Inspection on 04/08/05 for Mountearl House

This inspection was carried out on 4th August 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

Mountearl House 19/03/09

Mountearl House 29/12/07

Mountearl House 16/06/06

Mountearl House 03/01/06

Mountearl House 06/12/04

Mountearl House 09/08/04

Mountearl House 02/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Mountearl House 73 Leigham Court Road Streatham London SW16 2NR Lead Inspector Mary Magee Unannounced 4 August 2005 th 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. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Mountearl House Address 73 Leigham Court Road, Streatham, London SW16 2NR 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) 0208 769 0322 The Robinia Group PLC CRH Care Home 10 Category(ies) of PC Care Home only registration, with number of places Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2004 Brief Description of the Service: Mountearl House is a large, listed building close to the centre of Streatham, it is home for ten adults who have a learning disability and challenging behaviour and mental health related issues. There is one vacancy at the home for some time. It is owned and managed by Robinia Care who manage several care homes for people with Learning Disabilities. Local amenities are located within a short walking distance away as is local public transport. The house is divided into four main areas – ground floor, first floor, bed-sit and annexe. There is no lift to the first floor and the home does not have CCTV cameras. There is a lounge on the ground floor of the main part of the building, used by all service users with a dining room on the first floor; the annexe area has two bedits as well as a separate lounge and kitchen. The main kitchen is on the first floor of the main building. The home has a large garden to the rear of the property. Parking facilities are good with a large parking area available to the front of the home. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted over seven hours. The manager was off duty but attended the home in the afternoon to assist the inspection. All communal areas as well as four bedrooms were viewed. The inspector met with all nine service users when they returned for the evening meal. Three service users were spoken to individually. The inspection report includes the views of two relatives and one placing social worker. Two members of staff as well the manager were spoken to. A selection of records were examined, these included staff and service user personal files and records of maintenance for the home. What the service does well: What has improved since the last inspection? Service users that previously experienced frequent bouts of challenging behaviour have made good progress and conditions have remained more stable. Many improvements were seen in the environment. Redecoration has taken place externally. Internally refurbishment has also taken place. The staff sleepover room has been relocated to the first floor. New wood floor on the wide stairs has given a fresher and cleaner look to the premises. Staff have found it easier to maintain. The office is on the ground floor and more accessible to service users when they are using the communal lounges and to people visiting the home. Service users were seen to drop in to the office frequently and chat with staff when the inspector was present. When asked if he like the new set up one service user that came to the office frequently nodded to indicate he liked it better. At previous inspections, numerous areas regularly required attention due to the needs of the service. The environment has been overall maintained to a higher standard. Mountearl House G52-G02 S22744 Mountearl V243224 040805 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. Mountearl House G52-G02 S22744 Mountearl V243224 040805 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 Mountearl House G52-G02 S22744 Mountearl V243224 040805 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 2 3 Service users feel secure in the knowledge that they are having their current assessed needs and aspirations met. EVIDENCE: There is a Statement of Purpose and a Service User’s Guide. The organisation Robinia has recently restructured the management, the Statement of purpose and the Service User’s Guide are currently being updated to reflect the recent changes and management structure. The home demonstrated that it is meeting the current needs of service users. Progress notes indicated that service users had progressed and that episodes of challenging behaviours were managed appropriately, fewer incidents were evident on behaviour charts. Written guidelines on supporting service users with challenging behaviour were included with care plans. One service user that experienced a relapse and was re admitted to hospital spoke to the inspector, he said that “ he was pleased to be at the home again and away from the hospital environment”. No new service users have been admitted since the last inspection. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 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 standard(s) 6 7 9 Care plans are maintained up to date and reflect the changes to individual needs. Procedures must be more specific for managing and supporting service users with challenging behaviour user to enable them to lead an independent lifestyle. EVIDENCE: The care plans for two service users were viewed. The plans detailed the services required to meet the current and changing needs for both individuals. The plans contained individual guidelines on managing challenging behaviour but these were not very detailed. These procedures must be more specific in order that staff know how to deal with these challenges safely and avoid the likelihood of self-harm or harm to others. Service users are allocated individual key workers. The records contained the changes required as a result of recent internal reviews undertaken for both service users. One service user had a local authority review completed recently, the outcome was positive. Daily logs had been maintained for both service users of their participation in planned activities and of their general welfare. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 10 Risk assessments were included with care plans of methods in place to safeguard individuals including the necessary support required from staff. Examples of these include the staff support needed when accessing the community. For another service user that experienced recent changes it was recorded that he requires support to return to the home safely from day centre as he was at risk. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 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 standard(s) 11 12 15 17 Some service users avail of the opportunities for personal development and take part in a variety of activities. A number of service users require more encouragement and support to access activities that are stimulating and fulfilling. Service users must be fully involved in choosing menus for the home. EVIDENCE: Weekly activities programmes were available for service users. These were varied. The range of activities in which service users participate externally include college, day centres. For leisure times a number of service users attend the leisure centre and local park fairs. Consideration has not been given to exploring new options with individuals. Not all service users avail of the facilities in the community. One service user expressed to the inspector his wish to develop reading and writing skills. Another service user had little stimulation other than walks to the newsagent. This was consistent with reports received by the inspector from a family member. She said that she found his previous accommodation a long stay hospital provided more structured activities. Menus viewed indicated a variety of meals were served. The meals were not always the healthiest options and did not take into account individuals dietary Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 12 needs. Food stored in the fridge and freezer consisted of a high proportion of processed food and prepared food. One service user that experiences weight loss did not have this regularly monitored. The menus planned did not involve service user input. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 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 standard(s) 18 19 20 Service users receive personal support in a way they prefer. Service users are supported to access health care appointments. Poor attention to the recording of changes to individuals’ health care needs potentially places people at risk. Serious failures have occurred when staff have not followed the correct procedures for medication administration. EVIDENCE: Routines at the home including getting up and going to bed are flexible and in accordance with planned daytime activities. Service users wear clothing that reflect their personality and individuality. A high proportion of the staff team comprises of individuals from similar ethnic and cultural backgrounds as service users. Personal support is provided at the home by same gender carers where possible Service users are supported to access health care appointments. Service users gave instances of where the manager and members of staff supported them with emergency visits to hospital and said that they felt reassured by this. Records were viewed confirming that service users had regular appointments with healthcare professionals. For one service user that had experienced health difficulties the health action plans had not been amended to reflect the necessary changes required. There were charts in place for a service user regarding fluid intake. These charts had not been maintained up to date despite recommendations made at a recent review. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 14 A service user on a CPA had his medicine altered recently. His medical profile however did not reflect the change. Senior trained members of staff administer medication. Medication is delivered in blister packs. Recently a serious error was made in administering medication when the medication procedures of the home were not adhered to. A service user was administered medication that was prescribed for another person living at the home. Fortunately, the service user has recovered fully from the ordeal. The pharmacy inspector will undertake a full pharmacy inspection at a later date. Mountearl House G52-G02 S22744 Mountearl V243224 040805 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 23 Service users’ views are listened to carefully and are reassured when they are anxious or concerned. Support workers are vigilant and recognise changes in service users’ emotional or psychological conditions protecting them from neglect or self-harm. EVIDENCE: Service users hold regular meetings allowing them the opportunity to put forward their views if they are unhappy with any aspects of the home. The home has a complaints procedure that is accessible to people living at the home. No complaints were recorded. Key working is effective and allows service users to relay any issues of concern. Support staff are aware of changes and recognise when a service user is unhappy. Records included observations made of service users moods and anxieties. A service user that has experienced mental health difficulties told the inspector that he feels that he is listened to and that the manager reassures him when he is distressed. He said that” it is the happiest period he has had in his life for some time as he was in a long stay hospital previously”. The mother of another service user was spoken to over the telephone. She reported positively on the way staff at the home cared for her son. He was observed sitting with his key worker during the afternoon, the interaction was good with the support worker communicating well with the service user. The mood of the service user was relaxed and jovial demonstrating a good relationship. The Adult Protection Policy has been updated to reflect changes in legislation and includes the information on POVA. Staff spoken to were knowledgeable on adult protection procedures. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 16 Records for the personal expense of service users that included clothing toiletries and clothing were viewed. These were accurate. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 17 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) 24 25 26 27 28 30 Refurbishment of the premises has taken place and has improved the overall environment. A number of other areas require attention to ensure that people living at the home are provided with comfortable safe surroundings. EVIDENCE: The home is located in a large detached house with an annex attached at the side. It is conveniently located for local amenities and public transport. There is a large enclosed garden to the rear of the property. It is suitable for the purpose offering spacious accommodation. The living accommodation on the first floor is unsuitable for people with severe mobility as there is no passenger lift. The communal areas and four bedrooms were viewed. All were brightly decorated and maintained to a satisfactory standard. Some bedrooms had been personalised by the occupants. The repairs system has significantly improved at the home. Requirements set at the last inspection were responded to satisfactorily. Carpets on the stairway were replaced by wood flooring. The office has been relocated to the ground floor making it more accessible to service users. The staff sleepover room has been relocated to the first floor. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 18 A 1 2 3 4 5 number of areas were identified as requiring attention in particular, The couches in the sitting area require recovering or replacing. The curtains in bedroom 5 were detached from the curtain rail. The glass on the landing window is cracked and needs to be replaced. Drawers are missing from the units in the annexe kitchen. The bath on the first floor is chipped and needs to be replaced. Although the home was generally clean more attention is required to keeping skirting areas of the bathroom and the storage heater clean. Records were maintained of correct temperatures of the freezer and the fridge. However, the freezer was unable to close due to the volume of ice that had built up. This was attended to immediately on the day of inspection. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 19 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) 32 34 35 36 Not all staff have participated in the training programme resulting in some members of the team lacking the competencies and abilities to look after people effectively. Staff are not receiving regular supervision and support, work with individual service users is not monitored. This has led to areas of poor practice arising that places people living at the home at risk. Staff that have failed to adhere to medication administration procedures have not been dealt with appropriately or under the home’s disciplinary procedures. EVIDENCE: From discussions with two members of staff it was evident that they understood their roles and responsibilities and enjoyed looking after service users at the home. Service users were comfortable with members of staff. A service user spoken to said that “he was reassured by the staff when he became anxious” and that “they were good listeners”. Interaction observed between staff members and service users was positive. Staff members were seen sitting talking with service users and provide stimulation by the use of colour blocks. One member of staff was observed reading a newspaper to a service user but not to adopt the appropriate body language or interact appropriately with the individual sitting alongside. More training is required on interacting with service users to ensure that staff know how to encourage and support people that have short attention spans and that may be challenging Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 20 A wide range of training has been provided for staff. The training records evidenced that the attendance by a small number of staff at the home has been poor. Some members of staff have attended all the training for the past twelve months. The inspector found that members of staff had become complacent about training and were unaware of the need for their own development and for the needs of the service. A selection of staff files was viewed. For one member of staff transferred from another home it was found that a second reference was absent from the file, the other two files contained the appropriate information. Staff have transferred or been redeployed to the home without consideration if they had the necessary skills and attributes. Staff have regular staff meetings but they are not receiving one to one supervision as frequently as required. Areas of poor practice and training needs must be addressed and responded to. A serious incident occurred recently when a service user was administered medication that was not prescribed. The member of staff involved was not dealt with under the disciplinary procedures Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 21 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) 38 41 42 The manager is hard working and committed. She focuses on achieving the best outcomes for service users. She needs more support from senior management and further training to equip her for the role of directing and leading the staff team. EVIDENCE: The manager has brought stability to the home and is well thought of and respected by service users. She is undertaking the Registered Manager’s award. Her completed application to register with CSCI as manager had not been received. This has been outstanding since January of this year. The manager has worked hard with the staff team in the past twelve months. The team has become a little complacent, some records were not completed thoroughly, and staff had not attended the training booked. The inspector found that the manager requires more support from senior management to support her in her role of developing the team. She also requires further training to equip her with the necessary skills to lead the team. The manager also requires the support of senior members of staff that are competent and reliable in her absence. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 22 A number of records relating to service users and the upkeep of the home were viewed. Service user records were generally good but handover records were not completed satisfactorily, there were numerous omissions identified that included signatures and financial details. Records evidenced that essential equipment such as fire fighting equipment was maintained up to date. Some fire extinguishers on the ground floor were not attached to the wall following recent refurbishment. These have been fitted since the inspection. Regular weekly tests for fire alarms were recorded; there was evidence that fire evacuation procedures are conducted frequently. The home was visited recently by the regional maintenance manager to review the maintenance arrangements. Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 23 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 3 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 2 2 2 x 1 Standard No 11 12 13 14 15 16 17 2 2 x x 2 x 2 Standard No 31 32 33 34 35 36 Score x 2 x 2 1 1 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mountearl House Score 3 2 1 x Standard No 37 38 39 40 41 42 43 Score 2 x x x 2 2 x G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 24 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 9 Regulation 13 (4) b,c, 13 (6) Requirement The registered person must ensure that individual procedures(risk management strategies) are in place for service users that are likely to be aggressive, cause harm or self harm The registered person must ensure that consultation takes place with service users about their social interests, and make arrangements to enable them to engage in local, social and community activities The registered person must provide in adequate quantities, suitable wholesome and nutritious food which is varied and properly prepared. Service users must be involved in the devising the menus The registered person must ensure that the care plan as to how a service users needs in respect of his health are to be met are kept under review and updated to reflect any changes The registered person must make arrangements for the recording safe handling and administration of medication Timescale for action 30/09/200 5 2. 11 12 15 16 (2) m 30/10/200 5 3. 17 16 (2) i 30/10/200 5 4. 6 19 15 (1) (2) 30/09/200 5 5. 20 42 13 (2) 30/09/200 5 Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 25 6. 7. 8. 24 26 27 23 (2) h j 16(2) c 23 (2) b j 9. 30 16 (2) j 10. 30 23 (2) d 11. 32 18 (1) c 12. 32 35 18 (1) c 13. 34 19 (1) (2) (3) 14. 15. 36 36 18 (2) 18 (2) recived into the home. Medication profiles must be kept up to date The registered person must ensure that the worn couches are recovered or replaced The registered person must ensure that curtains are fitted securely in bedrooms The registered person must ensure that the chipped bath is replaced on the first floor and that cracked window glass on the landing is replaced The registered person must ensure that fridges and freezers are monitored effectively and that they are defrosted regularly The registered person must ensure that bathrooms are maintained to satisfactory standards of hygiene The registered person must ensure that all the staff team are equpped with the skills and competencies to meet the needs of service users The registered person must ensure that each member of staff has a training needs assessement and participate in training to address these needs. The registered person must ensure that an audit is conducted of staff files to identify any gaps in essential information, in the event of required information not available to be sought and placed on staff files. The registered person must ensure that staff are supervised and supported regularly The registered person must ensure that the homes disciplinary procedures are followed to address areas identified as poor practice by 30/10/200 5 30/10/200 5 30/10/200 5 30/10/200 5 30/10/200 5 30/11/200 5 30/11/200 5 30/10/200 5 30/9/2005 30/09/200 5 Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 26 staff 16. 37 8&9 The registered person must ensure the CSCI receives a completed registred managers application from the manager. (Previous timescale of Jan 05 not met). The registered person must ensure that the manager is provided with the necessary support and training for her role. The registered person must ensure that attention is paid to record keeping, particularly on handover records 30/9/2005 17. 37 8 30/09/200 5 30/09/200 5 18. 41 17 (3) 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. Refer to Standard 1 34 35 Good Practice Recommendations The registered person should ensure that the Statement of Purpose and the service users Guide are update to reflect changes within the organisation The registered person should ensure that when any staff redeployed to the home service users and the manager are involved in the selection process The registered person should ensure that staff are aware of the appropriate manner to adopt when engaging with a service user, such as body language and communication needs Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection SE London Area Office Ground Floor, 46 Loman Street Southwark London SE10EH 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 Mountearl House G52-G02 S22744 Mountearl V243224 040805 Stage 4.doc Version 1.40 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!