Inspection on 21/09/05 for Oakwood Court

This inspection was carried out on 21st September 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oakwood Court 14/07/08

Oakwood Court 05/09/07

Oakwood Court 26/09/06

Oakwood Court 09/02/06

Oakwood Court 11/11/04

Oakwood Court 15/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Oakwood Court 7-9 Oak Park Villas Dawlish Devon EX7 0DE Lead Inspector Sam Sly Announced 21st September 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oakwood Court Address 7-9 Oak Park Villas, Dawlish, Devon, EX7 0DE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01626 864066 01626 866770 Education and Care (Devon) Ltd Vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Can admit children and adults with a learning disability aged 16-25 years. Date of last inspection 9th November 2004 Brief Description of the Service: Oakwood Court is one of three establishments that make up Oakwood Court College, a privately run educational and care service for students with a learning disability aged 16 up to 25 years old, owned by a Education & Care (Devon) Limited in Dawlish. Students attend the College for up to three years either on a 38 week basis or on an extended placement. Oakwood Court College is also Inspected by the Office for Standards in Education (Ofsted) and the Adult Learning Inspectorate (ALI). The most recent Inspection was in May 2005 and the report can be obtained at: www.ofsted.gov.uk. The residential facilities takes up the first floor of the Colleges main educational building and is accessible by stairs or by shaft lift. The premises are situated in Dawlish, within walking distance of the town centre and bus and train routes. Each student has a single bedroom, and two have self contained flats to held students develop independence skills. There is also a staff sleep-in room/office, a communal lounge, kitchen diner, 2 bathrooms and 2 shower rooms and a laundry room. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was announced and took place on a College day and evening in September. The acting manager Angela Roberts, and senior carer Susan Smith were present during the visit. Evidence was collected through examining care records and health and safety records and a tour of the premises. Discussion took place with the acting manager, senior staff and staff on duty, and all the residents were spoken with privately. Staff records were examined on the 22nd of September. Pre-inspection paperwork was received, as were comment cards from 5 residents and a regular visitor. What the service does well: What has improved since the last inspection? What they could do better: Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 6 There was no written complaint procedure displayed for students anywhere at Oakwood Court, and as students did not have a Service User Guide this information was not available to them in this format either. A copy of a more user-friendly complaints procedure had been seen at the last Inspection, and was found at this Inspection in staff handbooks, however this was not accessible to students. However, staff had other ways of gaining students views like key worker meetings, and House meetings. To remain safe, homely, comfortable, clean and hygienic in the longer term, a written maintenance programme is required, and fire doors kept closed or held open with approved devices. Now that the College management structure and acting manager is in place the Owners should apply to the Commission for re-registration. The College would benefit from a staff team training and development plan, a review of policies and procedures, further and exploration of their assessment process for student’s that could self-administer medication, and student’s with behaviours that challenge the service. 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. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 & 5 Students can be absolutely certain that their needs and aspirations will be understood before admission, however to ensure students understand their rights and responsibilities, clearer information is required. EVIDENCE: The College has a welcoming information pack it sends to potential students, parts of which include the use of symbols. The Statement of Purpose is available at Oakwood Court and reflects that it is part of the wider services provided by Oakwood College. The only form of contract within the five student’s files examined were copies of the Learning and Skills Council Schedule and Purchase orders which do not give students the information required on their rights and responsibilities. At previous Inspections College – Student Teaching and Learning Partnership Agreements had formed the contract between the College and student. This was in the process of being produced in a format understandable to students. The standard of pre-assessment was high with full and detailed assessments being carried out during the year prior to admission. This process involves professionals, the student, and their family and includes a three-day assessment stay at the College. There are a series of multi-agency meetings before admission. The first six weeks of the students stay are used as a continued assessment period with a review and full care plan drawn up at this point. The new students had only been at the College for a couple of weeks Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 9 and some were a little home-sick, however they said that staff had made them feel welcome, and the introductory stay, and meeting prior to admission had made the move easier. