Inspection on 24/11/05 for The Old Coach House

This inspection was carried out on 24th November 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 21 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Old Coach House 03/03/08

The Old Coach House 05/01/07

The Old Coach House 12/05/05

The Old Coach House 10/02/05

The Old Coach House 22/09/04

The Old Coach House 29/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Old Coach House 20 Wychall Park Grove Kings Norton Birmingham West Midlands B38 8AQ Lead Inspector Donna Ahern Unannounced Inspection 24th November 2005 10:30 Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 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 Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 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. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Old Coach House Address 20 Wychall Park Grove Kings Norton Birmingham West Midlands B38 8AQ 0121 459 1433 0121 451 2779 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) Sense West Care Home 5 Category(ies) of Learning disability (5), Sensory impairment (5) registration, with number of places Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 12th May 2005 Brief Description of the Service: The Old Coach House is a spacious, detached house along a drive between houses in a residential area of Kings Norton. There are shops nearby and reasonable access to public transport. Accommodation is provided for up to five adults with dual sensory impairment and additional learning disabilities. All the bedrooms are single. Two of the bedrooms are on the ground floor and three are on the first floor. There is no lift. There are two bathrooms one on the ground floor and one on the first floor. Both are domestic in style and have no aids or adaptations. There are two additional toilets on the ground floor. An office is available on the first floor of the house. The home has a large lounge with a dining area. The garage has been converted into additional communal space for the deaf/blind people. The premises are light and airy. There is a private garden to the rear of the property. This has raised flowerbeds and a patio. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day. Conversations with the deaf/blind people were limited due to their complex needs and limited verbal communication abilities. The inspector spent time with all five deaf/blind people observing care practices, interactions and support from staff. A tour of the building was made. Care plans and risk assessments were inspected. Staff training and recruitment procedures were examined and a number of Health and Safety records were inspected. The inspector had the opportunity to talk to the deputy manager, and three of the support workers. This report should be read in conjunction with the report of the visit of 12th May 2005. What the service does well: What has improved since the last inspection? The previous inspection raised a number of concerns about the management of the home. It was positive to evidence that improvements had been made in many areas of the home including record keeping and the general appearance and up keep of the home. Improvements had been made to the staffing situation in the home some of the vacant posts had been appointed to; two-fulltime support worker posts remained outstanding and were in the process of being recruited to. The manager and deputy posts had both been appointed to. Activity plans for residents had been up dated and there was evidence that residents were going out more. The manager was also trying to appoint care/drivers positions so that there are more staff in post who can drive the homes vehicles. Health Action Plans had been implemented and improvements had been made to residents health recording and follow up. The bathrooms and toilets had been refurbished and were cleaner and more hygienic for residents. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 6 A portable call system had been installed to promote residents and staff safety. Staff spoken to said they felt they got good support from the management team. 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. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 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 Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 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 inspector was not able to fully evidence that resident’s needs were fully assessed by people competent to do so prior to admission. EVIDENCE: A new resident was admitted to the home in April 2005. Staff spoke very positively about how well the resident had settled in and confirmed that prior to the move the resident made visits to the home. The manager was not on duty and the deputy manager was unable to locate the assessment and moving in documentation for the inspector to assess. This will be examined at the next inspection. