Inspection on 22/01/08 for Penkett Road (17)

This inspection was carried out on 22nd January 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Penkett Road (17) 24/11/08

Penkett Road (17) 20/11/06

Penkett Road (17) 15/02/06

Penkett Road (17) 19/12/05

Penkett Road (17) 06/03/05

Penkett Road (17) 07/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Penkett Road (17) 17 Penkett Road Wallasey Wirral CH45 7QF Lead Inspector Helen Carton Key Unannounced Inspection 22nd January 2008 09:30 Penkett Road (17) DS0000018927.V353813.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 Penkett Road (17) DS0000018927.V353813.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. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Penkett Road (17) Address 17 Penkett Road Wallasey Wirral CH45 7QF 0151 691 0629 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) www.macintyrecharity.org MacIntyre Care Sandra Sharpe Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th November 2006 Brief Description of the Service: The home is a large semi-detached house situated in Wallasey close to local shops and amenities such as pubs, cafes and New Brighton promenade. The home has five single bedrooms, a lounge/dining room and bathrooms on the ground and first floor. There is a courtyard type area at the rear of the home and off road parking for approximately three cars. The home has no passenger lift. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. As part of the inspection process the Commission sent the service an Annual Quality Assurance Assessment (AQAA) document, which was to be completed prior to the site visit. This document was to provide information about the service at 17 Penkett Road and to tell the Commission where they felt they had made improvements to the way they support residents and the staff team. The manager completed and returned the document before the site visit took place. A site visit was made to enable us to examine documentation and to discuss how the service supports residents’ in all aspects of their lives. Part of this process involved speaking with the manager, members of the staff team and spending time with residents’ to find out their views on living at 17 Penkett Road. An expert by experience was present for part of the site visit. This person has experience of services for adults with a learning disability and was asked to visit the service to give their view on how they feel the service is operating. The expert by experience toured the home with residents and members of the staff team. She then spent time with residents and spoke to members of the staff team. We spent approximately six and a half hours at the service. What the service does well: 17 Penkett Road provides a comfortable, friendly and relaxed home for the people who live there. With all areas being personalised to reflect the residents’ personalities and interests. The expert by experience who visited the service with us made the following comments: “ The house is lovely, nice and warm everywhere is comfortable”. “The bedrooms were all different and looked really good”. The staff team are aware of residents’ individual needs and are enthusiastic about supporting them to enjoy their daily lives and to promote their independence as much as possible. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 6 The staff team feel supported and valued by the manager enabling them to carryout their roles effectively and safely. We observed the manager and members of the staff team supporting residents in a respectful and affectionate manner. 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. The summary of this inspection report can be made available in other formats on request. Penkett Road (17) DS0000018927.V353813.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 Penkett Road (17) DS0000018927.V353813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 & 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. In the main the information provided by the organisation about the services offered at 17 Penkett Road is good. However the pre admission assessment tool has not been appropriately used resulting in an inappropriate admission and some negative impacts for residents. EVIDENCE: The statement of purpose provides good information about the facilities prospective residents can expect to receive if they decide to move into 17 Penkett Road. The service user guide is in an easy read format and uses pencil drawings as prompters. However further work is needed to ensure information about how the mini bus used by residents is paid for is included in the guide. Prior to a person moving into 17 Penkett Road the manager and the referral officer for the organisation carryout an assessment of their needs. This includes information about residents physical, emotional, social, medical and mental health needs. As part of the pre admission assessment information is gained about the compatibility of a prospective residents with the existing resident group. This is to make sure all the people living at 17 Penkett Road have similar interests and needs allowing them to build positive relationships. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 9 A recent admission indicates this assessment was not fully completed with the compatibility of the new person with the existing resident group not being fully assessed. Resulting in some social and behavioural difficulties being experienced by the residents. The manager and the area service manager told us they were continuing to assess the needs of one person with a view to finding a more appropriate placement for them to live. A sample of service user agreements where examined. They were not fully completed however a representative of the company had signed even though the resident or their representative had not. Residents and their representatives must be given full information including fees to be paid prior to either party signing terms and conditions of residency. Penkett Road (17) DS0000018927.V353813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In the main care planning and risk management strategies and care practices adopted by the manager and staff team support residents’ holistic needs. EVIDENCE: During the site visit we looked at four residents care files. Since the last visit a new manager has been appointed and is currently reviewing the way in which information is recorded about the people who live at the home. Care plans provide good information about residents’ daily living needs however information is currently being held in a number of different files making it difficult to understand their holistic needs. The manager showed a file she had recently reviewed which was much easier to work with and find information about the support residents need. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 11 Each resident’ has a link worker who is responsible for supporting residents’ in their daily lives particularly accessing community facilities, healthcare appointments and shopping. One to one support is offered to support residents to build positive relationships with their link worker. A sample or risk assessments and their supporting management plans were looked at. Some were very detailed and provided the staff team with good information about how to best support residents when they are experiencing difficulties and challenges. However risk assessments and support plans had not been produced to support and protect residents from challenging and inappropriate behaviour of other residents. Diary sheet entries show that when an incident happens information is recorded. However the level of detail in those entries of residents who have witnessed an incident are limited. This may result in an inconsistent approach being provided to both parties. The manager told us she felt the staff team did provide a consistent approach but would produce the support plans to formally document the interventions used. The area service manager told us residents and the staff team are supported by a clinical psychologist this is to ensure behavioural support plans are appropriate and effective. The manager continues to assess residents’ communication methods resulting in the development of talking picture albums for those people who would benefit from this form of communication. These individual methods are to enable residents to communicate their needs and wishes in formats they are confident with, to promote their independence and reduce anxiety. Information about residents is held securely with the home having a confidentiality policy and procedure, discussion with members of the staff team demonstrated it is a working policy that all staff understand and reflect this in the way they support residents. Penkett Road (17) DS0000018927.V353813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16 & 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the manager and the staff team enable residents’ to live their lives as individuals within a communal setting. EVIDENCE: When we entered the house the manager was supporting four of the five residents as two members of the team where supporting an individual to attend an appointment. Three of the five people who live at 17 Penkett Road require two to one support when accessing community facilities. We discussed this with the manager and area service manager who felt the current staffing levels meet residents social needs. We advised them we would be requiring the company to review the current staffing levels to ensure all residents have the same opportunity to access community facilities. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 13 An activities co-ordinator is currently being recruited to provide 20 hours support per week. The manager intends to use these hours to provide four hours individual activities support for each person. This will help residents to develop and maintain life and social skills. Activities currently being undertaken are age, peer and culturally appropriate with many being based within the community. Documentation shows residents are supported to maintain significant relationships with this type of information being recorded care files. The manager and the staff team work hard to involve residents in the decision making in their daily lives. However as detailed earlier in this report issues about their involvement in decisions about who moves in with them and how they are supported through some difficult situations is raised. During the visit we spoke to residents who made the following comments: “ I like it here”. “ I’m going to Birkenhead”. We spent time with residents and members of the staff team and observed them enjoying being with each other with staff supporting residents sensitively in a calm friendly atmosphere. We discussed with the manager and the area service manager the need to ensure information about residents personal relationship needs are included in care and support plans. This is to ensure residents holistic needs are met. Photographs of different foods and meals are attached to the fridge to act as prompts and reminders for residents. All residents go out to buy the food they enjoy with the support of their link worker and prepare meals at times that are convenient to them as individuals rather than collectively at set meal times dictated by the routines of the staff team. This promotes an individualised approach to the support being offered. Penkett Road (17) DS0000018927.V353813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service proactively supports residents to make informed decisions about their care and support resulting in individualised support and care being provided. EVIDENCE: Care plans and risk assessments provide detailed information about how residents like to be supported with their personal care needs. This type of information enables the staff team to support residents in a manner that will minimise anxiety and possible agitation. Records show the manager and the staff team support residents to access healthcare when required. Looking at records and discussions with the manager, members of the staff team and observations made during the site visit indicate residents emotional and physical health care needs are being met. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 15 The manager and staff team have a detailed medication policy and procedures to administer residents’ medication. Residents’ individual files and the general medication file have information leaflets about all medication residents have been prescribed. This enables the staff team to support residents to be aware of side effects and other difficulties relating to specific medication. A sample of residents’ Medication Administration Record (MAR) sheets where looked at with the corresponding medications and where well maintained. The manager told us she intended to move the medication to a more convenient place in the house. Penkett Road (17) DS0000018927.V353813.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. 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. Systems and practices in place promote positive communication with residents, their relatives and supporters and protect residents from abusive or neglectful situations. EVIDENCE: There is a detailed complaints policy and procedure that has been made into an easy read format with picture prompters for residents’. The manager intends to produce the complaints procedure and other significant policies in the preferred communication method of individual residents to assist their understanding and participation in decision-making. A copy of the complaints procedure is held in the statement of purpose and the service user guide. This gives important information to people who may choose to live in the home how the company will deal with their concerns and complaints. The manager confirmed that protection of vulnerable adults training is mandatory within the organisation. There is a copy of Wirral social services safeguarding vulnerable people policy and procedure and the manager told us the company’s own protocols dovetail with this document. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 17 Discussions with the manager and members of the staff team indicates they have a good understanding of their roles and responsibilities to alert managers, social services, CSCI and the police of alleged abuse and neglectful practice towards residents. This helps to ensure residents are safeguarded from the possibility of abuse. An alleged incident occurred following the site visit resulting in a referral being made to the safeguarding team in Wirral. Penkett Road (17) DS0000018927.V353813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a safe, homely and comfortable environment that meets their needs. EVIDENCE: The house is well decorated and furnished and provides a safe, homely and comfortable place for residents to live. We noticed in the communal areas many framed pictures of the people who live there this supports them to view the house as their home. The house has few adaptations such as a lift as the residents living there are physically able to access all areas. Assisted bathing facilities are provided at the time of the visit work was being carried out to improve these facilities. Residents have there own bedrooms that have been personalised to reflect their hobbies and interests. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 19 The manager and the staff team work hard to find out through residents behaviour and reactions to different situations what they like and don’t like including colour schemes for the house. During the visit we noticed the house was clean tidy and pleasantly warm. The expert by experience made the following comments: “ The house is lovely, nice and warm everywhere is comfortable”. “The bedrooms were all different and looked really good”. Penkett Road (17) DS0000018927.V353813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Current staffing levels may not meet the needs of residents resulting in inequitable support and supervision being offered. Lack of staffing records leaves residents at risk of being inappropriately supported by staff not suitable to work with vulnerable adults. EVIDENCE: On a daily basis there are two support workers and the manager on duty supporting the five people who live there plus one person offering support through the night. A number of residents need to be supported by two people when out in the community also due to challenging and some risky behaviours two to one support can be needed while at home. Leaving the remaining residents ability to engage in activities or to have one to one support limited. We discussed these issues with the manager and the area service manager who told us the company were currently carrying out individual needs assessments that will highlight any shortfalls in staffing levels. The area service manager told us she felt confident any shortfalls would be met. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 21 An activities support worker has been appointed to work with residents twenty hours per week. This will offer them the opportunity to develop life skills and interests which the manager hopes will lead to greater independence. At the time of the site visit agency staff were being used regularly due to staff sickness we looked at their recruitment records. We found the company did not hold basic information about the checks undertaken by the employment agency such as Criminal Record Bureau (CRB) reference numbers. We spoke to the manager and area service manager about the need to make sure they are able to demonstrate the employment agency used to provide staff have a robust recruitment process that is compatible with their own recruitment and selection processes. This is to ensure residents are protected from being supported by people unsuitable to be working with vulnerable adults. The manager told us that agency members of staff do not work unsupervised. An issue regarding the potential safety of members of the staff team was discussed with the manager and area service manager we advised them to record vital information to minimise risk. There is a comprehensive induction programme in place. The manager showed us a training matrix for the staff team we discussed the need to provide specialised training for the staff team such as autism awareness, communication needs. The manager told us she had identified training needs through supervision and was discussing them with the area service manager. These included mental health training, epilepsy medication administration training and physical intervention training. The AQAA record shows that seven of the ten permanent members of staff have gained National Vocational Qualifications (NVQ) level 2 and above with a further two working towards this qualification. We spoke to members of the staff team including agency staff they were enthusiastic about their work and felt very supported by the manager. The agency staff demonstrated a good understanding of residents needs and felt comfortable asking more experienced staff members for support and help in specific situations. We observed members of the staff team supporting residents in a respectful and affectionate manner. Penkett Road (17) DS0000018927.V353813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a service that is service user led in its management approach. EVIDENCE: The manager has been in post for approximately a year but has several years experience of supporting adults with a learning disability. She has been registered with us as manager of 17 Penkett Road since the 18/12/07. During the site visit the manager was enthusiastic about her role and has plans to develop the support and care offered. Particularly to promote residents independence through individualised communication methods and more one to one support to develop life skills. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 23 As detailed earlier in the report there are issues regarding how information needs to be recorded such as risk assessments and support plans also the need to record relevant agency staffing information prior to them starting work. The manager had identified number of the issues prior to the site visit and had started to find ways to resolve them. We discussed with the manager and the area service manager concerns about current staffing levels not meeting residents’ needs. We were told s review is currently taking place and both managers feel confident this will address any staffing shortfalls. A selection of health and safety records where examined such as fire safety, utility safety checks and maintenance records, accident/incident records. All indicated the manager and the staff team work proactively to maintain a safe environment within their areas of responsibility. Regulation 26 visits and accompanying reports are being undertaken at regular intervals with the reports being available for examination. Penkett Road (17) DS0000018927.V353813.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 2 3 2 4 X 5 2 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 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 3 LIFESTYLES Standard No Score 11 2 12 3 13 3 14 X 15 2 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 2 3 X Penkett Road (17) DS0000018927.V353813.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 YA2 Regulation 14 Requirement Timescale for action 30/03/08 2 YA5 5 3 YA9 13 Full assessments of the holistic needs of prospective residents must be carried out prior to an offer of a placement being made. This is to ensure their needs can be safely met without a detrimental effect being felt by the existing resident group. Contract of terms and conditions 30/03/08 of residency and services to be provided must contain up to date information prior to either party entering into a contractual agreement. This is to ensure residents and their representatives are confident residents are receiving best value for money. Risk assessments and support 30/03/08 plans must provide detailed information about the risks identified and the interventions the staff team are to carryout to maintain residents safety. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 26 4 YA34 19 5 YA33 18 Records must be held regarding 30/01/08 all staff working at 17 Penkett Road including staff provided by an employment agency. This is to ensure residents are protected from people who are unsuitable to work with vulnerable adults. A full review of residents needs 30/04/08 must be carried out. This is to ensure staffing levels reflect the changing needs of residents. 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 YA6 Good Practice Recommendations Greater detail in daily records will enable reviews of the holistic needs of residents to be more effective and proactive. Penkett Road (17) DS0000018927.V353813.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 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 © 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 Penkett Road (17) DS0000018927.V353813.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. Re-publishing this information is in breach of the terms of use of that website. 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