Inspection on 25/01/06 for Seaview

This inspection was carried out on 25th January 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 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seaview 12/08/08

Seaview 08/11/07

Seaview 20/11/06

Seaview 25/07/05

Seaview 24/03/05

Seaview 07/09/04

Seaview 26/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Seaview Blundell Avenue Freshfield Formby Merseyside L37 1PH Lead Inspector Ms Lorraine Farrar Unannounced Inspection 25th January 2006 12.25 Seaview DS0000017271.V281525.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 Seaview DS0000017271.V281525.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. Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Seaview Address Blundell Avenue Freshfield Formby Merseyside L37 1PH 01704 872132 01704 872131 jeanpugh@aol.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Frances Taylor Foundation Mrs Jean Pugh Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 12 LD. That the Home complies with the staffing agreement, dated 4th August 2004. The service should, employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. Also provides day care for up to 65 people LD Date of last inspection 25th July 2005 Brief Description of the Service: Seaview provides accommodation and support with nursing for 12 adults who have a learning disability. Many of the people living there also have physical disabilities and the home provides aids and adaptations to accommodate these. There are staff available 24 hours a day, during the day there is also a registered nurse on the unit, at night they share the registered nurse with the other two homes located nearby. Seaview is owned and operated by the Francis Taylor Foundation, a national organisation who provide support to people with a variety of care needs. The home is located in the middle of Formby Pinewoods and shares the site with, two other registered homes, a day centre for 65 people and a convent. All the services are for adults who have a learning disability. Services share transport, kitchen facilities and administrative support. Most of the bedrooms are single rooms, where two people share, there are screens for privacy. Where needed all residents have their own toilet, this is either in or near to their bedroom and is adapted to meet their needs. There are several shared rooms, bathrooms and a small kitchen on the unit. The home has a small private courtyard and shares large grounds with the rest of the site. The home has operated for many years, it used to be a unit within St Joseph’s Adult Services, this was changed in 2005 to make the unit smaller and provide a more individual service. Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and took place over 7 hours What the service does well: What has improved since the last inspection? Daily routines within the home are becoming more flexible with staff acknowledging these need to be, and are based as much as possible on service users choices. Staff spoken with said that they feel the home is improving inv several areas including the environment, which is cleaner and brighter than in previous years and the team spirit. Systems for recording medication and ‘as required’ medication within the home have improved. The system for managing service users monies has also improved. Staff training is improving with the home working hard to meet national minimum standards and support staff to obtain care qualifications. Seaview DS0000017271.V281525.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. Seaview DS0000017271.V281525.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 Seaview DS0000017271.V281525.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): 1&2 The home provides detailed easy to understand information about the service to new and existing service users and relatives. Procedures and documents are in place to ensure potential service users receive a full assessment to ensure the home can met their needs. EVIDENCE: The home has put together a very good information pack for service users. This is provided in an easy to understand format with the use of plain engilsh and pictures and contains all of the information required by regulation and national standards. This includes information on the home, staff team, service offered, how to complain and the fire procedure. Good practice was noted in that a copy of this information is kept in each bedroom so that it is accessible for service users and their relatives. No new service users have moved into the home within the past year so the standard around assessment for potential service users could not be practically assessed. However the home has a detailed pre-admission form, which the deputy manager advised would be used for all potential service users. Previous inspections have evidenced that the home do carry out pre-admission assessments and obtain a copy of the Health Authority and or Social Services assessments prior to offering a place. This helps the home to ensure they can meet the person’s needs and plan for the care and support they will provide. Seaview DS0000017271.V281525.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&9 Clear, individual care plans are in place for each service user, which provide information to staff on how to support the person and meet their needs and choices. Risk assessments are completed for areas of risk to the individual, however these are not always reviewed regularly to ensure they are still relevant. EVIDENCE: Care plans for three service users were read and discussion took place with care staff around the support needs and choices of these people. All contained a good pen picture, which explained the person and their personality. Care plans contained clear information about the support the person needs with their personal care, their likes and dislikes, support they need with medication, health records and assessments and individual plans of care for the person based on their needs. One service users plan contained guidelines for supporting them when distressed and three members of staff spoken with gave