Inspection on 08/08/07 for Nine Elms Lane

This inspection was carried out on 8th August 2007.

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

The inspector 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

Nine Elms Lane 16/06/09

Nine Elms Lane 23/08/06

Nine Elms Lane 26/01/06

Nine Elms Lane 27/09/05

Nine Elms Lane 08/10/04

Nine Elms Lane 30/06/04

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 Nine Elms Lane 87-89 Nine Elms Lane Park Village Wolverhampton West Midlands WV10 9AN Lead Inspector Rebecca Harrison Key Unannounced Inspection 8th August 2007 09:30 Nine Elms Lane DS0000017190.V342040.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 Nine Elms Lane DS0000017190.V342040.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. Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nine Elms Lane Address 87-89 Nine Elms Lane Park Village Wolverhampton West Midlands WV10 9AN 01902 833730 01902 833731 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) enquiries@lonsdale-midlands-limited.co.uk Lonsdale (Midlands) Limited Mrs Catherine Susan Johnston Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning Disability who may also have physical disability Learning disability with Guardianship or supervision orders under the Mental Health Act 1983 23rd August 2006 Date of last inspection Brief Description of the Service: Nine Elms Lane is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation, personal and nursing care for a maximum of seven adults with a learning disability and/or a physical disability. Lonsdale (Midlands) Limited is the registered provider. Caretech have taken over the company through share acquisition. The responsible individual is Mr Stewart Wallace and Mrs Catherine Johnston is the registered manager of the home. The home is located in a residential area of Wolverhampton overlooking parklands. Local shops and amenities are a short walk away. Accommodation is provided over two floors comprising seven single bedrooms, a lounge, kitchen and dining room. A passenger lift is available to aid accessibility. There is adequate parking to the front of the building and a smallenclosed garden to the rear. Information about this service is available from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk The fees charged per person vary according to individual need and range from £1,300 to £1,600 per week. Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 8th August 2007 by one inspector over six and a half hours. A range of evidence was used to make judgements about this service to include information from the provider sent to CSCI, discussions with the manager, staff and a student nurse, observations of work practice and a tour of the home. The inspector also looked at a number of records and all aspects of care provided for two people using the service. Five staff on duty completed surveys and some of their views have been included in the report. The purpose of the inspection was to assess all 22 ‘Key’ National Minimum Standards for Younger Adults and to review the requirements made at the previous inspection undertaken on 23rd August 2006. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. The people who use the service, managers and staff on duty were very helpful and co-operated fully throughout the inspection. What the service does well: What has improved since the last inspection? All four requirements made following the last inspection have been met. Person Centred Plans have been developed in a user-friendly format and designated key workers are working with the people they support to complete these. Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 6 A number of rooms have been redecorated and new furniture purchased for the lounge and dining room. Some windows have been replaced. Surveys have been distributed to service users, families and staff. Feedback is generally positive and evidenced that all people are happy with the way the service is being managed. Team meetings are regularly held, staff receive regular formal supervision and have received an appraisal of their work performance. It was reported that staff morale is getting better and teamwork has improved. Behaviours that challenge the service have significantly reduced. Quality assurance systems and Caretech paperwork and polices and procedures have been introduced and staff are becoming familiar with these. 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 summary of this inspection report can be made available in other formats on request. Nine Elms Lane DS0000017190.V342040.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 Nine Elms Lane DS0000017190.V342040.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have sufficient information about the home and are provided with a contract which clearly tells them about the service they receive. EVIDENCE: The people who use the service are provided with a copy of the Statement of Purpose for the home. A pictorial Service User Guide has been developed as required by the previous inspection and the manager committed to ensuring that the guide complies with the changes in the Care Home Regulations as amended in September 2006. There have been no new admissions to the home since 2004 therefore it was not possible to assess key standard 2 on this occasion. People have been issued with a contract of residence as required by the previous inspection and the manager has signed these. It was reported that people are to be issued with new Caretech contracts shortly. Nine Elms Lane DS0000017190.V342040.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are provided with information to ensure service users’ assessed needs are met. The people who use the service are supported to make decisions and enabled to take responsible risks. EVIDENCE: Care documentation held on behalf of two people whose needs have changed since the last inspection was examined. Records seen gave an overview of peoples needs and of their individual support requirements. One person had recently been reviewed and reviews for all other people receiving a service have been scheduled and invitations seen. Key workers are currently developing person centred plans (PCP) and life books in a user friendly and pictorial format with the individuals they support and these were detailed. Staff on duty considered that they are provided with sufficient information to support the people living at the home and that support plans are reviewed Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 10 monthly and changes identified and actioned. People have designated key workers for continuity of care and all staff spoken with had a good understanding of the needs of the people they support. Guidelines for the management of behaviours that challenge were available and these had been developed by an external agency responsible for delivering training in physical intervention. It was reported that one person’s behaviours have significantly reduced and during the inspection he was supported to attend a medication review with the local team. People living at Nine Elms Lane have a range of diverse needs however there was evidence that people are supported to make decisions as much as is possible. Records evidence that people are allocated ‘Talk Time’ sessions with their designated key worker; who is also responsible for representing individuals living at the home. The manager is hoping to source advocacy input for the people who do not have family representation. A range of risk assessments to enable people to take reasonable risks were available on both files examined and covered personal care, activities, community and the environment with evidence of review. Nine Elms Lane DS0000017190.V342040.