Inspection on 31/10/06 for Longley Road

This inspection was carried out on 31st October 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longley Road 09/02/09

Longley Road 12/12/07

Longley Road 22/02/06

Longley Road 28/02/05

Longley Road 05/08/04

Longley Road 23/02/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Sign - Longley Road 89 Longley Road London SW17 9LD Lead Inspector Davina McLaverty Unannounced Inspection 31st October 2006 10:00 Sign - Longley Road DS0000010225.V316017.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 Sign - Longley Road DS0000010225.V316017.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. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sign - Longley Road Address 89 Longley Road London SW17 9LD Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8767 9933 020 8767 9966 Sign The National Society for Mental Health & Deafness Ms Carole Ward Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Mental disorder, excluding of places learning disability or dementia (6), Mental Disorder, excluding learning disability or dementia - over 65 years of age (6), Sensory impairment (6), Sensory Impairment over 65 years of age (6) Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: 89 Longley Road provides accommodation for six adults who suffer from mental health needs and have a hearing impairment. All residents have their own flats with bedroom/lounge, kitchen and bathroom. The home also has a communal kitchenette/dining room, lounge and laundry room. The home is situated in a quiet residential area in Tooting and has an attractive, large back garden with a shed and greenhouse. The home is close to local amenities and public transport. The property is owned by Wandle Housing Association, but operated by Sign, a charitable organisation that has one other registered home in the local area. The home is staffed twenty-four hours a day. The service users and staff communicate by using British Sign Language (BSL). Sign aims for a society where deafness and mental health are not barriers to opportunity and fulfilment. The home provides opportunities to gain independence, confidence and improved quality of life. At the time of this inspection it was reported that the weekly charge for £1089.90 per week. Additional charges are made for some outings. Residents are made aware of the inspection report at the residents meeting. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector, supported by an interpreter who was used to communicate with the residents and deaf staff to carry out this unannounced inspection. The inspection started at 10.30am and concluded at 5.00 pm. The inspector met all six residents and spoke to two at some length, with the support of the interpreter. Five staff including the acting team manager and acting team leader were spoken to. A number of records were examined, which included resident’s care plans, medication records, staff and resident’s meeting minutes, and staff recruitment records. A tour of the communal areas of the premises was also undertaken and one resident’s flat was seen. A total of eleven questionnaires were left for staff and residents to complete. Three questionnaires were sent out to health care professionals involved with residents and staff at the home. No questionnaires were returned from residents, three were received from staff and one from a health care professional. Comments received were positive and where applicable are reflected in the report. Staff and residents were very welcoming and helpful during the inspection visit. What the service does well: This home has good leadership and a staff team who are committed to providing a high standard of service, in partnership with the residents who live there. Residents are encouraged and supported to take control of their lives, to make decisions and to work towards their individual goals. Staff consults with residents in the life of the home and encourages residents to make choices about their lives. Each resident has a care plan, which gives staff good information about the way in which that person wants to be supported. Community liaison with health and social care professionals is good and the health and social care needs of the residents are well met. The home provides comfortable and homely accommodation. The premises are kept to a good standard of cleanliness. The environment is an all signing one, which mean that all hearing staff must sign at all times within the home. This was evident. Sign - Longley Road DS0000010225.V316017.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. Sign - Longley Road DS0000010225.V316017.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 Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed choice about where they live. Adequate assessment procedures are in place, which include visits to the home. EVIDENCE: The home has a statement of purpose and service user guide both of which have recently been revised. Both documents are displayed on the notice board in the home which residents have access to. There are comprehensive organisational procedures, which address assessment and admission of new residents. Since the last inspection one new resident has been admitted. The inspector saw detailed assessment reports of this persons needs. Several visits had taken place prior to their admission in order to ensure that the resident’s needs could be met. Visits also enable the resident to see the home, meet the other residents and then make an informed decision as to whether they want to live in the home. Family/carers interests would also be taken into account subject to the resident’s agreement. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 9 The inspector was also informed that the views and the needs of the current residents would be considered prior to confirming the offer of a place. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The needs of the residents are identified and planned for with the involvement of the individual and their key worker. Staff continue to encourage residents to participate in the life of the home to acquire skills to enhance their lives. Risk assessments were seen to be in place EVIDENCE: Two support plans were examined. Both had very good information in them regarding the support required by the residents. Care plans are task centred and personalised with four-six weekly evaluation sheets being completed. Regular reviews were seen to have taken place. The level of recording was very good, detailed giving a comprehensive picture of changes in need. Care plans were signed by the resident and key worker and used as a working tool. Staff spoken with were very aware of residents needs and acknowledged the importance of communicating and involving them to make decisions about as Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 11 many aspects of their lives as possible. Residents know what records the home holds about them and about their individual rights. Advocacy services are encouraged to promote individual’s understanding of their rights. Residents are actively consulted on what they want to do. Currently they choose what, where and when to eat, when