Inspection on 16/11/06 for Meadows

This inspection was carried out on 16th November 2006.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Meadows 27/10/08

Meadows 20/03/06

Meadows 21/09/05

Meadows 14/03/05

Meadows 17/11/04

Meadows 15/12/03

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 Meadows Fairy Hall Lane Rayne Braintree Essex CM77 6SZ Lead Inspector A Thompson Key Unannounced Inspection 16th November 2006 11:15 Meadows DS0000046186.V320840.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 Meadows DS0000046186.V320840.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. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadows Address Fairy Hall Lane Rayne Braintree Essex CM77 6SZ 01376 340714 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) Mr Alex A Ohene Mr Alex A Ohene Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1), Physical disability (6), of places Physical disability over 65 years of age (1) Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability (not to exceed 6 persons) One named person, over the age of 65 years, who requires care by reason of a learning disability and who also has a learning disability The total number of service users accommodated in the home must not exceed 6 persons The registered person is required to undertake training with regard to adult protection policies and procedures and ensure that staff employed at the home are trained in this area, within three months of the date of registration. All new staff appointed must receive training in adult abuse as part of their induction. 20th March 2006 2. 3. 4. Date of last inspection Brief Description of the Service: Meadows is a fully detached, domestic style, single storey bungalow situated on the edge of Rayne village. The property is fully in keeping with other properties around it. The home is registered for six people with learning and physical disabilities, accommodated in four single and one shared rooms. Communal space comprised a lounge, with a dining area at one end, and a separate kitchen with a second dining area. The fenced rear garden was large, well maintained and accessible to residents. There was also an enclosed patio area at the rear of the home. Limited visitor car parking is provided on the driveway. Regular community access is provided to residents by the use of a vehicle based at the home. There was also a public transport link available in the centre of Rayne, via an hourly bus service to Braintree. Information from the home confirmed that weekly fees vary according to the care package agreed with the placing agency. Past inspection reports are available from the home, and from the CSCI internet website. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 5 Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on Thursday 16th November 2006, with a second announced visit occurring on 24th November 2006 to complete the process, and to spend time speaking with residents and staff. The content of this report reflects the inspector’s findings on the days of the inspection along with information provided by the service and feedback by service users, relatives, staff and other parties. Practice and procedures occurring after this inspection will be reported on in future inspection reports. Discussions took place with four residents, the registered provider/manager, and three members of staff. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. All residents spoken to who were able or willing to express an opinion confirmed that they were satisfied with the care they received, and with the food and accommodation offered. Five completed CSCI survey forms were also received from residents. These included positive comments about the food, activities and staff attitudes. There were no visitors available to speak with during this inspection. However CSCI questionnaires were left at the home so that relatives had the opportunity to make their views on the service known directly to the Commission. One form was returned before completion of this report, feedback was positive about the service provided in Meadows. Staff confirmed they were supported by the management team. They also confirmed that they had been offered training opportunities. Twenty-five standards were inspected with twenty-three met and two almost met. What the service does well: What has improved since the last inspection? The home’s quality assurance process had been fully implemented. The hallway had been redecorated. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 7 What they could do better: A Criminal Records Bureau check must be carried out on all new staff employed. ------------------------ 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. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 8 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 Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 9 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 good. This judgement has been made using available evidence including a visit to this service. The assessment format used for new residents was adequate for ensuring that initial perceived needs and aspirations were identified upon admission. EVIDENCE: Residents files sampled showed evidence of full assessments having been carried before admission. The format included background information, mental physical & health, personal care, social and activities needs & risks. The manager visits prospective new residents to assess needs before offering a trial placement. Funding authorities assessments were also evident in files. The final decision on placement takes full account of the service users views, and of any appropriate relatives, advocates. Residents spoken with confirmed this. Meadows DS0000046186.V320840.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 good. This judgement has been made using available evidence including a visit to this service. Residents are supported in progressing towards making decisions and improving independence, whilst taking account of perceived and identified risks. Care plans in place set out the resident’s daily and longer-term needs and goals, with the actions required towards meeting these. EVIDENCE: Six care plans files were inspected. These were seen to include background information, family contacts and the pre-admission assessments by the home and the placing agency. The format listed aspects of care such as personal care, safety, environment, physical health, communication, sleep, leisure and religion. Identified special care actions were then shown. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 11 The individual daily plans of care had the goal or need, the desired outcome, how to achieve this and who was responsible along with planned timescales for meeting the need. Regular reviews of care had been recorded in files. Residents spoken with knew what was in their own care plan and had been involved in the compilation and review process. The manager advised that reviews also included appropriate relatives and the residents key worker. Comprehensive risk assessments were also included within care plans. Minutes were seen of a house meeting for residents and staff. Items discussed included activities, food, key workers, reviews and birthdays. Residents spoken with said that they feel that staff do take account of their wishes and opinions, when making decisions about choices and routines offered. They also said that staff listen to them when they wished to express a view or opinion. Residents also said their preferences, likes and dislikes on subjects including lifestyle, food, and activities were listened too and acted on by staff. Observations and discussion with residents and staff evidenced to the inspector that these preferences are taken account of daily. Meadows DS0000046186.V320840.