Inspection on 30/05/06 for Salisbury Autistic Care Ltd

This inspection was carried out on 30th May 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 no outstanding requirements from the previous inspection report, but made 29 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Salisbury Autistic Care Ltd 07/01/08

Salisbury Autistic Care Ltd 14/08/07

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Salisbury Autistic Care Ltd 28 Holt Road North Wembley London HA0 3PS Lead Inspector Andreas Schwarz Key Announced Inspection 1st June 2006 09:30 Salisbury Autistic Care Ltd DS0000063728.V289182.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 Salisbury Autistic Care Ltd DS0000063728.V289182.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. Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Salisbury Autistic Care Ltd Address 28 Holt Road North Wembley London HA0 3PS 020 8908 1760 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) Salisbury Autistic Care Ltd Ms Glenis Mary Castillo Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Service First Inspection Brief Description of the Service: Holt Road is a five bedded home in Wembley and trades under the name of Salisbury Autistic Care Ltd. The home is manager by Ms Glenis Castillo and the Registered Individual is Mr Harry Maynard. The home was registered under the Care Homes Act 2001 in October 2005. The home is specialising in providing care for young adults who are within the autistic spectrum disorder and present some challenges to the service. The building is a detached property on a quite residential street in North Wembley, close to public transport, shops and other amenities. There is a large garden, spacious open plan kitchen and dining room on the ground floor. The home is providing separate rooms for activities, relaxation or cool down times for service users. There is off street parking for approximately three cars and unrestricted street parking. The home is providing a MPV, which can be used for outings; shopping and other activities. The home has currently four vacancies. Fees and charges can be obtained on request from the registered manager. Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced key inspection took place in May 2006 and lasted throughout the whole day. The registered manager was available during the whole inspection. The inspector spoke to three members of staff, observed staff interacting and supporting one resident. The registered provider was available to meet with the inspector for feedback and discussions. The inspector viewed a number of files and a Pre Inspection Questionnaire has been received. The inspector would like to take this opportunity thanking the service user, staff, manager and registered provider for their support and transparency during this inspection. What the service does well: What has improved since the last inspection? First inspection since registration. Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 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. Salisbury Autistic Care Ltd DS0000063728.V289182.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 Salisbury Autistic Care Ltd DS0000063728.V289182.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 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New prospective residents needs are assessed and service users have an opportunity to test drive the home before moving in and during their first six months at the home. EVIDENCE: The inspector viewed detailed assessment records in service users files. The homes manager who demonstrates knowledge and experience in autism does the assessments. Records demonstrated that the home offers visits and trial overnight stays before moving in. This is based on the needs of the individual. The registered manager informed the inspector, that new prospective service users have a transition plan in place, which is discussed with social worker, staff, family or previous carers and service users depending their ability and understanding. Evidence of this was in place and discussions with social workers have been recorded. The home has an assessment policy in place. Salisbury Autistic Care Ltd DS0000063728.V289182.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; 7; 9 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans reflect service users needs and service users as well as relevant others are involved in the care planning and risk assessment process. EVIDENCE: The inspector viewed a detailed care plan, clearly reflecting the needs, behaviours, likes and dislikes, etc of the resident at the home. The care plan has been reviewed on the 22/05/06, by the home, family and others involved in the care and support of the individual. The home has clear behaviour observations in place and pro-active as well as reactive strategies to deal with heightened and challenging behaviour. A number of guidelines such as using the WC, using the stairs, travel in the car, etc. are in place and are of good standard. The resident is involved within the care planning process, but the home must explore different ways such visual aids, pictures, symbols, etc. to make the care planning process more accessible. The home has a key working system in place and designated key workers are allocated. Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 10 The inspector observed staff working with the service user and limited choices are given to the resident. The home is however a service for people with autism and structure, rules and limitations are paramount to provide a good service to people within autistic spectrum. The inspector viewed a number of routines and guidelines giving staff information in how to work with the service user. Service users family is involved with the resident and act as an appointee. The home is currently not managing service users finances and the manager informed the inspector that she is currently in the process of helping the resident opening a bank account. The inspector viewed a wide range of very detailed risk assessments, behaviour guidelines and interventions to safe guard staff and service user. The manager informed the inspector that these are reviewed and updated when necessary by her and staff. Salisbury Autistic Care Ltd DS0000063728.V289182.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): 12; 13; 15; 16; 17 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home supports the service user around activities, outings and access to the community. There is however more work needed to fully meet this outcome group. A range of wholesome, healthy meals are provided taking service users likes and dislikes into account. EVIDENCE: This is a new home and the service user lived in the home for only two months, there was limited evidence of educational activities and the home must explore approved methods such as TEACCH, PECS or day services and educational facilities appropriate and suitable for people with autism. The home is accessing the community within the help of a minibus, currently the home has not made full use of services available in the community, the manager informed the inspector that walks in the park, going swimming, go to restaurants, etc. is planned for the future. The manager informed the inspector that neighbours have complained about noise and some behaviour, which are Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 12 demonstrated by the service user. The home must put guidelines into place in how to minimise disturbance to neighbours. The inspector observed staff sitting in the garden with the service user, a sensory room is available to use for relaxation and an annexe is built in the garden, which can be used for structured and unstructured activities. A computer and musical instruments are available for service users to use. The resident is going out for drives and the manager informed the inspector that other leisure activities are planned. A television and audio system is available for the resident to use. The inspector viewed a range of detailed routines such personal care, use of the garden, community access, etc. in place. The inspector noted however that there is a need of providing a structured day service for this resident. The inspector observed staff interacting with the resident, which was seen as appropriate and suitable for people with autism. The inspector found a number of doors locked and access restricted to the resident, the manager explained why this was the case to the inspector, which was reasonable, there is however a need of having clear records why access is denied and risk assessments must be put into place. The home has a menu in place and a wholesome diet is provided to the resident. The manager informed the inspector that they have some knowledge of likes and dislikes and records confirmed this. The menu was found to be taking likes and dislikes into account, maintaining a healthy, nutritious and balanced diet. Fruits and drinks were available and the quality of food was judged of high standard. The home purchased a cookbook, which would help in providing cultural appropriate food. Mealtimes were not observed on this occasion. Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18; 19; 20 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is providing personal and health care support in an appropriate and suitable way to service users needs and wishes. The home is protecting residents from errors and mistakes, which can be made when administering medication. EVIDENCE: The home has a number of detailed guidelines around personal care support for evening and morning routines in place. The resident is wearing his own clothes and the manager showed shoes purchased for the resident. Staff employed at the home represents the residents cultural and ethnic background. The home has done referrals to Psychologist, Speech and Language Therapist and Psychiatrist, who has recently reviewed and changed medication. The resident is registered with a GP and general examination of his health has been undertaken. Due to the young age of the individual no major health problems have been addressed. The home must explore dental, optical and chiropodist services suitable for the resident. Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 14 The home has a detailed and compliant medication policy in place; medication training is arranged for the 22 June 2006. The inspector viewed a letter from the GP to crush certain medication before administered to the resident. Medication is stored in a lockable cabinet in the office and two members of staff administer medication. The home records medication received on the MAR sheet and the medication stock is clearly recorded. Liquid medication bottles are signed when opened. The home does not record allergies on the MAR sheet, which is required and labels are on the MAR sheet, which contravenes with Royal Pharmaceutical Guidelines and National Minimum Standards. Salisbury Autistic Care Ltd DS0000063728.V289182.