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 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 and 9 Care plans required development so that a comprehensive plan is in place for each residents that details how their assessed needs and goals will be met. Risk assessments must be developed so that residents are supported to take risks within a risk assessment framework. EVIDENCE: Two care plans were sampled and contained a lot of information. There was information about residents care routines likes and dislikes, how the person makes choices and communication needs. There was evidence of pencilled in changes and updates to resident’s information. Many of the care routines and information was dated February 2004 and March 2004. As reported in the previous inspection report the care plans require updating and must be kept under review. Some progress had been made on the reviewing of risk assessments. Further development of risk assessments was required. Some of the sampled risk assessments required review. Some of the sampled risk assessments were not clear and specific about what the risk to the individual resident was. It was unclear how the risk assessments were used to enable a resident to be more independent such as when making a drink and it was unclear what the Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 10 resident’s level of ability is to undertake the task as staff are instructed to support throughout the task with hand on hand support. There was evidence that regular “core team meetings” take place which is when the staff team meet to discuss a particular resident needs and to monitor their care. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 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): 12,13,14,15,16 and 17 Improvements had been made to the range of leisure opportunities available to residents. Further development was required so that the home can demonstrate that the individual leisure and activity requirements of residents are met. EVIDENCE: Resident’s activity plans had been updated since the previous inspection. Examination of the daily records indicated that there were some improvements in the frequency that residents go out. The daily records of two residents indicated that the residents really enjoyed going out and made comments when the resident’s shoes were given to them they reacted very positively. The records also made comments about how positively the two residents responded to being out in the community and when prompted to go back on the minibus to return home staff view was that they indicated that they did not want to return because they were enjoying being out. Staff spoken to said two residents had become more confident and really benefited from communitybased activities. Staffing levels are three across the day and a practice development worker supports the home on a part time basis. Daily records sampled indicated that Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 12 opportunities for residents to engage in community based activities had improved since the previous inspection. Residents require a high level of staff support and supervision to engage in activities. Staffing levels dictate that many of the opportunities are accessed as a group activity and there is limited opportunity for one to one activities. A review of staffing levels was required to ensure that the staffing levels in place are adequate and meet residents needs (see also standard33). Residents contribute a set monthly amount from their mobility allowance to the running costs of the minibus. The previous report required the provider to review the charging system in place. The deputy manager said that there were now more staff available to drive the minibus and two of the vacant posts have been advertised as care/driver positions. In addition she said the transport is under review with the intention of having smaller vehicles, which are easier for, care staff to drive. The previous report raised concern about the lack of holiday opportunities available to individuals. No progress had been made on this matter. As raised in the previous report the provider must rectify this matter as high priority and notify CSCI of the outcome. The end of the breakfast mealtime was observed. One of the residents was supported to make themselves a cup of tea whilst sitting at the table. The interactions between the residents and staff member was very positive objects of reference and hand over hand and sign was used to facilitate the task. Supervision of residents was on the whole very good. There were some periods when no staff were available in the dining area. Breakfast had finished and three residents were in this area. It was raised with the deputy manager that some thought must be given to how residents are supervised at all times and how staff communicate with each other about what tasks they are doing. The previous inspection required that eating and drinking guidelines were reviewed. Guidelines developed by the home, hand written notes of the Speech and Language Therapist visit in June 2005 and guidelines implemented in 2003 were all on file. The deputy manager stated that the Speech and Language Therapist reviewed people’s guidelines in June 2005. Clarification was required regarding what information the staff should be following. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Improvements had been made to resident’s health care recording and monitoring. Further developments were required so that the manager can demonstrate that resident’s health care needs are met. Staff required epilepsy and medication training so that they have the required knowledge and skills to support residents. EVIDENCE: Resident’s personal care routines required updating and review. This remains outstanding from the previous inspection. Health Action Plans were implemented in May 2005. Improvements had been made to health care recording, monitoring and follow up, which was really positive. One of the residents had recently required admission to hospital. The recordings of the action taken by care staff in the home, hospital treatment received and follow up were well documented. The previous report required that guidelines in place for resident’s epilepsy management required review. The guidelines for (k) had been reviewed