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 & 9 Decision-making is integral to student life at Oakwood Court and Oakwood Court College, with individual care plans reflecting student’s goals. Risk is assessed, but to ensure students become as independent as possible more detail was necessary about some student’s needs. EVIDENCE: Five files were examined and students had sufficient care plans and individual learning plans with goals, which had been developed with the student. Newly admitted students were still undergoing a six-week assessment so their plans were being developed. Second and third year students had more comprehensive plans. There was a sufficient risk assessment framework, but a few individual student’s risk assessments required greater detail on areas of self-medication, mental health issues and managing behaviours that challenge, so that care plans detailed the steps required to self-administer medication, to support mental health needs and to support any behaviours that challenge. Care plans were reviewed regularly with the student and care staff, and yearly in a multi-disciplinary meeting. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 11 Making decisions are a key part of the curriculum, and the residential care planning system at Oakwood Court. Each student makes choices about all aspects of their lives. Oakwood Court’s aim is to make students as independent as possible for when they leave the College. Students look after their own money, and are supported to do their own shopping, cooking, cleaning, washing, and work towards using the local town and public transport. One student had written a letter and was going into the town to post it, and buy a magazine on the evening of Inspection, this was one of her learning goals. The College trains all the staff in the use of restrictive physical interventions so it was recommended that they ensure the trainers used are accredited with the British Institute of Learning Disabilities, and that the College follows the Department of Health guidance for restrictive physical interventions including recording behavioural support plans. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 & 17 Students lead active, interesting, stimulating lives within the College and the wider community, and continued education and personal development is integral to everyday life. EVIDENCE: Students are at Oakwood College for up to three years, and in this time have a curricular, and extra-curricular timetable during term time. Student’s time at Oakwood Court is also used to develop and assess independence skills so students do all the household chores. The latest Office of Standards in Education report stated that a key strength of the College was ‘very good standards achieved in independence skills and personal development’, and this was confirmed at this Inspection. Students have the opportunity to go on work experience, attend South Devon College to do vocational qualifications, do the Duke of Edinburgh Award and go on foreign trips; last year going to Paris. Student’s chose from lots of leisure activities; swimming, cinema, bowling, shopping, nightclubs and the pub. Students said there were lots of things to do. Students also liked to spend some time in the evenings listening to music, and watching T.V or DVD’s as Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 13 the College day was sometimes tiring. Each student had a single bedroom so that they could spend time alone if they choose. All the students spoken to, said they were able to keep in touch with family and friends either by e-mail, phone or letter. All the students went home for the College holidays. Students and staff were interacting throughout the Inspection, and it was clear to see that they felt relaxed and comfortable in their company. The students at Oakwood Court have support to cook the main meals in the evenings and at weekends. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 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 standard(s) 18, 19 & 20 The personal and healthcare support provided enabled them to develop independence skills. EVIDENCE: Students are at Oakwood Court to develop their independence, so personal support mainly takes the form of prompting, encouragement and supervision, with some students requiring more than others. Medication is administered to the students, and a more pro-active framework for promoting self-medication was discussed with the acting manager. The acting manager is meeting with the Pharmacy for the College’s three homes in October 2005 to ensure all the practices are satisfactory. Students have College timetables to follow so the routines of the week are less flexible than at weekends. Students were dressed appropriately for their age, and the time of year and were supported to be well groomed and presented. All students had designated key workers, and knew who they were and what they did. The students were registered with a local G.P, and new students had an initial health check. Dental, optician and audiologist appointments are generally arranged by parents for when the student is at home. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 15 Staff administering medication had received appropriate training, and records were being kept correctly of the receipt, administration and disposal of medication. The acting manager said she was reviewing the Home’s medication policy and would then put a copy with the medication records. