Inspection on 20/06/05 for Nile Centre (The)

This inspection was carried out on 20th June 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 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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Nile Centre (The) 08/01/08

Nile Centre (The) 31/08/06

Nile Centre (The) 28/11/05

Nile Centre (The) 04/11/04

Nile Centre (The) 05/07/04

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

CARE HOME ADULTS 18-65 The Nile Centre 105-109 Foulden Road Hackney London N16 7UH Lead Inspector Sandra Jacobs-Walls Announced Inspection 20 June 2005 at 10:00am 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. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Nile Centre Address 105-109 Foulden Road, Hackney, London, N16 7UH 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) 020 7241 3003 020 7241 4421 sylvia.morton@kush.org.uk Kush Housing Association Limited Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th November 2004 Brief Description of the Service: The Nile Centre project aims to provide 24-hour crisis, outreach and therapeutic service for members of the African/Caribbean community living in Hackney experiencing mental health crisis. The project provides a preventative service, through the avoidance, where possible of longer-term hospital admissions. The Nile Centre works in partnership with existing mental health services to enable service users to manage their mental health needs. Short-term accommodation for up to 2 weeks is available for a maximum of nine people in single rooms. Culturally reflective counselling, complementary therapy, group work, activities and support are available. Service users can make self-referrals and referrals are additionally received from health and social care agencies. The home is situated in a residential area of Stoke Newington within the London Borough of Hackney. Local shops and amenities, including a local market, are within close proximity. Bus links are good. At the time of the inspection seven service users were having respite at the unit. A new manager had recently been appointed to the project. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on June 20th (for eight hours) and the morning (four hours) of June 21st. The inspection process included private discussions with three service users, the interview of the home’s manager and five other members of staff; the review of four service user files, seven staff personnel files, a tour of the unit’s premises and review of key policy documents. At the time of the inspection seven service users were staying at the unit for respite. The home has a newly appointed manager in post since March 2005. A recent recruitment drive had resulted in nine permanent staff members being appointed. As a result of the inspection findings ten requirements and one recommendation was made. The inspector would like to thank all service users and staff who contributed and co-operated with the inspection process. What the service does well: What has improved since the last inspection? The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 6 The inspector was pleased to note that the majority of the issues highlighted for improvement at the previous inspection had been addressed satisfactorily. The service had successfully recruited a number of permanent staff, after an extended period of time had failed to secure a permanent staff group. The service had also, after a very extended period of time managed to recruit a permanent manager. The post holder confirmed that he had submitted an application to the Commission to become the centre’s registered manager. 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. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 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 The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 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) 2,3, & 5 The needs of prospective service users are individually assessed and service users were aware that the centre’s services are geared to address their need for respite. Each service user has an individual written contract. Placements are available on a crisis basis only therefore standards 1 and 4 are not applicable to the service. EVIDENCE: Service users who spoke with the inspector confirmed that they had undergone needs assessment prior to and upon admission to the unit. This practice was also confirmed via the review of four service user files. Referring agencies are aware of the aims of the service; service users are also well informed of the centre’s crisis intervention respite provision. Some service users told the inspector that they had accessed the service previously. All service user files seen contained a signed contract agreement by the service user and centre staff. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 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, 8, 9, 10 Service users were aware of that their assessed needs and (short term) goals were reflected in individual plans. Service users were encouraged to participate in the decision making process and were consulted and involved in all aspects of life in the unit. Risk assessments are in place and service user information was appropriately kept confidential. EVIDENCE: Service users who spoke with the inspector demonstrated an awareness of the contents of their care plans and reasons for them accessing the service. Some service users had self referred themselves to the unit. Most service users spoke candidly about needing “space” and “time” to address current life stresses that was having a negative impact on their mental health. Discussion with the centre manager and documentation reviewed on service user files indicated that service users were encouraged to participate in the decision making process. For example, the centre’s weekly residents