Inspection on 07/03/06 for Salingar House

This inspection was carried out on 7th March 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Salingar House 07/08/07

Salingar House 10/08/06

Salingar House 24/10/05

Salingar House 22/02/05

Salingar House 22/07/04

Salingar House 17/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Salingar House 2 Logan Close Midmere Avenue Kingston Upon Hull East Yorkshire HU7 4DG Lead Inspector Angela Sizer Unannounced Inspection 7th March 2006 09:00 Salingar House DS0000034546.V263594.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 Salingar House DS0000034546.V263594.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. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Salingar House Address 2 Logan Close Midmere Avenue Kingston Upon Hull East Yorkshire HU7 4DG 01482 825778 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) Kingston upon Hull City Council Ms Catherine Spivey Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2005 Brief Description of the Service: Salingar House is situated on the Bransholme estate in Hull. There are a variety of local community facilities close at hand and the service users go out on a regular basis. The home is close to a bus route. The home offers long term and respite care to a maximum of eleven people of either gender whose primary need is a learning disability. It is a Local Authority run home. The environment was warm and friendly and the care provided is based on individual need. The home consists of three selfcontained flat lets and seven single bedrooms – six of which have mini kitchens. Three of the bedrooms have en-suite bathrooms (with baths) and the other four have en-suite shower rooms, all meeting the minimum requirements regarding living space. The communal areas consisted of a lounge, two dining rooms, and a rehabilitation kitchen and there is an outside area with seating and the garden is private. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and lasted for 6.5 hours, prior to the visit 2 hours preparatory work was undertaken. Several of the key standards were looked at and progress on the requirements and recommendations made during the last inspection visit. Catherine Spivey, Registered Manager assisted with the inspection process and feedback was given throughout the day. A tour of the premises was undertaken, three residents files were case tracked, this involved meeting the residents, visiting their rooms and reading about their assessed needs and how the home planned to meet them, also talking to them about what the home was like and whether any improvements could be made. Two staff members were interviewed and practice observed, also some policies and procedures were inspected including the medication. What the service does well: What has improved since the last inspection? What they could do better: Since the last inspection there have been two inappropriate respite admissions and although the home has a new assessment document this did not prevent Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 6 these from occurring, it was clear from speaking to staff and residents that these admissions impacted in a negative way upon the other residents living there. The home must consider the purpose of the home and include in their admission process some consideration of the other people who live at the home and the impact that a new resident has on their lives. The home must implement action plans when it investigates complaints, which are upheld. Only one of the requirements made at the previous inspection has been fully met. The others have been outstanding for the last four inspection reports and these require urgent attention. 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. Salingar House DS0000034546.V263594.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 Salingar House DS0000034546.V263594.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): 2&4 The home continues to take admissions that are inappropriate and have an adverse effect upon the other residents living in the home. Residents are encouraged to ‘test drive’ the home prior to moving in. EVIDENCE: Since the previous inspection the home has developed a daily living skills assessment and this was comprehensive covering a range of needs a resident may have. It was not clear whether this document was completed prior to or following admission and the main area of concern was regarding the continuing problem of inappropriate admissions, there had been two respite admissions that had broken down quickly following admission, the registered manager stated that the two residents were visited at home and that they did visit Salingar House before having their first respite stay in the home. The residents and their families were informed that the placement had broken down and that the resident would not be able to stay again, the reasons being that their behaviour was unacceptable and included sexualised behaviour and physical aggression towards other residents and staff, from inspecting the assessment documentation it was clear that there had been previous aggressive behaviour and one incident involving a knife. Overall the residents commented positively about the home and how well they are looked after, but there were several concerns regarding inappropriate admissions and some of the residents commented about this, “sometimes we get people who upset me, Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 9 they shout and hit out at others”, “we have had people to stay who have caused trouble”. The admission procedure is not adequate to guide staff on the actions to be taken to ensure that new residents needs are properly assessed and planned for. This does not give potential residents the assurance that the home is able to meet their needs. Three of the residents’ files were looked at and each of the files contained a community care assessment and care plan. There was documentation in place to confirm that reviews are held, some inspected were found to be up to date, unfortunately some had not been updated since November 2004. Risk assessments are in place and cover many areas including going out of the home, baking, cooking, bowling, adult education courses and a gardening group, once again some of these had not been reviewed since 2002. These requirements remain outstanding from the previous inspection and now require urgent attention. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Progress needs to be made to the way in which staff record, review and risk assess the care needs and expectations of the residents. These shortfalls have the potential to place people at risk. Residents are encouraged and enabled to make decisions about their lives. EVIDENCE: Individual care plans are in place for all residents and which set out the health, personal and social care needs identified for each person. Key Workers evaluate the care plans on a monthly basis. Discussion with staff confirmed that they are aware of the residents’ needs and that the care plans set out what action is required. The care plans are not always reviewed or updated on a regular basis and this may put residents at risk by their current needs not been fully met or understood by staff. Three residents were spoken to throughout the course of the day and some of their comments were as follows; “I have made the decision to move out and into my own place”, “the staff are very good, they help me when I need them Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 11 to”, “I like the staff they are all nice”. It was clear that the relationships between staff and residents was well-developed and interaction was observed throughout the inspection, staff spoke to the residents in a polite and respectful way and always knocked prior to entering their bedroom. Choice and self-determination are promoted and residents confirmed that they are able to make choices about their everyday lives. Residents are enabled to take responsible risks in their daily lives, residents discussed how they are able to go out and on the day of the inspection several residents had been out to a local church event/coffee morning, they spoke positively about this experience and how they enjoyed going out to various places including bowling and shopping. Not all risks assessments looked at where up to date or been reviewed and this has the potential to place residents at risk. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15,16 & 17 Residents’ are supported in maintaining appropriate relationships both inside and outside of the home. Daily routines promote independence and choice for residents. The food offered is of an excellent standard, wholesome, nutritious and plentiful. EVIDENCE: During the inspection several of the residents were spoken to and they gave their views about the home and staff. Relationships are supported and residents stated, “my relatives or friends can come and visit me when they want to, the staff make them welcome”, “my brother comes to see me all of the time”. Several of the residents had been out on the day, some attending a local church coffee morning/sale, one resident stated; “I have been for a walk into Sutton, it was a long way, but I enjoyed it and I bought some bits and bobs”. The manager confirmed that these activities are part of the daily programme devised for individuals and some include regular exercise and Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 13 activities, the plans are discussed with the resident, family/carers, staff and other professionals involved. Other daily routines described by residents included looking after their room or flat, going to the shops, going bowling or shopping or getting on a bus. These routines are clearly described within the resident’s care plan or risk assessment and residents are enabled to take responsible risks in their every day life. Staff were observed interacting with the residents throughout the day and this was undertaken in a caring, nonjudgemental way. Residents confirmed that, “staff here are great, they are very caring”, “I can go to any of the staff if I have a problem and they help me”. Staff were also observed knocking prior to entering residents’ bedrooms. The menu offered to residents is varied, healthy, nutritious and plentiful. A lighter lunch is offered and a cooked meal at teatime, on the day of the inspection lunch consisted of a variety of sandwiches, crisps and salad, dessert was yoghurt or fruit. The main meal of the day was pork chops, creamed potatoes, carrots and leaks, followed by fruit cocktail and cream. One resident spoke about how good the food was, “the cooks ask us what we want and if we don’t like anything they will get us something else”. Another resident said, “the food is marvellous I always eat it all”. The dining room is spacious and nicely presented, although the dining room tables and chairs are clean they are old and worn and require replacement. The food was also well presented and appealing to the eye. All staff who either prepare, cook or serve the food have obtained the basic food hygiene certificate. A dietician has undertaken some work with the residents and staff in relation healthy living. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The medication procedure is sound, but the recording is inaccurate. EVIDENCE: The home has a medication policy and procedure and on the whole is adhered to. Upon inspection of the medication administration record (MAR) it was clear that not all medication stock is signed for and nor did it correlate to what medication had been received, therefore making it extremely difficult to audit what stock should be there. Overall the recording was of a good standard with no gaps on the MAR sheets. There is a controlled drugs cabinet and a controlled drugs register, two staff always sign when administering the controlled medication. There is a refrigerator in the medication room and the temperature is recorded on a regular basis. Staff who have undertaken the medication training administer the medication and several have attended the new accredited course run by the Local Authority, the remainder of the staff will also undertake this training. Salingar House DS0000034546.V263594.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): 22 The home does have a clear complaints policy and procedure, but this is not always followed and therefore complaints made may continue to have an adverse affect upon the residents. EVIDENCE: The home has a complaints policy and procedure in place and on the whole this is followed and implemented. Some residents spoke about knowing that there is a procedure for which to complain, and also that in the past any concerns have been dealt with quickly. Two residents spoke about the same complaint, one resident played loud music, although these complaints were recorded and upheld there was no clear action plan of how to deal with this, nor was any feedback given to the complainants. One resident stated, “I have complained about the loud music that another resident plays, but this is still going on”, another resident said, “I told Catherine about the music being too loud and it keeps me awake, but nothing has been done to sort it out”. There is also a satisfaction log, positive comments have been recorded about the food, care, staff and home in general. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Residents are provided with a safe and comfortable environment. Some minor attention is required with regard to the cleanliness and spread of infection within the home. EVIDENCE: A tour of the premises was undertaken and on the whole the home was warm, clean and pleasant. There was a smell of urine detected in Room 1, the registered manager explained that this was an ongoing problem and that the carpet was replaced two months earlier. All residents’ bedrooms are well decorated, homely and personalised where there are any restrictions due to self-harming behaviour this is recorded within the person’s risk assessment or care plan. All bedrooms either have a toilet, wash hand basin and either a bath or shower, some of the rooms are have their own kitchen area. In Flat 4 the curtains in the main lounge area had been torn down and not put back up. The registered manager explained that this happens on a regular basis. To maintain the privacy and dignity of the resident consideration must be given to an alternative to a fixed curtain pole. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 17 There is a dining room which is decorated to a good standard, it was clean and hygienic, the tables and chairs although clean are old and worn. It was also noted that the downstairs corridor carpet was marked and showing signs of wearing and will require replacement soon. There is a residents kitchen area where individuals can make light snacks and undertaken their own washing. On the day of the inspection one of the resident’s clothes were left on the floor, these were not covered over and posed a risk of cross infection. Salingar House DS0000034546.V263594.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): 33, 35 & 36 Staffing numbers are sufficient to meet the needs of the permanent residents, but do require ongoing monitoring with regard the use of respite beds to ensure that all of the residents’ needs are met. The staff receive appropriate training in order to undertake their responsibilities competently, fire training is not undertaken on an annual basis. Supervision is offered to all staff, this is consistent and regular. EVIDENCE: The staffing numbers are currently sufficient to meet the needs of the permanent residents, the recommended amount would be 582.09 and the home is currently offering around 540, although there is a shortfall it would seem that the needs of the residents are being met. This has not always been the case and from discussion with staff and residents it was clear that when more difficult to handle residents are living in the home (usually on respite basis) then the staffing numbers have not been sufficient and the permanent residents’ needs tend to be the first to suffer. This will require ongoing monitoring and evaluating depending upon the level of need of residents, also serious consideration must be given to the appropriateness of the respite beds. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 19 The home offers a variety of training courses to all of its staff, including most of the mandatory courses covering health and safety, moving and handling, POVA, first aid. Fire safety training is offered every three years and not as required on an annual basis and there was no evidence to confirm that infection control training was up to date. From speaking to two staff members and looking at three staff files it was clear that the staff group is varied in experience and knowledge, staff gave clear information about what the needs of the residents were and what was detailed in the care plan and risk assessment. Since the last inspection one area that has improved is the supervision, there was written evidence to confirm that supervision is now offered on a regular basis and this is recorded. From speaking to staff it was also confirmed that they receive regular and consistent support, some comments included; “the manager is always available and is very approachable”, “I receive supervision on a regular basis, but I can always go and ask advice from the seniors or manager”. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 & 42 The management of the home is carried out with leadership and appropriate guidance; ensuring residents receive a quality of care and a resident centred ethos is promoted within the home. The home’s quality assurance programme requires minor attention and an annual report is required and findings shared with the residents. The health and safety of the residents is not always safeguarded. EVIDENCE: The registered manager has been in post for two years and has completed a MESOL postgraduate certificate in managing health and social care. She has also completed NVQ 4 in Care and the Registered Managers Award and is currently awaiting certificates. From discussion with staff and residents it was evident that the manager is approachable and supportive, some comments from residents included; “the manager is always around and I can go to her with any problems”, “Catherine is very good, she always tries to sort out Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 21 things”. Staff stated, “the manager is approachable and friendly, she offers advice and direction”. The home has a quality assurance system and this involves the use of questionnaires to residents, staff, other professionals and relatives, this information is not currently collated into an annual report that would describe positive and negative comments and also identify any corrective action. Feedback is not currently given to the residents other than through residents meetings, this requires formalising and recording. Although the health and safety of residents is on the whole maintained, some of the mandatory training is not undertaken as regularly as it is required. Fire awareness training is offered every three years and there was no evidence that infection control training had been undertaken by all staff, this may pose a risk to the residents safety. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 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 2 3 X 4 2 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 2 36 3 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 X 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 3 3 2 X X 2 X Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 23 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 YA2 Regulation 14,17 Requirement Timescale for action 07/06/06 2 YA4 5,14 3 YA6 15,17 4 YA9 12,13,17 The registered person must ensure that all potential residents are assessed by the manager or a representative of the home prior to admission and consider the effects some more difficult to manage behaviours may have upon the other residents and staffing levels. (Previous timescale not met – 14/03/06) The registered person must 07/06/06 consider and consult with existing residents about the compatibility of prospective residents. (Previous timescale not met – 14/03/06) The registered person must 07/06/06 ensure that residents’ care plans are maintained and reviewed on a regular basis. (Previous timescale not met – 14/03/06 The registered person must 07/06/06 ensure that risk assessments are completed, maintained and reviewed on a regular basis. (Previous timescale DS0000034546.V263594.R01.S.doc Version 5.1 Page 24 Salingar House not met – 14/03/06) 5 YA20 12,13,16,17 The registered person must ensure that the medication records are completed accurately and that medication held matches the records. (Previous timescale not met – 14/03/06) 12,13,16,17,22 The registered person must ensure that all complaints upheld have clear action plans in place and feedback is given to residents. 23 The registered person must ensure that Flat 4 has appropriate window covering to ensure privacy and dignity for the resident. 23 The registered person must ensure that the home is free from offensive odour and that washing is not left uncovered. 17,18 The registered person must ensure that all staff receive mandatory training including fire (annually) and infection control. 24 The registered person must ensure that the quality assurance system is maintained and an annual report is produced and shared with the residents, a copy of which to be forwarded to CSCI. (Previous timescale not met – 31/05/05) 12,13,16,17,23 The registered person must ensure that all of the mandatory training is undertaken by staff including fire safety and infection control on an annual basis. 07/06/06 6 YA22 07/06/06 7 YA24 07/06/06 8 YA30 07/06/06 9 YA35 07/06/06 10 YA39 07/06/06 11 YA42 07/06/06 Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 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 2 3 Refer to Standard YA24 YA24 YA33 Good Practice Recommendations The dining room table and chairs require replacement. The downstairs corridor carpet is worn and old and will require replacement in the near future. The registered person should give consideration to the staffing levels when the respite places are used and if there are any particular challenging behaviour that require more than 1 staff member or adversely affect the other residents. Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Salingar House DS0000034546.V263594.R01.S.doc Version 5.1 Page 27 - 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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