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 Staff listen, and capture, student’s views, however the College’s written complaints procedure was not found on the day of Inspection. Although students were generally protected, there were shortfalls identified in the College’s recruitment procedures on the day of Inspection. EVIDENCE: There were no complaints procedure displayed for students anywhere at Oakwood Court, and as students did not have a Service User Guide this information was not available to them in this format either. A copy of a userfriendly complaints procedure had been seen at the last Inspection, which was found at this Inspection in staff handbooks, however this was not accessible to students. Neither the Commission nor the Home had received any complaints since the last Inspection. Students had already started having regular House meetings and were able to express any issues and concerns at these meetings. Oakwood Court cares for students aged 16-25 years so staff training, and policies and procedures must incorporate child and adult protection. The acting manager had only very recently started at Oakwood College, and did not have sufficient child and adult protection training, and she was not familiar with responsibilities with regard to the Protection of Vulnerable Children and Adult (POVA and POCA) lists. The acting manager was actively seeking training. The Commission had been kept informed appropriately, in the past, of incidents that the Owner had sought child or adult protection advise on. Staff files revealed that new staff had not had POVA or POCA First checks, before starting employment and some staff had not received child or adult protection training. The Registered Provider said this was due to the time it was taking an external umbrella body to do the checks, and due to a lack of Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 17 adult protection training. Longer serving staff had received appropriate checks on their fitness, and most had attended adult and child protection training. The acting manager had met with the senior management team on 20th September 2005 and a training programme for all staff to include protection training was being organised. There were a range of protection policies and procedures to safeguard students including one on Whistle blowing and Child/Adult protection. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 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 standard(s) 24 & 30 Oakwood Court is homely, comfortable, clean and hygienic, however to remain so on a long-term basis, a written maintenance programme must be adhered to. The safety of students is put at risk when fire doors are held open. EVIDENCE: A tour of Oakwood Court found that the premises were clean, comfortable, homely and adequately decorated and furnished. Since the last Inspection two shower rooms had been installed so students could now choose from a bath or a shower. One bedroom was in the process of having an en-suite fitted. The College employed a maintenance team and day to day maintenance issues were dealt with swiftly however, there were a few maintenance issues identified, and some fittings and furnishings that would require replacement in the future, but no overall plan with timescales for when this might happen. Each student has a single bedroom, and in the main body of the home students shared two bathrooms, two shower rooms a lounge and kitchen. There were also two flats for students to gain further independence skills. Both had separate kitchens and lounges, with one flat sharing the bathroom Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 19 facilities. The students in these flats were proud of their achievements and liked the independence the flats gave them. Neither the Fire service nor the Environmental Health Department had visited since the last Inspection. Fire records were up to date; most staff had foodhandling certificates, as did some students who worked in the College kitchen. Fridge and freezer temperatures were kept. The Commission was concerned to find fire doors in the lounge and one student’s room held open with furniture and books. This had also been identified at the previous inspection and an immediate requirement made then and again at this Inspection. A copy of the immediate requirement will be sent to the local fire department. All bedrooms are lockable with students given keys. The students bedrooms were full of their possessions, and reflected their personalities, the rest of the house was presentable. Students wanted to show off their bedrooms, and every student spoken to liked their accommodation. The home was clean and hygienic, with students carrying out all the household chores. The laundry room was spacious, and fairly clean and hygienic, with washing carried out by the students. It was recommended that students did not store outdoor footwear in the laundry due to the potential risks of cross infection. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 & 35 Staff recruitment procedures must be improved, and although individual staff already show many skills and competencies, a planned training and development approach would ensure a continuing effective, well-trained staff team supports students. EVIDENCE: The care staff at Oakwood Court were observed and spoken to at this Inspection, and staff files were examined on the 22nd of September. There is a dedicated care staff working at Oakwood Court, although they are part of a large College staff team and other staff might work occasional shifts. The College has recently reviewed and restructured it’s staffing and now has one acting residential care manager for the College, three senior carers, shift coordinators and care workers with additional administration and ancillary workers. Senior staff said the new structure was working well and benefited students. The shift co-ordinators were also happy with the new structure as it gave more scope for being innovative and developing the service. Each staff member was given a copy of a staff handbook, and new job descriptions. A new staff said they were going through an accredited Induction process, had shadowed a staff member to start with, and felt supported and able to carry out their responsibilities. Students were observed to be comfortable and Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 21 relaxed with staff, and said they felt able to approach any of them with concerns or worries. The key worker system worked well with students aware of who their key worker was and what they did. Key workers had regular