CARE HOME ADULTS 18-65
Proctor Residential Home Ltd 40 Filton Avenue Horfield Bristol BS7 0AG Lead Inspector
Sandra Jones Key Unannounced Inspection 28 November & 6th December 2006 09:30
th Proctor Residential Home Ltd DS0000062466.V322587.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 Proctor Residential Home Ltd DS0000062466.V322587.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. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Proctor Residential Home Ltd Address 40 Filton Avenue Horfield Bristol BS7 0AG 0117 9354403 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) Proctor Residential Home Ltd Mr Michael Edward Kendall Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. May accommodate up to 5 persons, 2 of whom can be 65 years and over 9th May 2006 Date of last inspection Brief Description of the Service: Proctor House is a care home providing personal care for five service users aged between eighteen and sixty four years. The home is situated in a suburban area, and located on a bus route that gives access to local shops, leisure and other amenities. The home is in keeping with the local neighbourhood. The home has undergone re-registration with the Commission for Social Care Inspection as the business has moved from a sole trader to a limited company. In addition the manager of the home has changed from Mrs Kendall to Mr Kendall (the son). Mrs Kendall remains the provider. The home primarily provides personal care to service users with a mental disorder. It is a quiet home that would best be suited to those who prefer a quieter lifestyle. Fees range from £1212.00 - £1994.32 per fortnight. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This Key visit was conducted unannounced in November and December 2006 and focused on the assessment of key standards. The main purpose of the visit was to check on the welfare of the residents, ensure the premises are well maintained and to examine health and safety procedure. During the site visit, the records were examined, a tour of the premises conducted and feedback sought from residents and staff. “Have your say” surveys were sent to residents in the home prior to the inspection and two were returned. While feedback from residents was sought during the site visits, their comments were not always relevant to the standards of care at the home. Information from these sources has been collated and where possible detailed throughout the report. Prior to the visit some time was spent examining documentation accumulated since the previous inspection, including the pre-inspection questionnaire and notified incidences in the home, (Regulation 37’s). What the service does well:
Surveys were used to seek the views of the residents about the standards of care at the home. Two completed surveys were received from residents and stated that they always make choices about their daily lives and staff treat them well. Residents indicated that they know the complaints procedure and who to speak to if they are not happy. Residents consulted were complimentary about the food provided and the skills of the staff. Residents stated that they liked the home and would not wish to live anywhere else. The members of staff on duty explained the expectations of their role and confirmed that the training provided will increase their skills. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 6 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. Proctor Residential Home Ltd DS0000062466.V322587.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 Proctor Residential Home Ltd DS0000062466.V322587.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before their admission to the home. Care coordinators provide needs assessments in advance of admission to the home. The Admission policy must be reviewed to detail the procedure to be followed for people that self fund their placements. To ensure that residents needs are assessed before their admission to the home. EVIDENCE: It was understood from the manager that there is an empty bed and care coordinators are making referrals for placement at the home. The needs assessments provided for potential placements fit the home’s category of registration. The Admission policy and procedure is based on the steps to be taken before and during the admission to the home. The policy makes it clear that the majority of referrals are from the Local Authority. Care coordinators provide needs assessments for local authority placements in advance of any admission to the home. The policy and procedure must be reviewed to incorporate the process followed for introductory visits and trial periods. The assessment to be conducted by the home for self funded placements must also be detailed within the procedure. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 9 Contracts for residency were updated to inform potential residents about the annual fee increase. Proctor Residential Home Ltd DS0000062466.V322587.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Care plans in place offer some consistency of care to residents and guide the staff to consistently meet the assessed needs, action plans must be more specific. Residents are able to make decisions and where freedom of choice is restricted risk assessments are in place. Risk assessments are in place for activities that may involve an element of risk. EVIDENCE: Since the last inspection, care plans have been updated. Within the care plans, the assessed needs are listed and the action to be taken by the staff detailed. It is clear that steps have been taken to develop a person centred approach to meeting needs. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 11 Residents must sign the care plans to confirm their agreement with the plans of action, to evidence that residents changing needs are assessed the care plans must be dated. Action plans must be more specific in terms of residents preferred routines and the guidance for staff to consistently meet the identified need. The manager explained that the placing agency generally focus on the individuals mental health care needs during assessment reviews. For this reason the home conducts an assessment of needs and care plans are formulated from the identified needs. Members of staff confirmed that they have input into the formulation of the care plans and there is an expectation that staff read residents case records. The residents currently accommodated exhibit aggressive and violent behaviour. The actions to be taken by the staff to ensure the safety of visitors and other residents are detailed in the care plan. Members of staff are currently assessing the behaviours of one resident. The assessment is based on low and elated moods. It was understood that a strategy will be devised from the assessment, the triggers and warning signs along with the appropriate action to manage the behaviours exhibited. These strategies focus on positive behaviour and must be developed for each person that exhibits aggressive and violent behaviours. Residents mental health care needs are incorporated into care plans and describe the manner it manifests itself, with the actions to be taken by the staff. The manager stated that with the exception of one, residents have family involvement into their care. It was further stated that residents are able to verbalise their wishes. Advocates are not involved because the manager stated that residents are able to make their own decisions. Training that is relevant to new legislation must be considered to ensure decisions made are based on the person’s best interest. There is a daily report compiled by the staff on their observations of residents’ well-being, activities undertaken and outcome of visits. Risk assessments are in place for one person that medication is covertly administered and for the administration of insulin. Risk assessments to establish the level of risk must be completed for the resident that has identified self-administration of medications as a goal. Proctor Residential Home Ltd DS0000062466.V322587.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Staff support residents to pursue leisure interest and for residents to take part in valued and fulfilling activities, consultation on occupation and education must take place. Residents are independent with travel and are part of the local community. Residents are supported to strengthen links with family and friends. Practices in place ensure that residents are respected as individuals. Residents have a varied diet. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 13 EVIDENCE: Individual Personal Plans (IPP) meetings take place six monthly, with the resident and the manager to discuss previous goals and to set new ones. It was noted that three residents have no IPP in place. The manager must discuss with the residents their wishes and goals for education and occupation. Goals set must be included in their care plan, with an action plans on meeting the identified need. Residents are independent and will arrange their social and recreational activities and the manager will provide transport to ensure residents can pursue their leisure interest. The manager stated that the residents can leave the home without staff support. Members of staff will generally accompany residents on appointments and on these occasions the home’s transport is used. The home’s visiting arrangements are included in the contract, which states that visitors are welcome between 9:00 am and 11:00 pm. It is also stated within the contract that staff will offer refreshments to visitors. The manager reported that with the exception of one, residents have visits from family and friends. Rules about living at the home are listed within the contract of residency. There are rules about smoking, alcohol and access into the kitchen. The rights of residents are also defined within the contract, with the principles of care described in the Service User Guide. The manager explained that lockable bedrooms and handing post unopened to residents were practices that respect the individual. In terms of enabling residents to become independent, residents will generally tidy their bedrooms and clear up after themselves. It was also understood that there is an expectation that staff support residents with leisure activities. There is a wide range of frozen, fresh and tinned foods kept at the home and indicate that residents have a varied diet. Records of fridge and freezer temperatures are maintained. Proctor Residential Home Ltd DS0000062466.V322587.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Care plans must describe the individuals preferred routine with personal care to ensure the personal support is provided in way they prefer. Residents’ health care needs are monitored by the staff and where appropriate referrals for specialist support is sought. The manager must seek annual health checks for residents. Safe practices of medication administration are in place at the home. EVIDENCE: Three residents are prompted with personal care and the care plans for two residents include hygiene needs. Care plans must incorporate personal care needs and action plans must guide the staff to consistently meet the needs. Within the action plans the individuals preferred routine must be described to fully adopt a person centred approach to meeting needs. