Inspection on 02/09/05 for Magnolia Cottage

This inspection was carried out on 2nd September 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Magnolia Cottage 02/10/08

Magnolia Cottage 25/09/06

Magnolia Cottage 21/02/06

Magnolia Cottage 01/03/05

Magnolia Cottage 24/01/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Magnolia Cottage 26 Sydney Road Spixworth Norwich NR10 3PG Lead Inspector Dot Binns Announced 2 September 2005 9.30am 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 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 Stationary 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. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Magnolia Cottage Address 26 Sydney Road Spixworth Norwich NR10 3PG 01603 897764 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Care Management Group Limited Position vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Three (3) people with Learning Disability may be accommodated. Date of last inspection 1 March 2005 Brief Description of the Service: Magnolia Cottage is a care home providing personal care and accommodation for up to 3 younger adults with a learning disability. The service user may also have a physical disability. Care Management Group Limited whose registered office is located in London owns Magnolia Cottage. The home is located in a residential area in the village of Spixworth, and close to the city of Norwich. Local amenities, shops and pubs are also close by. The home consists of an adapted bungalow. All bedrooms offer single occupation. None of the bedrooms have en-suite facilities. There is ample communal space.There are gardens to the side and rear of the building, with parking available at the front of the home. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine announced inspection of the Home lasting five hours. A tour was made of the premises, two staff were interviewed, policies and records were examined and a full discussion took place with the manager about how the home was functioning. Service users were not able to be interviewed because of their disabilities but they were observed in the Home and in their interactions with staff. The manager is new and not yet registered. She is manager of the five small homes owned by the organisation Care Management Group in the Norwich area. She therefore has to divide her time between the five. Some of the poor practices identified in the home during this inspection were not of her making and are therefore not critical of her work. She will however be expected to provide leadership in the home and take steps to remedy some of the problems identified. Overall the day to day care is good with staff who are committed and caring. The main problem is that there are not enough permanent staff nor clear systems for monitoring the overall functioning of the home. What the service does well: What has improved since the last inspection? The building has substantially improved with renovation and redecoration throughout. New furnishings and carpeting have been provided and rooms are looking much more cheerful, bright and appealing. The bathroom and kitchen have also been substantially improved. Because of building work, there were no service users accommodated at the last inspection so only the building was inspected. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 standard(s) 1 and 2 Information is appropriately provided by the Home about the service so prospective service users and their families can make an informed choice about moving into the Home. Some of it needs to be updated. Good information is gathered about the prospective service user to ensure the home can care for them satisfactorily. There is some doubt as to whether service users needs are being fully met at this time and more caution and assessment should take place before admission. EVIDENCE: A full statement of purpose and service users guide were in place. The agreement regarding the terms and conditions in the home were not up to date and need to be amended but otherwise detailed information was provided including the confidentiality and visiting policies of the Home. Full assessments of the service users were seen in the care records. All aspects of their health, abilities, needs, routines, likes and dislikes were documented to help staff care for them appropriately. Potential restrictions or difficulties with behaviour were documented and agreed with the social worker. All of this information helped to devise the care plan outlining what assistance the service users needed from staff. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 9 The needs of a recently admitted service user were requiring a lot of attention from staff and detracting from other service users. The admission had been rushed and may have contributed to a lack of information being provided about the person. However the admission was set against a background of a home which did not have enough permanent staff and was undergoing building work. Some caution should have been adopted in the circumstances. The need to be able to cater for all service users is paramount. The manager is in the process of organising more staff cover to cater for the service users and restore equilibrium which is welcome. A requirement has been made however to caution the home into more thoughtful admissions. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9 Service users can be sure that their needs and abilities and all areas of their care are reflected in their individual plan so staff can give them the assistance they need. Service users are encouraged to make as many decisions as they can within the limits of their abilities but do rely on staff for assistance. Where this is provided in relation to their personal finances, the record keeping and transparency in how things are done is negligible and needs serious attention. Service users are supported to take risks as part of an independent lifestyle but the actions required by staff to assist them are recorded to ensure safety. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 11 EVIDENCE: The assessed needs of each service user were compiled into a care plan with details about how staff could best assist them. An action plan covered all the care required including daily living, relaxation, communication and health. An activities programme was also devised so that service users were able to enjoy some stimulation and leisure. Where there is a particular task which has to be done by staff, for instance in one file there was an eating protocol because of specific problems, then that is written in detail. Service users are not able to sign their care plans but they are reviewed regularly to ensure they are appropriate. Service users do rely on staff to interpret their wishes but staff showed a lot of understanding about what the service users liked and did not like. They felt service users were able to make their wishes known by their behaviour and staff developed skills in this. In terms of daily living they were able to choose their routines to some extent and indicate their choices about food. They were not able to handle their own finances and their money is looked after by the organisation (who own the home) with the home being given money as the service user needs it. There was no record of what money is being received by the organisation on the service users behalf, what is taken in fees and what is available to spend. Two service users’ money was being kept in a communal company account and bank accounts were not available to cross reference. This is not acceptable and needs immediate attention to sort it out. A short time has been given to attend to the matter after which the inspector will make a further visit to see that there is compliance. All the care plans had detailed risk assessments dealing with a variety of situations where the service users may be unsafe. Risk assessments were seen on dealing with finances, responding to fire, bathing, travelling in a vehicle, and other matters. One was noted to say that a service user needed a hoist in the bath though this is not provided - (see comments under environment). Overall there was good documentation on risk taking. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,16 and 17 The service users are unable to hold jobs though where they can attend sheltered workshops, this is arranged. The leisure and community opportunities for the service users are limited to what staff are able to help with and these are currently curtailed by a lack of staffing and possibly some lack of ideas and structure from staff. Service users rights are respected in the home and as much choice, privacy and decision making is given to the service user as possible. Service users are offered a healthy diet and staff take care to see that they enjoy their food. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 13 EVIDENCE: Only one of the service users is able to attend a sheltered workshop five days a week. The two others are at home and are assisted with activities by the staff. It was not possible to speak to the service users because of their disabilities and the records and staff were relied on for information. One file showed that one of the service users went for three days a week to another small home owned by the same organisation. It was not clear what the benefit of this was nor whether there were any activities planned there. Other activities included going to the shops and post office and having takeaways. Staff confirmed that they go out most days and have access to a vehicle for outings. They take service users to the pub and other facilities in the area. They also do painting and games in the house. Overall the evidence for current activities was not overwhelming. There are several recent incident reports about one service user, and staff admitted that there are difficulties meeting this person’s needs. As a result a lot of attention is being given to providing stimulation to this service user (the care notes bore this out) but with only two staff on duty this limits what is then available for the other service users. Whilst it is accepted that this may be a temporary problem relating to a new service user settling down, clearly other service users should not be penalised and more staff need to be on duty to cater for the needs of everyone. The manager reported that she is drafting in more staff. This inspection report emphasises the need for that and a requirement has been made. In terms of service users’ rights, the literature of the home and staff attitudes conveyed a strong sense that they were protected. Staff gave examples where service users’ privacy, choice and independence was promoted and where they tried hard to work in line with what the service users wanted. Menus were provided for the inspection and they looked varied and nutritious. Staff have to do the cooking rather than a dedicated cook but staff thought they served good meals and that service users were able to have snacks and drinks as they needed them. There are no special diets except that one service user has a full fat diet in line with advice from the dietician. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 20 Staff aim to assist service users in the way they prefer and give them as much choice as possible. Service users are not able to administer their own medication but systems are in place to ensure that staff do it correctly for them. EVIDENCE: The care plans demonstrate that service users are helped individually taking into account their abilities. One person can deal with their own personal care, while another needs help in the bath. Staff confirmed that service users were helped privately in their room and in the bathroom and within their abilities were able to choose their own routines, bedtimes, clothes etc. There are both male and female staff so service users could be helped by a person of the same gender. Where there was doubt was whether one of the service users needed more equipment in the bath (as mentioned in a previous section). The medication systems in the home were found to be working correctly with the record completed correctly and the medicine stored in a locked facility. All service users have help with their medication. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 Committed staff and procedures in place mean that service users are listened to and staff will act on their behalf if things are going wrong. Abuse policies are in place and staff are being trained to ensure service users are well protected. EVIDENCE: The complaints procedure was seen and it contains the address of the Commission so complainants should know they could approach that organisation. The manager reports that no complaints have been received in the last 12 months. The staff who may have to act on the service users’ behalf seemed committed to listening to them to make sure they were feeling comfortable and speak up if things are going wrong. Full abuse and whistle blowing policies are in place ensuring that the home has a framework for responding to the suspicions of abuse. Four of the six staff have completed appropriate training. Staff said they were very aware of the need to protect the service users because of their vulnerability Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 standard(s) 25,26,27,28,29 and 30 The premises are currently still under renovation but work carried out on the existing house has made the home bright and attractive and much more comfortable for the service users. The main area for development is the garden but equipment in the bathroom should also be reviewed. EVIDENCE: The premises have recently been completely renovated and redecorated. New equipment has been placed in the kitchen including a washing machine which can wash at a high temperature. All rooms have been decorated and recarpeted. The Home is all on the one level making it safe for the service users and the manager reported that an occupational therapist had assessed the building to make sure it was suitable. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 17 The Home is currently in the process of building an additional room onto the Home so there was evidence of builders still at work. However these renovations are almost complete. The existing lounge then becomes a bedroom with an en suite facility and the new room will be made into a sitting room with a view to the front of the house. This room is to be fitted with low surface temperature radiators and covers are being made for those in the existing rooms. This will make it safer for the service users. The three single bedrooms all looked new and bright and painted in a colour of the service user’s choice. They have sufficient furniture and electrical sockets but were short of an armchair. The bathroom is bright and has a shower over the bath but there is no specialist equipment. There seemed to be a difference of views regarding whether equipment was needed with staff feeling they needed more assistance with moving and handling equipment and the manager not. In one service user’s file the assessment recorded that a bath chair was required. This discrepancy should be reviewed to ensure appropriate equipment or training is provided to keep staff and service users safe. The garden is very unkempt and dilapidated. It does have a ramp from the back door to make it easy to access but is badly in need of a makeover. It is accepted that builders are still around but the project will not be complete until the garden is accessible and attractive for the service users. A requirement has been made. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,34,35 and 36 There are real problems in the area of staffing with a lack of clarity in roles, too many agency staff being used and not enough training and supervision of existing staff. This is placing a strain on the service and needs to be addressed as a matter of urgency. EVIDENCE: The structure of the staff group was discussed with the manager and staff. The manager is responsible for five small homes and is therefore on site for a fifth of her time. She is new to her role and not yet registered. Staff report that they are clear that she is the manager and feel she is making a positive impression on how things are working. She is usually available by phone. However between the staff and the manager there seemed to be cloud with staff unsure who was in day to day charge and feeling there were different instructions being given. The roles of seniors were not seen to be clear cut and communication was not good. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 19 In addition on five days a week, agency staff are being used to fill gaps in the rota. This places a great burden on permanent staff as they have to guide and support any new staff in the ways of the service users who are unable to communicate effectively themselves. On the day of the inspection an agency staff was on duty in the afternoon and evening with one other staff who was having to tell the agency staff what to do. The new manager was aware of the difficulties being experienced but has her work cut out with five homes to attend to. A starting point for change must be in developing a clarity in the roles and responsibilities of staff especially senior and management staff with clear duties and expectations. Another must be the establishing of a permanent staff group to reduce the use of agency staff. Requirements have been made in this report on this topic. Although there are always two staff on duty for this small home with