meetings with their students. The staffing levels at Oakwood Court meet the needs of the students there and are based on a Learning and Skills Council matrix. Staff receive a range of training including mandatory health and safety training, specialist learning disability training and equal opportunities training, however the acting manager explained that the list of qualifications and experience of staff was last updated in June 2004, and she had met with the senior management team on September 20th 2005 to begin to formulate an up to date, overall training plan for the College care staff to ensure staff all receive the mandatory and specialist training to meet the needs of students. A number of staff have started NVQ training at levels 2 and 3 and senior staff would be working at NVQ level 4. The Registered Provider has appointed an in-house NVQ Assessor so that more staff could attain this qualification more easily. Appropriate Criminal Record Bureau checks, references and fitness processes had been carried out on long serving staff, however examination of new staff files found that there was no record of a response from checks the registered provider said had been made against the Protection of Vulnerable Adult and Children lists, and new Criminal Record Bureau (CRB) checks had not been requested for a few new staff. In one instance the CRB check from a previous employer was being relied on. Some files did not have two written references in each new staff members file, and in some instances the interview process had not been recorded. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 & 40 Although working for the benefit of students, the current acting manager of Oakwood Court, and therefore Oakwood College, and it’s residential services structure have not been registered and formally approved by the Commission for Social Care Inspection. Student’s can be assured that their views underpin the quality assurance system at Oakwood Court. EVIDENCE: The Owner of Oakwood College, and therefore Oakwood Court is going to apply to the Commission to re-register the College, and register the acting manager once she has had an Induction period. At present Oakwood Court has no registered manager. The College took advice from the Learning Skills Council Quality Assurance consultancy in 2003, carried out a self-assessment and developed a three-year development plan, which is still being worked to with many of the targets met. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 23 The Inspection found however that planning and quality monitoring systems for staff training and environmental maintenance required attention. The acting manager said one of her initial tasks would be to audit the home’s policies and procedures and ensure they reflect the services currently offered. Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 4 x x 3 Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oakwood Court Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 3 3 x x x D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 25 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 5 Requirement Students must be given a copy of a Service User Guide that contains all the required information (including their contract). A copy must also be sent to the Commission. There must be a clear complaints procedure, which is understood by students and, available to them. The acting manager must received appropriate adult and child protection training. There must be evidence that all new staff have had appropriate POVA/POCA First and Criminal Record Bureau checks. Two written references must be received for each staff member, and interviews must be recorded before employment. Fire doors must be kept shut or held open with devices agreed by the Devon Fire & Rescue Service (Previous timescale 12/11/04 - not met). There must be a written maintenace and renewal programme that details all the proposed and on-going environmental improvements Timescale for action 25th December 2005 2. 22 22 25th December 2005 25th December 2005 25th November 2005 3. 4. 23 23 & 34 13 (6) 19 5. 24 23 (4) 21st September 2005. 25th December 2005. 6. 24 23 Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 26 with timescales. 7. 8. 9. 37 8 The Owners must apply to the Commission to re-register the College and register a manager. 25th December 2005. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 5 9 9 Good Practice Recommendations 5. 6. 7. 20 30 35 Each student should have a contract that sets out clearly rights and responsibilities. It should be signed by them and a copy held by them in their Service User Guide. Students risk assessments should include detailed mental health, self-medication and challenging behaviour sections where necessary. The trainer providing staff training on restictive physical interventions should be accredited by the British Institute of Learning Disabilities, and the Department of Health Guidance should be followed. Written medication sheets should be checked and signed by two staff. The Homes medication policy should be readily available to staff administering medication. Outdoor clothing and footware should not be stored in the laundry due to the risk of cross infection. There should be a staff training and development plan for the whole staff team (when complete a copy should be sent the the Commission in this instance). Staff training records should be kept in the Home. At least 50 of care staff should have NVQ 2 by 31st December 2005. All the Homes policies and procedures should be audited and revised where necessary. 8. 9. 40 Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon, TQ13 7UP 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 Oakwood Court D54-D07 S3765 Oakwood Court V238766 210905 Stage 4.doc Version 1.40 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. 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