CARE HOME ADULTS 18-65
St Ann`s Lodge (2) 3 Lyndhurst Drive New Malden Surrey KT3 5LL Lead Inspector
Lee Willis Key Unannounced Inspection 18th December 2006 11:00a St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service St Ann`s Lodge (2) Address 3 Lyndhurst Drive New Malden Surrey KT3 5LL 020 8336 0717 020 8408 0348 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) Leslie Peter Fernando Mrs Gianindree Ammale Fernando Leslie Peter Fernando Care Home 6 Category(ies) of Learning disability (6) registration, with number of places St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: St Ann’s Lodge 2 is a family owned residential establishment that is registered with the CSCI to provide accommodation and personal support for up to six younger adults with mild to moderate learning disabilities. Mr Leslie Fernando as the registered co-owner/manager of the home remains in operational dayto-day control. Situated on a quiet suburban street in New Malden the home is within easy walking distance of a local parade of shops, several bus stops and a train station with good links to central London and the surrounding areas. Each of the service users has their own single occupancy bedroom, the majority of which have en-suite toilet facilities. Communal space consists of a large open plan lounge/living room with a conservatory attached; a separate kitchen/dinning area; large entrance hall, and a detached wooden construction in the rear garden, which is used primarily to store the homes confidential records. The rear garden is extremely well maintained and contains a wide variety of well-established plants, shrubs, and trees. Service users have each been provided with copies of the homes Statement Of Purpose, Residents Guide, and their terms and conditions of occupancy. These documents contain information about all the services and facilities provided by the home, as well as the range of fees charged for there use. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. From all the available evidence gathered during the inspection process, which included a site visit to the home, the Commission for Social Care Inspection considers this to be a ‘good’ quality service that has a sustained track record of high performance ensuring good outcomes for service users. The site visit was unannounced and was carried out on Monday between 11.00am and 1.00pm. During the course of this two-hour visit none of the service users were met as they were all out attending sessions at various day centres, although the homes co-proprietor/manager was spoken with at length. Written feedback was also received from the relatives of five service users and a GP. The remainder of the site visit was spent examining the homes records and touring the premises. The Commission also received a quality selfassessment form and supporting documentation from the home prior to the inspection taking place, which included amongst other things, samples of the homes published menus and staff duty rosters. What the service does well:
All the written feedback received from service users relatives and professional representatives was extremely positive about the quality of the service provided. It was clear from records kept of all the activities service users engage in on a daily basis and comments made by the proprietor that everyone who lives at St Ann’s Lodge is encouraged to live interesting and fulfilling social lives. The fact that all the service users were out attending various day centres in the area during the course of this visit confirmed the Commissions view that the home is extremely good at ensuring service users participate in a wide variety of leisure activities both at home and in the wider community. Service users continue to benefit from being supported by a relatively unchanged and experienced staff team who are familiar with everyone’s unique needs, wishes, and preferences. Furthermore, the majority of the current staff team hold a National Vocational Qualification in care in line with National Minimum training targets for support workers. Finally, the domestic scale of this family run home ensures the atmosphere there continues to feel extremely homely, a sentiment frequently echoed by service users relatives. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
The positive comments made above notwithstanding there remains a number new and outstanding areas of practice that it is essential the service rectifies as soon as reasonably practicable. The proprietor acknowledged that the service could do better in a number of clearly identifiable ways: Recruitment procedures need to be tightened up to ensure information about any new staffs identify and where applicable working visas are always kept on file at the home to minimise the risk of service users being supported by people who are ‘unfit’ to work with vulnerable adults. The proprietor must also appropriately maintain an up to date record of all the relevant training undertaken by staff as this will enable him to identify all his current staff team training strengths and weaknesses at a glance. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 7 It was disappointing to note that despite it being identified as a major shortfall in the homes previous inspection report staff were still not receiving at least six formal supervision sessions a year. An extension for appropriate action to be taken to address this on going matter has been granted for a second and final time. Failure to meet the new timescale will result in the Commission considering taking enforcement action to ensure compliance. Finally, although the home has established an effective quality assurance system the results of any stakeholder satisfaction questionnaires that have been carried out are still not being published at regular intervals. 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. The summary of this inspection report can be made available in other formats on request. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 8 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 St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficiently robust arrangements are in place to ensure prospective new service users unique aspirations and needs are thoroughly assessed to determine whether or not the placement will be suitable. EVIDENCE: The proprietor confirmed that the home had been fully occupied for the past twelve months and therefore they not accepting any new referrals. The proprietor demonstrated a good understanding of the homes admissions’ procedures and confirmed that no decisions to admit prospective service users would be taken before the individual’s needs had been thoroughly assessed. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficiently robust arrangements are in place to ensure service users changing needs and personal goals are reviewed at regular intervals and their care plans up dated accordingly to reflect agreed changes in service provision. Service users have excellent opportunities to participate in activities, which enable them to have their views heard, and ultimately influence key decisions in the home. EVIDENCE: Two care plans sampled at random both contained detailed information about these two service users unique needs and were illustrated with all manner of symbols to make them far more accessible for the people for whom the plans were intended. Documentary evidence was made available on request to show both the aforementioned plans had been reviewed in the past six months and
