Inspection on 24/11/08 for Park View

This inspection was carried out on 24th November 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park View 22/11/06

Park View 01/12/05

Park View 10/05/05

Park View 07/02/05

Park View 20/08/04

Park View 29/03/04

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

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Polesworth Group 70 Long Street

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10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Park View 29 Cocknage Road Dresden Stoke-on-Trent Staffordshire ST3 4AP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Jones     Date: 2 6 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Park View 29 Cocknage Road Dresden Stoke-on-Trent Staffordshire ST3 4AP 01782252586 01782252586 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Strathmore College Limited Name of registered manager (if applicable) Justine Amanda Fleming Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Category LD, 3 (three) of whom may be 16 to 18 years of age. Date of last inspection Brief description of the care home Park View is part of a specialist residential College registered to care for twelve people with a learning difficulty/disability between the ages of 16 - 25 years, of both genders. The home is a detached property, providing one double and ten single bedrooms with ensuite facilities. The home is located in the residential area of Dresden, close to local amenities and a main bus route into the nearest town centre of Longton. The purpose of the home is to provide support to enable Learners to develop independence skills, to enable them to progress into a supported living environment. Learners who are already placed at the College are offered an opportunity to live in a home, where it is felt appropriate and in line with achieving their long-term goals. The Learners have a full programme of activity, which takes into account personal choice. The activities are meaningful and are delivered in the community, making full use of local facilities. Care Homes for Adults (18-65 years) Page 4 of 30 care home 12 Over 65 0 12 Brief description of the care home Learners stay at the college for a maximum of three years and attend for between 38 and 52 weeks per year, depending on their contract. The Learners are able to access other college facilitates, which include Jasmine a retail outlet in Wostanton and two other residential premises in the local area. All three homes are part of the Strathmore College Group, operated by Craegmoor Health Services. All three homes are also registered with the DfES. Prospective learners and their supporters should contact the provider for information about the fee range and additional costs of the service as this information is not included in the Learner Guide. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection site visit of this service undertaken on 24 November 2008 and included formal feedback on 26 November 2008. In total the visit took approximately 7:00 hours. The purpose of this visit was to assess the services performance and to establish if it provides positive outcomes for the people who live there. The visit included checking that any requirements and recommendations of the previous inspection visit of 22/11/06 have been acted upon; looking at information the Care Homes for Adults (18-65 years) Page 6 of 30 service provides for prospective students, their carers and any professionals; looking at information that the service provides to people who use the service to ensure that they understand the terms and conditions under which they have agreed to live at the home and the fees they should pay. Other information checked included assessments and care records, health and medication records; activity and records relating to the menus, finances, staff training and recruitment, complaints and compliments, fire safety and health and safety checks. The acting manager, deputy manager, staff and learners were spoken to during the site visit and a brief tour of the building was undertaken. Before the visit began, the service provided its own assessment of its performance, in the form of an Annual Quality Assurance Assessment AQAA. Surveys were sent out to students, relatives, staff and any professional that has involvement in the service. We received two relatives surveys and nine learner surveys, the main points are included in this report. Since the last key inspection visit we have carried out an Annual Service Review (ASR). We do an ASR when there has been no major inspection of the service (we call this a key inspection) in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review. What the care home does well: What has improved since the last inspection? What they could do better: The Learner Guide should contain the fees and costs of the service. Documentation should be produced in a format that is more user friendly format. Plans should be more user friendly and accessible to people and they should be more actively involved in the evaluations and reviews of their support plans and risk assessments. Health Action Plans should be developed. Autism training should be provided. The service should ensure that 50 of the workforce is trained to National Vocational Qualification in care at level 2. All staff should be involved with at least two fire drills per year. Fire drills were an issue at the last key inspection, we have referred this matter to the fire officer fro his attention. The manager must apply to us the Commission for Social Care Inspection for registration and approval, within the timescale we have stipulated, we have spoken to the provider about this previously. Care Homes for Adults (18-65 years) Page 8 of 30 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective learners have information available to them to enable them to make a decision about the service and can be confident that they will receive an assessment. This means they can be sure that the service will be able to meet their needs. Evidence: The service told us in the AQAA that, All learners interested in coming to the college are invited to attend an initial visit accompanied by parents and/or professionals involved, during the visit they are given a tour of the different sites and are shown what we have to offer. If the provision is deemed suitable and the learner is interested in a placement we ask that an application form is completed and returned. The learners are then offered an assessment week at the residential site of the college, this week enables an assessment to take place, covering all areas of the curriculum. We saw that the service has produced information for prospective learners, and in the nine learner surveys we received, all said they had received enough information about the service and were asked if they wanted to move in. We have recommended that the Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: learner guide is amended to include the specific fees and costs each learner can expect to pay. We looked at a sample of pre admission assessments and saw that the service has a detailed assessment procedure and a checklist for staff to follow. The prospective learner and their family, guardian or supporters are involved with this process and as stated in the AQAA people have the opportunity to visit the college for an assessment week. Although this may not necessarily be at Park View. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Learners can be sure that support plans are in place to address their identified needs, but need to be confident that they are involved in all aspects of decision making. Evidence: The service told us in the AQAA that, The learners are involved in all aspects and supported to identify their long term aims. Learners are also supported to identify short term goals. The review process and learner feedback enables us to make decisions on which learners want to progress to other locations. The learners needs are continually evaluated during their three year course using different methods, which include weekly ILP meetings, reviews and review of the working documents. We looked at two samples of learner records during this visit and saw that the plans in place reflected the assessed needs of the individual. We saw evidence that plans are reviewed on a regular basis and that learners meet with their key workers at monthly tutorials to discuss plans and other aspects of their programme. The records we looked Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: at were very detailed but we cannot be sure that they are user friendly, this is an area that the service should consider for improvement. We talked to a learner about the records we saw, he said, My keyworker will talk to me about plans and we will decide if Im doing okay. The plans are kept in the office, I guess I could see them if I asked. We felt that records should be more accessible to learners and although learners are involved in tutorials, there are decisions made by the college about their lives when they are not involved. The manager is aware of this and stated there has been discussion with the principal of the college about how they can include learners with all the aspects of review and evaluation of their programme and support plans. In one example we saw that the learner had a recent tutorial and had been involved in an Individual Learner Planning meeting. We saw that the records include risk assessments and that these assessments have been reviewed regularly. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Learners can be confident that they have access to a wide range of activities, that are intended to promote their independence. Evidence: The service told us in the AQAA that, Strathmore, as a specialist college, enables learners to come to college on two or three year courses, where they experience a variety of sessions which include various sporting activities, Duke of Edinburgh Award, Bronze, Silver & Gold, horticulture, work experience, floristry and catering, community shop and the woodwork unit. This enables the learners to gain the necessary skills to improve their confidence and life skills. The learners are encouraged to socialise and interact with their peers and build positive relationships and friendships. In the nine learner surveys we received we were told that learners have some choice Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: about what they do in the day, but most of the time is spent with pre planned activities that are agreed as part of each individuals learning plan. These activities or sessions are subject to regular review and change. A relative said, I feel the service offers a wide range of interesting and appropriate learning experiences. Valuable life skills and entertainment experiences. Another relative said, My relative is encouraged to leave a message if im out when she calls. Her key worker callls me every other week to keep me updated. We looked at a sample of learners programmes and agree that there is alot of opportunity within the college to engage in opportunities with their peers but community participation and integration could be improved. We spoke to four learners during this visit and were told, I like being involved in some of the sessions, but I really enjoy playing on my playstation. I think the college is helping me with alot of things and I hope it will help me to be more independent. I dont always like washing up. We looked at the menu plans in the service and saw that there is a good choice of meal offered. Where special diets have been identified these are provided. We spoke to one person about his religious and cultural needs and how these are being met, he confirmed that the college has acted to ensure that he is offered appropriate choices. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Learners can be sure that their health needs are known and are met. Evidence: The service told us in the AQAA that, On commencement of their residential college placement the learners are registered with a local GP, this enables positive working relationships to be forged between staff and the local GP and affords them the opportunity to gain an insight, knowledge and understanding of the learners from the start. The college, to ensure all the following areas are met, (personal, physical, mental and emotional, sexual health and continence) have access to local external facilities, these include Community Nurses, local Psychiatrist, Dentists and Chiropody. We looked at two sets of records and saw that learners are registered with a GP and are supported to access other health services such as the dentist, opticians, chiropody. We recommended that the service considers introducing Health Action Plans (HAP). A Health Action Plan (HAP) is an individual plan, belonging to a particular person, that explains that persons health needs. It also describes what has to happen for those needs to be met. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: We saw that the service has robust systems in place for the management of medication and that staff responsible for administering it are trained to do so. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Learners can be confident that any concerns or complaints they have will be listened to and acted upon and can be sure that they will be protected from abuse, by a staff team that is well trained. Evidence: The service told us in the AQAA that, Learners are able to discuss any concerns or issues they may have with their keyworker using the monthly discussion or tutorial process. They have designated time and support to have these discussions. Staff training in POVA and POCA procedure is effective and during the last year there have been four designated child protection officers trained to NSPCC standard. A relative said in a survey, I know how to make a complaint, but I have never had to, the staff listen to my views and respect my decisions as an important person in my daughters life. Eight of the nine Learners surveyed told us that they know how to make a complaint and who they should go to. We saw a complaints procedure on display in the home and spoke to two learners about how they would make a complaint, they said, Id go to the staff and tell them. I have spoken to the staff when Ive not be happy about something. