Inspection on 06/07/06 for Park Cottages

This inspection was carried out on 6th July 2006.

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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Cottages 18/12/07

Park Cottages 02/07/07

Park Cottages 09/11/05

Park Cottages 20/07/05

Park Cottages 20/10/04

Park Cottages 27/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Park Cottages Neville Avenue Kendray Barnsley South Yorkshire S70 3HF Lead Inspector Mrs Sue Stephens Key Unannounced Inspection 4th July 2006 9:40 Park Cottages DS0000018268.V300311.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 Park Cottages DS0000018268.V300311.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. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Cottages Address Neville Avenue Kendray Barnsley South Yorkshire S70 3HF 01226 771891 none none None Park Care Limited 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) Carol Gibbons Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th November 2005 Brief Description of the Service: Park Cottages is a stone built cottage adapted from a barn conversion; Park Cottages provides care and accommodation for six adults with learning disabilities. The property stands in the grounds of Park Grange Care Home, which is owned by the same proprietor. There are two levels to the home and all bedrooms are single accommodation. There is a small garden to the front and rear of the building and car parking is shared with the adjacent home. The building is not suitable for wheelchair users. The home is in the residential area of Kendray, it has good access to public services and amenities, and these include bus services, supermarket, chemist, hairdresser, post office, newsagents health centre, and local pubs. The manager provided the information about the homes fees and charges on 6th July 2006. The fees were £316.04 per week. Additional charges include hairdressing, toiletries, newspapers and magazines. Prospective residents and their families can get information about Park Cottages by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. People at the home were informed about this visit at short notice. The reason for this is because the original was not convenient for some of the residents. The inspector agreed to call back again in two days time, which was 6th July 2006. The visit took place between 9:40 am and 5:30 pm. The inspector sought the views of all the service users, 2 relatives, and 1 staff. The manager assisted the inspector during the visit. Checks were made on samples of documents relating to the residents care and safety. During the visit the inspector also looked at the environment, and made observations on the staffs manner and attitude towards the residents. The inspector had tried to contact a visiting professional about their opinion of the home; unfortunately the person was not available at this time. (The relative was contacted by phone after the inspectors visit to the home). Residents used Verbal and sign language to tell the inspector what they thought about their care. The inspector checked a sample of records. These included three assessments and care plans, three medication records, three staff recruitment files, and training records. The manager did not return the pre inspection questionnaire about the home to The Commission for Social Care Inspection as requested. The manager apologised for this and said this was because she had been on leave. There had been no concerns, complaints or allegations about the home made to the commission. Five residents lived at Park Cottages, and there was one vacancy at the time of the visit. The inspector did not issue questionnaires to the residents, their families and visiting professionals; this was because the information needed to do this should have been on the pre inspection questionnaire. Where possible the inspector spoke to people direct or on the phone. The inspector checked all key standards as part of this inspection. The inspector would like to thank the residents, their family, and staff who contributed to the inspection. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 6 What the service does well: There is a good assessment tool for new residents. The care plans have good information about each resident, and the home has thought about what risks there may be to the residents. People living at the home are able to make decisions about their lives, and staff treat them with dignity and respect. The staff understood the diversity needs of the residents. The residents are happy with their daily routines, they enjoy going to the day centres and have a good social life. The residents choose what they like to do. For example eating out, going to clubs and pubs and day trips and holidays. The resident’s relatives are happy with the residents care. They made the following comments: - “It is his home and his way of life, he has got friends and somewhere to work” - “It is normal family life in the home” - “At the home he has a lifestyle that every bloke would be pleased to have” - “Always been happy there” - “Staff are doing a good job” The residents said they enjoy their meals, they can help themselves to snacks and drinks and most of all enjoy going out for meals. The staff look after the residents personal and health care needs well. The residents said the staff are “nice”. The home looks after peoples’ medication in a safe way. People can tell staff and the manager they are not happy about something, they will listen and do something about it. Park Cottages has got a family and homely feel about it. The residents are happy with the home’s environment, they choose where they want the furniture, and they help choose the décor. Three staff have a National Vocational Qualification in care, and staff have had adult protection training. This helps to make sure the residents get good care and are safe from harm. The manager has made good improvements to Park Cottages; she has given the staff team good leadership and introduced some good policies and Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 7 procedures. This gives the residents a better standard of care and helps to keep them safe. The provider has checked the home regularly and asked the residents what they think. What has improved since the last inspection? What they could do better: Some training in safe working practices was not up to date. Some of the recording systems need to improve to make sure peoples’ information is safe. One relative would like to be better informed about their family member’s progress. The residents do not smoke, but their clothes sometimes smell of cigarette smoke. The residents should be able to live in their home, free from cigarettes and the associated health risks. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 8 Important information was missing from the staff recruitment files. It is important to get information about staff and keep it safe to make sure that the home employs the right staff for the residents. The manager had not attended Adult Protection training. This is important for the manager to do, so that she is confident she can identify poor practises and know what to do if someone suspects a resident may be at risk of harm. The manager is still waiting to start the level 4 National Vocational Qualification Registered Care Managers award. The manager needs to make sure that while changing to better recording systems the information is kept safe and organised. 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. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 9 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 Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 10 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): 1 and 2 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home can understand prospective resident’s needs and aspirations, before they come to live at the home. EVIDENCE: The manager had adopted a new assessment tool. She said she would assess all potential residents using the tool. The assessment tool covered all aspects of a person’s life and helped the home to identify a person’s emotional, personal, and health care needs. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 11 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 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The care plans include regular reviews and any risks there may be for the resident. The manager’s intention to improve the plans will make it easier to understand the needs and wishes of the residents. EVIDENCE: The staff member interviewed had a good understanding about the care plans and she understood the importance of making good records. The care plans had good information about the residents’ health needs and family contacts. Each plan had a profile about the person and they had regular reviews. The staff had made daily records about how that person had been and what they had done during the day. Each care plan listed activities that may be a risk to the resident. These recorded how to minimise the risk without taking away the persons independence. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 12 Although the information was good, it was not easy to identify what the residents identified needs were. It was not clear about what action the staff should to take to meet the residents’ needs. The manager said she knew the plans need to improve and planned to introduce a new set of care plans for each resident. All the residents said that staff helped them to make decisions. One relative said he felt their family member was encouraged to make decisions, the relative said “the (resident’s name) relationship with staff is very positive”. The inspector noted that staff were very positive with the residents and encouraged them to choose positive options. For example during the visit the residents decided they would like go out for tea. The staff encouraged them, accepted the residents’ preferences and helped the residents to prepare for the outing. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 13 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 and 17 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The resident’s have good opportunities to be involved in enjoyable and social activities. They have meaningful occupations and access the local community as part of their daily lives and routines. The home offers the residents healthy diets; and the mealtimes are sociable and enjoyable occasions. EVIDENCE: All the residents said they were very happy with their social life and daily routines. The residents attended day centres, which they said they enjoyed. They also had a variety of leisure activities in the evenings and at weekends. The residents said these included clubs, pubs, going out for meals, BBQ’s, picnics, bowling and shopping. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 14 The care home, in the same grounds as Park Cottages, had a minibus that they shared with the residents at Park Cottages. There were games and videos in the home. And the residents spent their time relaxing in the garden during fine weather. The residents said they had arranged a holiday and the staff would support them to go on it. The senior staff also said the residents often had trips to the seaside. One family member said they felt that the home did not always inform them enough about their family members progress; they said sometimes “we feel left out”. The residents said they enjoyed their meals. The senior staff said they did not follow a menu because the residents preferred to choose what they fancied to eat on the day. There was a local shop where staff and residents could shop for fresh food and top up on their supplies. One relative said they had noticed that their family member was encouraged to eat healthy food and this was a benefit to the resident’s health. The kitchen was open to residents at all times. It was a social place with a large farmhouse table in the centre. People congregated around the table for drinks and to chat with each other. The home had a rota that encouraged the residents to be involved with cooking meals, and daily chores; this encouraged the residents to develop their skills and independence. The residents said they often went out for meals because it is something they enjoy doing. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 15 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 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents receive good support in their personal and health care needs. Residents receive safe and appropriate support to take medication if they need it. EVIDENCE: All the residents said they were happy with the support they get from staff. The residents said the staff were kind and helpful. One resident, when asked what they thought about how staff looked after them said “I like my key worker”, the resident then named several staff and said in a very positive way “they are nice”. Other residents also described the staff as “nice”. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 16 The manager and senior carer talked about how the residents look after their own personal needs, while staff give them enough support to keep them safe and respect their dignity. For example when bathing, and spending time alone in their own rooms. The relatives said they were satisfied with how the home supports their family members. One relative said the staff are “doing a good job” “and they let us know” if there is any changes to the resident’s health need. For example when they have visited the G.P or hospital. Staff made allowances for peoples differences and respected individuals diversity needs. The home managed the residents’ medication in a safe way. It was securely stored, and the records were tidy and up to date. Staff had medication training, and this involved completing 5 assessed units. This gave the staff good medication knowledge and checked that they understood what they were doing. The residents gave their consent to allow staff to support them with their medication. This meant staff respected the residents’ dignity and rights. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 17 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 and 23 The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The residents can express their views and concerns; the home will listen to the residents and take action. Because the manager has not had training in adult protection, there is a risk that the home cannot fully protect the residents’ safety and welfare. EVIDENCE: All the residents said they would go to the staff or the manager if they were worried about anything. The relatives also said they felt they could raise a complaint if they needed to. They said they the manager and staff would listen. The complaints procedure was on display at the home and spare copies were available in the entrance hall. Most of the staff had been on adult protection training. The staff member was confident about the procedures she would take if she thought someone was at risk of harm. The manager had not trained in adult protection. It is important that the manager receives this training. This will help the manager to identify bad practice, identify residents who may be at risk, and understand the correct procedures to take to keep people living at the home safe. Park Cottages DS0000018268.V300311.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 and 30 The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. Park Cottages is clean, comfortable and homely and it meets the needs of the residents. However the residents need to be able to live at their home without the smell of cigarette smoke. EVIDENCE: The resident’s said they were very happy with their home. They all agreed that the home was comfortable and that they had everything they needed. Park Cottages is an old building; it has been decorated to the residents’ taste and is made very homely with table lamps, ornaments and pictures. In the lounge the residents have placed the furniture in places where they prefer, and there is a “family home” feel to the building. The residents have personalised their own bedrooms, and the staff member said some were choosing new décor and colour schemes for their rooms. The residents had a key and could lock their rooms if they wished. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 19 The back garden was small and in the style of a courtyard. In fine weather the residents spent time in the garden where there was comfortable garden furniture, and a three seater swing hammock, for the residents to relax on. The home was clean, and the residents were encouraged to help with keeping their home clean and tidy. The laundry facilities were domestic in style; this suited the needs of the residents. The residents did not smoke, however the relatives commented that sometimes their family members clothes smell of cigarette smoke, and this was unpleasant. Both relatives said they felt this was unfair on the residents. Park Cottages DS0000018268.V300311.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 and 35 The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. There are new opportunities for staff to receive further training; this will enable the staff to maintain and improve their competence. This will benefit the residents’ welfare, support and development. The recruitment practices and the maintenance of staff files need to improve. This is important to make sure the home employs the right people for the residents. And to make sure that staff information is correct and up to date. EVIDENCE: Three out of a team of six staff had a national vocational qualification in care at level 2 or above. Other staff had also enrolled in NVQ level 2 and 3. This benefits the residents because it gives the staff team good knowledge about the principles of support and care. The manager was transferring staff recruitment records in to a new recording system. The manager said this would improve staff records and keep a better history of staff events. For example the policies and procedures staff have read, induction, supervision and training information. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 21 At the time of the visit the manager had rearranged some of the records, as a result, some information was difficult to find and one staff’s application form was missing. Another application form did not have a full employment history. This is important to make sure that the right staff are employed at the home. Some staff did not have enhanced criminal record bureau checks; however the manager confirmed that the owner had now arranged this for all staff. The staff member said she had received recent training and this included protection of vulnerable adults and care planning. This helped to develop the staff member’s role. The manager had arranged staff training with the Barnsley Metropolitan Borough Council. The manager said this was an excellent resource for the home and had discussed with the BMBC’s coordinator the training needs for the staff. Park Cottages DS0000018268.V300311.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 and 42 The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. There has been improvements to the running of the home. This has resulted in better care and support for the residents. The manager needs to continue with the improvements, this will improve the resident’s safety and wellbeing. EVIDENCE: The manager had made some good improvements to the home. These included better leadership for staff, improved environment, and some better information about Park Cottages. The residents, relatives and staff said the manager was helpful and approachable. Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 23 The manager had introduced some new policies and procedures into the home (these included health and safety); this protected the residents and gave them a better quality of care and support. The manager had done good work in meeting the homes previous requirements. For example the home now had a Statement of Purpose, Service User Guide and good assessment tool. The manager was trying to change and improve several systems at once. For example the care plans, training records, staff recruitment files, and policies and procedures. The new systems were good but not completed; this resulted in some information that was not easy to find or not in good order. The information is important to both residents and staff, and while the records are in this condition peoples’ confidential information is put at risk. The inspector discussed with the manager how important it is to prioritise and make sure the systems are in good working order by introducing them one at a time. This will help the manager and staff to understand and maintain them better. The manager was still waiting to start the Registered Managers National Vocational Qualification Award in level 4. The manager had not had adult protection training; this was a previous requirement. (See standard 23). The manager had carried out a resident satisfaction survey in October 2005. The feedback from residents was positive. The provider visited the home regularly and made reports about what he found. The reports were positive and they included the views of the residents. Some staff were not up to date with their safe working practice training; for example moving and handling and infection control. The manager was aware of this, she had arranged some training but not for moving and handling or infection control guidance. Both the residents and staff had practiced fire drills; this was excellent because it showed the residents what to do and how to escape if there was a fire in the building. The fire equipment checks and service was up to date. Park Cottages DS0000018268.V300311.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 3 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 X Park Cottages DS0000018268.V300311.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 YA23 Regulation 13 Requirement The manager must attend adult protection training. (The previous timescale for action was 31/01/06) The home must review its smoking policies. The smell of smoke must be investigated and changes made to make sure that residents are not exposed to cigarette smoke. The recruitment records must be maintained in a safe way. Information must be filed so that it is accessible. The missing application form must be replaced. The home must obtain a full employment history from all new staff before they commence work at the home. Training must be provided for the staff who have not had up to date training on safe working practices. The manager must make sure the new recording systems are introduced safely, and information is kept safe during DS0000018268.V300311.R01.S.doc Timescale for action 30/09/06 2 YA30 13 and 16 31/08/06 3 YA34 19 31/08/06 4 YA42 13 and 18 30/09/06 5 YA37 15 30/09/06 Park Cottages Version 5.2 Page 26 the process. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA37 Good Practice Recommendations The registered manager should undertake NVQ Level 4 in care and management by 2005. The manager should continue to review the recording systems in the home, however the manager should prioritise these to make sure the most important systems are in good working order before continuing with the lesser important ones. The manager should include in the resident’s care plan what action is needed to make sure the resident’s relatives are kept informed about the person’s development. This must only be with the approval of the resident. The manager should look at the new recording systems she is introducing and prioritise which needs to be completed first. 2 YA15 3 YA37 Park Cottages DS0000018268.V300311.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Park Cottages DS0000018268.V300311.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. 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