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; 23 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents concerns and complaints are recorded and dealt with in an appropriate manner. Clear guidelines protect residents from abuse. EVIDENCE: The inspector viewed the homes complaints procedure, which is compliant with National Minimum Standards. The home has received three complaints from neighbours, records demonstrated, that the Registered Manager and Registered Provider have dealt with these and the complaints have been resolved. The home has a detailed Protection of Vulnerable Adults policy and local Protection of Vulnerable Adults guidelines in place. The home did not receive any Protection of Vulnerable Adults allegations since opening. The registered manager informed the inspector, that staff did not receive any Protection of Vulnerable Adults training; this is required. The Pre-Inspection questionnaire received from the home stated that the home does not have a missing person procedure in place, which is required. The home has additional policies in place protecting residents’ valuables, violence and aggression, and whistle blowing policy. Salisbury Autistic Care Ltd DS0000063728.V289182.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): Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and nicely decorated home; pictures and posters are displayed in communal areas. EVIDENCE: The registered manager showed the inspector around the home, the home has been newly decorated to meet National Minimum Standards prior to be registered with Commission for Social Care Inspection. Rooms are of good size and have en-suite facilities. Bedrooms are located on the ground floor and the first floor of the property. Vacant rooms have not been fully decorated, which will allow new prospective residents the opportunity of choosing flooring, colour and furnishing. During the tour of the premises a number of requirements have been made. There was a large damp patch in the first floor bathroom, which must be investigated and repaired. The toilet seat must be refitted. The door came of the hinges, the door must be re-hung. The light in the top floor has come of the fitting, which must be repaired. The radiator cover in the hallway is broken and must be repaired. The broken door handle in one of the service users rooms must be repaired. The damp patches in bedroom 1 and 2 must be explored and repaired. The broken handle in one of the kitchen draws must be Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 17 repaired. The gas hob has not been chained to the wall and the gas piping is exposed. The door leading from the kitchen/diner to the garden is broken and must be repaired. Radiator covers must be repaired and painted. The fencing in the garden is broken on several places and must be repaired. The home was free of any offensive odours during this inspection and the laundry room is of good standard and the home has a washing machine and clothes dryer. The home has a number of policies such as C.O.S.H.H., Infection control, Health and Safety, Food Hygiene, etc. in place. Salisbury Autistic Care Ltd DS0000063728.V289182.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): 32; 34; 35 Overall quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff have a range of qualifications and experience and appropriate recruitment procedures protect residents, which are unsuitable of working with vulnerable adults, there is however a lack of training provision for staff to enhance their skills and knowledge. EVIDENCE: The inspector viewed three staff files during this inspection and staff has different knowledge and skills around working with people with autism and challenging behaviour. The registered manager informed the inspector that none of the staff employed by the home has any National Vocational Qualification in Care qualifications, which is required. The home does not employ staff bellow the age of 18. The home has a recruitment policy in place and three recruitment files have been assessed during this key inspection. Not all of the assessed files contained the necessary documentation, which has been fed back to the registered manager. All staff however had an Enhanced Criminal Records Bureau check and application form showing work history. None of the assessed files had am induction document on file, staff confirmed however to the inspector of having received an induction from the manager or assistant manager. Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 19 The home has currently no training programme in place and staff informed the inspector of not having received any training since starting at Holt Road. This has been discussed with the registered manager at lengths during this key inspection. Staff have received induction, but records of this is not available. Some staff employed by the home have received training in previous places of work. The home must explore, what training is need and all staff must have a full training and development plan. Salisbury Autistic Care Ltd DS0000063728.V289182.