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: We looked at the record of complaints that the service is required to keep and saw that the last complaint the service has received was from a neighbour about the noise. The records show that this matter has now been resolved. Records show that staff have received training in recognising and reporting abuse, we interviewed one member of staff who confirmed this. Staff are not employed until they have a Protection of Vulnerable Adults and Children check, and the Criminal Records Bureau check is received. We have been told that a referral has been made under safeguarding procedures and have asked the service to keep us informed of the outcome of that referral and any action they have taken to ensure that the learners involved are safeguarded. Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Learners can be confident that the service is clean, well maintained and provides a comfortable and safe environment in which to live. Evidence: The service told us in the AQAA that, Park View has recently been refurbished to a DDA standard. This is due to be completed in October 2008. More work is planned in the coming year. Learners that are identified as having physical disabilities will be able to complete tasks in the kitchen area to a good training standard. The communal areas have been changed and door openings are now to a DDA standard. The house has been decorated throughout. It is a learning environment with resources used to full potential. Learners are encouraged to personalise their bedrooms. Learners are able to invite friends to the house and enjoy social evenings. Park View provides a good standard of accommodation, we saw a sample of learners bedrooms and had a brief tour of the communal space. The appearance of the service is homely, clean, safe, comfortable and is well maintained. Learners said they had their own keys to their bedrooms and had been supported to personalise them. There are some adaptations for people who may have a physical disability and the manager reported that further plans have been proposed. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: All bedrooms have en-suite facilities and sufficient communal baths and toilets are provided in the rest of the home. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Learners can be confident that staff are provided in sufficient numbers but need to know that staff have had the opportunity for further training. Evidence: The service told us in the AQAA that, The management structure has changed in the last twelve months. We have one Residential Services Manager who oversees all sites, and three Deputy Managers, one based at each residential site. This has improved and strengthened the management team and utilised to a good potential. Staff have been promoted within the college following all equal opportunity policies. Staff training has been rigorous over the last year, this has included NVQ 111, Teacher training, Mandatory training and Induction programmes. The staff are involved in the Self Assessment process, expressing their views on further ways to improve the provision, which is generated and fed into the Self Assessment report. The college has regained the Investors in People status. Staffing arrangement at the service mean that there are usually 4 staff during the morning shift, more during the afternoon and usually 3 in the evening. This level can change dependent on the planned activities and sessions of learners. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: We looked at the records of staff training and saw that staff have received mandatory training sessions and have updates planned. One member of staff confirmed this when we spoke to her and also confirmed that she received regular supervision sessions with her manager, every 6-8 weeks. Staff meetings are also organised to discuss learners progress and practise issues. We noted from the AQAA that only 2 of the current 13 staff have achieved National Vocational Qualification (NVQ) at level 2, this is lower than the recommended minimum of 50 of the workforce. We spoke to the manager about this, she said, The organisation has enrolled a number of staff on NVQ training recently. A relative said in a survey that, I think the staff must have the right skills my daughter is happy at the college so they must be looking after her she would tell me if this was not the case. We looked at the recruitment records of two staff and noted that they are satisfactorily maintained with evidence of pre employment checks such as written references, Protection of Vulnerable Adults checks and Criminal Records Bureau checks. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management systems in the home are open and positive. Evidence: The service told us in the AQAA that, Strathmore College have a well-established management team, which consists of, Principal, Deputy Principal, Residential Manager, Finance Manager, Systems Manager and three Deputy Managers. The management team meet on a fortnightly basis to discuss operational issues, work on the development plan and review the Quality Assurance cycle. There is an administration staff member dedicated purely to administration. We are concerned that current manager has not been registered or approved by us for this service and we have not yet received an application form. We have spoken to the provider and management of the service about this previously and have made this a requirement of this report. We saw that the service is monitored by the provider on a regular basis and saw the Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: report from these monthly visits. We know that the service seeks the views of relatives, learners and other people about the quality of service it provides and has produced an action plan for improvements based upon their responses. The service informs us about events in the home, has provided an AQAA that contains good information about the service and how it hopes to improve and develop it. It also said in the AQAA that it has the relevant policies and procedures we expect to see and that equipment in the home is serviced and maintained regularly. We looked at records of fire safety and saw that fire training has taken place but the records also show that some staff havent been involved in a fire drill for some time. We have advised the fire safety officer of this. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 37 9 The manager of the service must apply to CSCI for registration. To ensure that she is approved by us as a fit person. 26/02/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The Learner Guide to contain the fees as indicated in CSCI guidance so the learners know the fees and costs of the service. Documentation should be produced in format that people who use the service can easily understand. Support plans should be more easily accessible to people who use the service. Learners should be involved in all aspects of decison making. The service should ensure that learners are more involved in the local community. The service should inform us of the outcome of the referral under safeguarding. Page 28 of 30 2 3 4 5 6 6 6 6 13 23 Care Homes for Adults (18-65 years) 7 8 32 42 The service should ensure that 50 of the workforce has trained to NVQ level 2. All staff should be involved in at least two fire drills per year. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!