Inspection on 09/01/09 for Rossendale Hall

This inspection was carried out on 9th January 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rossendale Hall 28/05/08

Rossendale Hall 30/05/07

Rossendale Hall 09/01/07

Rossendale Hall 08/08/06

Rossendale Hall 16/03/06

Rossendale Hall 29/06/05

Rossendale Hall 23/11/04

Rossendale Hall 12/08/04

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Cuerden Grange Rest Home

Springfield Cottage

Parkside

Park Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOME ADULTS 18-65 Rossendale Hall Hollin Lane Sutton Macclesfield Cheshire SK11 0HR Lead Inspector Julie Porter Unannounced Inspection 9 January 2009 11:00 Rossendale Hall DS0000006617.V374022.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 Rossendale Hall DS0000006617.V374022.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. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rossendale Hall Address Hollin Lane Sutton Macclesfield Cheshire SK11 0HR 01260 252500/ 252216 01260 252571 cb@rossendaletrust.org 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) Rossendale Trust Care Home 30 Category(ies) of Learning disability (28), Learning disability over registration, with number 65 years of age (2), Physical disability (10) of places Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for a maximum of 30 service users including: Up to 30 service users in the category of LD (learning disabilities) Up to 2 service users in the category of LD(E) learning disabilities, 65 years and over) Up to 10 service users in the category of PD (physical disabilities) 28 May 2008 Date of last inspection Brief Description of the Service: The Rossendale Trust provides both residential and day care for adults with learning disabilities. Rossendale Hall, registered to provide care for 30 people with learning disabilities, is a detached hall built in the 1930s, situated in its own grounds in a rural location on the outskirts of Macclesfield. The home has been adapted and extended over the years and currently consists of three selfcontained units: the Hall, Riverside and Hillside. Accommodation is in single and shared bedrooms situated on the ground and first floors. The rooms are smaller than the sizes identified in the national minimum standards (Standard 25 of the National Minimum Standards for Care Homes for Younger Adults). However, as the home was registered and in use before 31 March 2002, it does not have to meet this standard. Local amenities, in the village of Sutton and at other Rossendale Trust services, are a short drive away. Information regarding the cost of living in the home is available from the manager as this depends on the level of support needed. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 0 stars. This means that the people who use the service experience poor quality outcomes. This unannounced visit took place on 09 January 2009 and the findings were discussed with a representative of the Trust and one of the temporary acting managers. The visit lasted 6.5 hours in total and was carried out by two inspectors. The visit was just one part of the inspection. Before then the manager was asked to complete a questionnaire to provide up to date information about services offered by the home. CSCI questionnaires were made available for people using the service to find out their views. Other information received by CSCI since the service was last visited was also reviewed. During the visit various records and the premises were looked at. A short, focussed inspection was carried out at the home on 2 April 2008. This was to check on what action had been taken to meet the requirements made at the last inspection in May 2007. An unannounced visit made on 28 May 2007. Information was provided which led us to believe that improvements had been made. What the service does well: What has improved since the last inspection? Cheshire County Council has provided training for Rossendale Hall staff on person centred planning so they gain an understanding of how to support people and plan care according to individuals’ wishes. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 6 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. Rossendale Hall DS0000006617.V374022.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 Rossendale Hall DS0000006617.V374022.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): 2 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Assessment documents are available to collect information regarding a person’s needs so that they can be assured that the home can meet their needs before they move in. EVIDENCE: Assessment documents are in place. At our last inspection in May 2008, we found that the assessment documents had been improved to include information about the person’s details relating to family, likes and dislikes, and information about healthcare professionals involved in the person’s care. The assessment document also encourages staff who are completing it to look at the ability of the individual in relation to mobility and self care. This showed us that staff from the home would carry out a thorough assessment to make sure that the needs of the person being assessed could be met at the home. As nobody has moved to the home since the last inspection, we did not carry out a detailed check of these documents at this visit. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 9 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 and 9 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. The introduction of person centred plans has not progressed as quickly as it should have so people living at the home may not be receiving the care to meet their needs in the way they prefer. EVIDENCE: We looked at three care plans of people who live at Rossendale Hall, one from each of the houses. There had been no progress in developing the care plans and we found gaps that had been identified at our last visit in May 2008. For example, information in files was undated and inaccurate so that staff were not being provided with clear guidelines about how to meet the person’s needs in the way they preferred. We found negative comments written by staff in the person centred plans. For example, in one, staff had written: “this is my care plan I do not understand what it contains or the purpose of it. I rely on the staff to help with all aspects of my life. I do not possess the capacity to contribute to my plan”. