Inspection on 05/05/06 for Milbury 6 Milverton Road

This inspection was carried out on 5th May 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 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Milbury 6 Milverton Road 20/01/09

Milbury 6 Milverton Road 23/11/05

Milbury 6 Milverton Road 21/04/05

Milbury 6 Milverton Road 22/10/04

Milbury 6 Milverton Road 30/06/04

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 Milbury 6 Milverton Road 6 Milverton Road London NW6 6LH Lead Inspector Andreas Schwarz Key Unannounced Inspection 5th May 2006 09:30 Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Milbury 6 Milverton Road Address 6 Milverton Road London NW6 6LH 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 8459 1140 020 8459 1140 Milbury Community Services Mr Stephen Andrew McKenzie Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: 6 Milverton Road is located in a quite residential street in Willesden; the home is owned by Milbury Care Services and accommodates six adults with a learning disability and physical disability. The home is closely located to Willesden High Street, Willesden library, cinema, pubs, cafes and restaurants. Willesden High Road has numerous bus rotes and Willesden Green is the closest tube station. 6 Milverton Road is a detached two-storey building. There is a large kitchen and lounge on the ground floor and access to the first floor is by a through floor passenger lift. Service users rooms are located on the ground floor and first floor. There is parking in front of the house and a large well-maintained garden at the rear. Range of fees and charges can be obtained from the registered manager on request. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place during a day in May and lasted for six hours. The registered manager Mr Stephen McKenzie was available throughout this inspection and assisted the inspector. The inspector spoke with two members of staff and three service users during this unannounced key inspection. The inspector case tracked two service users and sampled care plans and other files made available to him on request. The home has a good track record of Regulation 26 records, which have been used by the inspector prior to this inspection to make judgements about the service. The inspector would like to thank service users, staff and registered manager for their help and support during this inspection. What the service does well: What has improved since the last inspection? The home has been redecorated and new carpets have been laid throughout the first floor and hallway of the home. All statutory requirements made during the previous inspection have been met and all residents have now a contract. The registered manager contacted Brent Advocacy Concerns and an advocate can be accessed if needed. Medication procedures and practices have improved, but more work is required to achieve full compliance. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New prospective residents receive information about the home and are involved within the assessment process. EVIDENCE: The home did not have any new admissions since the last inspection and currently has no vacancies. This standard has been assessed and met previously and no changes have occurred since that assessment. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6; 7; 9 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved and take part within the care planning and risk assessment process. Residents are encouraged making decisions and choices about their lives and the care they receive. EVIDENCE: The inspector viewed three care plans during this inspection. The home is holding two files on each of the residents living at the home. One of these files is a detailed care plan, which is located in the resident’s room for easy access if information is required. This file contains service users guide, statement of purpose, contract and guidelines how staff can help service users meeting their needs. Care plans are reviewed monthly, however none of the care plans viewed by the inspector have been reviewed in April 2006. The inspector noted that the resident or their representative has not signed the contract in place; which is required. The home is organising annual reviews on behalf of the service user and records of these reviews are kept in folder 2, which is kept in Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 10 the office. The care plan is available in pictorial form, which makes it accessible to a wider range of residents. The registered manager informed the inspector that one of the residents living at the home is above 65 years and the inspector informed the manager that he must apply for a minor variation to meet the changing needs of service users. The home has contacted Brent Advocacy Concerns and some resident’s have advocates allocated, a number of residents however have very strong family links and regular family visits are recorded. The home has clear guidelines on all residents in place and restrictions are clearly assessed and documented. None of the residents living at the home is managing their finances independently, records viewed by the inspector were in order and service users income and expenditure is clearly recorded. The registered manager is currently in the process of setting up bank account for all the residents living at the home. The home has detailed risk assessments for all residents in place; risk assessments are reviewed during the annual care plan review or more often if risks have changed. The home is assessing risk in detail and guidelines are in place to minimise risks. The home has a detailed missing persons policy in place. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12; 13; 15; 16; 17 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents attend activities appropriate to their age and culture. Residents have good relation ships with families and are supported making friends or having a sexual relationship. Residents are provided with a varied and healthy diet and residents are given choices of different meal options. EVIDENCE: None of the residents living at the home are in paid employment. Residents access Willesden Resource Centre for day service activities. Two residents did not go to the day centre on the day of this unannounced inspection, which was clearly recorded on the activity plan. It was however not fully clear if the home is offering alternatives. Staff informed the inspector that residents access the sensory room. The physiotherapist, is visiting the home on a weekly basis, has forwarded positive feedback about the home.