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are supported to develop their life, social and educational skills. They are helped and encouraged to keep in contact with their family and friends and are provided with a balanced diet in accordance with their personal preferences. EVIDENCE: The people living at the home are unable to access opportunities for paid employment or work experience due to their level of needs however three people were out attending day services and all but one person was supported to access the community during the inspection either through walking to the shops or using public transport. None of these people were able to express their needs verbally but appeared to enjoy themselves and staff was seen to engage with them appropriately. Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 12 It was reported that six people had been on holiday and a number of day trips had been arranged for one person who was unable to go on holiday. Feedback received through discussions with staff and surveys indicated that an increase of staffing levels particularly of a weekend and evening would provide greater opportunities for people to access the community. Four people have active family involvement and one person was having an overnight stay with family at the time of the inspection. All family contact is recorded and the home has received a number of compliments through thank you cards and surveys received since the last inspection. Records examined evidenced that routines are flexible and one person was enjoying a lie on of the morning of the inspection. People are encouraged to assist with housekeeping tasks as much as their needs allow if they are unable to do so this was seen evidenced in their support plan. Pictorial menus have been developed to assist service users with menu planning. It was reported that a people are supported to help with food shopping. The menu seen offered choice and records evidence that individuals with special dietary needs are catered for. Since the last inspection the home has been awarded a four-star hygiene rating from Environmental Health for its high standards and compliance with food safety legislation. Nine Elms Lane DS0000017190.V342040.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. The home has a satisfactory system of handling, storing and managing medication, which safeguards the people who use the service. EVIDENCE: Preferences in relation to support requirements were available on both files examined and health appointments and outcomes were documented. People looked well presented and staff were seen to respect peoples privacy and dignity during the inspection. The manager was seen to knock on bedrooms doors during the tour of the home. Records reviewed evidenced that referrals are made as appropriate to the local learning disability team and people are supported to attend NHS Healthcare facilities. As previously stated on person was supported to attend a medication review during the inspection and on arrival back to the home the manager was Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 14 briefed regarding the outcome of the appointment. Since the last inspection Health Action Plans have been undertaken for all people living at the home. Medication procedures appeared satisfactory at the time of the inspection. Only qualified staff are authorised to administer medication. The manager was able to demonstrate a clear understanding of her role and responsibilities in relation to how this is managed. It was stated that the manager and one other staff has attended training in the management of medication with external consultants and that on-going staff competency assessments are planned shortly. Protocols were available for individuals requiring PRN medication and information and side effects of medication readily available. The manager stated that the home has developed positive working relationships with the dispensing pharmacist. Nine Elms Lane DS0000017190.V342040.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service and their representatives have access to a complaints procedure to express their views. Appropriate procedures are in place to safeguard service users from potential abuse. EVIDENCE: A complaints procedure was readily available at the home in addition to a complaints log. No complaints were found recorded and confirmed by the manager. No concerns or complaints relating to this service have been referred to CSCI. The home has received nine compliments since the last inspection expressing gratitude for care, holidays and gifts. The manager reported that a copy of the local safeguarding adults policy and procedure is available on disk however this is not readily available to staff. Six staff have been nominated to attend training in adult protection. The manager reported that the organisations policy and procedure refers to the local policy and agreed to discuss this during a team meeting to ensure all staff are familiar with the process. The manager stated that she has previous experience of the procedure and confirmed that no referrals have been made under these procedures since the last inspection. Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 16 It was reported that physical intervention is rarely used however staff receive the necessary training and refreshers as required. The organisation has financial procedures in place to ensure people who use the service and the staff are safeguarded. Staff spoken with were satisfied with the procedures in place. Records seen evidence that the manager undertakes regular audits of monies haled on beheld of service users. Finances are also randomly checked as part of Regulation 26 monthly visits. Nine Elms Lane DS0000017190.V342040.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people who use the service are provided with a clean and comfortable home to live. EVIDENCE: A full tour of the home was undertaken accompanied by the manager. Accommodation includes a lounge, dining room, a kitchen and one bedroom on the ground floor and six bedrooms on the first floor. A passenger lift is also available. A number of rooms have been redecorated and new furniture purchased for the lounge and dining room. Some windows have also been replaced since the last inspection. The dining room is need of redecoration and funding has been recently approved. Feedback received during the inspection indicated that the carpet in the lounge and dining room is in need of replacement as it gets heavily stained. Bedrooms have been personalised and reflect individuality. Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 18 The home was found clean and tidy during this unannounced inspection. Procedures for infection control are in place and the manager reported that staff receive training in these procedures. Substances hazardous to health were found appropriately stored and assessments for products used readily available. Nine Elms Lane DS0000017190.V342040.