CARE HOME ADULTS 18-65
Ribble Valley Respite Service 12 Croasdale Drive Off Mayfield Drive Clitheroe Lancs BB7 1LQ Lead Inspector
Mr Graham Oldham Unannounced Inspection 21st June 2007 10:00 Ribble Valley Respite Service DS0000040803.V338336.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 Ribble Valley Respite Service DS0000040803.V338336.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. Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Ribble Valley Respite Service Address 12 Croasdale Drive Off Mayfield Drive Clitheroe Lancs BB7 1LQ 01200 424394 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) Lancashire County Council Vacant post Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. A maximum of 6 service users, requiring personal care who fall into the category of LD The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 17th November 2006 Date of last inspection Brief Description of the Service: Croasdale Drive is situated within a residential area of Clitheroe about ten minutes walk from the town centre. There are local services and shops within easy reach of the home and access to public transport. The home is a two storey domestic property with six single bedrooms, a communal lounge and dining kitchen. A ramped area enables service users to access the garden and there is parking for several cars to the front of the house. There are two bathrooms and toilets. Ribble Valley Respite service charges a flat fee of £9.55 per night for the use of the respite facility. Not included within the fees are toiletries, outings and any items of a personal nature. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced key inspection, which included a visit to the service, took place on the 21st June 2007. Much of the information gained was obtained from talking to the registered manager and staff. Two residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to the manager and staff. The two residents staying at the home attended a day care centre on the day of the inspection. One member of staff was questioned about the resident’s case tracked to ensure they were familiar with the care required for each individual. The inspector took detailed notes during the inspection, which have been retained as evidence. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. What the service does well:
The manager said, “Often parents will come prior to residents after looking at several homes to make a choice. The initial appointment for a new service user includes a visit to the home for a tea visit. This will be recorded in the care plan. Prospective residents usually visit with a social worker or their parents”. The welcome pack tells residents and their families of what a short break means, what happens when they come for a stay, all about the house, how the staff will help residents and how they have been trained, what the staff will write about them, what residents can expect from the care home, what is expected of residents, administration of medication, toiletries, dignity and guiding principles (contains who they should complain to if unhappy and our name but not timescales is included). The complaints procedure does. We have asked them to simplify their paperwork so the outcome is satisfactory. The document concludes with a section to sign agreement, with room allocation number and cost. Residents and their families were given sufficient information to be able to make Croasdale Drive their choice of home. The assessment process ensured the needs of residents could be met at the home. Residents were able to take calculated risks, which enabled them to lead a more independent lifestyle.
Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 6 Plans of care had been well developed to ensure the health and personal care of residents was maintained. Residents were able to continue their lives during respite care to help maintain their routine and maximise their contentment. There had been no complaints made to the Commission for Social Care Inspection or the service. Several compliments had been made and included, “Thanks for looking after my daughter so well. I am sure that she will miss you all”. From a Social worker, “The GP said to pass on his thanks as everyone has pulled together to help this family”. A family member said, “It goes without saying that the service you have provided has been invaluable to us and we would like to take this opportunity to thank you all for the friendly and efficient way in which all the carers and staff have looked after her”. Another family member said, “It is a great comfort to go away on holiday and know her needs are being taken care of in a professional and most important way. The staff are so helpful when we ring up which means we can relax. It is our pleasure to write and thank you and all your staff for the care and attention you gave to our son”. “We do not know quite how you manage, year after year to provide such a home from home for him. You must be doing everything right. Although he cannot speak much he tells us he likes his bedroom, the food is nice and he has enjoyed himself. What better recommendation. We cannot thank you enough”. From another social worker, “I just wanted to thank you staff for responding so quickly and professionally for the respite request. It’s much appreciated”. Families and professionals valued the service and thought the home was providing good care. What has improved since the last inspection?
