Inspection on 28/02/06 for Safe Harbour Care Home

This inspection was carried out on 28th February 2006.

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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Safe Harbour Care Home 24/04/07

Safe Harbour Care Home 29/06/05

Safe Harbour Care Home 07/12/04

Safe Harbour Care Home 06/04/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Safeharbour Care Home 254 Hagley Road Stourbridge West Midlands DY9 ORW Lead Inspector Jayne Fisher Unannounced Inspection 28th February 2006 09:30 Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 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 Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 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. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Safeharbour Care Home Address 254 Hagley Road Stourbridge West Midlands DY9 ORW 01562 888125 01562 888152 juliett.prodger@btconnect.com 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) Safeharbour Juliet Prodger Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 Service user aged 17 years Date of last inspection 29 June 2005 Brief Description of the Service: 254 Hagley Road, known as Safeharbour, is a large detached building recently converted to provide accommodation for seven younger adults with a learning disability. The Home was Registered on 4 August 2003. It is situated in a residential area, on a main road in the Pedmore district of Dudley borough, with good access to community facilities and public transport. The building is set back from the road with off road parking for several vehicles and an enclosed area to the side of the property and level rear garden. The facilities include seven single bedrooms, well in excess of the minimum space requirements, all with wash hand basins. The services and facilities were set up with specific service users in mind and as a result of risk assessments carried out many weeks prior to each individuals admission to the home, there are currently no en suite facilities. Each room contains the pipe work and space to install en suite facilities should any service user be reassessed as being able to safely make use of such facilities in the future. There are adequate toilet and bathing facilities provided throughout. Individual bedrooms have been personalised with service users own belongings and with décor and furnishings of their choice. In addition there are three communal rooms, one with a television and two without. The Home was set up from the starting point of the needs of the service users who were known to be moving into the home, the service and facilities were developed to meet those needs. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted between the hours of 9.30 a.m. and 2.30 p.m. The purpose of the inspection was to assess progress towards meeting the national minimum standards and towards addressing items identified at previous inspection visits. A range of inspection methods were used to make judgements and obtain evidence which included: interviews with the registered manager and a senior support worker and case tracking. Residents were involved in various community activities during the inspection. Two residents were briefly seen but formal interviews were not appropriate. Therefore the inspector relied upon observations of body language, gestures, responses and other observations of interaction between staff and residents. A number of records and documents were also examined. Feedback was also gained from two visiting professionals. There are six residents currently living at Safeharbour. The home provides a specialist service for younger adults who have autism spectrum disorders. This was an encouraging inspection with good progress made towards meeting previously required improvements and evidence gathered to confirm that excellent standards of support continue to be provided. A number of standards were examined at the last inspection and this report should therefore be read in conjunction with the previous inspection report to give a comprehensive overview. What the service does well: Staff demonstrated a calm and sensitive attitude in their interaction with residents and have an in depth knowledge of their needs and preferences. It is consistently evident at Safeharbour, that residents’ needs are being met in terms of personal care, healthcare, social inclusion and general lifestyle issues. Staff utilise specialist/clinical services as required, and have developed strong links with external professionals and family members in order to provide tailored and individual packages of care. There are comprehensive care plans and risk assessments in place for communication, social interaction and behaviours which give staff vital information for supporting and interpreting residents’ needs. Choices are offered to residents in a manner which meets their individual requirements and they are supported in risk taking as part of an independent lifestyle. The home provides a low arousal environment including a sensory room. All areas seen were tidy, clutter free and decorated in pastel colour schemes. Residents are cared for by a competent and qualified staff team who are supported by a highly skilled and dedicated manager. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 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. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 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 Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this visit. EVIDENCE: Progress was monitored towards outstanding items. There have been no new service users admitted since the last inspection. A requirement to obtain a copy of the placing officer’s assessment and care plan prior to the admission of a new resident has been withdrawn. The manager is now fully aware of the requirement and will put this practice upon the admission of a new resident. An updated admission procedure has been introduced to assist in this process. The manager still needs to add further information to the existing residents’ statement and terms of conditions of occupancy as previously identified. For example to ensure that the number of the bedroom occupied by residents is fully recorded as is all financial information. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9 There is on-going progress to ensure that residents are offered opportunities to participate in their own care planning through person centred approaches and appropriate visual formats. Residents are enabled to take risks as part of every day living and this is managed in a constructive and supportive manner. EVIDENCE: A sample of care plans and risk assessments were examined. Excellent progress is being made in introducing a person centred approach using various strategies including essential life style planning. The manager and staff are to commended in their efforts. In order to gather important information to assist residents in determining their wishes and aspirations, key workers have been meeting with family members informally and formally. It is refreshing to see the different and creative approaches used by staff in order to encourage participation by families. There is a new care plan format which has been devised with other health care professionals; the result is a succinct and practical tool for staff. Some elements of care plans have been reproduced in pictorial formats to help residents relate to and understand their own care plans. Staff have received training to enable successful implementation. Care Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 10 plans are divided into sections which give the reader an overview of important information which is very much person focussed and autism specific. Sections include: personal information about the resident, how they communicate, exploration of their own personal history, important people in their lives, day activities, comprehensive assessment of needs, daily routines and comprehensive management behavioural guidelines. There are regular review meetings held to update care plans. There are detailed risk assessments in place. A comprehensive rating code is used by the manager which results in a easy to use ‘traffic light’ system in order to determine whether a particular risk justifies further assessment. Staff are in the process of signing a signature sheet to confirm that they have read the risk assessment as is good practice. Difficulties experienced by residents with autism spectrum disorders and how these can create problems for others in trying to interpret behaviour, are fully recognised such as communication, socially inappropriate behaviour and aggression. All behaviours and implications are fully assessed. Risks associated with the environment, community and medication are also examined. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Daily routines promote independence and choice; staff fully respect and promote residents’ rights . EVIDENCE: Interviews with the manager and a senior support worker confirmed that they are fully aware of the importance of promoting choices to residents in ways which are non threatening or confusing. Staff demonstrated an in depth knowledge of residents’ individual preferences regarding daily routines which is supplemented by comprehensive care plans. Residents are fully encouraged to maintain or build on their independent living skills and where possible take responsibility for their actions. Residents may have restricted access to certain parts of the home but this is fully justified through risk management. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Personal support is offered in such a way as to promote residents’ privacy, dignity and independence. The health needs of residents are very well met with evidence of good multidisciplinary working taking place regularly. The systems for administration of medication are good with comprehensive arrangements to ensure residents’ medication needs are met. EVIDENCE: Staff provide support with personal care tasks according to residents’ preferences. Care plans confirm details of residents’ preferred routines regarding going to bed, getting up and bath times. Interviews with a key worker demonstrated that they were fully aware of these preferences and routines. There are excellent ‘client care’ monitoring sheets in place which staff sign to confirm support has been given with varying personal hygiene tasks. These are mostly completed on a daily basis with only a few gaps. There are hourly checks undertaken by night staff which are fully recorded. Upon further discussion with the manager it was confirmed that these are not ‘open door’ checks. Interviews with management and staff plus examination of records confirms that there are excellent procedures in place to ensure the health care needs of Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 13 residents are fully assessed, monitored and treated. The manager demonstrates a conscientious and proactive approach to health care. For example, there are concerns over one resident’s number of epileptic seizures during the night. This has been discussed as part of a multi-disciplinary team and consent has been obtained for staff to introduce an agreed monitoring system so that health care professionals can be provided with the information