Inspection on 12/01/09 for Southampton Way, 296-298

This inspection was carried out on 12th January 2009.

CSCI found this care home to be providing an Good service.

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

Southampton Way, 296-298 07/02/07

Southampton Way, 296-298 12/01/06

Southampton Way, 296-298 04/03/05

Southampton Way, 296-298 22/09/04

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Southampton Way, 296-298 Southampton Way, 296-298 London SE5 7HQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: James OHara     Date: 1 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Southampton Way, 296-298 Southampton Way, 296-298 London SE5 7HQ 02072526748 02072526748 admin@sway.equinoxcare.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Oluwatoyin Ann Adesoye Type of registration: Number of places registered: Equinox care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 13 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Male whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Southampton Way is a registered care home managed by Equinox to provide 24-hour care for 13 males with long term mental health and/or substance misuse problems. The service users are mostly Afro-Caribbean. The project is on three floors and accommodation is in fully equipped studio flats. There are also communal facilities of a laundry, kitchen, lounge/dining room, smoking room and a garden. There is on street parking. The project is near Peckham High street, rail and bus links and community health and leisure facilities. The current weekly fee for a placement at the project is £790.65. Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 13 Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating of this service is 2 stars. This means the residents now experience good outcomes. We spent five hours at the project and talked with two people who use the service, two members of staff and the registered manager. We also spoke to a care coordinator on the telephone and visited Equinox Head Office. Records and documents examined during the inspection included the care plans, activities, medication, staffing and training, quality assurance, and health and safety records. The registered manager completed an Annual Quality Assurance Assessment, AQAA, to tell us about the service provided, how it makes sure of good outcomes for the people Care Homes for Adults (18-65 years) Page 6 of 31 using it and any planned developments. What the care home does well: What has improved since the last inspection? What they could do better: All staff should attend training on fire safety. New members of staff should provide proof of identification and a current passport if they have one. All members of staff should provide evidence that they are physically and mentally fit Care Homes for Adults (18-65 years) Page 8 of 31 for the work they are to perform. Key workers could record peoples personal objectives at monthly meetings. The registered manager could arrange a visit from the community pharmacist for advice on medication. We would like to thank people who use the service, the care coordinator, staff and the registered manager for their comments and support during the inspection process. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People planning to use the service have good information about the project and they can be sure that their needs can be met because their needs are fully assessed before they move in. Evidence: There is an accessible and user friendly Statement of Purpose and Service User Guide that provides all necessary information for people planning to use the service. It was recommended at the last key inspection that the Service User Guide include a copy of the latest inspection report. The Service Users Guide now advises people that they can access a copy of the last inspection report from the office. The registered manager told us that copies of reports are also available to people in communal areas and people who use the service discuss inspection reports at residents meetings. We looked at three peoples files and seen that people had assessments carried out by care managers, files also included relevant information from the multi disciplinary Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: team. There is a good gradual process for admission with overnight and weekend stays before the final decision is made to move in. The decision as to whether they can meet the needs of people is made with the staff team. The registered manager told us that no one would move in without assessments being carried out by the team and the persons care manager. People have licence agreements detailing what they should expect from the service and how much they have agreed to pay. The current fee for staying at the home is 790.25 per week. Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that they are properly supported because care plans give good information about their support needs and how their needs can be met. Risk plans are completed so that people can live as independently as possible. Evidence: Requirements were set at the last key inspection that the registered person must ensure that all service users individual plans reflect changes and current need and the registered person must ensure that risk management strategies are in place where risk has been identified. We looked at three peoples files. Each person had a care plan, the care plans had been drawn up using information from needs assessments and identified peoples needs and how these needs can be met. The registered manager told us that the care planning system had been reviewed following the last inspection and included aims, objectives, Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: service users actions, staff actions and review dates. All of the care plans examined had been kept under regular review. None of the care plans included set goals however people met with their key workers on a regular monthly basis and discussed issues such as their mental and physical health, personal hygiene, day time activities and social life. Minutes of these minutes indicated that people are involved in planning their own care and reflect changes in their current needs. It is recommended that peoples personal objectives are discussed and recorded at monthly key worker meetings. People who use the service had risk assessments that identified the risk to themselves and others and risk management strategies are in place for risks assessed as moderate or high. All of the people who use the service had their placements reviewed by care managers or care coordinators on an annual basis. Care plans and risk assessments are also reviewed at this time. One person who uses the service told us that he meets monthly with his key worker to talk about things and that he was happy with the support he was given by the staff team. Care Homes for Adults (18-65 years) Page 14 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their social and leisure needs are met because they are supported with a varied programme of activities that reflects their individual interests. Appropriate arrangements are made so that people can have regular contact with their friends and families. Evidence: The registered manager told us in the AQAA that they encourage and support people to achieve their aims, goals or aspiration by supporting them to access jobs, education facilities, daytime activity or therapeautic learning they choose in the local area. Staff advise people on their right to vote, support them with filling the voters form and encourage them to voice out if they are being discrimanted against. They offer practical advice