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 15 The manager confirmed that residents are registered with a GP and have input from a psychiatrist. One person has involvement from a social worker and a Community Psychiatrist Nurse (CPN) visits another resident. Health care records are kept separately from the daily notes. Members of staff record outcomes of health care professional visits and detail changes in instructions. It was understood that residents do not currently have annual health checks. The manager must ensure that residents have the opportunity to have annual health checks. The optician visits the home annually and one person visits the chiropodist. Two residents are diabetic and for one person it is controlled by insulin, which staff administer. A specialist nurse is involved with one person and the other refuses this input. Medications are administered through a monitored dosage system by the staff at the home. Records of administration were examined and reflect the medications held within the monitored dosage system. There is a record of medications no longer required by the residents and the pharmacist signature evidenced receipt of the medication for disposal. It was understood from the manager that homely remedies are not administered from a stock supply when required. Proctor Residential Home Ltd DS0000062466.V322587.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents know who to approach with complaints and residents’ forums should be used to discuss the complaints procedure to establish their understanding. The manager is taking steps to ensure that staff can recognise forms of abuse and are able to take the appropriate action. EVIDENCE: The manager states that the residents currently accommodated can read and understand the complaints procedure. Two “Have your say” surveys were received from residents and their comments indicate that they know who to speak to if they are unhappy. One person also indicated their awareness of the complaints procedure. Residents receive copies of the home’s contract, which contains the complaints procedure. Residents meetings take place at the home are can be the forums for discussing house issues. The complaints procedure should be discussed at residents meetings to ensure residents are aware of the procedure in place. The timescale for the manager to attend Safeguarding Adults training for managers and service providers has not lapsed. The manager has asked for the timescale to be extended because of available dates. It was understood from the manager that in-house Adult Protection training will be provided through a “Skills for Care” training package purchased by the home.
Proctor Residential Home Ltd DS0000062466.V322587.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The property is homely and maintained to a reasonable standard. Bedrooms have suitable furniture and fittings for the person to maintain their chosen lifestyle. There are sufficient toilets and bathrooms for the number of residents accommodated. The shared space provided sufficient space for group activities and private space. The home is clean and free from unpleasant smells. EVIDENCE: Proctor House is a terrace property in a residential environment. It has the appearance of a domestic dwelling arranged over three floors. The ground and first floor are used by residents, with bedrooms and shared space on each floor. The property is close to shops, amenities and bus routes, which are used regularly by the residents.
Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 18 Since the last inspection the requirement to undertake minor repairs were actioned. The carpet in the dining room was replaced and the grouting in the downstairs shower cubicle replaced. Bedrooms are single and the opportunity was taken to view a number of bedrooms. It was noted that bedrooms are lockable and residents have a lockable facility in their rooms. There is a hand washbasin, adequate floor covering, nurse calls and a radiator in each room. The furniture and fittings are provided by the home and personal belongings reflect the person’s personality. A full bathroom is located on the first floor and a shower and toilet on the ground floor. The ratio of bathrooms and toilets are less that three people sharing the two bathrooms. This is above the National Minimum Standards of three people sharing. There is a sitting/dining room, conservatory and visitors’ room. The combined seating and dining room has seating for four people and dining space for four people. The conservatory is used as a designated smoking area with additional facilities for making light snacks and refreshments in the future. The manager stated that heating is to be installed in the conservatory to ensure residents comfort. The visitor’s room is accessible to residents and used for private visits. The laundry area is adjacent to the kitchen and has the washing machine and a locked COSHH cabinet. The floor covering and painted walls ensures easy cleaning. The washing machine is domestic and has can reach 95degrees C. Proctor Residential Home Ltd DS0000062466.V322587.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The suitability of staff to work with vulnerable adults must be assessed before their employment to the home. The recruitment process must be more robust in terms of the information sought through the application form. There is an expectation that members of staff attend training that develops their skills and insight into the needs of the residents accommodates. EVIDENCE: Five staff are currently employed at the home and their case records were examined during the site visit. Criminal Record Bureau (CRB) checks are undertaken for the staff employed at the home. Application forms and two written references are in place for staff employed since 2002. There is an outstanding requirement from the last inspection that relates to reviewing the application form. For this reason the requirement to seek full employment histories and the names of two referees is repeated. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 20 Members of staff are provided with copies of the General Social Care Council (GSCC) Code of Practice and sign the office copy to acknowledge receipt of the document. Since the last inspection, the manager has purchased a training package to provide in-house induction training to all staff. Three staff are currently undertaking induction training and First Aid, medication and challenging behaviour training was recently completed. The manager explained that “Skills for Care” induction and other courses, relevant to the needs of the residents, must be completed before vocational qualifications is considered. Members of staff confirmed that there is an expectation that staff attend training courses that develop skills and insight into residents needs. The requirement from the last inspection for staff to undertake Mental Health Awareness has not expired and, is repeated with a longer timescale. Proctor Residential Home Ltd DS0000062466.V322587.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The manager is qualified and competent to manage the care home. It operates on “family” ethos and for home to operate effectively staff that are willing to work over 48 hours must sign opt-out agreements. The Quality Assurance system must seek feedback from other sources so that their views can inform the home’s future planning and reviews. The manager has taken steps to maintain the environment within associated legislation. Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager was consulted about the future direction of the home. It was explained that the staffing has improved and the expectation that staff undertake training will set better standards of care. From the rota in place, it is evident that the staff at the home work excessive hours. The manager and service provider work 84 and 60 hours respectively, which raises concern about their abilities to make decisions in the event of an emergency. It was also noted that other staff work over 40 per week, members of staff that are willing to work over 48 hours must sign opt-out agreements in line with European Working Time Directive. Two staff are rostered throughout the day until 6:00 pm when staffing levels falls. The manager explained that while two staff are rostered, 1:1 with residents take place away from the home. It is accepted that the staffing levels meet the needs of the current residents; an assessment of the staffing levels must be undertaken if the residents needs change. Members of staff confirmed during feedback that staff meetings are forums for discussions about house issue, concerns and the future of the home. Service Users surveys are used annually at the home to seek feedback about the catering, premises and the management of the home. The Quality Assurance system must be further developed by the use of other sources, which must be analysed. Reviews and future planning must then reflect the analysis of the feedback sought. The home maintains an accident book for residents and staff. The records that relate to fire safety checks and practices were examined. Members of staff attend fire safety training and drills, with the staff conducting weekly fire alarm safety checks. Records of checks conducted by the staff and contractors are up to date. The manager takes steps to comply with associated legislation by the checks of system and appliances. Competent contractors are engaged, to check the gas boiler and electrical appliances annually at the home. The Local Authority funds the residents currently accommodated and the fees are paid directly into the home’s account. Fees range from £1212.00 £1994.32 per fortnight. Proctor Residential Home Ltd DS0000062466.V322587.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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 2 X 2 X X Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 24 no 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 1 (c) Sch.1.8 Requirement The admission procedure must include the arrangements for introductory visits, trial periods and assessments conducted by the home before admission. Members of staff that are willing to work over 48 hours must sign Opt-out agreements in line with Working Time Regulations 1998 Reactive strategies that focus on positive behaviour must be developed for residents that exhibit aggressive and challenging behaviours Care plans must be developed using the information gathered from the home and ICPA. The individual’s likes, dislikes and preferred routines must be included, along with their aspirations and personal development goals. For residents under section the action plans must define the actions to be taken for any breaches of conditions. (Partially met) Members of staff must attend statutory training and mental health awareness training.
DS0000062466.V322587.R01.S.doc Timescale for action 30/03/07 2. YA34 18 (a) 30/03/07 3. YA6 13 (6) 30/04/07 4 YA6 15 30/04/07 5 YA35 18(1)(c) 30/06/07 Proctor Residential Home Ltd Version 5.2 Page 25 6 YA34 19 The recruitment process must be more robust in terms of the information sought through the application form. Full employment histories with reasons for leaving past employment and the names of two referees must be sought. The manager must attend POVA training for managers and staff must attend the alerts course. In-house policies for protecting residents must reflect current good practice. The Quality Assurance system must be further develop to ensure residents views are reflected into future reviews and planning for the home 30/03/07 7 YA23 13(6) 30/07/07 8 YA39 24 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Proctor Residential Home Ltd DS0000062466.V322587.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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
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