information on how they support the person that was consistent with the plan of care. The home are basing their plans on a system called Essential Lifestyle Planning (ELP). This looks at all areas of the persons’ life and personal choices and Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 10 plans for how they can be best met. A list on the wall confirmed that these have been or will be reviewed 6 monthly. All three care plans contained risk assessments for the person looking at risks to them and giving guidelines as to how these could be minimised. Some of these were up to date however others were not, with one care plan containing risk assessments last reviewed in April 05. It is requirement of this report that all information in the persons plan is reviewed formally at least every 6 months, this will ensure that the information is up to date and remains relevant. A requirement given at the last inspection that the home ensure service users have up to date risk assessment is repeated at this inspection. Seaview DS0000017271.V281525.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): 12,15,16, Service users receive support to take part in activities suited to their choices, needs and age and staff provide support to service users in maintaining relationships with their family. Routines in the home are flexible with service users needs and choices taken into account as much as possible. EVIDENCE: All of the people living on Seaview use the on-site resource centre several times a week. This is owned and operated by the organisation and caters for the three homes on site and people living in the wider community who have learning disabilities. The home also has an excellent hydrotherapy pool, which service users access whilst at the resource centre. Each service user spends at least a day at home and the deputy manager explained that the home has use of a mini bus every 3rd day and also use accessible taxis so that people can get out and about. Records of activities for one service user in January showed that they had, attended the resource centre, been out for walks, eaten out used the hydro pool and been out twice in the mini bus. Two members of staff spoken with both said that residents were able to get out and about more than in previous years. Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 12 The home has good links with parents and relatives. this was evidenced by the fact that relatives of the people living on the site raised the money for the new hydro-therapy pool. Care plan’s contained evidence that the person’s family are regularly consulted and informed about their care and wellbeing. Staff were able to explain how service users are supported to remain in contact with relatives. Visitors are welcomed to visit at all reasonable times and a member of staff explained that there are arrangements in place to support one service user to go home and visit their family with staff support. Service users opportunities to meet people without disabilities are limited to the times they spend out and about in the local community or with family. A policy is in place within the home to support service users with intimate personal relationships. Care plans contain information about the persons preferred routines and staff confirmed this. Staff explained routines are based as much as possible around the persons preferences and plans, all staff spoken with explained that on the days service users do not attended the resource centre, those people who like to lie in are able to do so. They also explained that the morning routine is flexible with some people preferring to get up, have a bath then breakfast and others preferring to get up eat breakfast then get ready for the day. All staff spoken with explained that it is the routine for night staff to support people with their supper and to get ready for bed but this is flexible depending on the person and that support is offered by day staff if the person is particularly tired and ready to got to bed. During the inspection staff were seen to knock on peoples doors before entering and to spend time interacting with service users. It was also noted that service users are supported to spend time in the communal areas or in their bedrooms with their music / TV if they preferred. Seaview DS0000017271.V281525.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 Personal care is provided to service users in the way they prefer, this is generally given in private although an incident observed during the inspection indicated service users privacy and dignity is not always fully observed. The home works well with other healthcare professionals and makes sure that residents receive support to monitor their health and attend appointments. EVIDENCE: Care plans examined contained detailed clear information about the persons personal care needs, this included information about their choices and the equipment they need. Staff spoken with, were able to explain the support they provide to each person and this confirmed he information read in care plans. It was noted that personal care was generally provided discreetly in the person’s room or bathroom. During the inspection one service user was sitting in their wheelchair in the corridor and a member of staff was holding up a large syringe and pouring liquid into their into their feeding. This is a breach of the persons’ right to confidentially and dignity and was discussed with the deputy manager who agreed to ensure the practice stopped. Clear records are maintained to support the person with their health, this includes assessments of their nutrition, moving and handling and pressure areas, all of these had been regularly reviewed and were up to date. The home also help people to monitor their weight and to make appointments to see their GP, dentist etc. Staff provide support to service users with health care or Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 14 hospital appointments. Records show that the home work well with other health professionals and seek health care checks as soon as they are needed. Seaview DS0000017271.V281525.