Inspection on 18/07/06 for Parkhaven

This inspection was carried out on 18th July 2006.

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

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

Other inspections for this house

Parkhaven 09/08/07

Parkhaven 30/01/06

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

CARE HOME ADULTS 18-65 Parkhaven 53 Gorse Road Blackpool Lancashire FY3 9ED Lead Inspector Pauline Caulfield Unannounced Inspection 18th July 2006 11:00 Parkhaven DS0000065619.V295642.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 Parkhaven DS0000065619.V295642.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. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkhaven Address 53 Gorse Road Blackpool Lancashire FY3 9ED 01253 304495 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) Mr Islamuddeen Duymun Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 5 service users in the category MD (mental disorder) 30th January 2006 Date of last inspection Brief Description of the Service: Parkhaven is a care home registered to provide care for up to five female adults with a range of mental health problems. Parkhaven is situated near to Stanley Park. It is close to shops, libraries and other local facilities and bus routes are situated close-by. Accommodation within the home is situated on the ground and first floors. There are three single bedrooms and one double bedroom. These are not ensuite. There is a lounge and a dining kitchen. There is a small back yard at the rear of the home. There is a Statement of Purpose/Service User Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are, and what the resident can expect if he or she decides to live at the home. Information received prior to this visit (14/6/06) showed that the fees for care at the home are from £270 to £395 per week, with added expenses for hairdressing, chiropody, newspapers, outings and holidays. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which commenced at 11am for five hours. Prior to the visit the manager completed a pre-inspection questionnaire and comments cards were received from five residents, and three relatives. The Registered Manager and Registered Proprietor and five residents were spoken to. The inspection involved case tracking three residents as a means of assessing some of the National Minimum Standards. This process allows the inspectors to focus on a small group of people living at the home. All records relating to these people are inspected along with the rooms they occupy in the home. They are invited to discuss their experience of the home with the inspector, however this is not to the exclusion of other people living at the home. A tour of the home was carried out and a selection of staff, residents and administrative records were examined. From the observations made, comments received and written documentation seen, the information has been put together to form this report. What the service does well: This is a care home where people are looked after well. Parkhaven is a home for women only and residents said that they liked this. It has a competent staff team who understand the needs of the people living there. One resident said “This is the next best thing to your own home”. Residents said that staff were easy to talk to and that they were always kind and helpful. One resident said, “The staff here are the best I have ever been with. They listen and try to help you. They have time to talk to you”. Other residents said, “Staff are always there when you need them” and “They are fantastic here, really helpful” Staff training is very good and helps meet residents needs and protect the health and welfare of residents, relatives and staff. The home has good quality checks and all residents, relatives and staff contribute to this process. A manager who works in the home on a day-to-day basis must apply to the commission (CSCI) to become the registered manager. Staff were seen to be caring and supportive looking after the residents well. Residents spoken to said that staff are helpful and caring. One resident said, “The staff are good and look after us well”. Each resident has a detailed plan of care that is followed by staff. It is regularly checked to make sure that it still meets their needs. Residents’ are encouraged to make decisions and take responsible, well informed risks. Residents access social, leisure, religious and cultural facilities as they wish, with support if needed. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 6 One resident makes all her own meals other are involved in some areas of meal preparation. Medication procedures and administration are well managed. Residents and relatives are welcomed and encouraged to give their views on the home so that the needs of the residents are met. The home is clean throughout with no unpleasant smells. Most areas of staff recruitment are safe and thorough and make sure that residents are protected. Staff training is good. All the care staff have qualifications in care and there are frequent opportunities for other training. Residents say that the manager and proprietors are caring and listen to them. What has improved since the last inspection? 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. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives have the information needed to choose a home, which will meet their needs. The admission and assessment procedures are clear and ensure the care needs of residents are met. EVIDENCE: The home has a detailed admission policy, which was seen. All prospective residents are given a copy of the Statement of Purpose /Service User Guide, including information on the latest inspection report and where they are kept in the home. Through information from residents it was confirmed that they had been given information to assist them in making up their mind about the home. Residents had a copy of the statement of purpose and service user guide. All residents had detailed contracts/statements of terms and conditions, in their files so they can check their terms and conditions of residence whenever they wish. Three residents care records were examined. All of the records contained a detailed assessment of needs that had been carried out prior to admission. This information then helped create a plan of care. One resident has reached retirement age and another is close to retirement age. The manager should apply to the commission for a variation of category Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 9 in order that the ladies can remain in the home as long as their needs can be met. There has only been one recent admission. The other ladies have lived together for two years or more. The admission procedure ensures that resident’s needs are properly addressed. The Manager offers prospective residents the opportunity to visit the home regularly before admission, initially for short periods, gradually increasing to meals and overnight stays before moving in on a trial basis. The owners and manager are very careful introducing prospective residents to the home. They look for compatibility with other residents and take their views into account before deciding on accepting any new individual. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Plans of care are informative and regularly reviewed ensuring care is appropriate and up to date. Residents are encouraged to make decisions and take informed risks and increase their independence. EVIDENCE: Resident’s records seen clearly described their emotional, mental and physical health, care and support needs. These give a good ‘picture’ of residents, their lives and achievements. The care plans are reviewed yearly with Social Services. In addition detailed care plans completed by the Manager are reviewed monthly. Comprehensive records are kept recording daily life and any achievements, concerns or occurrences. Entries made on care plans showed good communication between the home and healthcare professionals. Residents said that they are involved in planning and reviewing their care plans and discuss the rules of the house at residents meetings. All residents are involved in routines and chores within the home. One resident is on a rehabilitation programme and cooks her own meals and carries out all her daily Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 11 living tasks with support where needed. Others are involved in meal preparation and assist with some daily living tasks. Risk assessments are in place and residents are encouraged to take appropriate risks, to avoid high-risk behaviours and to look at the possible consequences of risks. They are encouraged and supported to make decisions, again looking at the possible options and how these affect themselves and others. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Contact with family and friends is encouraged and residents are supported to choose from a variety of leisure and educational activities, enabling them to be part of the local community. Residents are encouraged to recognise their rights and responsibilities and are supported to make the most of these to enhance their lifestyle. There is a good choice of meals with unhurried and relaxed mealtimes that meet resident’s needs. EVIDENCE: This is a home for women only and residents said that they liked this. There are five women currently living in the home aged between 19 years and 66 years. Despite the differences in ages all the women said how well they got on and how they enjoyed each others company most of the time. The older residents have a young outlook on life and are active and sociable and the younger ones listen to the experience of the more mature residents. Although residents have their own hobbies and friendships out of the home, they often choose to go out together in pairs or in a group. All said they enjoyed each others company and appreciated the friendships in the home. All residents Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 13 said that the staff were very supportive. One resident said “they are fantastic here, really helpful” Another said “they help me with my problems and deal with my ups and downs”. All residents have lived in Blackpool and Fylde since birth or childhood and are very familiar with the area. They said they enjoy living so near Stanley Park, the shops and other facilities. Residents said that they go out regularly with support if necessary. They go out to a variety of leisure activities of their choosing including drop in centres, college courses, pub lunches, local shopping or Stanley Park and visiting friends. Four of the ladies went out for their regular pub lunch during the visit. One resident was being supported by staff at a friend’s funeral at the start of the visit and said how much she had appreciated that support. Residents said that they were encouraged to have social and leisure activities in the home and local community. Some of the residents are looking to go on holiday in Spain soon. They are busy looking at a variety of brochures. Family contacts are encouraged with staff providing practical support to assist in repairing broken relationships and maintaining others. All relatives and friends who responded to the comment cards said they can meet with their friend or relative in private and said that they are made welcome when they visit the home. Staff are aware of the residents rights and responsibilities and enable residents to receive appropriate health care, college and other services they have a right to. Three residents are nominally Church of England and two Roman Catholic. No one attends services every week but two residents sometimes attend church with the owner and two residents go to the local church together for private prayer, but choose not to attend services. One resident chooses to watch the television church service every Sunday, but has no wish to visit a church. Staff are aware and supportive of residents spiritual needs and wishes. Mealtimes are unhurried and relaxed. One resident makes most of her own meals, usually only eating meals cooked by staff at Sunday lunch. She occasionally makes a meal for everyone and said that she enjoys this very much. Staff make meals for the other residents who are involved in preparation of meals and washing up after meals. There is a good nutritious variety of meals with a set menu chosen by residents at each meal. Residents may have alternatives if they do not want the food on the menu. The manager confirmed all staff were fully aware of the healthcare needs of residents and any dietary, cultural needs of the residents are met. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and welfare is closely monitored to ensure health needs are met. Medication is stored, administered, recorded and disposed of correctly, provided a safe service. EVIDENCE: Residents’ health needs are met sensitively and quickly. Residents use local community health services for physical and mental health wellbeing. One resident was meeting with her Consultant and Social Worker at home during the visit. Staff support residents during medical appointments and health checks as each resident wishes. They are encouraged to take advantage of preventative health care but are supported if they choose not to accept this. Medication was checked and found to be satisfactory. No-one self medicates at present but previous residents have self-medicated in preparation for independent living. Staff sensitively seek residents views on their support needs and choices in older age and death but some residents refuse to discuss ageing and staff Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 15 respect this. Residents are well supported if friends or relatives are ill and through bereavement and loss. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to and taken seriously. Procedures for dealing with and reporting abuse were in place to ensure that people are adequately protected EVIDENCE: A detailed complaint procedure is given to all residents on admission to the home. There is also a complaints procedure in the hall of the home informing everyone how to complain. Almost all those who returned the comment cards said that they were aware of how to complain if they wanted to and who to complain to. Residents said that they felt that staff listened to what they had to say. Staff are very aware of abuse issues and the support needs of vulnerable people and discuss ways of keeping safe with residents. Staff have supported a service user to contact an independent financial advisor for advice on choosing some insurance. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 17 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, 25, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good, providing residents with a comfortable and homely place to live. EVIDENCE: A tour of the home showed that the general environment was homely and well maintained, nicely decorated and furnished, clean and comfortable. There is a comfortable lounge with 32-inch plasma TV, a DVD and CD player and a dining kitchen. There are three single and one double bedroom. The double bedroom has sliding doors across the centre of the room, which gives the impression of two single rooms and enhances privacy. The bedrooms are not en-suite. Most residents showed the inspector their bedrooms. All rooms were individually and well personalised. Residents said how much they enjoyed their own space and privacy, particularly those who had recently spent time in hospital. Resident and relative surveys showed that they felt that the home was clean and fresh There is an enclosed, yard where tables and chairs are set out for residents to sit in the warm weather. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 18 Any maintenance work required is recorded in a maintenance book to be carried out by the proprietor or local tradespeople. Residents either wash and iron their own laundry or assist staff in some part of this process. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 19 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 & 36 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. Staff in the home are well trained, skilled and according to the rotas seen were in sufficient numbers to meet the aims of the home and the changing needs of the residents. Recruitment was safe in most areas but needs some minor improvements to ensure vulnerable people are protected. A detailed induction is provided ensuring staff have appropriate skills to care for residents. Regular formal supervision for all staff encouraging staff development and improving practice. EVIDENCE: The home has achieved 100 of care staff with a level 2 or above National Vocational Training (NVQ) as well as other courses in care. The manager who is almost completed the Registration process, is working towards the Registered manager’s award. The manager is in day-to-day control of the home. She reports to the proprietors, who visit or work in the home most days. She is starting to use the new Sector Skills Councils common induction package. This is a detailed package. There has only been one new member of staff employed since the last inspection. This file was checked. It contained almost all the information required by regulation before new staff members commence working in the Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 20 home. The POVA first certificate was in place. The member of staff had commenced employment under supervision while waiting for the CRB , as is allowed by the Care Homes Regulations. There was an application form in place, but with an incomplete work history on the application form. Details only from 1994. Staff must present a full work history and dates of any change of employment including the month as well as the year of changes. All staff receive regular formal supervision. Dates and supervision information was seen. Several weeks’ rotas were studied. The rota shows satisfactory numbers of staff on duty throughout this period. Residents and their relatives said that there are always sufficient numbers of staff on duty. Staff were observed interacting with residents in a supportive and respectful manner. Residents said that staff were easy to talk to and that they were always kind and helpful. One resident said, “The staff here are the best I have ever been with. They listen and try to help you. They have time to talk to you”. Another resident said, “Staff are always there when you need them”. Residents said that staff were easy to talk to. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 21 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, 38, 39 & 42 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The manager is providing clear direction in the home. It is effectively managed, supporting residents and staff. Good quality assurance systems are in place, enabling residents, relatives and staff have a voice. EVIDENCE: The manager, Jan Gallagher who is working through the process to become a Registered Manager has several years experience as a manager caring for people with mental health problems. She has almost completed the Registered Managers Award and will then complete the NVQ 4 in care. The manager is providing clear leadership and focus in the home. She is enthusiastic and knowledgeable about supporting people with mental health problems and this is passed onto the staff. The home is well managed; residents and staff feel well supported. One resident said that the manager always tried to be helpful even when the resident was very up and down. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 22 Another resident said that that the manager always tries to help and talk her through problems and difficulties. Discussions with the manager and proprietor indicated clear plans and a positive approach to the management of the home. Residents said that they were easy to talk to and listened to anything they said. Systems are in place for quality assurance. The home is part way through the Investors in People award. They have stopped this temporarily. but hope to recommence soon. There are regular staff meetings and residents meetings and staff receive regular supervision. Views of residents and their relatives are also regularly sought informally Good care practice protects the health and welfare of residents, relatives and staff. Staff are well trained in Health and safety. Residents all handle their own money with support as needed. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 23 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 2 2 3 3 3 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 2 35 3 36 3 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 3 12 3 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 4 2 3 3 X X 3 X Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 4 Requirement Timescale for action 01/10/06 2 YA34 19 The Registered person must submit an application to CSCI to vary the conditions of Registration regarding the age of current residents. The Registered Person must 01/10/06 ensure that all staff complete a full employment history including the month and year of any employment changes. 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 manager should complete the Registered Managers award (RMA) and commence National Vocational Qualification (NVQ) 4 in care. Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Parkhaven DS0000065619.V295642.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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