Inspection on 09/07/07 for Norwood Trust Limited

This inspection was carried out on 9th July 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 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Norwood Trust Limited 05/10/06

Norwood Trust Limited 10/11/05

Norwood Trust Limited 27/04/05

Norwood Trust Limited 10/11/04

Norwood Trust Limited 20/07/04

Norwood Trust Limited 04/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Norwood Trust Limited 21 Arkwright Road Marple Stockport Cheshire SK6 7DB Lead Inspector Mrs Fiona Bryan Unannounced Inspection 9th July 2007 11.45 Norwood Trust Limited DS0000008570.V343905.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 Norwood Trust Limited DS0000008570.V343905.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. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Norwood Trust Limited Address 21 Arkwright Road Marple Stockport Cheshire SK6 7DB 0161-449 0391 NO FAX norwood.trust@hotmail.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) Norwood Trust Limited Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 14 LD. Date of last inspection 5th October 2006 Brief Description of the Service: The Norwood Trust was established in 1985 and is a registered charity. Norwood is a care home providing personal care and accommodation for 14 adults, between the ages of 32 and 62 years, with a learning disability, ten of whom are accommodated in the main house and four who lead semiindependent lives in a purpose built bungalow in the grounds. Norwood is a large, Victorian, semi-detached house with a purpose-built bungalow at the rear of the property. Both buildings are furnished and maintained in a homely manner and are suitable to meet the needs of the current service users. The main accommodation consists of eight single bedrooms, one shared bedroom, two lounges, dining room, kitchen, laundry and bathrooms. All the bedrooms are located on the two upper floors. There is no lift and the stairs to the second floor are particularly steep. The bungalow consists of four single bedrooms, lounge and separate dining kitchen, two toilets and a bathroom. The home is located in the Marple area of Stockport. The village centre, which is approximately a ten to 15 minute walk away, has a wide variety of shops, banks and a post office, as well as a cinema, restaurants and swimming pool. A regular bus service (with a stop outside the home) is in operation. The train station is a short distance from the property. The fee structure at the home commences at £340 with the current highest fee being £350. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection, which included a site visit, took place on Monday, 9th July 2007. The manager was not told beforehand of the inspection visit. All key inspection standards were assessed at the site visit and information was taken from various sources which included talking with people who live at the home, the manager and other members of the staff team. We asked the manager to complete a form (Annual Quality Assurance Assessment) telling us what they think they do well, and what they need to improve upon. This information was used in this inspection. Three people were looked at in detail, looking at their experience of the home from their admission to the present day. A tour of the building was conducted and a selection of staff and care records was examined, including medication records, employment and training records and staff duty rotas. Before the site visit, satisfaction surveys were sent to residents and relatives of people living at the home. Nine people responded and their views have been included in this report. Since the last inspection a new manager has been appointed who is in the process of applying for registration with the CSCI. What the service does well: Norwood is a very friendly, homely place and residents said they liked living there. Everyone spoken to or who returned surveys said that staff were supportive and helpful and encouraged residents to make choices about their own lives. Comments from residents and relatives included, “I cannot fault them. We discuss any important issues if necessary. My son is very happy there”, “Staff relate to the residents and talk to them as equals, they always have time for them; they (the residents) are never shut out”, “The main thing is the super atmosphere and comfortable homely feeling at Norwood”, “Norwood wins hands down on friendship and companionship” and “They make Norwood a home. There is always a good atmosphere whenever you visit”. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 6 People are treated as individuals and are able to spend time doing things that interest them. Residents said they had plenty to do and did not get bored. Residents were able to make friends with people living outside the home and had a good social life. 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. The summary of this inspection report can be made available in other formats on request. Norwood Trust Limited DS0000008570.V343905.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 Norwood Trust Limited DS0000008570.V343905.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): 2 Quality in this outcome area is good. People are assessed before they come into Norwood to ensure that the home can meet their needs. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: No new residents had been admitted to the home since the last inspection. The home’s policy for assessment of new residents remains unchanged and was satisfactory at the last inspection. Prior to the site visit, surveys were sent to residents of Norwood Trust and their relatives. Nine people responded. Several of these confirmed that residents had been involved in the decision to live at the home and some had stayed at the home overnight and had meals at the home to get to know the staff and other residents first. Norwood Trust Limited DS0000008570.V343905.