they get up and go to bed, where they spend their day and who they spend time with. Staff encourage and support residents to pursue individual hobbies. Risk assessments were seen to be in place, which evidences that residents are encouraged and supported to take risks, and to live their lives as independently as possible. One residents risk assessments were in the process of being updated due to her challenging behaviour. All professionals were being consulted for input in order to best meet this residents needs. The residents due to their mental health needs are also part of the Care Plan Approach. This is undertaken in conjunction with National Deaf Services, the psychiatric unit for deaf people The home operates a key worker system and both residents spoken with were aware of who their key worker was and their role Residents are consulted about how the home runs and meet as a group on a regular basis. Minutes of these meetings were seen and were of a very good standard with an agenda and action to be taken. Staff spoken to demonstrated a good knowledge of the residents’ individual needs and a real commitment to supporting residents in making informed decisions about their lives. Both residents spoken to confirmed that they are able to choose the way in which they spend their time at the home. One resident however, said that she did not like living at the home, as they wanted to move back to the north of England. Staff in the home are aware of her comments, as is her care manager and maintain that she often says this but also appears to be settled. The inspector witnessed very good rapport between staff and the resident and the resident in the inspectors view appeared very much at home. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to involve themselves in the routines of the home and to develop independent living skills. Staff work hard to find appropriate activities so that people who live at Longley Rd feel valued as part of their community. EVIDENCE: Residents continue to be expected and encouraged to maintain their own bedrooms and manage their laundry. Staff will support residents as necessary with various household tasks. One of the residents spoken with spoke of the tasks she carried out. Residents participate in a range of activities. All are involved in various degrees at the Bridge Day Service (a day centre specifically for deaf and hard of Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 13 hearing people), where a variety of activities are offered e.g. computing, arts and crafts and trips out to places of interest. Staff actively search for new activities and events that residents can join in with, either on a regular basis or as a one off basis. The notice board is full of helpful leaflets which range from trips out to places of interest e.g. Blue water shopping centre, theatre etc to leaflets regarding important health matters e.g. sexually transmitted diseases, smear tests, flu jabs etc. Holidays are encouraged individually as well as in a group. The inspector was informed that staff and four residents went to Greece recently, which went really well. A Halloween party was due to take place at Bridge House today and most of the residents were due to attend. All residents have access in the communal lounge and to in-house activities, which include board games, television and a music system. Residents all have keys to the front door and to their own flats. Interactions between staff and residents was seen to be positive during the inspection. Residents have unrestrictive access to all communal areas of the home. Staff were seen to use appropriate form of address when speaking to residents. The environment is an all signing one and hearing staff must sign when a deaf person is present. This was evident throughout the day. Families and friends are welcome at the home, whenever residents want to see them. When needed, staff will support residents to keep in touch with, and visit their family and friends. People would be supported, if they wanted to, to develop personal relationships. Residents usually eat on their own in their own flatlets. Staff support residents to plan their menu and to cook. Healthy eating is high on the agenda for some residents and continues to be addressed in their support plans. One resident described her healthy eating plan and exercise plan, which had resulted in significant weight loss which she, was very pleased about. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive appropriate levels of support to ensure their physical health needs are met. Systems continue to be in place to ensure safe administration of medication EVIDENCE: Personal care needs were seen to be well documented within the individual support plans examined. Residents are independent with personal hygiene needs, although may require tactful prompting by staff to ensure that they wash and dress appropriately. Staff spoken to were aware of the importance of residents need for privacy and their dignity to be maintained at all times. Flats have separate bathroom facilities. Health appointments are recorded and staff will attend appointments with residents. Records of contact with various health care professionals were seen Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 15 e.g. Opticians, GPs, and physiotherapists. The home ensures that residents maintain contact with the National Deaf Services and residents are also subject to a Care Plan approach due to their mental health needs. As already stated the home had displayed many leaflets on various health issues which residents can help themselves to. Staff spoken with said that they are happy to discuss any health care issues with residents or would support them to visit relevant professionals. A medication policy was available at the home. Resident’s medication is stored securely and labelled. Residents are expected to come to the office when their medication is due. A staff sample signature list is in place and the Medication Administration Records (MAR) were fully completed. Staff spoken to said that training had been provided from an external source and competency is assessed prior to staff being able to administer medication. Copies of this was seen as well as certificates on staff files. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure, a copy of which is detailed in the service user guide. A copy is also displayed on the notice board. Policies and procedures are in place to protect residents from abuse and harm. EVIDENCE: Systems are in place for recording any complaint made to the home. At the time of the inspection the complaint book showed that a care manager had made one complaint since the previous inspection. A copy of the complaint and response was seen. The complaint had been addressed within the correct timescale and was inconclusive, although it was acknowledged that communication between the home, resident and care manager could have been better. A copy of the complaints procedure is displayed on the notice board in the communal dining area. Both of the residents spoken to were aware of the complaints procedure and said that they would talk to the manager of the home if they were unhappy. A copy of the organisation’s adult protection policy is available to staff as well as the organisation’s whistle blowing policy. Staff spoken to were aware of Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 17 their responsibilities in respect of this procedure. Since the last inspection there has been one Protection of Vulnerable Adults meeting. The correct procedure was followed. The home has an open culture, which enables residents to express their views, and concerns in a safe and none blame environment. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 18 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): 24,26,28 & 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 clean, comfortable with a homely atmosphere. EVIDENCE: The home provides a physical environment that is appropriate to the specific needs of the residents who live there. One resident showed us their bedroom, which had been decorated since the last inspection. The bedroom was personalised with the resident’s belongings and the resident stated that they had chosen the colour for the room. The other resident spoken with said that she was happy with her room and was free to do what she wanted in it. Both confirmed that staff always knocked and waited to be invited in before entering. One resident stated that there was a problem with her hot water. Engineers visited during the day and although could not fully complete the job were able to ensure that warm water was Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 19 available. Assurance was given to staff that they would complete the job as soon as the ordered part came in. Communal areas were well maintained clean and tidy. New sofas have been ordered and should be in the home shortly. Staff raised the issue as to whether a cooker could be installed in the staff kitchenette, which leads off the communal lounge. The inspector advised them to discuss with the manager and London Emergency and Planning Association. There is a garden available for the use of residents to the rear of the property. Both staff and residents are responsible for its up keep, which was seen to be tidy on the day of the visit. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The organisation has an appropriate recruitment policy, which if followed should protect residents from harm. Staff receive regular supervision and training is seen as very important by the organisation. EVIDENCE: Three support staff were spoken to individually and all were clear regarding their role and what is expected of them. From the questionnaires received staff responded positively “ I feel very supported by Sign”, “Sign encourages clients and staff to develop” and “ the team works very well together”. Residents spoken with said that they were generally satisfied with the support given and liked the staff. Comments included ‘they are kind to me’ and are ‘very nice’. Staff personnel records are centralised and kept in the organisations Human Resources department. However, the manager keeps records of the Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 21 recruitment checks carried out which are held in the home. Recruitment information was seen for four staff members, which included two bank and the newest staff member. Appropriate checks were seen on all four files. Individual staff training records was seen and a number of courses have been undertaken including risk assessment, health and safety, medication administration and person centred planning. However, the inspector suggested that sought be given to re-arranging the records to clearly evidence that staff have up-to date training in core areas e.g. manual handling, food hygiene, first aid, health and safety. The organisation supports and encourages staff to obtain their NVQ in Care qualification as well as their British Sign Language stage 2 and 3. Staff showed commitment to obtaining both qualifications. Staff meetings take place regularly as well as individual supervision. which all staff said, were regular and that they found them helpful. Notes are taken at both meetings. A high standard of record keeping was seen with meetings having a clear agenda, action needed following discussion. Staff who are unable to attend team meetings are expected to sign the minutes once they had read them. Both deaf and hearing staff reported that communication within the home was good. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 22 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from a well run home which their views are sought. However, the quality assurance system needs further development and should link into the monitoring systems currently in place by the organisation. EVIDENCE: The inspection was carried out with the team leader who was acting up due to ill health of the manager. The Commission had been notified of this. Staff maintained that the team worked well together and provided one another with good support. They stated that the home had very high standards and that they were all committed to providing a high quality service to the residents accommodated. All staff spoke very positively of the Registered Manager who Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 23 they described as having very high standard and is person centred in her approach and leads by example An organisational policy on quality assurance is in place. Views of the residents, their representatives had been sought and evidence of this was seen. However, this must be developed further as the forms seen did not give people the options of putting their contact details on which where comments needed clarifying or further discussion can be followed. The forms should also be dated. The acting manager reported that the manager would collate the information and carry out any necessary changes. Health and Safety records were examined and adequate systems were found to be in place to ensure that the welfare of the residents is promoted and protected. However, the weekly alarm tests was not being carried out regularly. Fire drills were being carried out very regularly. The inspector advised the manager to seek advice from the Fire safety division as to the frequency of drills. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 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 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. YA39 Standard Regulation 29(1) (2) Requirement The Registered Persons must continue to develop the quality assurance system, which should link into the organisations quality, and monitoring system. The Registered Persons must ensure that a weekly alarm tests is carried out and a written record maintained. Timescale for action 31/10/06 2 YA42 17(2) 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA35 Good Practice Recommendations The Registered Persons should consider re-organising the staff training record to clearly evidence that all core training and refresher training of staff have been completed. Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Sign - Longley Road DS0000010225.V316017.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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