three service users, this is not currently sufficient because of the needs of a new service user. There is also an ongoing shortage of staff which results in the use of agency staff most days of the week. One staff has been recently assaulted by a service user and records show that diversionary tactics have to be employed to cater for this person but to the detriment of other users. Staff meetings have only just started with the new manager and need to be regular to increase communication in the home and develop a sense of purpose. Two staff records were checked to see the process used for recruitment. One showed no references and a criminal records check received three months after recruitment. The other file showed 2 references but again the criminal record check received two months after recruitment. There has clearly been poor practice in this home in the past which the new manager needs to address. A requirement is made to emphasise the need for rigour when vetting staff. Training in the home is also in need of development. Some staff have received training in a previous job but not in this home. The two records seen showed some induction training but not in any cohesive form. Moving and handling training had been provided but it was unclear how up to date it is. No overall training plan was in place. A more coordinated approach is needed to ensure staff have the training they need. The supervision of staff on a one to one basis is not regular but again the new manager is aware. Staff files showed one session some time ago and not at the frequency expected. This needs to be remedied. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The Home is currently under a new manager and time needs to be given to see progress. Systems for checking the quality of the service are in place though have not yet been implemented. Some improvements could be made. The health and safety of service users and staff are promoted with policies and risk assessments. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 21 EVIDENCE: The manager is new and not yet registered. As described in previous sections there are many areas which require development in this home and progress will be looked at in the next inspection. A quality assurance system is in place with a residents charter and full policy statement. Questionnaires were seen which are used to seek out the views of relatives and advocates about the service. Quality standards could be developed to make quality easier to measure eg counting how many complaints in a year, staff supervisions etc. Policies and procedures were seen to be in place regarding promoting safe practices in the home and risk assessments and accident records were in place. Gas and electrical equipment is serviced and the fire officer has recently checked the building because of the renovation work. One recommendation by the environmental health department had not been carried out. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 1 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 2 2 3 Standard No 11 12 13 14 15 16 17 x 3 2 2 x 3 3 Standard No 31 32 33 34 35 36 Score 1 x 1 2 2 1 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Magnolia Cottage Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 x I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 23 No 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. Standard 28 Regulation 23(2)(o) Requirement The registered person must make the external grounds suitable and safe for the service users. A record must be kept of any money received, held and spent on behalf of a service user. Service users money should not be held in a company account but in their own bank account. An assessment must be carried out to ensure that adequate training is offered to staff or that equipment is provided to enable staff to work correctly. In this case the reference is to a bath hoist. The registered person must ensure that at all times suitably qualified and experienced staff are working in such numbers as are appropriate for the health and welfare of the service users. In addition the employment of temporary workers should be reduced to ensure the continuity of care. The registered person must enforce a rigorous recruitment procedure in line with schedule 2 of the regulations and not Timescale for action 31.3.06 2. 3. 4. 7 7 29 17 and schedule 4 17 and schedule 4 23(2)(n) 31.10.05 30.11.05 30.11.05 5. 33 18(1)(a)a nd (b) 31.10.05 6. 34 19 30.9.05 Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 24 7. 8. 36 3 18(2) 12 employ a person until that procedure has been completed. The registered person must ensure that staff receive appropriate supervision. The registered person must ensure that they are able to make proper provision for the health and welfare of all service users when making an admission. 31.10.05 31.10.05 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. 6. Refer to Standard 26 1 13 31 35 39 Good Practice Recommendations It is recommended that bedrooms are equipped with an armchair to enable service users to sit and enjoy privacy in their rooms. It is recommended that the service users guide is updated to reflect current conditions. It is recommended that the variety of activities is reviewed to ensure they are appropriate for the service user. It is recommended that the roles of senior staff are reviewed to ensure clarity and accountability. It is recommended that a full training review is conducted on staff and a plan made for the current year. It is recommended that standards for judging quality are developed. Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF 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 Magnolia Cottage I55 S27631 Magnolia Cottage V242388 020905 Stage 4.doc Version 1.40 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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