Inspection on 03/10/06 for New Lodge

This inspection was carried out on 3rd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

New Lodge 09/03/09

New Lodge 29/01/08

New Lodge 20/02/06

New Lodge 23/08/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 New Lodge 971 Lightwood Road Longton Stoke on Trent Staffordshire ST3 7NE Lead Inspector Jane Capron Key Unannounced Inspection 3 and 5 October 2006 09:30 New Lodge DS0000064018.V308401.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 New Lodge DS0000064018.V308401.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. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service New Lodge Address 971 Lightwood Road Longton Stoke on Trent Staffordshire ST3 7NE 01782 208590 01782 269187 chris@delamcare.co.uk 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) Delam Care Ltd Philip Paul Baddeley Care Home 4 Category(ies) of Learning disability (4) registration, with number of places New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 Brief Description of the Service: New Lodge is registered for four younger adults with learning disabilities. The home was commissioned specifically for the four current service users. The service users have complex needs that include autism, severe learning disability, challenging behaviour and physical disability. The home is located on the main road in a semi-rural location on the outskirts of a small village. The home is a spacious four bedroomed detached house with a large front and a paved patio area at the rear. The home is set back from the road with parking facilities for staff and visitors. The home was generally well decorated in a domestic and homely manner whilst considering the needs of the service users. There are few facilities in the immediate area and the service users have their own transport that they fund that enables them to access a range of educational, social and leisure activities away from the home. The home provides single bedroom accommodation for all the service users. Three bedrooms are provided upstairs and one on the ground floor. The home is not suitable for permanent wheelchair users. The current fees are from £857 to £1806 per week. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over two days lasting approximately seven hours. The inspection covered observations of residents, discussions with staff and the Care Manager and observing staff working with residents. A sample of residents’ documentation was looked at including support plans. The arrangements for the administration of medication were inspected as well as the arrangements for safeguarding residents’ finances. The accommodation was looked at including all the bedrooms. The arrangements in place for Health and Safety were looked at including the fire safety records. The home’s recruitment and selection procedures were inspected as well as the provision of training. What the service does well: The home’s support plans provided staff with the information they needed to meet residents’ needs. The home had plans in place to maintain the cultural heritage of one resident. Support plans were up to date and had been reviewed internally. The home’s staff were fully aware of the resident’s needs and how these were to be met. Residents were treated with respect and dignity. They were provided with privacy and supported to undertake the independent living tasks that they were able to. Personal care tasks undertaken in a sensitive and caring manner. Residents were provided with choice. Staff were aware of how residents expressed their likes and dislikes. Residents were supported to make choices about their lives for example choosing their own clothes and taking part in activities that they enjoyed. The home provided residents with varied meals that took account of their health needs and their food preferences. The residents went out the home quite often going to the pub, out for meals and shopping. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Whilst the home had no recent admissions it was the home’s policy to ensure that an assessment was made of all prospective residents and that prior to moving into the home that there was a programme of visits providing both the resident with the opportunity to meet staff and residents and for staff to be sure they could meet a resident’s needs. Residents or their relatives were provided with a contract. EVIDENCE: The home had been commissioned for the current residents and therefore there had been no admissions for a number of years. However it is the company’s procedure to undertake assessments and for prospective residents to visit a home prior to a decision being made to move to the home. The local authority had assessed all the residents before admission and as this was some time ago the home had recently referred all the residents for a reassessment to ensure that their needs were fully identified. Copies of the local authority contracts were seen on file. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 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): 6,7,8,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home had developed support plans although not in a person centred format. The home’s risk assessments were in the main ensuring that residents were supported to take reasonable risks but some needed reviewing. Residents were encouraged to make decisions and to participate in aspects of running the home but the home should look at whether decision-making could be further developed through improved methods of communication. EVIDENCE: A sample of support plans was seen. These showed that all residents had a support plan although this was not in a person centred format. The support plan contained the residents’ health and personal care needs, activities, and cultural needs. The resident from an ethnic minority background had his cultural needs identified and a plan in place to respond to this. The home did need to improve communication plans. The plans where necessary contained behavioural plans to respond to incidents of aggression and self-harm. The elements of the support plans were being reviewed internally every six months. One plan seen showed a review including professionals had taken place in November 2005. The home had a key worker system in place. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 10 The home had developed individual risk assessments. These included use of the stairs, bathing, accessing the community and eating. Most of these had been reviewed. There was one resident whose bedroom door was locked at night. This was covered by a risk assessment but this needed to be reviewed in respect of the fire risk issues. Residents were encouraged to make decisions and this was observed taking place during the inspection. Residents were encouraged to make decisions over meals and during the inspection one resident was observed making a choice over what to have for breakfast. Residents were supported to make choices over what they wore. Residents got up and went to bed when they wanted. Residents were able to express preferences and discussions with staff showed that they were aware of how each resident showed their preferences including non-verbal methods. There was some use of pictures and symbols and one resident using some makaton signing. The home needed to look at whether the use of communication methods such as symbols could be increased to provide improved communication to assist in greater decision-making. Residents all took part in some activities relating to the running of the home. Residents went to do the food shopping with staff. Some helped with washing up and putting things in the dishwasher. All residents were with staff when their bedrooms were cleaned. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are provided with a varied lifestyle but since there are no college courses available it is recommended that the home try and seek out alternative fulfilling activities for the residents. The residents are provided with leisure activities both in the home and in the community. The home did need to ensure that the computer was repaired for use by the resident. The home provided a varied menu based on the health needs and preferences of the residents. EVIDENCE: None of the residents were attending college this year due to an absence of appropriate courses and none were able to engage in employment. The home was recommended to look at whether there were other suitable activities available out of the home. The residents accessed the community on a regular basis using local health care resources and social and leisure facilities such as shops, cafes and the pub. Residents took part in activities in and out of the home. These including going shopping, out for walks, meals and going to the pub. Activities in the home included massages, watching TV and DVDs, doing puzzles, a range of craft New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 12 activities, listening to music, baking, and ball games and in fine weather using the home’s trampoline. One resident had some sensory equipment in his bedroom. Another resident had his own computer but this had not working for sometime. This needed to be repaired. The home provided residents with a relaxed routine. They were able to decide when to get up and go to bed. Breakfast was provided when a resident got up. The other meals were taken within a time framework but not at any specific time and depended residents’ activities. Residents went out quite often for meals. Relatives were able to visit the home and any reasonable time. Some residents had regularly contact with their families and one resident visited her family every weekend. One relative reported that she was very happy with how her relative was cared for and the contact they she had with the staff. The home offered a varied menu that was based on residents’ preferences. The home was providing a specialist menu for one resident. The home supported residents to be as independent as possible at meal times including the use of bowls and spoons. Staff were observed encouraging and supporting residents to eat. The home maintained records of the drinks and food eaten by residents. The home was monitoring the weight of residents. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was meeting the personal care needs of the residents. The home was in the main meeting the health care needs of the residents but needed to ensure that any advice provided by specialist health care professionals was always followed. The home’s medication procedures were not fully safeguarding the residents. EVIDENCE: The support plans showed the health and personal care needs of the residents. Staff were observed responding to personal care needs in a sensitive manner that respected residents’ privacy. Residents had showers and baths on a daily basis. All residents were well presented with age and weather appropriate clothing. Residents had their hair and nail care addressed. The staff supported female residents to have nail varnished. The staff provided all residents with hand massages and female residents with facials. Residents also used a foot spa. All residents had a key worker. The home supported residents to receive the necessary health care services. They attended the optician, the dentist and the chiropodist. The residents also received specialist services including the dietician and consultant psychiatrist. One resident was attending for specialist footwear and another for regular appointments with a neurologist. It was noted that the home was not fully New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 14 following the advice of the dietician and the home needed suitable scales for weighing. The home operated a monitored dosage system of the administration of medication. An examination of the records showed that these were completed correctly and there were no gaps. It was noted that the MAR sheets did not fully identify how medication should be administered saying ‘as directed’ and this must be addressed. Staff had received training in the safe handing of medication and discussion with the staff on duty showed them to be aware of the reasons for medication. None of the residents self medicated. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Whilst the home’s complaints procedure was not in a user friendly format staff were aware of how residents expressed unhappiness and distress and involved advocates when needed. The home’s adult protection procedures were providing residents with protection. EVIDENCE: The home had a complaints procedure in place and had no recorded complaints. The procedure was not in a user-friendly format. The residents were not able to raise complaints verbally on their own behalf and the home had contacts with an advocacy service and involved them when necessary. The staff were aware of residents’ methods of communication and were aware how residents’ expressed unhappiness and distress. The CSCI had received one complaint shortly before this inspection and this is currently being investigated. This did not relate to any resident or to care practices. The home had an adult protection procedure and had copies of the local authority procedure. The home provided staff with training in this area of the work and most had received this. Discussions with two of the staff on duty showed that they were aware of the issues and how to respond. The home does not use physical intervention but has plans in place to respond to incidents of aggression. The home had procedures in place to manage and safeguard residents’ finances. A sample was examined and this showed that adequate records were being kept and receipts supported expenditure. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 16 New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 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 the following standard(s): 24,26,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was providing suitable accommodation for the residents but could look at whether it could make the home more homely. Bedrooms were of a good size and provided residents with privacy. The home provided residents with a home that was clean and hygienic. EVIDENCE: The home was located in a rural setting and access to shops required transport. The home’s premises were in a detached house set back from a quite busy road. The home had gates that were kept closed to ensure the safety of residents. The home had a large front garden and a small rear area that was paved. The home was satisfactorily maintained. In places the home appeared quite bare as some of the residents had difficulty in coping with ornaments and items hung on walls. The home is recommended to look at ways that they home could be made more homely whilst taking into account the individual needs and wishes of the residents. All bedrooms were singles. Three of the bedrooms were upstairs and one downstairs. One bedroom had ensuite facilities. All the bedrooms were of a good size. All bedrooms were lockable. The standard of bedroom New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 18 accommodation varied. Two were well decorated and furnished to a good standard having a large number of personal items on show. The other two were satisfactory but this was in the main due to behaviours exhibited by the resident, which restricted what could be put into the bedroom. One was in the process of being decorated. Neither of these bedrooms had carpeting and it recommended that this be reviewed particularly in the case of one resident whose behaviour was reported to have altered greatly. The home provided a large lounge with TV and video. There was a large kitchen/ diner that was used for meals and a range of activities. The home had suitable bathing facilities with a bath, shower and toilet on both the ground and first floor. The laundry facilities were kept in the garage and these were adequate to meet the laundry needs of the home. The home was clean and tidy and there were cleaning schedules in place. Staff were aware of infection control procedures and staff were observed using gloves and aprons were undertaking personal care tasks. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 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 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): 32,33,34,35 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home had adequate staff on duty to meet the needs of the residents. Staff were receiving training to undertake their role but the home needed to increase the number of qualified staff. The home’s recruitment and selection procedure was not fully protecting the residents. EVIDENCE: Discussions with and observation of staff on duty showed that they were aware of the residents’ needs and the actions needed to meet their needs. Discussions with two staff showed that they were aware of how residents expressed choices and how they expressed distress and unhappiness. Staff were observed supporting residents in a sensitive manner and in encouraging them to make choices. Staff spoken to were aware of the cultural heritage of one resident and were aware of the practices to keep their culture alive. The home had experienced some staffing difficulties since the last inspection. Several staff had left the home. This has meant that at times the home was operating on minimum staffing levels which restricted the residents’ opportunities to access the community and provided less time for individual work with residents. The home needed at least four staff on duty when all residents were in the home to enable residents to have their fully need met. The home had one waking night staff member and on sleep in staffmember. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 20 The home had recruited four staff recently and currently some of these were working under supervision. The home maintained training records for all the staff and this showed that staff had undertaken induction training. Three staff had completed LDAF induction training. The home had few staff trained to NVQ level 2 and this number needed to be increased to meet the standard. A sample of personnel files was examined. Examination of these could not confirm that all the necessary pre employment checks had been completed. It was also identified that one staff member who had not been fully cleared was working unsupervised although the home had been previously advised that staff without CRB clearance should be supervised and not take residents out alone. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 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 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): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s manager had the necessary knowledge and qualifications to manage the home effectively. Whilst the home had some quality audits in place these needed further development. The home was generally providing the residents with a safe environment but needed to ensure that all staff had up to date fire training and there was an evacuation plan in place. EVIDENCE: The Care Manager was qualified and had worked at the home for some time. He was well supported by the deputy. The home had some ongoing Quality Assurance systems in place but there was little written evidence to support this. The systems included checks on medication, health and safety and the environment. The home was not seeking the views of significant people. The home had however had a full quality audit by Care Tech but this was not available at the inspection. The manager New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 22 advised that the home was due to implement Care Techs’ Quality Assurance system in the near future. The home had a health and safety policy and procedures in place to support safe working practices. Samples of records were examined. The fire records e showed that the necessary checks were taking place including the fire alarm and emergency lighting. The home had a current gas safety certificate and had an electrical installation check. There had been a fire evacuation drill in August 2006. The boiler had been serviced. Staff had received Health and safety training although some staff were overdue on fire training. COSHH products held safely locked in the garage but there were no data sheets with them. The home was kept secure with the gates kept closed to prevent risks from busy road at end of drive. The home had no evacuation plan in place that identified any specific needs of residents. New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 3 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 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 X 2 X X 2 X New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 24 yes 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 YA9 Regulation 13(4) Requirement To ensure that all risk assessments are up to and that the risk assessments relating to the locked bedroom is revised. To ensure that the computer belonging to a resident is repaired To ensure that advice provided by medical professionals i.e. the dietician is always followed through. To provide suitable weighing scales To ensure that the home operates a safe systems of the administration of medication. To increase the number of staff suitably qualified To provide evidence to confirm that all staff are subject to the necessary pre employment checks and that those staff without a current CRB and appropriately supervised. . To ensure that all staff receive the necessary training in fire safety. Timescale for action 01/11/06 2. 3. YA12 YA19 12(1)(b) 12(1)(a) 05/11/06 22/10/06 4. 5. 6. 7. YA19 YA20 YA32 YA34 12(1)(a) 13(2) 18(1) 19 Schedule 2 22/10/06 12/11/06 01/01/07 04/10/06 8. YA42 18(1)(i) 01/11/06 9. YA42 23(4)(c)(iii) To implement an evacuation plan that takes account of any DS0000064018.V308401.R01.S.doc 05/11/06 New Lodge Version 5.2 Page 25 specific needs of the residents. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. 8. Refer to Standard YA6 YA7 YA12 YA24 YA24 YA24 YA39 YA42 Good Practice Recommendations To develop person centred planning To look at ways of developing communication methods and using more user-friendly information e.g. the complaints procedure. To investigate appropriate fulfilling activities for residents To redecorate the back bedroom To look at methods that would make the accommodation more homely To consider providing carpeting in the remaining two bedrooms. To further develop the system for reviewing and monitoring the service. To ensure that COSHH data sheets are easily available New Lodge DS0000064018.V308401.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 New Lodge DS0000064018.V308401.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. 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!