Inspection on 28/06/07 for Lifeways

This inspection was carried out on 28th June 2007.

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

The inspector found 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lifeways 05/10/06

Lifeways 06/03/06

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Lifeways Queens Drive 95 Queens Drive Newton-le-Willows St Helens Merseyside WA12 0LP Lead Inspector Mr John Mullen Key Announced Inspection 28th June 2007 09:00 Lifeways Queens Drive DS0000064129.V341344.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 Lifeways Queens Drive DS0000064129.V341344.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. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lifeways Queens Drive Address 95 Queens Drive Newton-le-Willows St Helens Merseyside WA12 0LP 02088771338 02088779543 lancashire@lifeways.co.uk B.Pritchard@lifeways.co.uk Lifeways Community Care Ltd 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) Mrs Amanda Jayne Critchley-Riley Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced manager who is registered with the Commission for social Care Inspection. Service Users to include up to 2 in the category of Learning Disabilities. 5th October 2006 2. Date of last inspection Brief Description of the Service: 95 Queens Drive is a respite home for up to two adults with learning disabilities. It is managed by Lifeways Community Care Ltd and the registered manager is Mrs Amanda Jayne Critchley-Riley. The home was established to partly replace the respite service provided by St Helens Council and all referrals are through the Council. 95 Queens Drive is a domestic property with a lounge, a dining room, two single bedrooms for residents and one for staff. The home has one downstairs toilet and one upstairs toilet with shower and a separate utility room. It was registered on 15th September 2005. The home’s charges range from £51.65 to £76.25 per week according to an assessment of residents’ means. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced key inspection of 95 Queens Drive which included a site visit. All the key standards were assessed. This inspection encompassed information received since the last key inspection. In addition it included information provided by the agency through its pre-inspection questionnaire and supporting documents. Interviews took place with the registered manager, a senior support worker and one support worker. Four family members were interviewed by telephone and three residents were observed and spoken to during the site visit. The premises were inspected and a large amount of documentation examined. What the service does well: 95 Queens Drive is a continuing good and improving service. It has effective policies to promote positive work based on an individualised approach. It provides stimulating stays for its residents using local facilities to good effect. It has a generally well-trained staff group and a registered manager who is leading energetically and purposefully. The premises are a pleasant, family style home that blends into its surroundings and provides a comfortable and pleasant environment. Good meals are provided based on residents’ preferences and residents are encouraged to take part in the activities in the home in accordance with their own wishes. All residents and families contacted were very complimentary about the home. Comments from family members included “marvellous” and “he can’t wait to go in”. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides individualised care but does not always have full background information to plan work. EVIDENCE: An examination of three case files found two with care needs assessments in them and one without, meaning information was incomplete. An interview with the registered manager showed that she did have some problems on occasion with getting full care needs assessments and also with the problem of them sometimes being out of date which, again, means that the home is hindered in planning work. In one of the files examined which did have a care needs assessment this was dated October 2004 and the review in May 2007 included a mother’s complaint about the lack of recent assessment which she felt meant that her son was not receiving as much help as required. Discussions with staff and with families confirmed a good knowledge of residents with an individual approach to care. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides individual care in a safe manner and based on residents’ wishes so that they can fully participate during their stays. EVIDENCE: An examination of case files found a care plan in each which was up to date and had been reviewed regularly and thoroughly so that it could be used to direct work. The reviews are taking place mainly in residents’ homes which is beneficial both in involving relatives and residents in the review and in fostering contact generally. Interviews with staff confirmed that care plans are working documents which direct work and that staff are familiar with them. Contact with families confirmed a high level of satisfaction with the individualised care of residents. Comments from families about residents’ attitudes included “over the moon” and “can’t wait to go in”. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 10 The pre-inspection material confirmed a high and systematic level of consultation with residents and their relatives about care in the home to confirm a cooperative approach. Documents seen during the inspection included very frequent house meetings and evidence of coffee mornings, which had been observed previously as an effective form of communication. In addition, the registered manager confirmed regular surveys of family views with a good response being recorded. Contact with families showed them very complimentary about the contact with the home, illustrated by comments such as “keep me informed” and “the home keeps in touch”. Observations during the inspection showed that residents were encouraged to make decisions within a responsible framework so that their stays were more active. An examination of case files found regular reviews of risk assessments which were detailed and related to specific activities. In discussions with the registered manager it was suggested that a more overall risk assessment could be more useful but she felt the present arrangements were sufficient as they provided the required information. Conversations with residents confirmed that they are encouraged to take part in activities in a responsible manner and this was confirmed by interviews with staff. The registered manager stated that further training in risk assessments is required for senior staff to keep them up to date. The home has a very thorough process for assessing risk within the environment, including risk assessments of the premises, which means, for example, residents are not at present encouraged to use the garden area because of potential hazards. Contacts with families revealed no concerns about the safe care of their relatives but rather a positive view of the home. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home liaises with families and provides varied and stimulating stays based on individual preferences . EVIDENCE: The home provides respite care and the majority of residents attend day care during their stays for occupation and activities. Two current residents do not and are occupied by the home during the day. The home has a very detailed and systematic approach to activities which means that a basic assessment of activities is undertaken and then introduced to individual residents depending on their wishes. Contact with residents during the inspection found them very happy with the activities on offer and this was confirmed by families, one who stated they are “very happy” with the service. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 12 The premises blends easily into its immediate neighbourhood so that its purpose is not obvious. There are no reported difficulties either from the neighbours or from local facilities used by the home, confirming a degree of integration. The home accesses pubs, shops and also a local theatre and residents seen, confirmed by families, were very content with the activities on offer which greatly added to the enjoyment of the stays. Contact with families found a very high level of satisfaction with the contact between them and Queens Drive. Comments received included “keep me informed” and “keep in touch”. One family member particularly mentioned the use of the communication book, which the home completes after each stay and provides a record for families about their relative’s care. The home uses surveys and coffee meetings to encourage contact and also undertakes reviews in residents’ homes for the same purpose. In interview, the registered manager confirmed that she attempts to arrange stays for residents who are friends, so that relationships are maintained and developed. Observations during the inspection showed that residents are asked about their preferences in terms of activities and other matters and this was confirmed by documentation seen in the home to confirm this approach. The home has assessed the residents’ wishes to have keys and residents have unrestricted access to the home except where unnecessary risks are evident. Residents seen and spoken to were happy with their stays in the home and this was confirmed by families who felt that their relatives had progressed whilst attending Queens Drive. Observed interaction between staff and residents was very pleasant and appropriate so that a homely atmosphere was present during the site visit. The pre-inspection questionnaire confirmed a good standard of food is served and this was seen during the inspection. The home plans menus five weeks in advance based on individual likes and dislikes so that a structured approach is adopted. Residents spoken to were happy with the food and this was confirmed by relatives some of whom commented, “likes the food” and “food, he gets plenty”. The homely setting means that meals are provided in a domestic, non-institutional manner. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides care for residents based on good practice and procedures so that they are fully supported and helped in a positive manner. EVIDENCE: An interview with the registered manager confirmed that relatively little personal support is given but that residents are encouraged to care for themselves and so promote independence. Observations during the inspection confirmed this and that residents are given guidance and support to act appropriately. Residents seen were very smart in appearance and were clearly individually clothed which, again, confirmed an individual approach to care. The home does not use key workers due to its size but observed interaction between staff and residents was excellent. The home has only female staff which has not caused a problem yet but it would be better practice for male staff to be available as required and the registered manager has approached other male staff in Lifeways with a view to implementing this. Staff attitudes Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 14 were positive but the home does have a shortage of fully vocationally trained staff which detracts from their knowledge base. Because the home provides only short term, respite care it has relatively little need to access health care provision. Previous contact with the home has found it will do this appropriately when required. Neither staff, residents or families raised any problems with health care provision. Pre-inspection material confirmed that contact has been made between the registered manager and families on the correct and uniform method to be used in the area of medication. The site visit confirmed evidence of this dialogue and also showed that the home has a specific medication folder which details any area of concern of which there are none currently. In-house training has taken place on the disposal of medication in February of this year which confirms a commitment to good practice. The site visit also confirmed that the Royal Society Guidelines are available to direct staff as well as full Lifeways protocols and forms. The registered manager confirmed that medication training is included in the induction programme, which was confirmed by training records seen, so showing a proper approach. Medication sheets seen were correct and no problem was identified during the inspection in this area which can be a problem in respite provision. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home protects residents through thorough policies and procedures, including the training of staff. EVIDENCE: The pre-inspection material showed there had only been one complaint over the last twelve months and this was properly dealt with demonstrating a correct approach in this area. An examination of residents’ files found the complaints’ procedure in each and this was full and of a good standard. Contact with families found no complaint about the service and residents seen during the site visit were very content with their care, confirming the results of the inspection. The home has full procedures to safeguard residents against any form of abuse if required. There has been no such allegation since this home opened. Interviews with the registered manager showed that all staff have received training in this area and this was confirmed by training documents so that staff are familiar with their responsibilities. Families contacted had no concern about the safety of their relatives; their only concern being the lack of more placements due to the size of the home and the demand for the service. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a safe and comfortable environment for the care of residents. EVIDENCE: A tour of the premises confirmed that the home remains of a very good standard so that residents are cared for in a proper environment. It is domestic in appearance and is homely being both comfortably furnished and decorated. Contact with families revealed a very high opinion of the premises with one sister, who clearly had very high expectations and had turned down placements for her brother elsewhere, was very complimentary about the home. She stated that the “premises are beautiful”, lovely, like a family home and it is like going into my own home”. A mother commented also that the “house is lovely, beautiful and more homely”. The site visit confirmed that fire checks are being taken as required and the home is safe as well as being Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 17 comfortable. Bedrooms are for single occupancy and reflect the high standards throughout. The only current detraction from the premises is that the rear garden is not at present usable as it is felt to be unsafe. The registered manager has plans to address this and this has started by undergoing consultation on this problem. A tour of the premises found the home to be clean and hygienic and, therefore suitable for its purpose. The kitchen is domestic in appearance and the home has appropriate laundry and hand washing facilities so that standards can be maintained. Relatives were complimentary about the standards within the premises as noted earlier. The site visit confirmed that the home has full health and safety procedures, dated 2007, to underpin practice and ensure that these standards are maintained. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are being recruited and trained to a good standard so that good practice is reinforced. EVIDENCE: The main recruitment records are not kept on site and therefore, could not be checked. However, an interview with the registered manager confirmed that she has been satisfied that the recruitment process is thorough and that she is informed when checks have been completed. The pre-inspection material confirmed that the organisation has full policy documents on equal opportunities and related matters so that recruitment is underpinned by these values. An examination of staff files found in each a reference number in each to confirm that police checks had been undertaken. The files also contained job descriptions so that staff are aware of their responsibilities. Interviews with staff confirmed that they were recruited properly and that they are subject to a probationary period to confirm their suitability. This was evidenced by probationary assessments seen in the staff files. Relatives contacted were Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 19 very complimentary about the staff of the home and comments received included “staff lovely” and “staff wonderful”. In interview, staff impressed as well motivated and committed to their work. The pre-inspection material confirmed that individual training programmes are in place for staff and this was confirmed by the site visit. Training records seen showed a good and improved training record for each member of staff and a commitment to refresher training at the required intervals. The training record for one member of staff also showed that she was being systematically introduced to specifics of the work by the registered manager showing that training was being reinforced in-house. The files showed that some induction training had taken place but others had been postponed so that the process was not complete. The registered manager confirmed that a new induction programme had been introduced for all staff which will be attended in the near future. The induction workbook seen consist of six elements which give staff a full and thorough introduction to the work. Staff interviewed felt they had been well trained for their work so that they are confident in their role. One shortfall is that although vocational training is being undertaken, no current member of staff had completed this, which meant that there was a significant shortfall in this area. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. The home is well managed, in a safe environment and based upon residents’ and families’ views resulting in an effective service. EVIDENCE: There has been no change to the registered manager since the last key inspection. She is currently undertaking her management qualification which should be finished shortly which will complete her required qualifications. At the time of the inspection her responsibilities had been extended to two other homes, which was not ideal, but this situation should be resolved shortly resulting in reduced responsibilities. In interview, the registered manager was Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 21 very impressive in terms of her commitment to the home and to the continuing improvements she has made. This was reflected in the response to the last key inspection and to the continuing improvements that she has been making. Interviews with other staff confirmed a strong leadership in the home and that they were being well supported both formally and informally to underpin their performance. Families contacted were highly complimentary about her, one describing her as “an angel”. An interview with the registered manager, confirmed by the pre-inspection material, showed that an expansive quality assurance programme is in place so that work can be based on sound principles. These include six monthly surveys, monthly quality assurance audits of specific areas and regular contacts with families and residents, including coffee mornings. Families contacted confirmed regular contact with the home and a positive response to any suggestions from them so that they felt their views would be taken into account. A tour of the premises found Queens Drive to be a safe environment for residents. The site visit revealed extensive health and safety policies and procedures, dated 2007, and equally extensive documentation of health and safety matters so that there is a clear commitment in this area. The checks included monthly quality assurance audits of health and safety, regular fridge and freezer temperatures, weekly safety checks, full fire checks, a full fire risk assessment and a risk assessment of the premises taken in May 2007. Families contacted were very clear about their high opinion of the safety of the home meaning that they were very content with their relatives staying in Queens Drive. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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 HOME Standard No Score 1 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 3 3 X X 3 X Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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 Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA2 Regulation 14 Requirement The registered manager to ensure that an up to date care needs assessment is kept on residents so that the home has full information on which to base its work. (Previous timescale of 1st April 2007 not met). The registered manager to ensure that the external garden is made safe so that it is accessible to residents. Timescale for action 01/12/07 2. YA24 23(2)(o) 01/10/07 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. Refer to Standard YA9 Good Practice Recommendations The registered manager to consider the introduction of a general risk assessment for service users so that an overall view can be taken and risk assessment training so that this can be carried out. The registered manager to make further arrangements to ensure that male staff are available as required so that any gender needs can be met. DS0000064129.V341344.R01.S.doc Version 5.2 Page 24 2. YA18 Lifeways Queens Drive 3. YA35 The registered provider to develop vocational training with staff so that practice is further underpinned by this. Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lifeways Queens Drive DS0000064129.V341344.R01.S.doc Version 5.2 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. 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!