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. People are supported to make decisions about their lives; care plans could better reflect the work that is done with residents. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Three care files were looked at in detail. All had care plans which outlined people’s basic care needs; however staff should work on making them more detailed to give more information about the resident’s daily routine, preferences and abilities. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 10 Care plans tended to be quite limited, for example, the care plan for one resident regarding their weight and diet only stated that the aim was to ensure the correct weight was maintained. There was no further information about what may constitute a suitable weight for the resident or how staff were to monitor this. Also, this resident did have some dietary restrictions, which were not specified on the care plan. A survey returned from a relative of this resident said that, on occasions, the resident had been given prohibited drinks, as the resident had not told new staff that they did not have those drinks. Although the relative had said this was not generally a problem, if the care plan contained more detail, new staff would not have to rely on the residents telling them what their care needs were, which could be problematic if there are communication difficulties. Some residents had care plan objectives but these were not always reviewed or dated, so it was not possible to tell if the objectives had been achieved. The manager acknowledged that care plans could be more detailed in order to provide an accurate record of the care required and delivered for each person living at the home. For many of the residents no formal reviews had been undertaken of their care plans for some time. The manager said that this was because social services had not allocated care managers for the residents. Staff at the home had started to undertake their own reviews but the records of these were again very basic, for example, just stating that there were no major problems. The manager said that recently care managers from the Learning Disabilities team had been allocated and had started to undertake formal reviews – several were booked in for the week of the inspection. Although the care plans were not as good as they could have been, this appeared to have little impact on the outcomes for the residents. Each resident had a key worker and one resident who was asked knew who his key worker was. A relative who returned a survey said, “The key workers are just that – they take a personal interest in promoting the opportunities for each one to live the life they enjoy”. All the residents and relatives who returned surveys said that they were able to and supported to make decisions about their lives. It was confirmed that staff listened to the residents and usually acted on what they said. One person commented, “I cannot fault them. We discuss any important issues if necessary. My son is very happy there”. Another person commented, “Staff assess individual needs and act upon changes accordingly”. Norwood Trust Limited DS0000008570.V343905.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, 15, 16 and 17 Quality in this outcome area is good. Residents are supported to develop their life skills and the social, educational, cultural and recreational activities provided by the home meet their expectations. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: On the day of the site visit several residents were out working; the majority of residents work for a few days a week, helping the park wardens at Etherow Park or working at Sanderlings, where employment opportunities are provided for people with learning disabilities. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 12 Residents said that about three evenings a week they attended Glengarth social club where they were able to learn new skills, such as cooking, woodwork, ICT and swimming. Residents said they enjoyed the disco night there once a week and had a barbecue there the previous week. One resident had just received achievement certificates in swimming, woodwork and furniture restoration and staff were going to frame them for him to display in his bedroom. Residents were sat in the lounge watching a DVD of a play that one of the residents had been involved in last year. This resident was very excited as he was appearing in a new play the following week at The Guildhall in Stockport. Whilst the inspector was talking with the manager, one of the residents came and said they were going to go for a walk with another resident and the manager asked if they could post some letters for her. A conversation was held about a film the resident had been to see at the local cinema the previous day. Interactions between staff and residents were observed to be very friendly and respectful and it was clear that there was mutual affection and warmth. Residents said that they were looking forward to going on holiday to Blackpool in September. One relative was especially impressed with the equipment that was provided for individual residents according to their interests, for example, karaoke equipment and DVD players. Relatives who returned surveys confirmed that they were able to visit at any time and several also said that the residents went back to the family home at their request. Relatives said that the home always kept in touch with them and kept them up to date with important issues. During the site visit residents were given sandwiches, crisps and yoghurts for lunch. The main meal of the day is made at teatime when the residents who are working that day come home. Residents said they liked the food provided and were able to ask for particular meals to be made. Residents usually helped with the weekly shopping. Norwood Trust Limited DS0000008570.V343905.