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; 39; 42 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is competent and experienced in meeting the complex needs of residents living at the home. Residents live in a safely maintained home. EVIDENCE: The registered manager Ms Castillo has eight years experience of working in care and with people with Autism. The manager does not have any specific training such as Registered Managers Award and National Vocational Qualification in Care Level 4, which is required. Staff have been very positive about the registered manager and informed the inspector of receiving a lot of support and help from the manager. The home has no clear quality assurance systems in place and an annual development plan was not available for inspection. The inspector acknowledges that Holt Road is a new service and therefore has difficulties meeting National Minimum Standards until after the first year of opening. The registered Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 21 manager informed the inspector that the gaol for this year is to fill vacancies with residents compatible and suitable to the home. The home has valid Electrical Installation Certificate and Landlords Gas Safety Certificate in place. The Portable Appliances Test Certificate however was unobtainable and is required. The registered manager informed the inspector that the key for the fire panel has been lost; the inspector left an urgent requirement notice at the home, which has been complied with since visiting the home. Due to the missing key fire records have not been updated, which is required. Salisbury Autistic Care Ltd DS0000063728.V289182.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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 2 X 2 X X 2 X Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement The registered manager must explore the use of audiovisual aids, symbols, pictures, etc. within the care planning process. The home must explore approved methods such as TEACCH, PECS or day service and educational facilities appropriate and suitable for people with autism. The home must put guidelines into place in how to minimise disturbance to neighbours. The home must provide and design a structured day service suitable to service users needs. The home must have detailed records and risk assessments in place explaining why access to certain areas in the home is denied. The home must explore and provide dental, optical and chiropodist services suitable for residents. Service users allergies must be recorded on the MAR sheet. The home must not use labels or do any alteration to service users MAR sheet. DS0000063728.V289182.R01.S.doc Timescale for action 31/07/06 2. YA12 16(2)(m) 31/07/06 3. 4. 5. YA13 YA16 YA16 13(4) 16(2)(n) 13(4) 31/07/06 31/07/06 31/07/06 6. YA19 12 31/07/06 7. 8. YA20 YA20 13(2) 13(2) 15/07/06 15/07/06 Salisbury Autistic Care Ltd Version 5.1 Page 24 9. 10. 11. YA23 YA23 YA24 12. 13. 14. 15. 16. 17. 18. YA24 YA24 YA24 YA24 YA24 YA24 YA24 19. 20. 21. YA24 YA24 YA32 22. YA34 23. 24. YA35 YA35 All staff must receive Adult Protection Training. 13(4) The home must have a missing person procedure. 23(2)(b) Damp patch in first floor bathroom, bedroom 1 and bedroom 2 must be explored and repaired. 23(2)(c) The toilet in the first floor bathroom must have a seat. 23(2)(b) The door in the first floor bathroom must be re-hung. 23(2)(b) The broken light in the landing must be repaired. 23(2)(b) Broken radiator covers throughout the home must be repaired and repainted. 23(2)(c) The broken door handle in one of the service users rooms must be repaired. 23(2)(d) The broken handle in the kitchen draw must be repaired. 13(4)(b) The gas hob in the kitchen must be safely fixed to the wall and the exposed piping must be boxed in. 23(2)(b) The broken door from the kitchen/diner leading to the garden must be repaired. 23(2)(b) The broken fencing in the garden must be repaired. 18(1)(a) A minimum of 50 of permanent and agency staff must be trained to National Vocational Qualification in Care Level2 or above. 19(1)(b)(i) The registered manager must Schedule2 ensure that that all recruitment files contain the documents required in National Minimum Standards. 18 Induction training received by staff must be clearly documented. 18(1)(c)(i) The home must provide training to staff enabling them meeting fully the complex needs of DS0000063728.V289182.R01.S.doc 13(6) 31/07/06 15/07/06 15/07/06 15/07/06 30/06/06 15/07/06 31/07/06 15/07/06 15/07/06 30/06/06 15/07/06 15/07/06 31/07/06 15/07/06 30/06/06 31/07/06 Salisbury Autistic Care Ltd Version 5.1 Page 25 residents. 25. 26. YA35 YA37 18(1) 9(2)(b)(i) All staff must have an annual training and development plan. The manager must ensure to obtain Registered Managers Award and National Vocational Qualification in Care in Care level 4. The home must have an annual development plan and a copy of this must be send the Commission for Social Care Inspection. The home must have a valid and current Portable Appliances Test Certificate. The home must update and maintain detailed fire records. 31/07/06 31/08/06 27. YA39 24 31/03/07 28. 29. YA42 YA42 13(4) 23(4) 15/07/06 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Salisbury Autistic Care Ltd DS0000063728.V289182.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Salisbury Autistic Care Ltd DS0000063728.V289182.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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