they need in order to further assess medication and treatment. Staff work closely with the primary care team and provide detailed knowledge and information for them to be able to provide the correct diagnosis, treatment and support mechanisms for residents. For example, a consultant psychiatrist visits all residents on a monthly basis and carries out bi-monthly medication reviews. There are regular reviews of medication also undertaken with the general practitioner in order to ensure that instructions or changes introduced by the psychiatrist are implemented by the prescriber. Staff provide psychiatrists, psychologists and epilepsy specialist nurses with detailed analysis reports in order for them to be able to more easily interpret residents’ needs. For example, episodes of challenging behaviour are recorded using antecedent behavioural consequence (ABC) charts and key workers also complete monthly monitoring sheets. There are daily monitoring sheets for epilepsy and monthly monitoring charts. A visiting professional gave positive feedback during the inspection regarding the specialist support provided by staff. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 14 ‘Priority screening for healthcare’ booklets devised by the community learning disability nurse and primary care team have been introduced. There is also a separate folder per resident relating to daily routines, health care monitoring and monthly key worker reports. All residents are weighed on a monthly basis and there are detailed nutritional care plans in place. One resident was recently seen by the community dietician as staff had requested further advice to support the resident with eating problems and weight issues. On further examination the nutritional screening tool contained within the Priority screening booklet had not been completed for this resident. It is required that this is calculated using the body mass index and also that any existing nutritional assessments which may be more than twelve months old, must be reviewed and updated. Staff fully support residents in accessing regular health care checks. It is recommended that where residents receive two yearly ophthalmic checks that annual checks are pursued. Examination of medication management confirms that there is continued good practice. On the day of the visit the local pharmacist was conducting training in the monitored dosage system as requested at a previous inspection. The pharmacist also carried out a quarterly inspection and this confirmed appropriate procedures are in place with only a couple of minor issues identified including ensuring administration of all creams and ointments are fully recorded on medication administration record (MAR) sheets. As required previously, names of staff who are trained with regard to administration of Stesolid are fully recorded on the administration policy. There were detailed guidelines in place in residents’ case files with regard to the administration of buccal or intranasal Midazolam. There are appropriate procedures in place for ordering, receipt, storage, administration and disposal of medication. There is good progress being made with regard to ensuring staff receive training in the safe handling of medication. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 This home has policies, procedures and practices in place which offer residents, suitable safeguards from abuse. EVIDENCE: There are a range of policies and procedures relating to vulnerable adult abuse including a copy of the Local Authority multi-agency procedures. At the last visit it was confirmed that appropriate pre-employments are undertaken for all new staff as well as robust recruitment and selection procedures. Staff have undertaken training in vulnerable adult abuse. During interviews a senior support worker gave appropriate responses to how they would deal with any potential abuse situations. Case files contain body maps which are useful tools for recording any injuries which may occur through accidents or potential physical abuse which is an excellent initiative. Further advice was given with regard to ensuring staff sign and date these documents however these had already been identified as a shortfall and the manager has implemented new forms. There are good procedures relating to how staff support residents to manage their finances. Some residents have their own individual bank accounts and staff are in the process of setting up a bank account for one of the remaining residents who does not have such a facility. There is good recording keeping and monitoring systems in place for day to day management of residents’ finances. There are two staff signatures obtained for all financial transactions. Concentrated efforts are made by staff to obtain receipts for all purchases which is excellent practice. Records and monies are checked by staff twice daily at handover. A sample of monies and records balanced accurately on examination. The manager and the organisation are appointee for two service Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 16 users. Their money is not held in a central business bank account and therefore does not accrue interest payments. A recommendation was made at the last inspection in line with the guidance issued by the Commission for Social Care Inspection in respect of ensuring an audit is undertaken at least on an annual basis by an independent auditor. The manager confirms that she will action this in due course. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this visit. EVIDENCE: Progress was monitored towards a small number of outstanding items. All requirements have received satisfactory action. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this visit. EVIDENCE: These standards were fully evaluated at the last inspection. Progress was monitored towards outstanding items. It is pleasing to see that staff have now received training in challenging behaviour and senior staff have received training in positive approaches to challenging behaviour. Training has also been undertaken in respect of autism spectrum disorders. Good progress is also being made in respect of staff who are undertaking vocational training. The majority of staff are either completing this training or are due to commence training in the near future. The manager confirms that an annual appraisal system has yet to be fully implemented although there is regular one to one supervision of staff and a central record is maintained, as an aid to ensure that these are kept up to date. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 The home is continually reviewing aspects of its performance and is in the process of enhancing current quality assurance systems, so that residents and other users can be confident their views have an impact upon the development of the service. EVIDENCE: The manager demonstrates a proactive approach to developing quality monitoring and assurance systems. There is a clear development plan and vision for the home and the manager communicates a clear sense of direction. Since the last inspection the manager has appointed a senior support worker to take lead responsibility for developing quality assurance. There are a number of systems already in place including monthly health and safety checks, visits from the owner’s representative, questionnaires for residents, families and stakeholders in the community. A quality assurance working party has been set up and minutes were available from the last meeting in February 2006. It is envisaged that the quality assurance co-ordinator will produce a six monthly report which will be published and sent to relevant Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 20 parties. The inspector discussed how current systems could be further enhanced by inviting an independent person onto the quality assurance working party, and linking findings from bi-annual reports into the annual business and development plan for the service (which has yet to be established). The inspector looks forward to evaluating progress at the next visit. A small number of health and safety and food hygiene issues identified at the last visit have all been addressed. There is on-going progress towards ensuring all staff receive the required mandatory training. Any other items discussed during this inspection are contained within the Requirements section of this report. Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 21 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 X 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 X 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X X X 2 X X X X Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 22 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 YA5 Regulation 5(1)(b) Requirement Timescale for action 01/06/06 2. YA6 15 3. YA19 12(1)(a) 4. YA20 13(2) To provide all service users with a statement of conditions of residency to include all information contained within Standard 5.2 of the National Minimum Standards for Younger People. (Previous timescale of 1/9/04 is partly met). 01/06/06 To demonstrate service users (and family/advocates) participation in the development, review and agreement of their care plan - for example through person centred planning processes. Care plans to be reproduced in formats suitable for all service users. (Previous timescale of 1/9/04 is partly met). To ensure that nutritional 01/06/06 screening and assessment tools are fully completed for all residents and are regularly reviewed. To provide accredited training for 01/06/06 all staff in the safe handling of medication. (Previous timescale of 1/5/04 is partly met). Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 23 5. YA32 18(1)(c) To ensure that 50 of care staff are qualified to NVQ II by 2005. (Previous timescale of 1/10/05 is not met). To introduce an annual appraisal system for staff. (Previous timescale of 1/11/05 is not met). To ensure that the Registered Manager has completed an NVQ IV in management by 2005. (Previous timescale of 01/01/06 is not met). To continue to develop an effective quality assurance system. To continue to pursue plans to ensure that all staff receive training in: 1) infection control (Previous timescale of 1/4/05 is partly met). 2) first aid awareness (Previous timescale of 1/4/05 is partly met). 3) health and safety (Previous timescale of 1/4/05 is partly met). To provide a business and financial plan for the Home. (Previous timescale of 1/9/04 is not met). 01/06/06 6. 7. YA36 YA37 18(2) 18(1)(c) 01/06/06 31/12/06 8. 9. YA39 YA42 24 18(1)(c) 01/06/06 01/06/06 10. YA43 25 01/06/06 Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 24 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. 2. 3. Refer to Standard YA7 YA19 YA34 Good Practice Recommendations To appoint an independent auditor to carry out audits of service users finances and records on a regular basis (at least annually). To consider pursuing annual ophthalmic checks for service users (as opposed to two yearly). To expand the application form for new staff so that the names of former employers are ascertained. (Not assessed at this visit). Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Safe Harbour Care Home DS0000046649.V285291.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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