meeting was a forum for service users to share their feelings and ideas about the service they received. The inspector saw consistent documentation of service users’ attendance at these meetings. Service users spoke positively about feeling in control of the contact they had with others while on respite at the The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 10 centre. Files seen evidenced consistent documentation of service user risk assessments; they primarily addressed risks associated with the deterioration of service users mental health and related issues such as the risk of self-harm, suicide, violence and exploitation at the hands of others. The centre had a satisfactory confidentiality policy in place, which was known to staff; the inspector was aware that all service user information was kept securely locked in the staff office. Information about this practice was publicised in the Service User Handbook. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 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) 11,12,13,14,15,16 & 17 Service users have opportunities for personal development and were encouraged to participate in appropriate activities. Service users participated in the local community and engaged in leisure activities if they so wish. Service users determined for themselves the nature and degree of contact with friends and family while staying at the centre. Staff respect service users rights and offer healthy meal options. EVIDENCE: Service users who spoke with the inspector talked openly about the service assisting and enabling them to address and in some instances, recover from recent mental health crisis. One service user said, “..I need to be here to get better”. The opportunity to be removed from stressful and sometimes dangerous situations and being provided with stabilising support had a very positive impact on their personal development and their ability to return to their lives in the wider community. Service users talked about having the freedom to The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 12 participate in activities they thought would be of benefit or to refrain from activities if they so wished. Some service users made it clear that a certain degree of solitude was what they desired and would be of most help in addressing current mental health support needs. One service user commented, “I’m here because I needed space to myself and a different environment” The centre had flexible policies in place that encouraged visitors to the home; service users indicated that family and friends often visited the unit, one service user told the inspector that her five children had recently visited with her husband, who, at her request had also participated in counselling sessions offered by centre staff as a component of the care plan. She told the inspector, “Everyone made themselves available, the children got to visit, they were very accommodating in meeting my family’s needs” The manager had provided the inspector with a four week menu plan for the centre as part of the pre-inspection questionnaire. Meals offered were varied and nutritionally balanced and could cater for a range of dietary needs. The inspector saw via one service user file that African food was consistently offered since this was the service users stated preference. The home employs a cook to prepare service user meals; service users who were asked to comment, spoke positively about the quality of meals offered. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 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) 18,19,20,21 The Nile Centre does not offer personal care services. Service users’ physical and emotional health needs were well met and the illness of service users was handled with respect and in accordance to their wishes. Where appropriate, service users control their own medication, staff management of medication issues are in need of improvement. EVIDENCE: Personal care support is not provided by the service. There was good evidence on individual service user files of the general health, but primarily, the mental health care needs of service users being well monitored and addressed. The inspector saw on one file, staff support a female resident to consider attending a well woman’s clinic to address issues regarding her sexual health. All service users who spoke with the inspector commented that they felt staff handled their general and mental health issues sensitively. The service maintained detailed records of (undesired) incidents and of service users’ admission to hospital while staying at the centre. Staff confirmed that the overwhelming majority of these admissions were related to service user’s mental health state. The inspector reviewed in detail medication information pertaining to two service users. The inspector had been informed that staff had recently The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 14 participated in recent medication training via a pharmacist. The inspector observed that documentation on the Medication Administration Record (MAR) sheet for both service users were in some instances inaccurate. For example, records indicated that medication had refused by at a time the service user had been way from the unit. It later came to light that in fact the Home Treatment Team was entirely responsible for the administration of this service user’s medication and separate records were maintained by the agency. It was therefore unclear why unit staff had maintained medication records when in fact no medication was ever offered to the service user by centre staff The MAR sheet seen for the other service user indicated that for one day no medication had been offered when in fact it was later confirmed by staff that the service user had in fact taken the medication. Centre staff must ensure that medication records are accurately maintained in order to ensure the safe administration of service user medication. Records should contain staff signatures to verify which staff member was responsible for medication administration at any given time. The inspector recommends that staff liaise with the local Home Treatment Team to develop joint protocols to ensure the safe administration of service user’s medication while staying at the centre. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 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 indicated that they felt their views were listened to and acted upon. The centre’s adult protection policy is in need of considerable revision if it is to ensure the effective protection of service users. EVIDENCE: The inspector reviewed the unit’s written complaints procedure, which was considered satisfactory. Information regarding the home’s complaints procedure was readily available to service users upon admission to the unit, service users who spoke with the inspector confirmed they that received relevant literature and also informed of the procedure by staff. The inspector reviewed the centre’s record of complaints and noted that procedures had been appropriately followed in all cases. This included the recent investigation of a complaint of staff misconduct. The inspector reviewed the centre’s adult protection procedures, which had been cause for concern prior to the inspection. While general guidance available to staff was considered useful, careful review of the documented procedure identified significant gaps in effective adult protection practice. The centre also did not have accessible local (Social Services) adult protection protocols necessary to ensure effective collaboration between centre staff and external agencies. The manager agreed that existing adult protection procedures were in need of revision. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 & 30 The home was generally clean and hygienic. Plans for the home’s structural and refurbishment were very much overdue. As a result, the home’s appearance is perhaps not as homely as it could be. Service user bedrooms were appropriately decorated and well furnished and promoted service user independence. Service users toilets and bathrooms were sufficient in number, private and met individual need. It was noted however, that at the time of the inspection, one toilet was out of order due to a leak in the ceiling. Shared spaces were adequately spacious and well equipped. There is one designated bedroom for use of a service user who is a wheelchair user. An adapted disabled bathroom is located adjacent to the appropriate bedroom. EVIDENCE: The inspector participated in a tour of the centre’s premises. The centre is yet to address the very long-standing issue of proposed building works. Ambitious structural work proposed some time ago has been halted due to ongoing negotiations with the building owners/Hackney council. The inspector was informed that until this issue is resolved, the general re-decoration of the building remains on hold. This has resulted in some areas of the home as having a being rather ‘grubby’ in appearance; some carpets areas are in need of replacement. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 17 Despite this however, the inspector noted fair attempt by staff to encourage a homely atmosphere, conducive to a centre for service users from Black communities. For example, throughout the building there are positive Black cultural images and Black art work on display. Individual rooms are named after prominent Black heroes and heroines. All service user bedrooms were seen, all were appropriately decorated and furnished. The centre can accommodate one wheelchair user on the ground floor; there is also an adapted bathroom adjacent and a lift. At the time of the inspection, one toilet was out of operation due to a leak. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35 & 36 Staff were aware of their roles and responsibility and that of others. They were qualified and competent to conduct specified duties and worked effectively as a staff group. The home’s recruitment policies were generally sound, however the protection of service users was questioned since key information was not evidenced in staff personnel files. Staff had access to appropriate training opportunities and was adequately supervised. EVIDENCE: The inspector reviewed the personnel file for seven members of staff. All files seen contained job descriptions; staff were suitably qualified and experienced to carry out their designated duties. Service users who spoke with the inspector commented positively about the skills and attributes of the staff group. One service user said’ “…they are meeting our needs as black people, I feel supported, cared for and loved. Nobody upset me, vexed me, its excellent”. Members of staff all commented on the recently increased cohesiveness of the team, which they felt was partly due to the appointment of permanent staff, including the newly appointed manager. Staff said the level of support and supervision had increased, which made their efforts more effective. Training The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 19 opportunities were good; most members of staff were completing NVQ training. Both internal and external staff training was available, staff shared that they had recently had training focused on medication, challenging behaviour and assertiveness training. The centre manager indicated that there were also plans to provide more specialist training to staff. i.e. training focused on issues pertaining to mental health. The home has in place a comprehensive recruitment policy. The review of staff personnel files confirmed that recruitment and selection practices were in accordance with written policies; there was clear evidence of completion of job applications, the interviewing