and a risk assessment had been implemented. The guidelines must be dated. The epilepsy guidelines for C.B were dated 25/8/05 and required review. It was advised that the home requested support from the epilepsy liaison nurse Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 14 regarding managing residents epilepsy and staff training on epilepsy awareness was required. The date on file of the servicing of residents wheelchairs was 11/02/04 wheelchairs must be serviced annually. Some work had been undertaken with the night staff regarding how residents are supported during the night. Some further clarification was required on how checks on residents are undertaken by care staff. The guidelines in place must be supported by a risk assessment. Protocols were required for medication given on an as required basis. Staff training on accredited training in the management of medication was required. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Staff must receive training on adult protection matters so that they have the knowledge and awareness to protect residents from abuse, neglect and selfharm. EVIDENCE: These standards were not fully assessed at this inspection. They were assessed in full at the previous inspection May 2005. Staff training was required in adult protection matters. CSCI have investigated no complaints from residents or any other source in respect of this home. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 30 Improvements had been made to the homes physical standards some further work was required so that residents live in a comfortable, hygienic and safe home. EVIDENCE: The home is comfortable and domestic in style. The garage has been converted into additional communal space and was being developed as a sensory area for all residents to use. There are steps that lead down to the room and staff said that residents are supervised at all times due to the potential safety hazard. There is no lift and the house would not be suitable for a person who uses a wheelchair. There are steps up to the front of the home, however a side entrance provides level access to the rear of the home. Within the house two bedrooms are on the ground floor one of which has a step up to it. The two bathrooms, one on each floor, are domestic in style and had no specialist lifting equipment. One bathroom had recently been refurbished. The ground floor toilet had been refurbished. The previous inspection raised concern about the general cleanliness standards in the home and a number of maintenance matters were outstanding and had the potential to put resident’s health and safety at risk. It was positive that significant improvements had Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 17 been made to the environment. It was advised that staff document on their maintenance log the date that work has been completed. The deputy manager said that the lounge carpet had been cleaned and was to be replaced in the near future. Curtains were required for the sensory room, which is overlooked by neighbouring houses. All five residents have a single bedroom. In Bedroom (k) the blinds on the window required replacing. Bedroom (J) the deputy stated that some new furniture was on order. In bedroom (P) the wash hand basin was boxed in, the previous inspection report required that the home should of consulted with CSCI on this matter and to undertake a risk assessment as a priority to evidence that it is the most appropriate way to manage the risk, there was no evidence that this had been actioned. There was a large nail protruding from the window frame. Maintenance people removed this on the day of the inspection. An area of damp above the window required attention. This was reported to maintenance on the day of the inspection. A potable call system had been installed which was a requirement of previous inspections. COSHH items were stored in a cupboard in the ground floor laundry. The door was shut but the lock had not been secured. Staff must ensure that this is kept locked at all times. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 32,33,34,35 and 36 Staffing levels must be reviewed to ensure that adequate staff are on duty to meet residents assessed needs. Staff must receive the required training so that they have the required knowledge and skills to do their job. The manager must maintain staff training records so that there is evidence of the training that staff have received. EVIDENCE: Improvements had been made to the staffing situation in the home some of the vacant posts had been appointed to; two-fulltime support worker posts remained outstanding and were in the process of being recruited to. The manager and deputy posts had both been appointed to. Staff engaged well with residents and a range of communication systems were actively in use. Including objects of reference, communication boxes and sign. It was not possible to ascertain what training staff had received, as the training matrix was not available for inspection. Staff spoken to indicated that they required some refresher training in mandatory areas. Minimum staffing levels are three staff per shift. All of the residents require a high level of staff support and supervision to engage in activities. Residents were clearly expressing that they want to go out more. A review of staffing levels was required to ensure that the staffing levels in place are adequate and meet residents individual needs. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 19 The training record on staff’s personal file’s had not been updated. The training matrix was not available for inspection. The previous inspection identified that staff required training updates in all mandatory areas. An immediate requirement was made for a training matrix to be forwarded to CSCI. Three staff files were assessed. CRB details were not available for established staff. The file of a new member of staff was not available and the deputy said that the file was at the organisation head quarters. CRB for the two new staff were seen. The home must have the required information on each staff member who is employed at the home, as detailed in schedule 2 of the National Minimum Standards for Younger Adults. Staff files indicated and staff spoken with confirmed that regular supervision takes place with the manager or deputy manager. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): Improvements had been made to the overall management of the home. Further development was required so that resident’s health and safety is fully promoted and protected. EVIDENCE: The registered manager left in April 2005. A temporary manager was in place for a few months until a newly appointed manager took up post in June 2005. The organisation must forward an application to register the new manager with CSCI. All the evidence available indicated that improvements had been made in all aspects of the service. Further development was required particularly in relation to residents care plans and staff training. COSHH items were stored in a cupboard in the laundry room. The door was shut but the lock had not been secured. Staff must ensure that this is kept locked at all times. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 21 A number of Health and Safety certificates were assessed. The required testing of Gas and Electrical equipment had been undertaken. The maintenance log had details of routine maintenance matters and when they were reported to the organisations maintenance department. It was advised that the manger records of the log when the work has been actioned. Fire records indicated that weekly and monthly test were generally undertaken as required. The weekly fire alarm test was four days overdue and the deputy manager agreed to action this immediately. Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 2 X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 2 X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 2 14 2 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 2 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Old Coach House Score 2 2 2 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X 2 X DS0000016807.V269456.R01.S.doc Version 5.0 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 (1) (2) Requirement The home must ensure that each person has an up to date care plan. These must be reviewed at least six monthly. Risk assessments must be further developed. There must be evidence of how they have been reviewed. Risk assessments must cross reference to the care plan and any relevant policies and procedures. The home must be able to evidence how they have supported the deaf/blind person to become part of and participate in the local community in accordance with their assessed needs and care plan. Progress made further development required. Each resident must have the opportunity to go on holiday. Mealtime guidelines must be reviewed. Progress made further development required. The deaf/blind person’s personal routines required review. (Previous timescale15/08/05). DS0000016807.V269456.R01.S.doc Timescale for action 28/02/06 2. YA9 13 (4) (a, b c) 13 (4) (a, b c) 12 (1) (b) 31/01/06 3. YA9 31/01/06 4. YA13 28/02/06 5. 6. YA14 YA17 16 (m) 15 (1) 31/05/06 31/12/05 7. YA18 15 (1) 31/01/06 Old Coach House Version 5.0 Page 24 8. YA19 9 10. 11. 12 13. 14. YA20 YA20 YA24 YA24 YA26 YA26 15. 16. YA33 YA34 17. YA35 18. 19 20 YA35 YA37 YA42 The guidelines in place for the deaf/blind people with epilepsy required review and there must be evidence that their epilepsy is formally reviewed by a health professional. Progress made further development required. 17 1a Protocols must be in place for Schedule3 medication given on an as 3(i) required basis. 18 (1) (c) Staff must receive medication training that is accredited. (previous requirement 31.12.04) 23 (2) d The lounge carpet required cleaning. 23 (2) d Curtains were required for the sensory room. 16 c Bedroom (k) the blinds on the window required replacing. 16 c Bedroom (P) the wash hand basin was boxed in the home should of consulted with CSCI on this matter the home must undertake a risk assessment as a priority to evidence that it is the most appropriate way to manage the risk. (Previous requirement 11/5/05) 18 (1) (a) The home must appoint to vacant posts. 7,9,19,2,4 The home must have the required staff records available in the home. (Previous requirement 31/05/05). 18 (1) (c) Staff must receive training in all mandatory areas. A training plan must be forwarded to CSCI. (Previous requirement 31/07/05). 18 (1) (c) Training records must be up dated and must include date duration and training provider. 8 (1) a & An application to register a b manager for the home was required. 13 (4) COSHH items must be stored securely at all times. DS0000016807.V269456.R01.S.doc 12 (1) (2) 31/12/05 30/11/05 28/02/06 31/12/05 31/12/05 31/12/05 31/12/05 31/03/06 31/12/05 10/12/05 31/12/05 31/12/05 24/11/05 Page 25 Old Coach House Version 5.0 21. YA42 13 (4) The COSHH file required updating and review. Not assessed requirement carried over to this inspection. 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Old Coach House DS0000016807.V269456.R01.S.doc Version 5.0 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!