St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 11 up dated accordingly to reflect any agreed changes in need. Minutes revealed that these care plan review meetings had been well attended by the relevant service users and their representatives, which had included members of their respective families, a senior care manager representing the placing authority, a day centre manager, and an independent advocate. Minutes of service users meetings revealed that three formal ones had been held in 2006, which had all been well attended by service users and staff on duty at the time. Topics debated had included activity planning, household chores, and what to do in the event of a fire. Assessments were made available on request from the two care plans sampled at random, which detailed any action to be taken by staff to minimise any identified risk or hazard. For example, it was very clear from one of the care plans viewed that the service user it referred to required one to one staff support whilst out in the wider community. The proprietor confirmed that there have been no significant events involving service users in the past twelve months. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The social, leisure and recreational opportunities service users have to engage in, both at home and in the wider community, are well managed, ‘age’ appropriate, and provide people who use the service with daily variety and stimulation. Suitable arrangements are in place to enable service users to maintain appropriate relationships with their family and friends, whilst daily routines and house rules promotes freedom of choice and independent living. Dietary needs and preferences are well catered providing daily variation, choice, and interest for the people who use the service. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 13 EVIDENCE: Information about service users spiritual needs are included in their care plans. It was clear from all the Christmas decorations that had been put up and the schedule of activities that had been arranged to take place over the coming fortnight, that the proprietors were very keen to ensure the service users got into the spirit of the festive season. Information about an Xmas party, a fancy dress night, trips to the theatre were conspicuously displayed on a notice board in the kitchen. On arrival all the service users were out attending various sessions at different day centres in the area. It was positively noted that information about all the different types of social activities and interests each of the service users had was included in their care plans. As previously mentioned minutes of meetings revealed that service users are consulted about all the activities they have the opportunities to participate in and are encouraged to help plan such events. Daily diary notes sampled at random revealed that service users had been on holiday with the proprietors to Disneyland Paris and seen several shows at the theatre in the past few months. It was positively noted that any significant relationships service users have with their families and friends is recorded in their care plan. The homes visitors book continues to be kept in the entrance hall and all visits are politely asked to sign it on entering and leaving the home. It was positively noted that the book was full of entries from service users relatives and professional representatives, including care managers and advocates. It was evident from comments made by the proprietor that helping service users to maintain good relationships with their families was an integral part of the homes philosophy of care, which was reflected in the homes open visitors policy. Several service users relatives wrote to the Commission to say how welcome the Fernando’s made them feel when they visited their loved ones at the home. The proprietor said all the service users could lock their bedrooms from the inside if they wish and some offered keys to the front door. It was positively noted that at one resident meetings revealed several service users had successfully used this forum to remind others about their domestic responsibilities as it was felt not everyone always ‘pulled their weight’ is this department. As a result everyone was given a gentle reminder about how important it was to maintain independent living skills and keep the home running smoothly. The proprietor said service users choose what they would like to have as a main meal the day before although this approach is flexible (i.e. people can change their mind and choose to eat something else). Staff also maintain up to date records of all the food actually consumed by service users on a daily basis.
St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable arrangements are in place to ensure service users physical and emotional health care needs are recognised and met. Sufficiently robust systems are in place to ensure medication records are appropriately maintained and monitored to safe guard and protect the service users ‘best interests’. EVIDENCE: The homes records showed that none of the service users had been involved in any accidents or significant incidents in 2006. The proprietor confirmed that service users continue to attend regular check ups with appropriate health care professionals as and when required. Records show that all the service users have received influenza jabs from their GP in the past twelve months. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 15 Staff had appropriately maintained all medication administration sheets sampled at random with no recording errors noted. Both these records accurately reflected the current medication stocks held by the home on these two particular service users behalves. All medicines held by the home on service users behalves are stored in a locked metal cabinet securely fixed to the kitchen wall. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes arrangements for dealing with complaints and allegations of abuse are sufficiently robust to ensure service users feel confident that any concerns they may have will be listened and acted upon. EVIDENCE: It was noted that a copy of the homes complaints procedure, which had been illustrated with symbols to make it far more accessible to people for whom the service was intended, was conspicuously displayed on a notice board in the entrance hall. The homes complaints log revealed that no formal complaints or informal concerns had been made about the homes operation in the past year. Similarly, the proprietor confirmed that not disclosures of abuse had been made during the same time period. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall size and layout of the home, which is furnished and decorated to a reasonable standard, ensures service users live in a safe, clean, and very homely environment. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 18 EVIDENCE: The proprietor confirmed that no significant environmental changes had occurred since the home was last inspected in November 2005. The home was comfortable warm on arrival and well maintained. Having tested the temperature of the hot water emanating from the homes first floor bath it was found to be a safe 43 degrees Celsius at 12.15. Documentary evidence was made available on request to show that all the homes hot water outlets were tested on a regular basis to ensure temperatures never exceeded 43 degrees Celsius. The homes washing machine is capable of cleaning and sluicing foul laundry at appropriate temperatures in accordance with infection control standards. The walls and floor of the utility room are impermeable and readily cleanable, and a small wash hand basin is prominently sited. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of suitably competent staff are employed on a daily basis to meet the individual and collective needs of the service users, although records of all the relevant training people working at the home have undertaken need to be kept up to date. The homes recruitment practices are not sufficiently robust to ensure the service users are not put at risk from people who are ‘unfit’ to work with vulnerable adults. The homes arrangements for ensuring all staff receive at least six formal supervision sessions a year with a suitably qualified senior remain inadequate and will need to be improved to ensure service users benefit from being supported by a well supervised staff team. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 20 EVIDENCE: Documentary evidence was available on request to show that four members of staff had achieved an NVQ level 2 or above in care in line with National Minimum training targets for support workers. (i.e. over 50 of the homes current staff team). The proprietor confirmed that two new members of staff had been recruited in the past twelve months. The files for both these individuals contained a job application form; up to date Criminal Records Bureau and Protection Of Vulnerable Adult Protection checks; and two written references; and job application forms. However, the proprietor conceded that he had not obtained a copy of one of his new recruits student working visa or any proof of their identity contrary to the Regulations (2001). The proprietor was aware that foreign Nationals employed on Home Office approved Student visas may only work a maximum of twenty hours a week during term time. The homes duty roster revealed that this individual had worked less than twenty hours a week during November 2006. Records of the inductions undertaken by the homes two most recent recruits were available on request. Documentary evidence was made available on request to show that sufficient numbers of the current staff team had either received or were booked to attend suitable training in a number of core areas of practice, including fire safety, first aid, basic food hygiene, vulnerable adult protection, health and safety, and medication. However, despite it being recommended in the homes last report the proprietor has still not carried out a thorough training and development assessment of his staff teams strengths and weaknesses. An up to date training record of the current staffs teams knowledge and skills base needs to be kept by the proprietor and made available for inspection on request for reference purposes. Staff files inspected at random showed that the majority had only received one formal supervision session with the proprietor in the past twelve months, despite this shortfall being identified in the homes last inspection report. The requirement that all staff receive at least six supervisions a year (i.e. once every two months) with a suitably qualified senior member of staff has been repeated for a second and final time with the timescale for action extended to 1st April 2007. It was agreed that this target was achievable providing an experienced ‘senior’ member of staff received suitable training in order to support the proprietor supervise the homes staff team at more regular intervals. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Self-monitoring arrangements for assuring quality although good the results will need to be published to enable any interested parties to peruse the homes findings. Sufficiently robust health and fire safety arrangements are in place to ensure the service users; their guests and staff are not placed at risk of avoidable harm. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 22 EVIDENCE: The proprietor was able to produce documentary evidence on request to show that he has now successfully completed an NVQ Level 4 in both management and care to meet the standards. The home has adopted a quality assurance system and has used satisfaction questionnaires to ascertain the views of residents about the service they receive. The proprietor is aware that the results of these surveys will need to be analysed published on an annual basis for all interested parties to view. Based on the London Fire and Emergency Planning Authorities (LFEPA) official guidance Mr Fernando has drawn up a far more comprehensive risk assessment of the building and emergency evacuation plan. Furthermore, representatives of the local fire brigade recently visited the home at the Fernando’s request and spoke to the service users and staff about fire safety and prevention. Records indicated that the homes fire alarm system continues to be tested on a weekly basis. During a tour of the kitchen it was noted that all the food kept in cupboards, fridges were correctly stored in accordance with basic food hygiene standards, and that the kitchen was suitably equipped with a set of multi-coloured chopping boards for the preparation of food. Up to date Certificates of worthiness were available on request as proof that suitably qualified engineers had tested the homes gas installations, potable electrical appliances, and water tank in the past twelve months. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 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. Standard YA34 Regulation 19, Sch 2.1,2.7 & 2.8 Requirement The proprietor must ensure that proof of identity and where applicable Home Office approved working visa/permits are made available on request in respect of each person working at the home. A record of all the relevant training undertaken by staff must be appropriately maintained and made available for inspection on request. All staff must receive at least six recorded supervision sessions a year with a suitably qualified senior. Previous timescale for action of 1st April 2006 not met. The results of any quality assurance surveys undertaken by the home must be published on an annual basis. Timescale for action 01/01/07 2. YA35 17(2), Sch 4.6(g) 01/02/07 3. YA36 18(2) 01/04/07 4. YA39 24 01/04/07 St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 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. Refer to Standard YA36 Good Practice Recommendations Sufficient numbers of experienced ‘senior’ staff should receive supervision training. St Ann`s Lodge (2) DS0000033380.V317242.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: 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
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