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 good. This judgement has been made using available evidence including a visit to this service. Residents were supported in being an active part of the community. They are encouraged to exercise choice and independence within an assessed risk framework. Residents had regular opportunities to engage in activities and basic education. Menus offered variety according to preferences. Regular opportunities were provided for residents to maintain contact with their families. EVIDENCE: The manager confirmed that none of the residents living in Meadows are currently in any form of paid or voluntary employment. However one had attended a two year ‘Learning to Work’ scheme with a national charity, and was waiting to hear if any suitable employment is available. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 13 Residents had an activities programme, this was seen and listed attendance at a community college for dancing, modelling and sports. Activity records were seen. In house activities offered daily included music, games, painting and numeracy. Some residents go to a weekly evening club and most go to church every week. The home had its own tail-lift mini bus, which is used to ensure residents have full and regular access to the local and wider community and its facilities. Recreational opportunities offered including pub trips, shopping trips, football, theatre, cinema, bowling, circus, outings, drives out and eating out. One resident spoken with confirmed that he regularly attends many of these activities, with staff support. Two said they liked eating out, one said they enjoyed rides in the care. Relatives regularly visit, some take residents out for meals. Staff enter residents bedrooms only with the individual’s permission, unless the welfare or well being of the resident is in question. Residents are offered keys to their private bedrooms. Throughout this inspection staff were observed to interact appropriately with residents and appeared to always use the individual’s preferred form of address. Discussions were seen to take place and the atmosphere in the home was relaxed, friendly and supportive. Residents comments on survey forms included ‘they look after me well’, ‘I like the food’, ‘good living here’, ‘it’s happy’, ‘I like the staff’. Menus were inspected and evidenced a varied and balanced diet. Menus continue to offer a four-week rotational choice (seen). Residents spoken with said they were involved in menus planning. Currently all the main meals in the home are prepared and cooked by staff due to assessed risks regarding resident involvement. Residents spoken with confirmed that they got enough to eat and that the food was good. Meadows DS0000046186.V320840.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. Practices & procedures were in place to ensure that residents physical health needs were met. Residents required full support and guidance regarding medication. Residents were included in planning the daily support provided them. EVIDENCE: Residents spoken to said they choose their own clothes. Rising and retiring times are based on personal choice and vary around daily activities planned. Residents said they could have a lie in at weekends and went to bed when they wanted. Care records and discussion with residents’ and staff confirm that residents are fully supported in making their own choices around clothing styles, hairstyles and general appearance. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 15 Assessment records included full details of the levels of personal care support required. All residents have designated key workers and staff spoken with demonstrated an appropriate awareness of individual daily needs and preferences. Residents were relaxed during observed discussions with their key workers and other staff. Care plans contained information on lifestyle choices and preferences. Residents are supported by staff in visiting their GP. Two surgeries are used. The optician, chiropodist and dentist are also visited in the community. Residents’ care plans contain assessment of healthcare needs. The current resident group continue to require full staff support and guidance in recognition of their individual healthcare needs, and to access advice from the facilities and services in this area. Residents regularly visit community based healthcare services including consultant psychiatrists and physiotherapy. Residents’ healthcare needs were seen recorded within individual care plans and updated in the daily care notes. All residents currently accommodated require full staff support with their medication needs. The medication system in use in the home is a four weekly pre-packed system provided by the homes pharmacist. Medication supplies and re-ordering is undertaken by the manager. New supplies are delivered to the home by the pharmacist and are checked in by a trained member of staff. Unused medication is recorded and returned to the pharmacist. Staff who administer medication had received accredited training from the pharmacist, certificates of completion were seen. The manager advised that this includes a competency assessment, however there was no evidence of this. The home should therefore carry out an in-house recorded competency assessment on staff before they take full responsibility for administering medication. This report includes a recommendation to this effect. The homes written policy and procedure on receiving and administering medication is regarded as appropriate for the service provision. Medication administration records were inspected, no errors were found. At the time of the inspection no residents were self medicating. Meadows DS0000046186.V320840.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’s complaints procedure allowed for residents and relatives to raise any concerns or areas of dissatisfaction with the service. The home’s adult protection policies, procedures and practices were aimed at ensuring residents welfare. EVIDENCE: The homes complaints procedure was seen and offered guidance to prospective complainants on who to complain to along with time scales for responses. There was also a template for recording complaints. None had been logged since the last inspection. All service users and their relatives are provided with a copy of the procedure. It was evident from discussion with residents that they knew to speak to staff or the manager about any issues they were not happy with or were worried about. There was a written whistle-blowing policy which clearly stated staff responsibilities on reporting incidents of alleged or suspected abuse. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 17 The homes policy on the protection of vulnerable adults, and procedures for investigating allegations or alleged incidences of abuse had examples of various forms of abuse, along with definitions and indicators. The guidelines on POVA (protection of vulnerable adults) issued by the Department of Health were provided to the home by CSCI. Staff had attended training on safeguarding adults, and the DVD training pack issued by Essex Vulnerable Adults Protection Committee had been obtained for future staff training. Meadows DS0000046186.V320840.