Inspection on 10/10/06 for Oaklea

This inspection was carried out on 10th October 2006.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaklea 16/10/07

Oaklea 28/09/05

Similar services:

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Oaklea 29 Oak Road Woolston Southampton Hampshire SO19 9BQ Lead Inspector Richard Slimm Unannounced Inspection 10 October 2006 10:00 th Oaklea DS0000063436.V309109.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 Oaklea DS0000063436.V309109.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. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oaklea Address 29 Oak Road Woolston Southampton Hampshire SO19 9BQ 023 8044 6451 023 8044 6451 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) In Chorus Limited Ms Kathryn Amelia Bennett Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be accommodated between the ages of 18 and 65. Date of last inspection 28th September 2005 Brief Description of the Service: Oaklea was registered in April 2005 to provide care and support to 6 younger adults who have Autistic spectrum disorders and any associated learning disability. The home is situated in a residential area of Woolston, close to Woolston shopping centre and other local amenities. The area is well served by public transport with frequent buses to and from Southampton city centre. The home also has its own transport. The home is a detached former family home that is undistinguishable from other homes in the area. Accommodation is spread across two floors and consists of six single bedrooms all with en suite toilets. Service users also have access to a lounge, dining room, kitchen/diner and two bathrooms, a shower room a small private garden leading to a large garage. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site inspection visit to the home took place between the hours of 11.00 and 17.00 hrs on the 10th October 2006. This site visit was the culmination of pre-field work activities including – • A full review of the history of the service since registration • Gathering information from a variety of professional sources, including • The Commission’s database • Pre-inspection information provided by the service • Contacts with families and other external stakeholders • Linking with previous inspectors who have had input into the service • Analysing feedback provided by service users and other stakeholders This was a key inspection, under “ Inspecting for Better Lives” (IBL) being part of a new inspection programme, which measures the service against the core and/or key national minimum standards. IBL aims to place service users at the centre of the regulatory process. Richard Slimm as lead inspector carried out the visit. While in the home the inspector was able to meet 4 of the 5 residents accommodated, in addition to carrying out case tracking with service users. Additional paper work where necessary was reviewed, a tour of the premises took place, and the manager, assisted throughout the process. The inspector met several staff members, interviewing one in some depth. The Director of In Chorus attended the home to hear feedback at the end of the day. What the service does well: What has improved since the last inspection? Nine requirements were made in the report dated 28th September 2005. These were reviewed and the service had complied with these requirements. Action had been taken to – Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 6 • • • • • • • • • Ensure all service users had been issued with contracts or terms and conditions. These were in formats appropriate to service users needs. Care plans and associated risk assessments were being reviewed and updated regularly Service users had been issued with a copy of the homes complaints procedure in a format appropriate to their needs. Accurate written record is kept of all money or other valuables looked after for Service users. All service users are provided with lockable storage facilities in their rooms. Staff do not commence work at the home until all satisfactory checks have been made in line with the regulations. Criminal Records Bureau checks and a check against the Protection of Vulnerable Adults list (POVA) are made for any staff member employed. Records as specified in Schedule 3 to the regulations are kept in the home. Checks are carried out on fire fighting equipment and fire precautions in line with the recommendations of the Chief Fire Officer. 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. Oaklea DS0000063436.V309109.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 Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home operates a clear admission and assessment procedure ensuring that the home is suitable and able to meet peoples’ needs prior to them moving in. The home appeared responsive to service users needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Trained and qualified staff assesses all prospective residents. All residents accommodated had been assessed, and these assessments were regularly updated when needed via systems of review. Residents have current allocated social workers, and all of the residents have regular contact with members of their families, consequently they have access to family or social work support when needed. Systems of assessment were found to be comprehensive and covered areas of personal need, as well as personal aspirations, including likes and dislikes. Assessments had and continue to inform care-planning systems that are developing a person centred approach. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-7-9 Service users and their advocates know that changing needs and personal goals are assessed and reflected in personal plans of care and support. Service users are supported to make decisions about their lives, activities and goals with the appropriate level of support and assistance when needed. Service users are supported to take risks as part of promoting an independent lifestyle. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector carried out a case tracking exercise with two of the five residents. Residents’ files provided evidence of significant inputs in the area of personal support. Care plans were comprehensive and individualised. Staff members were found to have a good understanding of the needs and wishes of the residents’. Given the high support needs of the service users, records were maintained in some detail, with clear guidance in such areas as communication skills. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 10 One more able service user is still settling into the service, and is receiving monthly reviews at the home including input by a social worker, and close liaison with the family of the resident. Future reviews will need to take account of the views of the service user, who feels there is a significant age and skill gap for him at the home. Current care planning systems should be able to put the resident at the centre of all interventions in line with person centred planning. However, the use of external, independent advocacy will make the monitoring of person centred outcomes more accurate, and relevant for the people using the service. All residents have good regular access to family members and loved ones as well as access to professional representation when needed. Two parents told the inspector that they had been heavily involved in finding the home for their son and were in general happy that the quality of service being provided at the home which was better than many they had seen. Their son was still settling at the home, and may be seeking alternative arrangements within an alternative service to be set up by the provider. The professional social worker involved with the placement was positive about the quality of the overall care package and the organisation In Chorus. There was evidence of residents being enabled to be involved in decision about their lives, and staff adopting quite innovative ways of facilitating this. Residents were being routinely encouraged and supported to make their own meals and drinks, and to be involved in the running of their home on a daily basis. Residents’ behaviour during the visit provided evidence that they felt at home and safe, and were being provided with opportunities to develop and improve daily living skills. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-13-15-16-17 Residents are provided with a range of opportunities for personal development. Staff members are involved in supporting residents’ with tasks of daily living where needed. Day service support external to the home is being withheld to one service user because of the admission criteria put in place by the service provider a local social services department. However, residents are encouraged and supported to be and feel part of their local community by the efforts of the home staff. These opportunities are as far as possible facilitated in mainstream facilties. Service users are supported to become involved in a wide range of activities and leisure outlets within integrated settings, including some service users who like to attend a local night-club. The service provides a motor vehicle for the use of residents, aiding access to a wider range of social activities away from the home. Efforts are made to promote residents’ rights and responsibilities, and to ensure these are recognised in their daily lives. There was evidence that residents could be provided with external advocacy to validate person centred Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 12 planning and to quality assure pro-active listening to service users with communication difficulties. Service users are offered a full varied, healthy and nutritious diet. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four residents are under 21 years of age, with one person in their mid-thirties. This poses challenges for the staff team in a number of ways. The younger residents like to engage in activities relevant to their interests, and having recently moved on from their parental family homes some may still need support to find and sustain age appropriate interests and activities. This is clearly beginning to happen with a number of residents being supported to go out to a local night-club. The younger residents’ are also encouraged and supported to play football in a local recreation park. An older resident felt left out sometimes due to an age gap, a pronounced skill gap and some physical impairment not shared by other service users. However, residents did tell the inspector that they enjoyed access to the local community and taking part in leisure activities such as swimming and using the local library. One resident, while having limited language skills was able to affirm that he liked living at the home, enjoyed his time there and liked the staff members who supported home. Residents confirmed that they were free to receive visitors as and when they pleased and keep in contact with friends and family. All visitors who returned a comment card agreed with this. Two visiting parents also confirmed that they could visit when they liked. The home provides residents with access to a cordless phone free of charge so that they can make and receive calls in private and also have free Internet access, enabling them to keep in touch by email, as well as use and learn new computer skills. Residents felt that their privacy was respected and said that staff always knocked their doors and waited to be invited in. This was also observed during the visit. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 13 There was evidence that residents were encouraged and supported to pursue their own interests and this was further reflected in the variety and range of equipment that they had in their personal bedrooms. Residents said that they were happy with the food provided in the home and that snacks and drinks were available as required. All residents take turns to be involved in cooking. This is currently organised around their lifestyles and daily activities and while residents appear to be happy with the level of support that they received, the service may wish to look at how these arrangements could potentially be more individual in line with person centred planning. Communal main menus are discussed and agreed by the resident group at the weekly house meeting. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-19-20 Service users are supported in ways that they prefer. Physical and emotional health care needs are assessed, care plans are developed and action taken to meet theses needs as required. Service users would be supported to retain their own medications based on the outcome of risk assessment, however, due to the current needs of the service user group all in receipt of medications require staff input to assist in the administration and control of those medications. The service has clear policies, procedures and guidance for staff working with clients and their medications, and staff members receive appropriate training and support to promote safe practices. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual plans of care and support identify residents’ personal care support needs, and each resident’s own preferences in such areas as personal care. Staff members spoken to had a good understanding of the needs and wishes of Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 15 residents who they support on a daily basis, some residents with little verbal communication. Staff members also demonstrated an understanding of how residents communicate. Residents were observed to be relaxed and contented around those staff members on duty. Plans of care and support highlighted healthcare issues when relevant and both local GP and more specialist health services are made available based on the assessed needs of the resident concerned. Records provided evidence of regular monitoring of each person health care needs. Residents on regular medical prescriptions need support with the administration and control of their personal medications. Storage of these medications is in the lockable office within secure drug cupboards. The organisation has clear guidance for staff members involved in any aspect of administering service users medication, and staff members spoken to confirmed they had received training in this area of care/support working. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 The service has a clear complaints procedure. This can be made available to residents in formats that can more easily be explained. Records of monies and valuables held on behalf of some residents are accurate and up to date. Service users are protected from abuse, neglect and self-harm. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There had been no formal complaints made about the service since it was registered. The manager is aware of the need to make full records of any concerns or complaints brought to her attention. User friendly complaints procedures have been developed at the home. One resident was able to demonstrate an awareness of how to make a complaint or concern known, and who to speak to about such issues. Staff were able to demonstrate an awareness of what to do in the event of identifying any adult protection issues at the home. The manager was aware of the local adult protection procedures. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 17 Action had been taken since the last inspection to improve the recording of service users monies and/or valuables wherever the staff are involved in this particular aspect of a residents’ life. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 Service users live in a homely, comfortable, safe, clean and hygienic environment. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The house is sited in a residential area of Southampton, close to local facilities. The house is not distinguishable from any other home in the locality, and does not stick out in any way as different. Accommodation throughout the home is maintained to a good standard, and provides a valuing environment to the inhabitants. Service users are all involved in the daily running of their home, and are supported to carry out housekeeping tasks by dedicated staff members. Residents are supported to make their own drinks, and to prepare their own snack meals throughout the day. The main meal is currently communal, and residents are encouraged to take this meal together as a group. Arrangements for the menus at the home are discussed in weekly resident meetings. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 19 As individual resident skills develop, it may be possible to move to a more person centred approach in this area, in consultation with the residents accommodated. All bedrooms are single with en suite WC and sink facilities. There is one communal shower and two communal baths. Thus should a resident prefer to take a bath, rather than a shower, or visa versa this choice is available to them. Each resident had been encouraged and enabled to personalise their own bedrooms, which reflected each individual’s interests and character. From observations of some activities, books in communal areas and some possessions there was evidence that some residents may benefit from increased support and encouragement in the area of age appropriateness. This is a sensitive issue and will need to be dealt with gently and discreetly as part of a person centred approach. On a more positive note younger residents were being encouraged to take part in activities that were age appropriate with staff support. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32-34-35 The service fails to meet the national benchmark for a minimum of 50 qualified staff. The organisation applies staff selection and recruitment procedures that protect residents. There is a need to formalise staff team training and qualifications at the home. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre-inspection questionnaire declared that only 16 of the staff team have achieved NVQ 2 qualifications. However, there are plans for all permanent staff members to be trained to NVQ level 3 including the “Learning Disability Award Framework”. The commission looks forward to monitoring these improvements during future visits, and will be seeking clarification as to timescales for meeting this standard in this report. Staff members spoken to said they were well supported at the home, by both the manager and the organisation In Chorus. Staff confirmed that they were interviewed, had completed application forms, that references had been taken Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 21 up and police and POVA checks carried out prior to employment. The inspector saw a sample of records that confirmed the above. The organisation provides staff with in-house training courses, and is currently seeking accreditation for becoming an Autism specific service. The provider may wish to seek a specific condition to the services registration to identify this specialism to prospective service users and commissioners. At the time of this site visit staff had not been provided with training to address potential behaviours that may challenge the service and potentially put people at risk. Such training may be needed in order to ensure the service is being pro-active in this area, given the needs of the service user group. It was noted that currently such issues have not arisen. Each resident has an identified staff member who key works with the resident concerned. Staff members spoken to were able to demonstrate an awareness of adult protection issues, and how to identify potential areas of abuse. Residents were observed to be relaxed and at ease around staff members on duty during the site visit. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37-39-42 Service users benefit from a home that is well run. As person centred planning develops at the service there will be increased opportunity to involve service users in the review and development of service at their home. Arrangements are in place to promote and monitor the health and safety of service users and staff members/relevant others. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is currently involved in obtaining the NVQ level 4 qualifications with the Registered Managers Award. There was evidence that the manager relates well to the staff team and the residents. Staff members confirmed that they felt well supported and valued by the organisation and the Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 23 manager. Residents appeared relaxed in the company of the manager, and responded well to verbal prompts. A sample of records relevant to the running and quality assurance of the service were inspected and appeared to promote best practice. Arrangements and systems were in place to promote health and safety in the home. The manager provides supervision sessions to individual staff, and this was confirmed by staff and by records. The manager also ensures that staff members are aware of the homes operational policies and procedures. The degree to which service users are involved in the ongoing review and development of policies and procedures is currently unclear, but the manager, staff team and the organisation are keen to rise to the challenge of promoting greater service users say and involvement in the home’s future. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 24 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 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 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 3 X 3 X X 3 X Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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 YA32 YA35 Regulation 18 Requirement The registered person must provide the CSCI with clear timescales identifying when a minimum of 50 of staff will be trained to NVQ standards. Timescale for action 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA1 YA3 Good Practice Recommendations The registered persons may wish to add specific detailed information to the services statement of purpose to identify the service as an autism specific provision. It is recommended that the staff team, manager and advocates of service users consider ways to further develop and enhance age appropriate outlets and expressions for and with service users. It is recommended that the staff team receive training in strategies for crisis intervention and prevention (SCIP / Breakaway) or other accredited training of the type to address behaviours that challenge the service. Develop methods to link person centred planning and advocacy at the service to involving service users in the ongoing review and development of the home and it’s DS0000063436.V309109.R01.S.doc Version 5.2 Page 26 3 YA32 YA35 4 YA39 Oaklea policies and procedures. Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Oaklea DS0000063436.V309109.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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