Inspection on 18/05/05 for Serlby Close (11)

This inspection was carried out on 18th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Serlby Close (11) 07/01/08

Serlby Close (11) 02/10/06

Serlby Close (11) 01/11/05

Serlby Close (11) 01/12/04

Serlby Close (11) 12/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 11, Serlby Close Coach Road Usworth Washington, Tyne and Wear NE37 1EN Lead Inspector Andrea Goodall Unannounced 18 May 2005 at 14:00 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 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 Stationary 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. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Serlby Close (11) Address Coach Road, Usworth, Washington, Tyne Wear NE37 1EN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0191 4194162 019 4194172 Northgate and Prdhoe NHS Trust Mrs Maria Crowe Care Home 8 Category(ies) of LD (Learning Disabilities) registration, with number of places 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1 December 2004 Brief Description of the Service: The house at 11 Serlby Close provides accommodation and care for 8 younger adults with Autism. Northgate & Prudhoe NHS Trust operates the care service. The home is a modern, 2 storey, purpose-built house owned by Three Rivers Housing Association, which remains responsible for repairs and maintenance to the property. The house divides into two units that are accessed through the middle communal area containing an activities room, staff room and laundry room. Each unit contains a lounge, a dining room, a fully fitted kitchen, 4 good-sized bedrooms, a bathroom, and a shower room. The house is not intended for use by people with a physical disability. However there is level access into both units, and there are toilet/shower facilities and one bedroom on the ground floor in both units. Access around the ground floor would be suitable for any visitor with mobility needs. The house is close to local village facilities such as small shops and pubs. There is a home vehicle for residents use, and there are local public transport routes to Sunderland and Washington centres. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place one afternoon and evening. The Inspector spent time with all of the young men who live here. The people here find it difficult to express their views but time was spent in their company, observing their interaction with staff and looking at their bedrooms with them. The Inspector also joined 4 residents and staff for a teatime meal and a chat about what they like to do. Some time was also spent with the Manager discussing the progress of the service. The Inspector looked at a sample of care records, activity programmes, medication systems, health & safety records and staff training records. About half of the homes premises were examined. There have been no complaints received about the service since the last inspection. In keeping with the homes records, throughout the rest of this report the people who live here will be referred to as residents, and the Owner of the home (Northgate & Prudhoe NHS Trust) will be referred to as the Trust. What the service does well: What has improved since the last inspection? 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 6 There have been no changes to the staff team since the last inspection. This means that residents have had consistent support from the same people, which is very important for the people who live here. All care records have now been brought up to date, and new records are now in place that give good details about accidents or events. The Manager has now finished further training in management, which will help her to keep running the home well. There are now over half of the staff team with NVQ care qualifications and the rest of the staff are going to start this training soon. 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. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 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 standard(s) 2 & 3. The individual needs of residents are assessed and reviewed to ensure that the home can meet their specific needs. EVIDENCE: Most of the 8 young men have lived at the home since it opened about 7 years ago. The most recent admission was 2 years ago. The individual needs of all of the residents were assessed prior to their admission by a number of appropriate health and social care professionals. Much of this information is now archived. Residents needs are reviewed at least 6 monthly to ensure that their needs continue to be met by the home. The home at Serlby Close offers a specialist care service that is specifically designed for younger adults with Autism Spectrum Disorder. The home is accredited by the National Autistic Society (NAS), and is regularly audited against latest good practice guidance. A recent audit of this service by NAS resulted in a very positive report about the home. All staff receive ‘Autism Awareness’ training and ‘Autism Specific Communication’ training. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 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 standard(s) 6, 9 & 10. Support plans do not reflect the personal goals of individual residents. Residents are supported to take acceptable risks where capabilities allow. Residents do not have information in a suitable format about their right to access their own records. EVIDENCE: There are support plans in place for each of the people who live here. These are up to date and reviewed at least every 6 months. However, the support plans still consist of 22 areas of daily living needs, many of which are not applicable to the people who live here. As a result the support files are very bulky and it is difficult to find the current, pertinent information. The support plans do not currently reflect specific individual goals of each resident, and so do not demonstrate the good practices that are carried out by the home in managing any changes in need. Following recommendations made at the last inspection the Manager stated that the home is trying to develop a more streamline, simpler system that staff can use to measure residents progress towards their goals. These will be monitored again at the next inspection. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 10 Support files do contain clear risk assessments that show whether an activity can or cannot be carried out by a resident independently, or what staff support they need to minimise any risk. These are reviewed at least once a year. The support files also include clear behavioural guidelines, and it is good practice that relatives have signed these to show their inclusion in this information. The Trust has an Access to Information Policy, but this is still not available to residents in a suitable format that they could understand. As a result residents do not have information about their rights to access their own records. This matter was the subject of a previous recommendation. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 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 standard(s) 12, 13 & 15. Residents are able to take part in a wide variety of suitable activities. Residents are supported to use all local community facilities, and to keep in contact with family members. EVIDENCE: All of the people who live here are supported to take part in a wide range of activities in the local community. The good staffing levels means that there is a minimum of 4 support staff and 2 or 3 Enabler staff on duty through the week to support residents to individual or small group activities. These include horse riding, trampolining, swimming, golfing, shopping, library sessions and walks. There are also in-house activities such as arts, computers and the home has its own sensory room in an outbuilding. Two people also choose to attend college courses for part of the week. One person has a display board that outlines his activities timetable, and this helps to reduce his anxiety about the pattern of each day. All other residents have written activities programmes but currently these are kept in their files and so are not as accessible to residents in terms of instant availability or language. The Manager stated that she wants to develop a photographic or 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 12 pictorial programme as a visual aid for residents so they can see the activities they will be doing each day. The house is one of many similar properties in a modern housing estate. Staff described the good relationship with neighbours and local children. The residents make good use of facilities in the local area including public transport. Contact with relatives is encouraged and supported. Some residents have regular visits to their family home, or go out with relatives. Others are supported to telephone or write to relatives and this promotes their daily living skills. Relatives are invited to visit the home and attend festive parties here. Relatives are also invited to residents reviews and to complete and annual satisfaction questionnaires about the service. Residents do have opportunities to meet other people outside of the home at various activities, evening social events and at college (although the nature of Autism Spectrum Disorder makes it very difficult for them to form friendships). 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 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 standard(s) 19 & 20. Residents physical and mental health care needs are assessed and met. Residents are protected by the homes procedures and practices for dealing with medication. EVIDENCE: The young men who live here are generally physically fit. They are each registered with local GP practices and are supported to use community health care services when required. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 14 The home is one of 2 homes for people with Autism that are operated by Northgate & Prudhoe NHS Trust in this area. Monthly Service Meetings are held for these specialist services that include the input of Speech and Language Therapists, Clinical Psychologists and other specialist health care professionals. One person has regular input by a Behavioural Nurse from the Community Learning Disability Team to help the home support him with his behavioural needs. A Consultant Psychiatrist reviews the needs of all residents twice a year. At this time none of the residents has been assessed as capable of managing their own medication, so this is managed by staff on their behalf. Around 8 staff have had training in Safe Handling of Medication and they are responsible for administering medication to the people who live here. Arrangements are in place for the remaining staff to have this training in the future. At this time there is not a list of designated staff that should include their name, signature and initials. Medication is securely stored in a well organised, medication cabinet. Records of medication are up to date and in good order, with daily checks of remaining medication. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 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 standard(s) 23. The home has policies, practices and staff training in adult procedures and physical intervention to ensure that residents are protected from abuse and self-harm. EVIDENCE: 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 16 As with all care services for adults in the City of Sunderland, the Trust has adopted the MAPPVA (Multi-Agency Panel for the Protection of Vulnerable Adults) policy and procedures. These are robust procedures for dealing with suspected abuse. Most of the staff have training in MAPPVA procedures so they would know what to do in the event of suspected abuse. The remaining staff are nominated for future MAPPVA training. Some of the people who live here need support to manage their behavioural needs. There are behavioural guidelines in their care files so that staff know how to support people in a consistent way. Staff have had comprehensive training in physical intervention techniques that is BILD-accredited (British Institute of Learning Disabilities). Staff also receive refresher training every 18 months to make sure they all remain confident and competent in this area of care, and this is good practice. In discussions, staff spoke positively about the training that shows them how to de-escalate a behavioural episode and how to redirect a resident to prevent them harming themselves or others with minimal physical contact. Since the last inspection the Trust has introduced new records for recording any incident including physical interventions. These are individually numbered records, and are audited by the Trust to make sure that people are getting the right support. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26 & 30. Residents live in a comfortable, homely environment that promotes their independence. The home is clean and hygienic. One area does not ensure the residents or staff safety. EVIDENCE: 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 18 The house is a modern building that is split into two units of accommodation. It is suitable in design for the people who currently live here, and is bright, comfortable, well furnished and decorated to a good standard. The home also benefits from an out building, which has additional activity space for the people who live here. There is also a large back garden which residents enjoy for games and barbecues. Since the last inspection 3 bedrooms have redecorated. It is good practice that those residents were involved in choosing their own colour schemes and new furniture. Residents showed the Inspector their newly decorated rooms and seemed pleased and proud of their rooms. Most people have chosen to have a TV or hi-fi in their rooms and all of the residents spend time in their own bedrooms whenever they want. One person manages their own bedroom key so that they can lock their door whenever they wish. At this time the other residents have been assessed as not yet able to manage their own key independently, and this is recorded in their support files and reviewed at least once a year. The staff support residents with daily household tasks such as cleaning and laundry. There is a separate laundry room in the centre of the home with sufficient equipment for the 8 people who live here. Staff have training in Food Hygiene and some have training in Infection Control (with all staff nominated for future courses) so that they can ensure that the house is kept clean and hygienic. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 33. Residents are supported by a competent, qualified and effective staff team. EVIDENCE: The staff team consists of the Manager, an Assistant Home Leader, 2.5 Enablers and 15 Support staff (with another support staff due to start soon). There is a good mix of age and experience amongst the staff team. There are 4 male staff which represents only 20 of the staff team, however care posts traditionally attract female applicants. It is good that there has been no staff turnover since the last inspection. Residents must benefit from this continuity of care, as Autism Spectrum Disorder can make it difficult for them to cope with unfamiliarity and changes. At this time 10 staff have attained NVQ 2 or 3, and 6 more staff will start NVQ training later this year. This is above the minimum standard of 50 of the staff team with NVQ qualifications. The Manager and 5 staff are NVQ Assessors and the Manager anticipates that in this way all staff will be NVQ qualified in the future and this is good practice. In discussions staff confirmed that there are good training opportunities. There are clear training and development programmes for each member of staff. All staff receive training in Autism Awareness and Autism Focus, and this helps 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 20 them to understand and support the needs of people with Autism Spectrum Disorder. However this specialist training is not currently recorded on their training records. The staffing levels for this home are a minimum of 4 Support staff on duty throughout the day (2 staff per unit) and 2 staff on night duty (one of whom is on waking duty). There are also 2 Enabler staff who have specific duties in relation to occupational and leisure activities for the people who live here. An additional part-time Enabler provides exclusive support with occupational activities for one service user. These staffing levels meet the current support needs of the 8 men who live here. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42. Residents benefit from a well-managed service. The views of residents and their relatives are used to review and develop the service. The health & safety of residents and staff is not fully safeguarded within 2 areas of the premises. EVIDENCE: The Registered Manager is a qualified RNMH and has suitable experience in working with people who have Autism and Learning Disabilities. IT is good practice that she has recently completed further training in NVQ level 4 in Management, and the Registered Managers Award. An Assistant Home Leader assists the Registered Manager in the daily operations of the home. There are clear lines of accountability within the organisation. The Trust carries out quality assurance reviews of the home at Serlby Close to ensure that it continues to provide a good service to the people who live here. The views of residents are sought in a number of ways, including questionnaires that are in pictorial format and easy language. Relatives are also invited to complete a satisfaction questionnaire. Any suggestions or 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 22 comments from residents or their relatives are then included in the homes Annual Development Plan that sets out the future goals for the home. Staff records demonstrate that all staff receive statutory training in all health & safety matters. The Trust carries out full health & safety audits of the home and procedures for health & safety practices are in place. In discussions, the Manager demonstrated her knowledge of the necessary health & safety practices that are carried out to ensure the welfare of the people who live here. However, there were times during this visit that the door to the laundry room was propped open and so would not prevent the spread of a potential fire. Also for some time the carpet to one staircase has been frayed. This has been reported at previous inspections for attention. On some steps the carpet is now torn and this is not safe for the residents or staff as it could cause a tripping hazard. The Manager confirmed that in-house fire instruction is carried out with individual members of staff during their supervisions sessions. This is the correct interval to carry out such instruction, as all staff carry out some nighttime duties. However there are no records to demonstrate that the instruction is carried out. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 23 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 4 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 11, Serlby Close Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 1 x B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 6 10 Regulation 15 17 Requirement Support plans must refelct the individula goals/needs of each resident. Residents must have information in a suitable format about how they can access all their own records maintined by the home. The rips in the staircase carpet must be covered with tape to ptrevent people from tripping. Then the carpet must be replaced. Immediate Requirment Notice issued. The fire door to the laundry room must be kept closed and advice must be sought from the Fire Authority about suitable door holding devices. A record must be kept of the inhouse fire instruction detailing each member of staff, their signature, the date and content of instruction, and the name of the instructor. Timescale for action 1.9.05 1.8.05 3. 42 13(4)a, b &c Immediate 4. 42 13(4) & 23(4)a Immediate 5. 42 23(4)d 1.8.05 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 12 20 32 Good Practice Recommendations Each resident should have a copy of their own actvities programme in a format that is suitable to meet their individual communication needs. There should be a list of the designated staff who administer medication that includes their name signature and initials. Individual staff Training Records should include the details of their Austim-specific training. 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Baltic House Port of Tyne South Shields Tyne and Wear NE34 9PT 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 11, Serlby Close B52-B02 S15765 Serlby Close V217664 18 May 05 Stage 4.doc Version 1.30 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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