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): 24,25,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Furnishings in the home looked comfortable and areas of the premises seen were acceptably maintained and regarded as safe. Private and shared accommodation was suited to needs and preferences. EVIDENCE: Meadows is a small home with four single and one shared rooms. There was one bathroom with a separate shower and wc in this, and a further separate wc along the corridor. The shared bedroom had an ensuite wc and shower. A portable hoist was seen in use around the home. This enables staff to provide suitable assistance to residents when bathing. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 19 Private bedrooms seen were considered tastefully furnished and decorated. Residents said they were involved in choosing styles and colour schemes when their rooms are re-decorated. Residents are also provided full opportunities to personalise their rooms to their own tastes and requirements. Rooms inspected included various items of personal possessions. The communal lounge/dining room was domestic looking in décor and furnishings. Access to the use of a private telephone is provided by the use of a cordless telephone to receive incoming calls. The laundry room was off the hallway corridor, with access completely separate to that of the kitchen and dining room areas or any communal lounge space. There was a suitable washing machine (with sluice cycle) and a suitable tumble dryer in place. An outbuilding close to the rear of the home had been converted for use as either a private visitor room for residents, or a training room for staff. Meadows DS0000046186.V320840.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were provided training opportunities to equip them with the skills for their role. Staffing numbers and experience provided appropriate support to residents. Recruitment practices and procedures in the home were aimed at ensuring the protection of residents EVIDENCE: Staff training records were seen. Training provided had included first aid, food hygiene, health & safety, abuse awareness, care of medicines, dementia awareness, infection control, induction standards, manual handling, challenging behaviour and NVQ. Induction training for new staff had included an in-house format at commencement of employment, followed by a structured modular package from an external training company based on the Skills for Care Common Induction Standards. These cover values, personal centred care, risk assessment, role of the worker, confidentiality and the main core areas of training necessary for social care workers. Certificates of completion were seen. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 21 Staffing rotas seen recorded that minimum staffing provided was two carers on duty daytime shifts with one awake on duty at night. On call management support was also available for all shifts. National Vocational Award (NVQ) training has been offered to staff. The manager advised that to date four had achieved the NVQ level 2 (or equivalent) and two staff were undertaking this training. These numbers exceeded 50 of the staff team, which met the standard. Minutes were seen of regular house meetings, these had involved staff and residents. Staff records seen for new employees included an application form, an application assessment, interview notes, proof of ID including a photograph, a minimum of two references (one file seen had three references), a Criminal Record check and terms of employment. One of the CRB forms was on a check completed by a previous employer before the employee started work at Meadows. This was dated only one month before starting work at Meadows, however the Criminal Records Bureau require a new check is undertaken by an employer for all new employees. This has resulted in a statutory requirement in this report for Meadows to undertake their own CRB checks on all new staff employed. Prospective new members of staff are invited to visit the home for interview. The interview panel includes one of the residents. Staff spoken with confirmed that contracts and conditions of service are issued to them and they had job descriptions and induction training when commencing employment. They also said they were supported by the manager and had regular supervision meetings. Records of these were seen which covered the discussion, and areas for action. Meadows DS0000046186.V320840.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. The home had been competently run and managed. Procedures for gaining the views of residents were in place and had been implemented. Records required by regulation were in place and up to date. Residents health and safety appeared to have been assured. EVIDENCE: The registered manager is a qualified nurse (RNMH), holds the NVQ level 4 in Management and a BSc & Diploma in nursing. He has over 30 years experience relevant to the service at Meadows. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 23 His recent training includes on-going professional development for managers (at a local college) and short course subjects. The home’s quality assurance format was inspected. Surveys are given to residents and relatives 3-4 times annually and a summarising graph is produced from the responses. The questionnaire formats seen included questions about the care provided, the food, rooms, décor, laundry, cleanliness, staff attitudes and activities. Residents spoken with said they liked living in Meadows and that staff take account of their views and opinions about day to day issues and lifestyle choices. Random samples of records required to be kept were inspected. These included: care plans, assessments, staff recruitment, nutrition records, staffing rotas, medication, visitors, fire drills and complaints. Staff had received training in manual handling, first aid, food hygiene, infection control, fire safety & health & safety. Hot water supply in the home is regulated at a temperature of or near to 43 degrees celsius, and records were seen of regular manual back-up checks on the hot water temperatures. Records confirmed that the hopme’s portable electrical appliances, electrical installation, fire alarms and equipment, gas supply and the portable hoist had been tested within acceptable timescales. Meadows DS0000046186.V320840.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 X 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 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA34 Regulation 19 schedule 2 Requirement The registered provider/manager must ensure that criminal records checks are undertaken on all new staff employed in the home. Timescale for action 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 YA20 Good Practice Recommendations The registered person should ensure that that home’s medication training for staff includes a recorded assessment of competency for undertaking the role of administering medication. Meadows DS0000046186.V320840.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Meadows DS0000046186.V320840.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. 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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