities are provided on each floor, therefore easily accessible. Encouragement is provided where necessary. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 14 The current medication system is still under review, consideration is to be given to medication held by residents, particularly those is shared rooms and the safe storage of items. The team leader has introduced an audit system so that regular checks can be made on all medication being held by residents. Training has also been planned for the staff team. Self-medication risk assessments are also completed for each resident on their admission. Documents are signed and dated and held on individual files. As previously identified these too need to be expanded upon to evidence how the assessment was completed and that the assessors is satisfied that all areas will be complied with. The team leader is aware that the current system is inefficient and alternative arrangements have been discussed with the Service Manager. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 15 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): 22 and 23 Satisfactory arrangements are in place in relation to the protection of service users as well as responding to their concerns. EVIDENCE: As previously identified a detailed complaints procedure is held by the project outlining what action will be taken to respond to any complaints. Information is available to all residents and provided within the handbook. Copies are handed out to all new residents. Documentation is available for recording any issues raised and summary reports are forwarded to the Service Manager outlining any issues raised and action taken. No complaints have been raised at the project or with the CSCI. Information is also held with regards to the Local Authorities Adult Protection procedure as well as an in-house procedure. Training has been completed in this area by all staff other than the team leader. Arrangements have been made for this to be completed. Additional policies and procedures are in place ensuring the safety and protection of individuals residing at the project. These include a behavioural policy outlining what is expected of the them as well as policies and procedures in relation to incident reporting, violence and aggression, missing persons and risk management. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 16 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): 24 and 30 Leigh Bank provides a comfortable homely environment for those that live there. On-going redecoration and refurbishment is taking place, this is enhancing the appearance of the project. EVIDENCE: Leigh Bank is a residential care home providing support for up to 11 younger adults with problems associated to drug and alcohol misuse. The house is spacious and indistinguishable from those around at. The project is set in a residential area close to Prestwich Village. Accommodation is provided on 3 floors and consists of seven single bedrooms and two shared rooms. None of the bedrooms in the main house have ensuite facilities. One of the single rooms is situated to the rear of the property in a small annex. This is known as ‘the lodge’ and includes a shower room and kitchenette. Communal facilities include a large lounge, kitchen/diner and smaller lounge, there are also several bath/shower rooms and toilets. A basement room accommodates gym equipment, which is used by the residents. The project also has well maintained gardens to the front and rear of the property. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 17 Work to the environment was identified during the last inspection visit. Several bedrooms have been re-decorated. New bedroom carpets have been purchased as well as new curtains. Residents were able to make a decision with regards to what they preferred for their rooms. The vents in each of the bath/shower rooms have also been cleaned and the kitchen has been repainted. A visit had also taken place from a surveyor on behalf of Turning Point to assess if any further work was required, this identified that a new boiler and radiators were needed. A security fence and lighting are also to be fitted to the side and rear of the property. Furniture items have also been identified as needing replacing. All work required will be planned over the coming year. It was noted that at the front of the property damage was being caused by pigeons and one of the bedroom windows was heavily soiled. This should be addressed. Individuals continue to be provided with keys to their rooms and a lockable space for the safe storage of personal items and medication. Spare keys are kept in the office. Consideration is being given by the staff with regards to shared rooms ensuring the safe storage of medication. During the visit the project was found to be clean and tidy. Each of the residents are encouraged to take responsibility for the tasks. A residents’ meeting is held each week, this is chaired by the resident’s rep and agreements are made in relation to delegating the work to be completed. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 18 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): 34, 35 and 36 Information gathered in relation to the recruitment and selection of staff needs to include all relevant checks ensuring the safety of residents. Training and support sessions are been provided to equip staff with the knowledge and skills needed in meeting the needs of residents. EVIDENCE: Staffing at Leigh Bank remains consists. The team comprises of the team leader, 3 project workers, a resettlement worker and administrator. Staff support is provided each weekday from approximately 9am through to 10pm and weekends between 9am and 5pm. An on-call service is also available. Staff files were examined. The team leader explained that files are to be reorganised so that information is orderly and includes all documents outlined within the schedule. In relation to the Criminal Record Checks, these are held centrally at the Turning Point Head Office however details in relation to the date, reference number and level of checks is to be recorded on individual files. Each of the project workers and resettlement officer have now commenced the NVQ level 3 training. The team leader has almost completed the A1 assessor award and will take responsibility for supporting and assessing members of the team. Guidance is to be provided by Turning Point with regards to this role. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 19 Each of the support staff have completed training in the Protection of Vulnerable Adults. Arrangements have been made for staff to undertaken medication training. This will be facilitated by BOOTS chemist and include the basic, intermediate and mental health medication courses. The team leader is to undertake training in the Protection of Vulnerable Adults in March 2006. Further courses have been identified in health and safety, managing challenging behaviour and group skills. The staff team are also holding a training session to look at care planning and risk assessments. Consideration should also be given to the provision of training specific to the needs of the residents for example, understanding additions. Supervisions have taken place. The team leader aims to provide support on a 6 weekly basis. It was noted that one staff member had identified ‘gaps’ in her knowledge, arrangements had been made with the team leader for a 1-2-1 session to look specifically at the area identified offering the staff member further support and guidance. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 20 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): 37 and 42 The overall management of the project is consistent and reliable for the people living there. Satisfactory arrangements are in place with regards to providing a safe, well maintained home so that residents and staff are safe from harm. EVIDENCE: The Team Leader (team leader) of Leigh Bank is responsible for the day-to-day management of the project. An application has yet to be submitted with regards to the Registered Team leader position with CSCI. Training with regards to the Registered Team leaders Award/NVQ level 4 also needs to the completed. The Team Leader has a wealth of experience and qualifications in relation to counselling, group work and addictions and continues to undertake training to further enhance his practice. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 21 The Service Manager who also spends time at the project supports the Team Leader in his role. Certificate were examined in relation to the servicing of appliances and safety of the premises. Up to date certificates were seen for the gas, fire appliances and alarm, emergency lighting and small appliances. A further check was required with regards to the 5-year electrical check. It was also noted that not all hot water outlets are regulated at 43oC. This should be provided or a risk assessment completed based on the capabilities and needs of the residents. One of the staff members is involved with Turning Points Health and Safety meetings. Monthly safety checks are to be completed ensuring the safety of those living at the project. Where maintenance or repairs are identified appropriate action will be taken. Further in-house checks are also made with regards to sounding the fire alarms, checking means of escape, however an up to date fire drill is needed involving both staff and residents as well as video training with residents in relation to fire safety. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 22 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 PROJECT Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 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 X 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE PROJECT Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X X X X 2 X Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 23 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 Projects Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 Requirement That the system of medication is reviewed ensuring practice is safe. (previous timescale of 30/12/05) That the health and safety issues related to the pigeons are addressed That information held within the staff files contains all items outlined within schedule 2. That an application for the Registered Team leader position is forwarded to CSCI. That the NEICE electrical test is carried out at the project and a copy of the certificate forwarded to CSCI on completion. Timescale for action 03/03/06 2. 3. 4. 5. YA24 YA34 YA37 YA42 23 19 9 23 03/03/06 03/03/06 03/03/06 03/03/06 Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 5. Refer to Standard YA23 YA35 YA37 YA42 YA42 YA42 Good Practice Recommendations That the team leader complete training in the Protection of Vulnerable Adults as planned. That consideration is given to planning staff training specific to the needs of the residents, i.e. understanding addiction etc. That arrangements are made for the team leader to commence the relevant management training. That video training in relation to fire safety is completed with the residents. That an up to date fire drill is carried out with staff and residents. That all hot water outlets are regulated to 43oC or an appropriate risk assessment carried out based on the capabilities and needs of the residents. Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Leigh Bank DS0000008455.V265739.R01.S.doc Version 5.1 Page 26 - 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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