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. The health and personal care that people receive is based on their individual needs. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Records and archived letters confirmed that residents regularly see podiatrists, dentists and their GP’s. Proactive measures are taken to promote and maintain residents’ health, such as ensuring that flu vaccinations are offered. Where necessary, residents are accompanied for hospital visits and several have routine blood tests to monitor health and medication issues. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 14 The manager said that two members of staff always dispense medicines. A selection of medicine administration records were examined, which were generally satisfactory, although staff must make sure they sign the records to confirm that medicines have been received into the home in the quantities that are stated. Some residents are self-medicating. Although risk assessments had been undertaken to ensure that the residents had the capabilities to manage their own medicines, one that was read had not been reviewed for over a year. It would be advisable to review the risk assessments more often than this to ensure that residents are still able to manage their medicines without difficulty. None of the residents were prescribed controlled medicines, so no stock was held of these. One of the relatives who returned a survey commented, “The residents are all clean, happy and well fed. Medication is given accurately and all health needs are addressed”. All the people who responded by survey said that staff treated them well and usually listened and acted on what they said. Norwood Trust Limited DS0000008570.V343905.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. Residents have access to the home’s complaints procedure and are protected from abuse. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home has a complaints procedure, which the manager said had recently been sent to all the residents’ representatives. Relatives who returned surveys said that they were aware of the complaints procedure and were confident that the manager would deal with any concerns properly. As at the last inspection, adult protection procedures continue to be in place. There have been no allegations of abuse. Most staff have undertaken adult protection training or are awaiting training with the local authority. It was noted from the care files that staff were conscientious in recording any bruising or marks that residents sustained. This is good practice as it helps staff to identify early any signs of abuse. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 16 One relative said that the person they visited who was resident at Norwood, went home every 2-3 weeks but was “always ready and willing to return to Norwood”. Norwood Trust Limited DS0000008570.V343905.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): 24 and 30 Quality in this outcome area is good. Residents live in a safe, clean and comfortable environment. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: On the day of the site visit the home was clean and generally tidy, apart from things like a couple of coffee cups and an empty yoghurt pot lying on the floor that had not yet been tidied away. These things, the normal mess that a family makes, showed that residents could relax and treat the house as a proper home. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 18 In the main house, several residents sat in one of the lounges and looked very relaxed and “at home”, lounging on the comfortable settees and chairs and watching TV. Both lounges were spacious and bright. The large windows made the rooms feel airy and fresh. At lunchtime the residents who were in went to eat in the dining room; another large and airy room, leading through to a big kitchen containing all the usual appliances to cater for the residents. Bedrooms were very personalised and reflected the individual tastes and interests of the occupants. One of the residents said that his key worker was decorating a new bedroom for him in the bungalow and was keen to show the inspector the Manchester United wallpaper he had chosen. Between the main house and the bungalow a lovely, private garden provided outdoor space for the residents to enjoy. A range of garden furniture and benches were available. One of the residents was in the aviary and the manager pointed out a barbecue area that was used in good weather. Relatives and residents who returned surveys said the home was always fresh and clean, one commenting that it was a “very comfortable residence”. Norwood Trust Limited DS0000008570.V343905.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, 34 and 35 Quality in this outcome area is adequate. Deficient recruitment and induction procedures provide a risk that unsuitable staff may be employed who may not be properly trained to meet the needs of the residents and the service the home offers. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Since the last inspection only one new member of staff had been appointed. Examination of their personnel file showed that whilst one reference had been obtained, a reference from the person’s last employer was not available. The manager said she thought it had been obtained but was unable to locate it on the day of the site visit. It was requested that the reference be sent to the inspector when it was found but this had not been received at the time of writing this report. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 20 Although new induction booklets had been obtained since the last inspection, which were in line with Skills for Care specifications, the new member of staff had not commenced working through this booklet, despite having been working at the home since the beginning of May 2007. The manager said that the new employee’s induction had consisted of her “shadowing” other members of staff but said that formal training in health and safety procedures, such as moving and handling and fire safety, had yet to be arranged. The manager acknowledged that the procedures for the recruitment and induction of staff had not really changed or improved since the last inspection and the requirement made at that time has not been met. Despite the shortfalls above, there was no evidence that unsuitable staff were working at the home and the new member of staff did have a CRB and a POVA first had been obtained before she started working at the home. The residents all liked the staff and relatives who returned surveys said that residents were happy at the home and that staff communicated well with them. One relative said, “As a team they (staff) have the right skills to deal with my son. He is very happy and has good relationships with the staff”. Another relative said, “Staff relate to the residents and talk to them as equals, they always have time for them; they are never shut out”. A chart on the wall in the manager’s office showed that most staff had received supervision once or twice this year, which was an improvement from the last inspection. The manager said that during supervision staff had the opportunity to discuss training needs and the home’s policies and procedures were reviewed. Regular staff meetings are held and the minutes of these were available. Three staff are currently undertaking LDAF training and certificates were available to show that some staff had attended training in fire awareness, first aid and the safe management of medicines, since the last inspection. From information provided by the manager prior to the site visit, it was reported that of 17 permanent care staff working at the home, ten are qualified to NVQ level 2 or above. However, there were no proper records of what staff training had been undertaken or was planned for the forthcoming year. Norwood Trust Limited DS0000008570.V343905.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, 39, 40 and 42 Quality in this outcome area is adequate. Management systems need to be more rigorous to ensure that policies and procedures set up for the protection and promotion of residents’ health and welfare are adhered to. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Since the last inspection the previous manager has retired from his position, although he still continues to work a number of hours at the home. The new manager is in the process of applying to be registered with the CSCI but is due to take maternity leave in the near future. Arrangements have been made to cover the managerial aspects of the home in the manager’s absence. Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 22 Since the last inspection there have been no changes in respect of quality assurance procedures and residents felt that they were able to state their views about the home. Comments from the surveys received from relatives and residents included, “Norwood is an example of a very well run organised and comfortable home for the residents and I consider it to be very suitable for the people who live there who have other people around them and relate to each other as their family”, “they make Norwood a home” and “there is always a good atmosphere whenever you visit”. The overall outcomes for people living at the home were satisfactory but more attention needs to be given to the written records and recruitment procedures to ensure that residents are protected from abuse and new staff have the knowledge to meet their needs. It was of concern that the shortfalls in recruitment that were identified at the last inspection had not been addressed and this issue plus other areas for improvement need to be developed when the manager returns from maternity leave. Norwood Trust Limited DS0000008570.V343905.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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 2 X 3 X Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA34 Regulation 19 Requirement The registered person must ensure that robust recruitment and selection procedures are in place and followed at all times. (Timescale of 06/10/06 not met). Timescale for action 31/08/07 Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 25 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 YA6 Good Practice Recommendations The registered person should ensure that care plans are as detailed as possible to give an accurate record of the care needs and routines of each resident and the care delivered by staff. The registered person should ensure that risk assessments are reviewed at least annually for residents who manage their own medicines. The registered person should ensure that all staff complete induction training and initial mandatory training to meet their employment roles and responsibilities. The registered person should ensure that training and development plans record long term and ongoing training to verify employees have the skills to support service users with a learning disability. 2 3 4 YA20 YA35 YA35 Norwood Trust Limited DS0000008570.V343905.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Norwood Trust Limited DS0000008570.V343905.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!