“ Staff listens to what I say and follow guidelines I provide for the residents”. The last two Regulation 26 reports received by the inspector raised the issue of staff needing to find more appropriate activities for residents, service users records confirmed this, the inspector viewed two service users records and Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 12 service users have not left the home in one months except to attend Willesden Resource Centre. The home must offer a wider range of activities to residents in-house and in he community. One of the residents is attending a Muslim group in Willesden, which is attended by disabled and non-disabled Muslims living in the area. The home has their own unlabeled transport and service users contribute equally for the use of the van. The vans ramp has been serviced recently. All residents have clear daily guidelines and form of address, likes, dislikes and preferences are recorded. The inspector observed residents accessing all areas of the home, with staff support. None of the residents living at the home have a key; this is recorded in service users plans. The registered manager informed the inspector that none of the residents had an annual holiday last year, which is required. The registered manager informed the inspector that residents did not go on holidays due to the lack of personal finances; according to the registered manager this should not be an obstacle this year. The inspector observed staff interacting with residents, which was patient and sensitive to service users needs. The home supports service users relationships, and a relationship as well as sexuality policy is in place. Records demonstrated that service users families are involved and residents visit other Milbury Homes regularly for birthdays and other celebrations. Staff informed the inspector that service users are involved in household activities; this however depends on their ability. The home has clear rules about smoking, alcohol and drugs in place. The home is providing a varied and whole some diet daily meals include fresh vegetable, fruit, pulses and meats. One resident is of Muslim faith; staff informed the inspector that meat is purchased from a Halal butcher. Alternatives are offered if pork or other non-Halal products are on the menu. Fruit were available during this unannounced inspection. The home is displaying a picture of the meal on a notice board in the kitchen to show what meal is on the menu. A weekly menu is available and food choices are recorded in a separate book. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18; 19; 20 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is supporting service users around health related issues and service users health is monitored and recorded within care plans. Service users are healthy and well looked after. EVIDENCE: All residents have clear personal care guidelines on file. Residents were dressed in their own clothes appropriate to the time of the year. The bathrooms in the home can be locked for privacy. The home has a portable hoist in place and a number of ceiling hoists are fitted in service users room and the bathroom to assist and support service users. Hoists have been maintained and serviced in regular intervals, meeting LOLER Regulations. Physiotherapist, aroma therapist and other health care professionals visit residents. All residents have an allocated key worker and co-key worker. The home is meeting service users cultural and religious needs by providing cultural appropriate food, activities and places of worship. Staff employed by the home reflects service users cultural background. All residents have a detailed health care plan in place; the health care plan is reviewed during the annual care plan review. All residents are registered with a Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 14 local GP, who will visit if required. Name and contact addresses of clinicians involved is clearly recorded in individual files. The inspector received two comment cards from Health care professionals, both of these were very positive. The majority of service users living at the home use wheelchairs or other mobility aids and staff have received appropriate manual handling training. Healthcare appointments are clearly recorded in service users care plan files. The inspector viewed the homes medication policy, which was judged of good standard and compliant with National Minimum Standards. The home was visited by the Commission for Social Care Inspection pharmacy inspector in December 2005 a number of requirements made by the Commission for Social Care Inspection pharmacy inspector were still found to be unmet, the home must comply with requirements made by the Commission for Social Care Inspection pharmacy inspector. The home is providing training for staff in safe medication administration and a list of signatures and names is available. The home is recording service users allergies on the MAR sheet. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22; 23 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, family members and visitors are listened to and an appropriate complaints policy is provided. Policies, procedures and training are protecting service users from harm, neglect and abuse. EVIDENCE: The homes complaints policy has been updated and prospective complainants are now clearly informed that the Commission for Social Care Inspection can be contacted at any stage of the complaint. The registered manager informed the inspector that the home has not received any complaints since the last inspection visit. A copy of the homes complaints policy is in the homes service users guide and available to all residents. Accident records viewed by the inspector are recorded clearly and in detail. The home has a Protection of Vulnerable Adults policy in place and staff has attended Protection of Vulnerable Adults training. The registered manager has been trained to be a Protection of Vulnerable Adults training facilitator. The home is currently dealing with a Protection of Vulnerable Adults allegation made on the 27 January 2006 and the correct procedures have been followed and a final strategy meeting with be held after this unannounced inspection. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24; 30 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a nicely decorated, clean and homely environment; additional work is however required to achieve full compliance. EVIDENCE: The registered manager showed the inspector around the home, the hall way has been redecorated and new carpets have been laid, the registered manager informed the inspector that he is currently awaiting of having kick boards fitted to minimise damage to walls and skirting boards. The home is overall nicely decorated, the furniture in the ground floor lounge are very worn in particular the one armchair used by a service users regularly. The inspector informed the registered manager that lounge furnishing must be replaced. The lounge has been painted last year, the wall however starts to look very worn and the walls must be re-painted. The tiling around the bath and toilet in the ground floor bathroom is missing and the area must be tiled. The curtains in room 4 were coming of the curtain track and must be rehung. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 17 The homes’ laundry area is spacious and can be accessed through the lounge and hallway. Floors and walls are of good standard and can be cleaned if necessary. The home has a semi professional washing machine and clothes dryer; both machines were of good working order. The COSSH cupboard under the sink in the laundry area was closed. The home was free of any offensive odours during this inspection. Overall the home was clean, the inspector noted that the area where the cat tray is kept was dirty and dried up cat food was found on the skirting board, which must be cleaned. The inspector viewed all residents’ rooms and Room 4 was very dusty, which was pointed out to the registered manager. The inspector found an unused dinning table in the paved part of the garden, which must be disposed of. The home has robust health and safety policies and procedures in place; in addition to this a number of health and safety leaflets were displayed on the notice board in the kitchen to raise awareness and provide information to staff, service users and visitors. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32; 34; 35 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A strong and competent staff team supports residents. Robust recruitment practices provide service users with an appropriately vetted staff team. Staff receives appropriate training enabling them supporting residents to high standards. EVIDENCE: The inspector sampled three staffing records during this inspection. The registered manager informed the inspector that three staff have completed their National Vocational Qualifications in Care, which is bellow the 50 required by National Minimum Standards, the registered manager must ensure that 50 of staff employed by the home have or work towards their National Vocational Qualifications in Care. The home does not employ staff under the age of 18. The registered manager informed the inspector that the home is currently in the process of recruiting a deputy manager and support workers to fill vacancies. Staff observed during this visit demonstrated good knowledge and awareness of service users communication and care needs and good working practices have been observed. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 19 The home has a recruitment policy in place, the inspector viewed three staffing files, which were all of good standard, the inspector noted that in one of the assessed files the CRB disclosure was only to standard level and the inspector informed the registered manager that all CRB disclosures must be made to enhanced level. The manager was immediately starting the application process for the member of staff in question. All other CRB disclosures were done to enhanced level. The home is providing a wide range of training to staff; new starters have a detailed induction training based on the Learning Disabilities Framework. All staff have a training and development plan, which is up dated regularly. Staff interviewed by the inspector spoke very positively about the training received by the home. Certificates of training are on staffing files viewed by the inspector Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37; 39; 40 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An approachable and experienced manager manages the home. Service users, staff, stakeholders are regularly consulted about the home and service users Health and Safety is not compromised. EVIDENCE: The registered manager Mr Stephen McKenzie is currently in the process of obtaining his Registered Managers Award qualification and informed the inspector that he must complete another 4 units before successfully completing this qualification. The manager is very experienced and staff informed the inspector that the manager is a good listener and very helpful. A valid insurance certificate and Registration certificate has been displayed. The home has an annual development plan in place and service users, staff; stakeholders are invited filling out confidential questionnaires to voice their perception of the service. The home has an excellent track record of regularly Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 21 forwarding a regulation 26 report. Staff attends regular staff meetings and residents are encouraged attending regular residents meetings. The home has a robust Health and Safety policy in place. All staff have attended fire training, the fire equipment has been serviced on the 12 October 2005, the fire alarm has been serviced on 17 January 2006, fire drills are done quarterly, the manager inducts all staff in how to use the fire panel and the fire risk assessment is up to date. Certificates viewed by the inspector are in good order and none of the certificates have expired. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF 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 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 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 Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 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 YA6 Regulation 3(3)(a) Requirement The registered manager must apply for a minor variation to meet the age category of residents living at the home. The registered manager must ensure that the service user or their representative signs all residents’ contracts. The home must offer a wider range of in-house and community based activities. The home must comply with requirements made during the Commission for Social Care Inspection pharmacy inspection in December 2005. The worn and damaged sofa and armchair must be replaced The damaged paintwork in the lounge must be repainted. Curtains in room 4 must be rehung. The ground floor bathroom must be tiled. The dried up cat food must be cleaned. Room 4 must be fully cleaned. The broken dinning table in the garden must be removed. A minimum of 50 of staff must DS0000017470.V289081.R01.S.doc Timescale for action 01/07/06 2. YA6 15(2)(c) 15/06/06 3. 4. YA12 YA20 12(2)(m) 13(2) 15/06/06 01/07/06 5. 6. 7. 8. 9. 10. 11. 12. YA24 YA24 YA24 YA24 YA30 YA30 YA30 YA32 23(2)(c) 23(2)(d) 23(2)(d) 23(2)(b) 13(4)(c) 23(2)(d) 23(2) 19(5)(b) 01/07/06 01/07/06 15/06/06 01/07/06 31/05/06 15/06/06 31/05/06 31/07/06 Page 24 Milbury 6 Milverton Road Version 5.1 13. YA34 have qualifications in National Vocational Level 2 in Care or above. 19(4)(b)(i) All staff must have an enhanced Schedule2 CRB disclosure. 15/06/06 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 YA37 Good Practice Recommendations The organisation should consider providing a computer for the home. Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Milbury 6 Milverton Road DS0000017470.V289081.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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