Inspection on 24/08/06 for Seaview

This inspection was carried out on 24th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seaview 18/07/07

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Seaview 44 Seaview Avenue West Mersea Colchester Essex C05 8BY Lead Inspector Ray Finney Final Unannounced Inspection 24th August 2006 10:00 Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaview Address 44 Seaview Avenue West Mersea Colchester Essex C05 8BY 01206 382800 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) Oaks Health Limited Mr Keith Walters Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 5 persons) Date of last inspection Brief Description of the Service: Seaview is a large detached property situated in a residential area of West Mersea, near Colchester. The property has been adapted to accommodate 5 adults with learning disabilities. There are four bedrooms downstairs and one upstairs; all rooms have en suite facilities with bath or shower. Communal areas include a lounge, dining room and fitted kitchen. There is a small conservatory to the rear that may be used as a private lounge. To the rear of the property is a patio area and a large garden, mostly laid to lawn, with some trees. To the front of the home is a garden, mainly paved for vehicular parking. The service supports younger adults with complex needs to live in an ordinary home environment. Information about the service may be obtained by contacting the manager. The home charges between £2,250.00 and £2,260.00 a week for the service they provide. This information was given to the Commission in August 2006. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to compile this report. The manager provided information in a Pre-inspection Questionnaire. Documentary evidence was examined, such as staff rotas, menus, service users’ care plans and staff files. Completed surveys were received from relatives of service users. This was the first inspection visit to the home since it was registered. The visit took place on 24th August 2006 and included a tour of the premises, discussions with a service user and the manager and observations of interactions between service users and members of staff. On the day of the visit the inspector was invited into the home by one of the service users and asked to sign the visitors book. The atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the registered manager, Mr Keith Walters. What the service does well: What has improved since the last inspection? What they could do better: Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 6 The home has an appropriate recruitment procedure in place, although in practice this needs to be followed more closely to ensure suitable references are obtained for all members of staff. Further work needs to be done on developing the Quality Assurance (QA) system. Information gathered from service users, staff and relatives needs to be collated into a report that is made available to the Commission for Social Care Inspection and other interested parties. 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. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures prospective service users have the information they need to make an informed choice about where to live. The home ensures service users are admitted on the basis of a full assessment. Prospective service users are given the opportunity to visit and “test drive” the home as part of the transitional process. EVIDENCE: The home was registered with the Commission in April 2006. As part of the registration process, the service’s Statement of Purpose and Service User Guide were examined; both met the required standard and contained appropriate information to ensure prospective service users and their representatives have sufficient information about the service to decide if it would meet their needs. The manager told the inspector that they are exploring a variety of computer software programmes that will enable them to ‘translate’ these documents into a format that may be suitable for service users with complex communication needs. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 9 The manager explained that, because of the complex needs of people with Autistic Spectrum Disorder (ASD), the assessment process for prospective service users is comprehensive and takes into account information provided by health and social care professionals, relatives and meetings with service users. Records examined on the day of the inspection visit show the assessment covers communication, personal hygiene, mobility, activities, daily living skills, medication, handling money, night time needs, family/relationships, health, dietary needs, vulnerability, sexuality, ageing/dying/ professional input and independent living. Each of these areas is assessed and cross-referenced with the service user’s care plan. Records examined also contained social services assessment documents. The transitional process for each service user in the home is tailored to meet their needs. As ‘routine’ and familiarity with surroundings is important for people with ASD, the manager explained how prospective service users are supported to visit the home and the surrounding area as often as is necessary to minimise the stress of the move and ensure a smooth transition to the home. A relative commented that it became apparent during the service user’s transitional visits that the service user wanted to stay. The home offers service users a settling in period, during which the placement is reviewed. Records examined show evidence of this review process. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and goals are reflected in their Individual Plans. Service users are supported to make decisions about their lives. Service users are supported to take risks within the limitations of their capacity to understand EVIDENCE: Three service users’ care plans that were examined on the day of the visit all contain detailed, comprehensive information. In particular care plans have good information around service users’ communication strengths and needs. The manager explained that good communication is a key factor in supporting service users with complex needs. The care plans were well put together and it was easy to cross reference needs identified in the assessment with the care plans and risk assessments. There were clear guidelines for staff on how to implement the care needs identified. The care plans varied in the level of detail according to the information being gathered as the service users settle in Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 11 to their new home. The manager explained that in these early days after a service user moves in to the service, they are continually reviewing and adding to their knowledge of the service user’s needs, likes and dislikes. All care plans examined had evidence of regular review. Observations of interactions between staff and service users show that staff encourage service users to make decisions. There is evidence throughout the home of aids to communication such as picture boards and symbols that are designed to help service users communicate their needs and wishes and encourage making choices. All service users receive either one-to-one or twoto-one support, therefore staffing levels are good and this maximises the time staff have got to listen to service users and support them in making choices. One of the areas addressed in service users’ assessments is independent living. Service users are encouraged to be as independent as possible and the initial assessments of risk are comprehensive and contain steps to reduce risk whilst maximising independence. The manager said that this is an ongoing process and is being reviewed and developed. The home has policies on Risk Assessment and Management, Physical Intervention and what to do if a service user goes missing. The manager explained that there are specific identified risks for one service user in accessing the kitchen that make it essential for that service user not to go in to the kitchen alone; a system is being installed so that all other service users will be able to open the kitchen door by means of a ‘swipe card’. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in a range of age, peer and culturally related activities and are part of the local community. Service users are supported to maintain appropriate relationships. The home ensures service users’ rights are protected. Service users are offered a varied and healthy diet that they enjoy. EVIDENCE: Service users living in the home are not able to access paid employment because of their complex needs. However, the home supports service users to take part in a wide range of activities. Records examined show that all service users have one-to-one or two-to-one staffing levels identified in their care plans. Discussions with the manager show that the home places a high value on supporting the young adults who live in the home to take part in a wide Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 13 range of activities. There is a communication board on the wall that makes good use of pictures for planning activities and for showing which staff are on duty. This communication aid is in evidence throughout the home with pictures on notice boards and in service users’ files to assist with choice. There is a pin board on the wall containing pictures of activities. One service user goes to Aqua Springs twice a week. There are photographs of sensory activities that are popular with some service users. Evidence was examined of accessing community activities such as pubs and shops. Records examined show that activities are tailored to meet the needs and likes of individual service users. Activities that service users take part in include swimming, trampolining, music, golf, shopping, walks, bike rides, ten pin bowling and visits to the cinema. One service user attends a ‘Growing for Life’ course at college and goes to the ‘Endeavour Club’. Another service user’s activities include visits to a sensory room, relaxation music and ‘rambles’. On the day of the inspection visit all but one of the service users living in the home went out and made use of public transport. The home ensures family links are maintained and this is well documented in the files that were examined. The manager was able to demonstrate that information provided by service users’ families is taken into account when planning care. Surveys were sent to relatives and comments received indicate an overall satisfaction with the home. The parents of one service user visit at the weekend and are planning ‘home visits’ once the service user has settled in. Observations on the day of the inspection visit show that staff do not enter service users’ rooms without knocking on the door. Doors to service users rooms have locks and service users can choose to lock the doors if they wish. The keys are kept hanging in the office but the manager explained that service users have access to them any time they wish and they are kept in the office because service users in the home either do not have the capacity to keep the keys securely or do not wish to hold their keys. Observations on the day of the inspection visit showed that there are very positive interactions between service users and staff. Service users are encouraged to take part in household tasks. Examples of menus were examined and show that a variety of food is offered, although the menus are there for ‘suggestions’ and in practice service users choose what they want to eat daily. The notice board in the kitchen has lists of individual service users specific likes and dislikes. There is also a comprehensive shopping list showing that a wide variety of food is purchased. Evidence was seen of fresh fruit, salad and vegetables in the fridge. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 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): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures service users receive personal support in the way they require. Service users physical and emotional needs are met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Records examined show evidence of the way service users prefer to have personal care carried out (see evidence for standard 6). All service users have either an en suite shower or bath so that they may be assured of privacy when carrying out personal care. There is a mixture of male and female staff, but personal care is carried out by staff of the same gender as the service user. Care plans examined contain wide-ranging details of individual’s health care needs. There are Health Action Plans on file and charts to record service users’ weight and appointments for consultants and G.P.s. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 15 Care plans examined contain relevant information about prescribed medication. One service user’s record contains clear guidelines for the use of prescribed ‘as required’ or PRN medication. The home operates a monitored dose system. There are no controlled drugs in use at the present time. There are currently no service users living in the home with the capacity to self medicate. Only three service users have prescribed medication, which is all stored on separate shelves, clearly labelled, in a purpose bought lockable metal cabinet. Medicine Administration Record (MAR) sheets were examined on the day of the inspection visit and are completed appropriately. Monitored dose packs containing drugs are stored separately from topical medications such as ointments. Procedures and practices around the administration of medication are good. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident their views are listened to and acted on. Arrangements are in place to help protect service users from abuse, neglect and self-harm. EVIDENCE: As part of the registration process, the service’s Complaints Policy and Procedure was examined. It met the required standard and contains appropriate information to ensure prospective service users and their representatives have a clear route to follow if making a complaint. The policy also gives information on how to contact the Commission for Social Care Inspection. A copy of the complaints procedure written using symbols has been laminated and is on the wall next to the notice board. No complaints have been received since the service opened. Relatives who responded to surveys all said that they are aware of the home’s complaints procedure. Records examined show that the home has policies in place for the protection of vulnerable adults (POVA). There is a whistle blowing policy in place so that staff may be assured that they will be protected if they feel the need to raise concerns about practices. As part of the induction process staff are provided with a copy of the General Social Care Council good practice guidelines and have to sign to say they have read and understand it. Records examined show that the home carries out POVA checks and Criminal Records Bureau (CRB) enhanced disclosure checks. Staff receive training on Adult Protection issues Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 17 as part of the induction programme. The home’s training planner shows that further Protection of Vulnerable Adults training is booked for December 2006. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment and the home is clean and hygienic. EVIDENCE: A tour of the premises showed that the home is well maintained throughout. The standard of furnishings and décor remains as it was when the home was registered, with good quality, modern, domestic furniture. One service user showed the inspector their bedroom that was in the process of being redecorated to the service user’s taste. There is ample evidence of personal items such as photographs and ornaments. Some service users have their own mobile phones. There are no offensive odours in the home and there is a good standard of cleanliness. The laundry facilities are clean and appropriate for the size of the home. The kitchen is a modern domestic fitted kitchen and is clean and well maintained. There is a small table and chairs in the kitchen so that service Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 19 users can choose whether to sit with others in the dining room or in the kitchen. Information provided in a pre-inspection questionnaire and records examined on the day of the inspection visit show that appropriate checks are being carried out on water temperatures, gas fittings and electrical fittings. Fire equipment was checked in March 2006 and the fire officer visited in May 2006 and at the time of the inspection visit, recommendations had been carried out. Staff records examined show that staff receive training on Health & Safety, Manual Handling, Food Hygiene and Infection Control. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 20 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 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Overall service users are supported by competent and qualified staff, although the manager should ensure staff are supported to complete NVQ awards. Service users are protected by the home’s recruitment policy and procedures. Staff receive appropriate training. Service users benefit from well supported and supervised staff. EVIDENCE: From information provided in a pre-inspection questionnaire, 20 of a total of ten care staff have completed an NVQ award at level 2 or above. A further three members of staff have enrolled for NVQ awards. The home has an appropriate recruitment procedure in place. The manager was able to demonstrate a good awareness of the requirements of the standards relating to the recruitment of staff. Three staff files were examined, including that of the most recently recruited member of staff. Overall staff files are well organised and contain required documentation including application form, photograph and proof of identity. Criminal Record Bureau Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 21 (CRB) checks are in place for most members of staff, although the manager is still awaiting certificates for two members of staff. ‘POVA First’ checks have been carried out and the information given to the manager via the telephone; this needs to be documented on staff files, therefore the manager will ask for confirmation emails in future. The two members of staff awaiting CRB clearance are working under supervision at present. One staff file examined only contained one reference; this member of staff has worked for the current manager in his previous home. The home has a structured training and development plan in place. On the day of the inspection visit staff files examined show that the home has a comprehensive induction process in place; staff complete worksheets as evidence of completed sections of the induction programme. Four members of staff have recently completed Learning Disabilities Award Framework (LDAF) training and a further four are booked to commence in September 2006. The manager has a supervision programme in place; supervisions were taking place on the day of the inspection visit. Evidence was examined of a formal staff meeting that took place on 31st July 2006. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 22 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well run and has policies and procedures in place to safeguard the rights of the service users. Service users views are taken into account, however the quality assurance system needs further development. The home ensures the health, safety and welfare of service users are promoted and protected. EVIDENCE: The registered manager has a number of years experience both as a carer and as a registered manager. He has completed both the Registered Manager’s Award and NVQ level 4 in care. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 23 The home has a Quality Assurance system in place, which the manager is in the process of developing and is seeking the views of interested parties. Evidence was seen of surveys sent to service users, their representatives and members of staff. The manager is putting service user meetings in place to gain views on what they want from the service; he hopes to commence these soon now that most service users have had a few months to settle in to their new home. However, the system requires further development to ensure that information received is collated into a report. The report should be made available to current and prospective users, their representatives and other interested parties. Maintenance records show that water temperatures, fire equipment, emergency lighting and electrical wiring are in order and have been checked (see evidence for standards 24 and 30). The home has appropriate policies and procedures in place around infection control, fire safety, first aid and Health & Safety. Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA39 Regulation 24 (2) Requirement The registered manager must ensure that the Quality Assurance system is further developed and the information obtained is collated into a report, which is made available to service users and a copy of which is sent to the Commission for Social Care Inspection. Timescale for action 30/11/06 2 YA34 19(1)(b)(i)(c) The registered manager must Schedule ensure that two written 2(5) references are obtained for all members of staff 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA32 Good Practice Recommendations The registered manager should continue to support staff who have enrolled for NVQ to complete the awards to increase the percentage of staff with a minimum qualification of NVQ level 2. DS0000066394.V309917.R01.S.doc Version 5.2 Page 26 Seaview Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Seaview DS0000066394.V309917.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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