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 10 The plans we saw showed that the people living at the home were registered with a doctor, dentist and optician and individual diaries showed that appointments are attended. At our last visit, we spoke with a person that staff were using a behaviour chart and reward system for. We spoke with the person again at this visit and they told us that after our last visit, this system had been stopped. The person told us they were happy about this. Since our last visit, staff from Cheshire County Council have increased involvement with the home and have provided two sessions of training for staff at the home on person centred planning. We discussed this with the acting manager who showed us three examples of draft planning they had prepared. These are very early drafts and need to be further developed and include any risks associated with the plan and risk assessments prepared to minimise those risks. This is to make sure that people who live at the home are supported safely in their activities and that risks are well managed to make sure there are no unnecessary restrictions imposed on what people who live at the home do each day. Independent advocates from East Cheshire advocacy group are supporting the people living in the home during changes being developed about people’s living arrangements. We saw work had been started to build new accommodation and one of the people we spoke with was able to tell us who they would be sharing their new home with. This showed us that the people who live at the home are being consulted and know about the proposed changes to where they live. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16 and 17 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People are encouraged to make decisions for themselves so they have say in how they live their daily lives although further work needs to be done to ensure greater independence in preparation for the move to new accommodation. EVIDENCE: At our last visit in May 2008, we found that people living in the home access the community with various levels of support in accordance with their individual needs. They were being encouraged to maintain contact with their family and one person told us that her family visit very regularly. Some residents we spoke with then told us they would like to do more at the weekends but they did not tell us this at this visit. People had been on holiday and had organised various evening activities such as meals out and bowling evenings. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 12 As we had made a judgement at our last inspection that people living at the home experienced good outcomes in relation to their lifestyles, and we could see that people continued to take part in activities in the community of their choosing, we did not examine this area in detail at this visit. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 13 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 and 20 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Most staff working at the home had not received training that would enable them to provide safe care to people living there and must receive this training to make sure that they work in accordance with best practice and people stay safe. EVIDENCE: We were provided with information on 22 January 2009 that six out of a total of twenty-nine care staff still needed to undertake moving and handling training. This training is necessary to make sure they know how to help people living at the home to move around safely, without risk of injury. At our last visit, we witnessed poor staff practice in relation to comments they had made about a person living in the home. At this visit, we were told that staff had been issued with an amended Trust policy on privacy and dignity and that at supervision sessions, the importance of maintaining people’s dignity is stressed. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 14 All the people living in the home are registered with the local doctor, optician and dentist. Records of healthcare and visits by GPs, nurses and other healthcare professionals are kept for each person living there. The care plans we saw during this visit still needed to be worked on to make sure that the information in them was up to date and accurate about each person’s needs and how they wished them to be met. Training information has identified that one person needs to attend medication administration training. Medication for the people who live in The Hall is kept securely but there were notices pinned to the outside of the medication cupboard door about blood sugars and insulin dosages for two of the people living in The Hall. This information was there for anybody to see, as cupboard is in a public area. The kitchen for The Hall is also used by office staff to make drinks and on the day of the inspection The Hall unit was very busy with people other then the people who live there passing through. We discussed this with the acting manager who was asked to remove all personal info from public places to maintain people’s privacy and dignity. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 15 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 and 23 People who use this service experience poor outcomes in this area. We have made this judgement using available evidence including a visit to this service. New thorough safeguarding adults policies and procedures for the Trust have not yet been implemented and staff have yet to receive the training to make sure they know what they must to do protect the people who live at the home from abuse and harm. EVIDENCE: The copy of the complaints procedure seen on a notice board had not been updated to show CSCI new contact details. In November 2007, Cheshire County Council identified that the quality and content of the Trust’s adult protection procedures was not satisfactory. As a result, staff from the local authority had worked with staff from the home to make sure that adequate policies and procedures were developed and staff would receive the training they needed to make sure they knew what to do to make sure people living in the home were protected from possible harm and abuse. We were told that the new draft policy and procedures for the Trust on safeguarding adults had been sent to the local authority for discussion and agreement in December 2008. There had been a meeting with local authority staff in January 2009 at which a plan had been put in place to deliver safeguarding adults training to all staff by 20 February 2009. Training will include managers, trustees and 29 care staff. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 16 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 and 30 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. There continues to be improvements made in the houses so that the people live in safe, comfortable surroundings. EVIDENCE: We walked round the three houses that make up the home and saw that maintenance continues. A new bath has been installed in Hillside and staff told us that it had improved the situation for a number of the people living in the home. There are a number of twin rooms in the home; the people living in those rooms have shared them for a number of years. This arrangement should be reviewed at the next opportunity to check whether those people continue to be happy to share a room or would prefer to have one of their own. A number of the bedrooms in the home do not meet the space requirements set out in the National Minimum Standards for Care Homes for Younger Adults. However the Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 17 home was registered and operating before the national minimum standards came into force and is therefore not required to meet that standard. Some areas of the home will become increasing difficult for people living there to have access to as their mobility decreases. All areas of the home were clean and fresh Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 18 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, 34, 35 and 36 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. The lack of staff training means that people who live in the home are not adequately protected from possible harm and poor practice but steps are being taken to make sure this training is provided within a reasonable timescale of our visit. EVIDENCE: We were told that only one new member of staff had been employed at the home since our last visit. We checked that person’s records and references and the necessary Criminal Record Bureau (CRB) disclosure had been obtained. We saw a group of staff who work at the home undertaking fire training. This involved them visiting the individual units, identifying fire break points and checking fire extinguishers. They told us they receive regular fire training which is to make sure they know what to do if a fire breaks out at the home. One member of staff we spoke with said they had received lots of training but was unable to say what that training was. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 19 One of the trustees of Rossendale Trust has recently taken over responsibility for making sure that staff training is being carried out and is still trying to sort out the existing records. Records were not available to show what training staff have/will be doing over the coming weeks. The manager of the home resigned from his post and the training manager has been off on long term sick. As a result, we found that records were not available or not up to date. This means that we were unable to find out what staff training had been carried out since our last visit, when we made requirements for staff to receive training and supervision. The trustee we spoke with about training agreed to provide us with information about training that was needed and plans to provide it during the weeks following our visit. Information provided shows us that staff need the following training in the following numbers: • • • • • • • • Adult Protection: 39 staff (to include management) Fire safety: 16 (to include management) First Aid: 9 Moving and handling: 6 Food hygiene: 29 Infection control: 21 Medication: 1 Health and safety for carers: 11 A training plan has been received that shows a timetable and a completion date for all training by 11 March 2009. An appraisal structure is in place and we were told at the last visit that most staff have had an annual appraisal, but staff do not receive formal support and supervision when they sit with their manager to discuss their work and identify any training and development needs. These meetings should take place at least six times a year to provide staff with consistent guidance and support to help them to improve their practice and identify their development needs. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 20 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, 42 and 43 People who use this service experience poor outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is not being managed in the best interests of the people living there who are left vulnerable by the lack of action by management to deal with outstanding requirements. EVIDENCE: The registered manager of the home had resigned and left the home before this visit. The Trust had two temporary care managers with shared responsibility to manage the home at the time of our visit. We were told that the Trust was recruiting for a new manager at the time of our visit and that expressions of interest in the post had been received. We saw little or no action having been taken in respect of dealing with the requirements that we made in May 2008. We have however been provided Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 21 with information that Cheshire County Council staff hade been involved in supporting the Trustees and staff of the home to meet our requirements and raise standards. We were told that following the manager’s resignation and because of the proposed move to new accommodation for the people living at the home, Rossendale Trustees had become more involved with the management and developing an overview of the current situation. Trustees are now aware of the shortfalls in the service in respect of management and training for staff and we have been given information about how they were going to deal with the outstanding matters to make sure the home is being run in the best interests of the people who live there and that staff practice is safe. We were told that regular visits are undertaken by a representative of the Trust to Rossendale Hall to see how it is being run. This is a requirement under the Care Homes Regulations (Regulation 26). Meeting this regulation is the responsibility of the Trustees. As identified in the section of this report about staffing, all mandatory training for staff has not been achieved. Fire safety training, moving and handling, safeguarding adults, and food hygiene training remain outstanding from our last inspection in May 2008. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 22 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 3 3 X 4 X 5 N/A INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 2 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 2 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 3 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 2 X 2 X X 1 1 Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA9 Regulation 13(4)(b) Requirement Risk associated with activities must be assessed and risk assessments used as a tool to enable people in achieving their goals. Risk assessments must be updated as required, when changes occur or new information becomes available. This is to make sure that people who live in the home can do things safely without unreasonable restrictions being placed upon them. Timescale for action 30/03/09 2 YA6 14(2) Previous timescale of 04/07/08 not met. Assessments must accurately 30/03/09 reflect the changes in people’s circumstances; for example, changes in dietary needs. This is so they receive appropriate care to meet their current needs. Previous timescale of 31/07/08 not met. Steps must be taken to make sure that the care home is conducted in a manner which respects the privacy and dignity of the people living there by DS0000006617.V374022.R01.S.doc 3 YA18 12(4)(a) 16/01/09 Rossendale Hall Version 5.2 Page 24 4 YA18 13(5) removing personal information from public /communal areas. Staff must receive training in moving and handling so that they move and transfer people safely. 30/03/09 5 YA23 13(6) Previous timescale of 31/08/07 & 31/08/08 not met. Staff must receive training to 28/02/09 protect vulnerable adults so that people in the home stay safe. Previous timescale of 31/08/08 not met. Staff must receive fire safety training so that they know what to do in the event of an emergency so they can protect themselves and those living in the home. 6 YA32 23(4)(d) 30/03/09 7 YA32 18(1)(c) Previous timescale of 31/08/07 & 31/08/08 not met. Staff must receive training in 30/03/09 food hygiene so that they prepare and serve food safely. Previous timescale of 31/08/08 not met. Staff must be appropriately supervised so that they get the support needed to do their work. 8 YA36 18(2) 30/04/09 9 YA37 8(1) Previous timescale of 31/08/08 not met. The registered provider must 30/04/09 appoint and individual to manage the care home. Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 25 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 YA7 Good Practice Recommendations A review should be carried out about the arrangements of keeping food locked away and the impact this has on the people living in the home. The arrangements for providing shared bedrooms should be reviewed at the next opportunity so people have the chance to choose whether or not they want to share a bedroom. A minimum of 50 of staff should have achieved NVQ level 2 in care so people are receiving support from a skilled and qualified group of staff. Risk assessments should continue to be developed so they include all aspects of the residents’ daily living. Locks suitable to the needs of the residents should be fitted to bedrooms, so that their possessions can be kept securely and residents are afforded privacy. A decision should be made about which is the most appropriate document to record people’s needs so that staff do not have to duplicate and there is no confusion as to which is the right information to follow to provide appropriate care for the people who live in the home. Action should be taken to consult with the people who live in the home and to encourage them to take part in the day-to-day routines in the home. Staff should receive formal recorded supervision at least six times a year so that they receive consistent support and guidance about their practice and development needs. 2 YA25 3 YA32 4 5 YA9 YA16 6 YA6 7 YA8 8 YA36 Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Region 3rd Floor, 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 © 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 Rossendale Hall DS0000006617.V374022.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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