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service are supported by a trained, committed staff team and are safeguarded by the homes recruitment procedures. EVIDENCE: Throughout the inspection staff were seen to engage with service users in a positive manner and they demonstrated a good understanding of the needs of the people they support. The team consists of a manager, three qualified nurses and seven support staff. Shifts during the day are covered by one qualified nurse and three support workers. Staff reported that during weekends, evenings and day service closures it is difficult to get people out into the community with the current resources provided, as three people require 2:1 in the community. It was stated that five support staff hold an NVQ qualification and that a qualified nurse has recently completed the Registered Managers Award, which was self funded. It was reported that the home was successful in obtaining free funding Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 20 for NVQ awards which staff were keen to undertake however this was turned down by the organisation due to registration costs. One staff member spoken with stated ‘I have my NVQ level 2 but would love to do level 3’. The home has one deputy manager vacancy and one support worker vacancy, which is being covered by a bank staff. Discussions held and records seen evidence that agency staff are rarely used. One staff member has been dismissed since the last inspection and CSCI was notified as required by Regulation. Recruitment procedures were discussed with the manager and it was reported that since the last inspection one member of staff has been appointed. The personnel file was examined, found well presented and contained all the documentation as required by Schedule 2 of The Care Homes Regulations, as amended. The file contained evidence of induction and formal supervision. Discussions held with the manager and staff on duty indicated that training opportunities are identified through supervision, team meetings and the changing needs of service users. It was stated that the trainers provided by the organisation are ‘good and thorough’. However records seen indicate there are insufficient places available for staff requiring training. The manager was clearly able to evidence that she has nominated staff to attend specific training however availability of places is very limited. Records evidence that staff have attended the majority of training required but were in need of training in food hygiene and adult protection. Some staff have received training in makaton and empowerment since the last inspection. Staff spoken with during the inspection reported that they are in receipt of formal supervision and have received an appraisal as required by the previous inspection. Team meetings are also held and minutes of meetings available. Nine Elms Lane DS0000017190.V342040.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is effectively managed, aspects of performance are reviewed and the health and safety of service users and staff promoted. EVIDENCE: Mrs Catherine Johnston is the manager of the home and since the last inspection an application to become registered manager has been approved by CSCI. She is a registered nurse in learning disabilities and has obtained NVQ 4 in Care and recently completed the Registered Managers Award. Discussions held with the manager evidence that since the last inspection she has undertaken a number of additional training courses appropriate to her role. The inspector spoke with four staff and a student nurse during the inspection and comments about how the service is managed were extremely positive. Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 22 Staff stated ‘The manager is very approachable, fair and supportive, she is great and changed this place so much for the better’. ‘The manager is very supportive and service user focused, I love it here and we are a great team’. A Quality Assurance audit was undertaken by the organisation in November 2006 and a number of recommendations were made that the manager has acted upon. Monthly visits and reports required by Regulation 26 were available and a senior manager visited the home to undertake a Regulation 26 visit during the inspection. Surveys were distributed to service users, families and staff and a summary of the findings dated 4.1.07 and action taken was available. All of the feedback was generally positive and surveys evidenced that all people are happy with the way the service is being managed. An annual development plan has been developed as required by the previous inspection. The manager completed a form (AQAA) about the service and sent this information to CSCI, which identifies the strengths and areas for improvement. All records required by regulation were found organised and well presented. Caretech has introduced new paperwork since the last inspection. The manager committed to ensuring all personal details on service user files were updated to reflect any changes in important information to include General practitioner, current medication etc. Health and Safety procedures were generally satisfactory at the time of the inspection. Service certificates and health and safety files were found well organised. The manager undertakes a monthly health and safety audit and records are available. Staff spoken with confirmed they are in receipt of training in safe working practices and shortfalls have been identified and training booked for example, food hygiene. Risk assessments for safe working practices were available and reviewed. A risk assessment has also been undertaken for an external gas pipe on the front of the building, which either requires relocating or effectively covered as it currently poses a risk. Radiators in service users bedrooms cannot be adjusted and temperatures are excessive which also requires addressing. Maintenance requests have been submitted. It was reported that difficulties have been experienced with maintenance following the change over to Caretech. Nine Elms Lane DS0000017190.V342040.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 3 2 x 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 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 4 3 x 3 3 x Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 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. Standard Regulation Requirement Timescale for action 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 YA35 Good Practice Recommendations It is recommended that staff receive service specific training to include older peoples needs, dementia, sensory impairment, autism and makaton to support the needs of the current people accommodated and that new staff receive training in safe working practices at the earliest opportunity. It is recommended that staff receive training in people handling and food hygiene as soon as possible. It is recommended that outstanding maintenance works be carried out as soon as possible for the safety of service users and staff. 2 3 YA42 YA42 Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Nine Elms Lane DS0000017190.V342040.R01.S.doc Version 5.2 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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