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): X These standards were not fully inspected at this inspection. EVIDENCE: Although these standard were not fully inspected at this inspection it was noted that one service users care plan contained a risk assessment for supporting the person to take their medication when they are not eating. This had been signed and agreed by the service users parents, as the person was unable to give informed consent. However as this involved staff holding the persons head back this is a form of restraint. Staff advised this practice is not currently in use as the persons’ medication has altered. However the home must ensure that if the practice is used in the future the following is implemented. The GP’s agreement that this is necessary and a full explanation as to the reasons why. A full written guideline as to how and when it is to be done. Evidence that staff are trained and competent to do so. A full written record is maintained of each time this is carried out. This will help to ensure the persons safety and that the restraint is used correctly and as little as possible. Seaview DS0000017271.V281525.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): 30 The home is clean and hygienically maintained. EVIDENCE: The home has a clear infection control policy in place and staff spoken with, were all clear as to the procedure they follow to ensure infection control. The home has a separate laundry room with industrial washing and drying machines that provide a sluice facility. This was observed to be clean, with used linen stored appropriately and clean linen quickly removed. There are good supplies of clinical waste bags, water-soluble bags and disposable gloves and aprons and staff advised they use these appropriately. All areas of the home visited were clean and well looked after. There is no separate cleaner employed however staff explained that there is an extra carer on duty and all staff take responsibility, with the help of a cleaning rota. One long-standing member of staff said that this was working well and the home was looking much better than previously. Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 17 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 Service users are supported by competent staff who have the skills to communicate effectively with them. The home has good recruitment procedures in place, which are always followed. Training opportunities within the home have increased, however the home are not yet meeting the minimum standard for care staff holding a care qualification and not all staff are up to date with mandatory training which helps to ensure service users safety. EVIDENCE: Seaview employs 15 care assistants, of these 5 (33 ) have achieved a care qualification (NVQ) and a further 3 are working towards this qualification, national standards state that at least 50 of care staff should hold this qualification. An induction programme is in place for new staff. One recently appointed member of staff explained that they had not yet started this programme but had been introduced to service users and spent time working with them as an extra member of staff. She also explained that she was assigned an experienced member of staff to act as mentor to her and give advice and guidance and had already undertaken basic safety courses. Four members of staff were spoken with and all had a good understanding of service users and were able to explain how they communicate non-verbally. All staff were able to give examples of service users preferred routines and their choices and how these are understood. One member of staff explained Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 18 that choices and routines are based on the service users preferences as much as possible because, “he is his own person”. Three staff files were looked at, all contained, copies of the person’s job description, health declarations, two written references and a Criminal Records Bureau check (CRB). Files also evidenced that staff complete application forms, formal interviews are held and once offered a job, staff are issued with contracts and terms and conditions of employment. Checks and records of Registered Nurses personal identification Number (PIN) are also held, these are evidence that the Nurse is registered with and complies with the conditions of the nursing registration body. The home must make sure that they have a photograph of each member of staff held on file for identification purposes. The organisation has a training department which books and arranges training for the staff team. Good practice was seen in that the home are now supporting staff to undertake specific training in learning disabilities. Two members of staff are currently working towards the Learning Disability Award Framework (LDAF) and the deputy manager explained there are plans for other staff to undertake this. The home currently uses a regular bank nurse who holds a general nursing qualification, it is a recommendation of this report that she is offered the opportunity to undertake the LADAF, this will ensure all staff responsible for a shift have appropriate qualifications. Records of training for staff were examined. Training had taken place in the past year in manual handling, podiatry, ‘who cares’ challenging behaviour, fire, food hygiene, protection of vulnerable adults, continence and understanding sensory loss. Not all staff have undertaken basic training to ensure service users safety, this includes moving and handling and fire training, records showed that 10 out of 20 staff had attended a course in moving and handling in the past 12 months and not all staff had had fire training. Members of staff spoken with were asked to explain the action to take in the event of a fire and all gave slightly different answers, with one explaining, they would immediately take service users to the car park and another explaining they would go to the fire board then evacuate to a courtyard near another home unless it was a major fire when they would go to the car park. The home have started the process of compiling training records which record the dates staff undertake basic training. However it is a recommendation of this inspection that the home compiles a training assessment of the team, this should look at how many staff are not up to date with basic training and also identify more specialist training that is needed to support the people living in the home. The home must also ensure that all staff are up to date with training in fire and moving and handling. Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38 &39 The home is well run by an experienced and qualified manager who creates an open and positive atmosphere within the home and staff team. Regular systems are in place for auditing and improving the service offered. EVIDENCE: Mrs Jean Pugh is the registered manager of Seaview, she holds a learning disabilities nursing qualification and a management qualification and has significant experience of management within a care setting for adults with learning disabilities. Staff spoken with, were positive about the management of the home, one member of staff described the manager as “supportive” and another explained that “Jean keeps the standards high” staff also advised that issues that arise are discussed as a team. Mrs Pugh was not present at this inspection however it was evident that the home and management work hard to meet CSCI requirements and to improve the service offered. Improvements were evident in the support offered to service users with activities, in documentation, the flexibility of the service and the environment. The home and organisation have a number of systems in place to audit the quality of the service. Monthly unannounced visits are carried out by the Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 20 organisation and reports of these forwarded to the CSCI. An internal quality audit was carried out by the unit in June 05 this was based on the national minimum standards and identified areas where the home were meeting these and areas for improvement. The deputy manager explained that this audit will be carried out again shortly. A survey of relatives was carried out in September 05 with responses mostly positive. It is a recommendation of this report that the home compile an action plan based on their audits and surveys, this will help them to decide areas of improvement for the following year and evidence areas of good practice. The standard around health and safety was not fully inspected during this inspection. There were three outstanding requirements from the last inspection. One stated that the home must act on the finding of the security assessment of the building, which they completed, the second that they provide a satisfactory copy of the gas certificate and the third that all staff participate in regular fire drills. The deputy manager explained that approval has been given by the organisation to fit locks to doors as recommended by the safety assessment. However this requirement has not yet been met, the requirement is therefore repeated at this inspection and the home must forward to the CSCI a copy of the assessment along with a plan of how they intend to meet the requirements. A copy of the gas certificate was not available in the home, this requirement is again repeated. Records showed that fire drills had taken place on 2/12/05 & 01/01/06 however these do not list the staff who took part, the home must ensure all staff take part in regular drills and that this is accurately recorded. Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 X 23 X ENVIRONMENT Standard No Score 24 X 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 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 X X 3 3 3 X X X X Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 22 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 YA42 Regulation 13(4) a Requirement The home must act on the findings of the security assessment they carried out. A copy of the assessment and plan of how it will be met are to be forwarded to the CSCI. This is a previous requirement. The home must provide a satisfactory gas certificate. This is a previous requirement. The home must make sure all staff take part in regular fire drills. Accurate records of dates individual staff participate must be maintained. This is a previous requirement. The home must make sure all residents have up to date risk assessments . The home must ensure all information in care plans is reviewed at least every 6 months. Timescale for action 05/05/06 2 YA42 13(4)a,c 07/04/06 3 YA42 23(4)(e) 07/04/06 4 5 YA9 YA9 13(4)(c) 15(2)(b) 07/04/06 05/05/06 Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 23 6 YA23 15(1) 17(1)(a) 3(3)(p) The home must ensure that if any form of restrain is used to support a service user with their medication the following is in place: 1) The GP’s agreement that this is necessary 2) A full explanation as to the reasons why. 3) A full written guideline as to how and when it is to be done. 4) Evidence that staff are trained and competent to do so. 5) A full written record is maintained of each time this is carried out. The home must retain a photograph of each member of staff on file The home must ensure all staff are up to date with fire training. The home must ensure all staff are up to date with moving and handling training. 13/03/06 7 8 9 YA34 YA35 YA35 19(1)(b) 2(1) 18(1)(c) 18(1)(c) 07/04/06 05/05/06 05/05/06 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 2 3 4 Refer to Standard YA32 YA35 YA35 YA39 Good Practice Recommendations The home should continue to support care staff to obtain an NVQ in care. The home should support all regular (including regular bank) Nurses to undertake the LADAF The home should carry out a training analysis of the staff team. The home should compile an action plan based on their quality assurance systems. Seaview DS0000017271.V281525.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 DS0000017271.V281525.R01.S.doc Version 5.1 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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