around transportation, bus, train, trams and tube and staff also Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: support with obtaining the freedom pass. They encourage people to maintain links with their families and friends. Every summer the project invites friends and family to a barbecue party. People can have their friends stay over provided they give twenty four hours notice. They encourage people to prepare breakfast and if they require support in cooking, staff supports them, while the chef prepares hot meals for dinner. They provide fruits and other refreshments at all times to meet peoples nutrition, dietary or religious needs. People choose what food they would like and the chef then ensures there is a balanced diet. People who use the service hold regular monthly residents meetings. The minutes from recent meetings included topics such as planning for Christmas, holidays, food menus, health and safety issues and focus groups. Most people had attended these meetings. The registered manager told us that the organisation provides a lump sum of money so that people can go on a holiday, people can go twice a year if they wish. People make plans for one holiday abroad and one holiday on the mainland. Last year a group of six people went to Spain and a group of nine people went to a Butlins holiday camp. There were also a number of day trips that were well attended. We spoke to two people, both invited us into their rooms. One person told us that they had just returned from work and were going to make something to eat. They told us that they had lived at the project for five years and hoped to move on to a more independent setting in the future. They were talking to care managers about this. They had a large room with a double bed and a large TV, DVD player and a music system. They told us that staff treated them with respect and they were aware of how to make a complaint if they needed to. The other person told us that staff treated them well and that they hoped to move on to a more independent setting in the future. This person was an accomplished artist and had a number of paintings in his room. They told us that they were able to work on the paintings but had no plans to exhibit them, as this was something that they had done in the past. We looked at food menus. These consisted of cereal or cooked breakfasts and two alternatives for dinner. Menus included a do it yourself option were people can make their own meals with support from staff. The registered manager told us that one person has diabetes however usually eats what is on the menu. The chef and staff are aware of this persons condition and all has had training from a diabetic specialist nurse. Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: The registered manager told us that staff had attended training on diversity so that they can meet the needs of the people who use the service. The project was originally set up for people from black and minority ethnic backgrounds but over time people from non black and minority ethnic backgrounds have been admitted. The deputy manager told us that this was reflective of the local community. The registered manager told us that one person was sixty seven years old and staff were aware of this persons needs. The registered manager told us that they were arranging training on elderly needs for this persons key workers. Care Homes for Adults (18-65 years) Page 17 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure as far as possible that their health care needs are met because medication is well managed and they have good access to appropriate healthcare professionals. Evidence: Medication is stored in a locked cabinet in the office. Good medication procedures and practices are in place. Medication is labelled and stored correctly. Administration records examined were up to date at the time of the inspection. People are provided with good access to health professionals as needed and their health is well monitored. There is close liaison with local multi disciplinary and mental health teams. One person told us that staff supports them with their medication and this keeps them well. A requirement was set at the last key inspection that the registered person must Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: ensure that staff are knowledgeable about the medication they administer and that peoples photos are available when medication is administered. The registered manager showed us a list of side effects that some medications can cause, a copy of the British National Formulary and the British Medical Associations Guide to Medicines and Drugs. Staff training records show that all staff had attended training on administering medication, diabetes and completed a unit on Mental Health in NVQ level 3 in care. All but one of the people who use the service has a photo available on their medication files. The registered manager told us that this person has refused to have a picture taken. Staff are aware of who this person is and new staff are also advised when they come to the project. Administration records showed that all but one person is taking their medication as prescribed. This person has diabetes and has for a number of years consistently refused to take his medication. The registered manager told us that this person has discussed the issue with their care coordinator and is fully aware if the risk to their health. The registered manager showed us a risk assessment in relation to them not taking their medication including when to contact emergency services. The registered manager showed us evidence that care coordinators and health care professionals are being kept informed of the persons non compliance with medication. We spoke to a care coordinator on the telephone. The care coordinator told us that they were working with this person and a specialist General Practitioner had also visited the person to discuss his condition. The care coordinator told us that a few people can be difficult to engage however most of the people who use the service seem to be very happy there. The care coordinator told us that this was a good project and the manager was easy to work with. The registered manager showed us documentary evidence that a community pharmacist visited the project in 2006 to offer advice on medication. It is recommended that the registered manager arrange a visit from the community pharmacist for advice on the projects medication systems. Care Homes for Adults (18-65 years) Page 19 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their complaints and concerns are listened to because there is a complaints procedure that that they can understand. Evidence: The registered manager told us in the AQAA that they listen to people and encourage them to make a complaint if they are not satisfied with the level or kind of service they receive. Staff and or Advocates can help people complete the complaint form or write a report when need arises. The project has an up to date complaints policy and procedure. The registered manager told us that there had been one complaint made to the project since the last key inspection, this complaint was responded to within the timescales stated in the complaints policy and procedure. No complaints have been made to the Commission about the service. Two people who use the service told us that they knew how to make a complaint if they needed to. The project also has policies and procedures for safeguarding vulnerable adults and works together with Southwark Social Services on safeguarding. Staff has attended training on safeguarding adults and are due to attend refresher training at the end of Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: January 2009. Care Homes for Adults (18-65 years) Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building is well maintained so that people can live in a clean, comfortable, homely and safe environment. Evidence: The registered manager told us in the AQAA that people are encouraged and supported to decorate their individual flat to suit their taste. Individual key workers support people with cleaning and ensuring that their immediate environment is well maintained, the project employs a cleaner that cleans the communal areas. The project is comfortable, homely and clean, and is well furnished. Spacious bed sits promote independence. Each has a toilet and shower facilities to provide maximum personal privacy. The project has a communal lounge/dining room, a smaller room for quiet time and smoking, a large communal secured garden and medium size kitchen. All parts of the building are wheelchair accessible. At the present time there were no maintenance problems apparent. It was recommended at the last inspection that there should be a planned maintenance programme. The registered manager told us that the landlords, Metropolitan Housing, visited the project in April 2008 to assess works that need to be Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: completed. This is done on an annual basis and the registered manager told us that Metropolitan Housing have improved in responding to repairs. Care Homes for Adults (18-65 years) Page 23 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that they are safe because there are enough competent well trained staff on duty at all times. They can have confidence in the staff because checks have been done to make sure that they are suitable to care for them. Evidence: The registered manager told us in the AQAA that all staff have an NVQ level 3 qualification and vast experience of mental health work. They provide twenty four hour care for the people with a minimum of two staff on duty at all times. Staff provide people with care management, emotional support and practical support with life skills. The Equinox on-call manager provides back up support for the staff team during out of hours. The project is staffed by a registered manager, a deputy manager, four full time and one part time care staff a cook and a cleaner. Staff training records indicates that staff has attended training on medication, infection control, food hygiene, diabetes, person centred planning and mental health as part of their NVQ level 3 in care. All new staff completes a comprehensive induction programme. Training has been arranged for staff on safeguarding adults and first aid. Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: The registered manager told us that staff attended fire marshal training two years ago. The registered manager must make sure that all staff attends training on fire safety. One new member of staff has started employment since the last key inspection. Staff personnel files are kept at the Equinox Head office. We went to the head office and examined the new member of staffs personnel file. The file included two written references, an employment contract, a recent photograph and an induction check list. The file however did not include proof of identification, current passport or evidence that they were physically and mentally fit for the purposes of the work they were to perform. The registered manager told us that only night time staff provided evidence that they were physically and mentally fit. The registered manager was advised that all staff are required provide this evidence and where it is impracticable to obtain this evidence they should provide a signed declaration that they are fit. The registered manager must make sure that the new member of staff provides proof of identification and a current passport if they have one. They must also provide evidence that they are physically and mentally fit for the purposes of the work they are to perform. Where it is impracticable to obtain this evidence they should provide a signed declaration that they are fit. Criminal Record Checks were produced for all of the current staff team working at the project. As a measure for good working practice Equinox carried out Criminal Record Checks on all staff working at the project last year. Records show that staff meetings take place on a regular monthly basis and staff receives regular formal supervision and an annual appraisal. Care Homes for Adults (18-65 years) Page 25 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that their needs are met and wishes are taken into consideration because the project is well managed. People can be sure that hey are protected from harm because good health and safety arrangements are in place. Evidence: The registered manager has fifteen years continuous work experience working with people with mental health and holds an NVQ Level 4 and Registered Managers Award. The deputy manager and staff on shift spoke very highly about the registered managers management style and described the registered manager as approachable and supportive. A requirement was set at the last key inspection that the registered person must ensure that a report about the projects quality assurance monitoring is produced Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: annually and supplied to the commission and to people who use the service. Regulation 26 visits are conducted on a monthly basis and copies of the reports from these visits were available for inspection. The registered manager also produced documentary evidence of quarterly and annual reports to commissioners and monthly operation monitoring report to Equinox. The registered manager produced service users surveys and told us that they were developing surveys for relatives. A requirement was set at the last key inspection that the registered person must ensure that all substances hazardous to health are properly stored. Substances hazardous to health were stored in a COSHH cupboard that was locked on the day of the inspection. Portable Appliance Testing was completed in November 2008 and a Landlords Gas certificate was produced for March 2008, water testing was carried out in December 2008. The fire alarm system is checked on a weekly basis full fire evacuations take place every three months. Engineers checked the fire equipment and alarm system in December 2008. There is a fire risk assessment and a fire policy. As previously stated in this report staff need to attend fire safety training. Care Homes for Adults (18-65 years) Page 27 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 32 23 The registered manager 31/03/2009 must make sure that all staff attends training on fire safety. So that people who use the service are protected in the event of fire. 2 34 19 The registered manager must make sure that the new member of staff provides proof of identification and a current passport if they have one. They must also provide evidence that they are physically and mentally fit for the purposes of the work they are to perform. Where it is impracticable to obtain this evidence they should provide a signed declaration that they are fit. So that people who use the service are protected from harm or abuse. 31/03/2009 Care Homes for Adults (18-65 years) Page 29 of 31 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 6 20 It is recommended that peoples personal objectives are discussed and recorded at monthly key worker meetings. It is recommended that the registered manager arrange a visit from the community pharmacist for advice on the projects medication systems. Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!