process, references being pursued and contract agreements negotiated. However, the inspector noted that for some members of staff key documentation was missing, for example, the required two written references. Of greater concern, of the seven staff files seen, five files did not evidence CRB disclosure information. The manager explained that staffs CRB applications were re-submitted several months ago due to an administrative error. CRB authorities had indicated a few days prior to the inspection that centre staff criminal record disclosure information would imminently be made available. The manager was advised that this situation was unsatisfactory and that no staff person could be permitted to work at the centre unsupervised. The centre manager confirmed that the organisation had the staff resources to facilitate this provision and agreed that this arrangement would take effect immediately. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42 & 43 The centre is generally well run; the leadership and management approach of the service is positive and service users clearly benefit from this. Service users views influence service provision and delivery and their rights and best interests are safeguarded by the centre’s policies and procedures. Some staff’s record keeping skills are in need of improvement. Outstanding premises refurbishment and missing information in staff personnel files compromised the ability of the centre to ensure the health, safety and welfare of service users. The centre is financially viable. EVIDENCE: The manager is appropriately qualified and experienced to run the home; he had obtained a degree in social science, with a psychology major, has a postgraduate certificate and MSC in Psychology and Counselling and is currently training at postgraduate level (MA) in supervision. The manager must however complete relevant management training as required by the regulations. Both service users and staff of the centre commented positively The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 21 on the influence of the manager in improving general services offered by the centre. Required policies and procedures are in place and most are effective, with the exception of the centre’s adult protection policies, which has been discussed elsewhere in this report. An individual, independent of the service has been identified to conduct the centre’s monthly monitoring visits; service users commented that they felt their views and feelings were being considered due to staff’s encouragement that they attend weekly residents meetings and utilise the ‘Suggestion box’. Review of service user files highlighted the need in some cases for staff to elaborate upon interaction with service users. There were many examples seen on file of staff having individual discussions with service users but the content of these discussions were not explicit. Progress notes must indicate how individual sessions with service users relate to identified needs as outlined in care plans. The manager produced written information (agency business plan) that confirmed that The Nile Centre was financially viable. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score N/A 3 3 N/A 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 1 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Nile Centre Score N/A 3 1 3 Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 2 2 3 G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 23 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 YA20 Regulation 13(2) Requirement The registered person must ensure that Medication Administration Records are further developed to include staff signatures. The registered person must ensure that staff are advised of the appropriate use of Medication Administration Records and that records accurately reflect action taken by service users in relation to the administration of their medication The registered person must develop/revise and implement effective adult protection policies and procedures The registered person must make accessible to staff on site adult protection portocols of the local authority The registered person must ensure that outstanding building works & re-decoration of the premises are completed. (Timescale of 31/12/04 not met) The registered person must ensure that the leak evident in one of the toilets is repaired The registered person must Timescale for action 15/07/05 2. YA20 13(2) 15/07/05 3. YA23,42 13(6) 01/08/05 4. YA23 13(6) 15/07/05 5. YA24 23 31/03/06 6. 7. YA27 YA34,42 23(1)(b) 19 01/08/05 01/08/05 Page 24 The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 8. YA34, 42 19 9. YA37 19(5)(b) 10. YA41 12(1)(a) ensure that all necessary staff information as outlined in Schedule 4 of the Care Homes Regulations is maintained on site (Timescale of 31/12/04 not met) The registered person must ensure that staff who do not have a satisfactory CRB disclosure form is supervised at all times while on the centre premises The registered person must ensure that the centre manager complete required management training. The registered person must ensure that documentation in service user files detail the content of individual sessions held between staff and service users and detail how discussions relate to individual care plans. 21/06/05 31/03/06 01/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations It is recommended that joint protocols be drawn up between staff of the home and the local Home Treatment Team to improve the overall management of service users medication while staying at the centre for respite. The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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 The Nile Centre G56 G06 S10278 Nile Centre V216271 200605 Stage 4.doc Version 1.30 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. 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