The statement of purpose and service user guide provided up to date information to enable residents to get a taste of the service prior to admission. There was a clear complaints procedure produced in a simplified format to enable residents to voice their concerns. Staff had attended protection of vulnerable adult training to protect residents from possible abuse. Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 7 Resident’s needs were accessed upon admission and every six months to ensure staff were up to date with their needs. Residents were offered trial visits to be able to ‘test drive’ the home. Plans of care had been developed with the aid of residents and their families to ensure their views were respected. Risk assessments were incorporated into the plans of care for the protection and promotion of independence of residents. Accident records were maintained adequately for the manager to assess and react if required to help protect residents from harm. What they could do better:
The Responsible Individual and Human resources staff at Lancashire County Council must ensure the information required to prove recruitment has been undertaken correctly is provided to the care home to confirm to the manager staff are suitable and residents are safe. The responsible individual should ensure policies and procedures are reviewed to enable staff to receive up to date information. The responsible individual should ensure training and any certification is retained within the plans of care to ensure proof of any learning. The responsible individual should ensure a suitably qualified and experienced manager is registered with the Commission for Social Care Inspection (CSCI). The responsible individual should ensure proof of regulation 26 visits are supplied to the CSCI to meet statutory requirements. The responsible individual should ensure bathroom equipment meets the needs of residents. The responsible individual should ensure there is sufficient storage at the home so equipment can be removed from resident’s rooms, which were a risk to the health and safety of residents. The responsible individual should ensure any induction training meets the required criteria. Please contact the provider for advice of actions taken in response to this
Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 8 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. Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA1, YA2, YA4 and YA5 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Prospective residents were assessed, given written information and offered trial visits to make an informed choice to enter the home. EVIDENCE: There was a statement of purpose and service user guide in the form of welcome pack, which gave residents and their family’s details of what it is like to stay at the home. Two residents were case tracked during the inspection. Two residents case tracked files contained evidence a good assessment had been carried out prior to admission. There was a copy of social services assessment for each resident to demonstrate social services were aware the services at the home was suitable for the resident placed. One resident case tracked said, “I like it here”. The assessment of residents ensured staff were able to develop a plan of care and meet the needs of prospective residents. Trial visits were offered for residents to familiarise themselves with the care home and test-drive the facilities. Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA6, YA7 and YA9 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Each resident had a plan of care, which was up to date and reflected the care each individual required. Residents were able to make decisions to maximise their independence. Residents undertook calculated risks to help maximise their choices. EVIDENCE: Two plans of care were examined during case tracking. Both plans of care were detailed and contained up to date information. Evidence was observed the plans had been developed with the aid of the resident, a family member and a social worker. There was a good daily record maintained to inform staff of any changes. This respite service admits people for one to fourteen nights at a time. Residents may come several times during the year. The manager said, “We telephone the residents home to see if there have been any changes to the care needs since they have been at home. We note this in the diary and any changes would be added to the care plans. It was advised not to enter personal details of a residents needs into a diary. It was advised and agreed to devise a simple form to place in the front of care plans to demonstrate
Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 12 assessment was completed prior to re-admission. Plans of care informed staff of the needs of residents. Risk assessments, personal to each resident, were observed during the case tracking process. Risk assessments allowed residents to take calculated risks to allow some independence. Risk assessments were undertaken for the protection of residents. The manager said residents were able to access the advocacy service. Two resident’s files examined during the case process showed communication was sometimes difficult and strategies to help residents express themselves had been developed. During the case tracking process evidence was observed a family member, with the assistance of a resident, made choices suitable to their needs. Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA11, YA12, YA13, YA15, YA16 and YA17 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were able to access the community and take part in suitable activities to maximise their fulfilment. They were able to retain contact with their families and friends to remain socially active and were treated as individuals. Meals were satisfactory and met residents nutritional needs. EVIDENCE: One plan of care examined during the case tracking process contained risk assessments for life skills such as helping in the kitchen and accessing the community. A letter from the outreach community team demonstrated ways to aid communication and further care provision within the resident’s own home to assist him to access the community. The manager said any resident would be assisted to attend religious services if this was part of the care package. Residents had the opportunity for personal development. The manager said if residents attended any outings, work or education facilities this would be continued during their stay. Two residents case tracked
Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 14 attended a day centre and also clubs at night. Residents were able to take part in suitable activities to maintain contact with their peer group. Residents were able to access the community and meet their families to ensure their social needs were met. Evidence was observed in the daily diary that residents went shopping, for walks, ate out and went to social evenings amongst other leisure pursuits to help lead a more fulfilling life. The preferred form of address was observed in the plans of care during the case tracking process. Bedroom doors could be locked and each resident had a lockable facility within their rooms. The manager said a key was issued to residents who were able to use them safely. Residents were able to access grounds and receive visitors in private. Privacy was maintained to preserve each individuals dignity. No residents were of an ethnic minority. There was a choice of meal. Breakfast was served prior to residents going out during the week and consisted of cereals and toast. The manager said residents had a ‘fry up’ at weekends. Residents took lunch at the day centre during the week. At weekends lunch and tea was discussed with residents on a daily basis and a record kept to avoid repetition. One resident case tracked needed a blended diet. The manager said, “Residents can choose to eat alone or with others. We ask what they want on a daily basis and may make several meals”. Staff working in the kitchen undertook environmental health checks. Residents were able to chose were and what they ate to help meet their dietary requirements. Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA18, YA19 and YA20 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were able to make informed choices and retain some independent living. Residents physical and emotional health needs were met. Medication policies and procedures were good and protected the welfare of residents. EVIDENCE: Each resident’s personal and care needs were documented in the plan of care examined during the case tracking process. Residents received support in the way they preferred. One resident case tracked needed the attention of a district nurse. This was recorded. The address and telephone number of resident’s doctors was documented. The manager said residents would be assisted to attend any specialists arranged prior to admission. Residents were able to receive emergency treatment. Residents were able to access specialists, if required, to help meet their health care needs. The good administration of medication helped protect residents from suffering any harm.
Ribble Valley Respite Service DS0000040803.V338336.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): YA22 and YA23 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. Residents were able to voice their concerns if they wished. Policies and procedures for the protection of vulnerable adults helped safeguard residents from possible abuse. EVIDENCE: There was a complaints procedure, which met current guidelines. When residents are leaving they are given a ‘let us know what you think’ document, which gives residents or their families a chance to complain and provide positive feedback. There was a simplified complaints procedure using graphics, which was given to residents. No complaints had been made to the care home or the CSCI since the last key inspection. The good system used allowed residents or their families to make a complaint. All staff had attended an adult abuse course since the last key inspection. One member of staff who was at the home confirmed attendance at the course. The service used the Lancashire County Council adult abuse procedures to follow a local initiative. There was a copy of the ‘No Secrets’ document and a whistle blowing policy was kept on the notice board. One staff member spoken to was aware of abuse issues and said she found the course very informative. Residents were protected from possible harm. Ribble Valley Respite Service DS0000040803.V338336.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): YA24 – YA30 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. The environment met the needs of the residents accommodated at the home. EVIDENCE: A tour of the building was conducted on the day of the inspection. The home was clean and did not have any offensive odours. The home was tidy although many of the bedrooms contained equipment which should not be there such as office equipment in one room, Christmas tree supplies in another and so on. The manager said there was no storage place. There is a health and safety risk of items of equipment falling on residents. All bedrooms were tidy but due to the nature of the service residents were not able to personalise the rooms but did bring in certain items of equipment. Mobility aids were seen in the toilets and one bathroom was for the disabled. However, the bath was quite an odd design and would not allow residents to be able to lie down and relax. One resident case tracked had contractions and would not have been able to have a comfortable bath and could not access the
Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 18 upstairs bath. The manager said it was not suitable for all residents but they had a lack of space to something more suitable. Another member of staff spoken to during case tracking confirmed the problem. Furniture was domestic in character and looked to be in good order. There was a track hoist for the resident case tracked who had severe mobility problems and a specially designed bed. There is no lift and only mobile residents are accommodated upstairs. There were policies in place for the control of cross infection and the laundry was suitable to meet the needs of residents. The kitchen was clean, tidy and domestic in character with a good level of equipment. Environmental health checks were carried out in the kitchen. Access into the home and garden was good. The environment was suitable to meet the needs of residents although the improvements suggested would be beneficial for some residents. Ribble Valley Respite Service DS0000040803.V338336.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): YA32, YA34 and YA35 The quality outcome for this standard group was adequate. This judgement has been made using available evidence including a visit to this service. Residents were supported by sufficient numbers of well-trained staff. Recruitment policies and procedures did not fully protect residents from possible abuse. EVIDENCE: Two staff files were examined during the inspection. The evidence to prove a robust recruitment procedure was not contained within the files. The manager said it was partly his fault because he was supposed to chase all the documentation up. He had tried once but nothing had been forthcoming. The responsible individual must ensure the Human Resources department devise satisfactory systems to recruit staff and provide information to its care services. Residents could be at risk of harm if responsible recruitment procedures are not followed. Two staff files contained evidence training was ongoing. 50 of staff had obtained NVQ3 qualifications. There were sufficient staff on duty to meet the needs of residents. One member of staff confirmed she had undertaken training relevant to her role. One staff member spoken to during the case
Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 20 tracking process was aware of the needs of the residents she looked after and was committed to their care. The induction training of a domestic did not appear to meet the standard set by the sector skills council, however care staff were inducted under the Learning Disability Framework. There was a training profile for each individual and the home as a whole. Resident’s needs were met by a well-trained staff team. Ribble Valley Respite Service DS0000040803.V338336.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): YA37, YA39 and YA42 The quality outcome for this standard group was good. This judgement has been made using available evidence including a visit to this service. The views of residents were obtained to ensure management could react to their needs. Health and safety policies, procedures and training protected the health and welfare of residents and staff. EVIDENCE: The proposed registered manager had the necessary experience to manage the home and was undertaking training to meet CSCI requirements. The manager had a job description and said it satisfied the role he performed. The manager had undertaken periodic training to update his knowledge for the benefit of residents and staff. When a resident was discharged a survey form was sent for relatives to complete. The manager said they were very rarely returned so had conducted a phone survey and had published the results for interested parties. It was hoped that this could be expanded. There was a business plan. The comments of family members, social workers and a doctor were very good. The quality
Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 22 assurance systems were satisfactory for this service and gained the views of residents and their families. Staff had undertaken training in all aspects of health and safety, which included training for moving and handling, health and safety, fire awareness, first aid, food hygiene, infection control, the administration of medication and protection of vulnerable adults. There was a health and safety policy and procedures. Electrical and gas appliances and installation had been maintained. Fire tests and procedures were up to date. The person in charge was aware of health and safety legislation. Health and safety policies and procedures protected the health and welfare of residents and staff.3 Ribble Valley Respite Service DS0000040803.V338336.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 3 2 3 3 X 4 3 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 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 24 YES 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 YA34 Regulation Requirement Timescale for action 30/08/07 19Schedule The responsible individual must 2 (5) ensure that pre-employment checks are both made and documented. (Carried forward from 28/02/07) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations The responsible individual should ensure any equipment meets its intended purpose. The downstairs bath should be a type to accommodate residents with physical restrictions. The responsible individual should ensure enough space is provided for the storage of equipment such as office supplies or Christmas decorations so as not to place it in a resident’s bedroom. The responsible individual should ensure any induction training meets Skills Sector targets. The responsible individual should ensure that training received by staff is documented in their files.
DS0000040803.V338336.R01.S.doc Version 5.2 Page 25 2. YA24 3. 4. YA32 YA35 Ribble Valley Respite Service 5. YA37 The responsible individual should appoint an individual to manage the care home and register with the Commission for Social Care Inspection. The responsible individual should ensure all policies and procedures are reviewed on a regular basis and staff at care homes are kept informed. 6. YA40 Ribble Valley Respite Service DS0000040803.V338336.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway 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
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