Inspection on 25/01/06 for St Ann`s Lodge (2)

This inspection was carried out on 25th January 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Ann`s Lodge (2) 18/12/06

St Ann`s Lodge (2) 19/10/05

St Ann`s Lodge (2) 10/03/05

St Ann`s Lodge (2) 28/01/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 St Ann`s Lodge (2) 3 Lyndhurst Drive New Malden Surrey KT3 5LL Lead Inspector Lee Willis Unannounced Inspection 25th January 2006 01:15p St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 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) Mr Leslie Peter Fernando Mrs Gianindree Ammale Fernando Mr Leslie Peter Fernando Care Home 6 Category(ies) of Learning disability (6) registration, with number of places St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2005 Brief Description of the Service: St Ann’s Lodge 2 is a family owned and managed residential care home which is registered with the Commission for Social Care and Inspection (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 coowner/manager of the home remains in operational day-to-day control. Situated on a quiet suburban street in the New Malden area of Kingston the home is well served by a parade of local shops and some good public transport links, with direct bus and rail services to central New Malden, London and the surrounding areas. Each of the service users has their own single occupancy bedroom in this modern detached property. 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. There are sufficient numbers of toilets and bathroom facilities located throughout the house. The vast majority of the service users have their own en-suite toilet facilities. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 1.15pm on the afternoon of Wednesday 25th January 2006 and took just under two hours to complete. Since the homes last inspection the Commission has not received any more comment cards from service users or their relatives in respect of this service. None of the service users were met during the course of this inspection as they were all out in the wider community at the time. Consequently, the vast majority of this inspection was spent talking the homes co-owner/manager, Mr Leslie Fernando. A member of staff who had just arrived on duty for a late shift was also informally interviewed. The rest of this relatively short unannounced inspection was spent examining the homes records and touring the premises. No additional visits or complaints investigations have been carried out by the CSCI in respect of this service in the past twelve months. What the service does well: What has improved since the last inspection? Mr Fernando demonstrated that he was not only committed to taking the home forward and continually improving the quality of care provided, but also had the ability to do so. For example, it was positively noted that the vast majority of requirements identified in the homes previous inspection report had been met in full within the prescribed timescales for action. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 6 Since the homes last inspection its arrangements for vetting new staff have significantly improved and the proprietor was adamant that he would not permit anyone to commence working at the home without a satisfactory criminal records check and two written references being obtained in respect of that person. The homes fire safety arrangements have also improved and records show that the fire alarm system is now being tested on a weekly basis, in line with good fire safety guidance. Finally, the proprietor has recently completed his National Vocation Qualification - Level 4 in care training and is now ‘suitably’ qualified to manage a residential care home for younger adults with learning disabilities. 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. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The homes arrangements for admitting prospective new service users are suitably robust to ensure the proprietors and staff can plan for and meet their identified needs and wishes. EVIDENCE: The home remains fully occupied and has not admitted any new service users in the past twelve months. There have been no changes made to the homes Statement of purpose in recent months, although the manager was aware that this document must be reviewed on an annual basis and up dated accordingly. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&9 Overall, care plans accurately reflect service users needs and are sufficiently detailed to enable staff to plan for and meet people’s unique personal goals and wishes. Furthermore, staff continue to actively encourage the service users to take ‘responsible’ risks as part of the homes ethos of promoting independent living. However, any risk management strategies that have been agreed with each service user and their representatives must be included in their care plan to enable staff to minimise any identified risks and/or hazards. EVIDENCE: Having inspected two care plans at random it was positively noted that they had both been reviewed within the past six months. The one care plan that was last reviewed in November 2005 had been up dated accordingly to reflect agreed changes. It was also positively noted that the service user, members of their immediate and foster families, their Care manager, keyworkers from both the home and their day centre, and an independent advocate, had all been invited to attend this particular review meeting. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 10 Some progress has been made by the home to identify risks associated with service users maintaining and developing their independent living skills, which the Fernando’s continue to encourage. However, having established various risk management strategies to minimise potential hazards associated with service users travelling independently in the wider community or having a bath unsupervised, it was disappointing to note that despite the introduction of oneto-one support for a service user following an epileptic seizure, no record of the risk assessment upon which this decision was taken was made available for inspection on request. All the risks associated with service users daily living and the action to be taken to minimise any identified risks/hazards must be assessed and a written copy included in the individuals care plan. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 The arrangements the home has in place ensures service users are given every opportunity to actively pursue their social and leisure interests in the wider community, providing the people who live their with daily variety and stimulation. EVIDENCE: All the service users were out engaging in all manner of activities in the wider community at the time of this inspection. The one member of staff who had arrived to commence their late shift said the service users helped compile a list of the activities they liked to do in the evening and Karaoke nights had proofed very popular on Wednesday nights. This choice of activity was conspicuously displayed on a wipe clean board in the kitchen. The manager said service users parents often attended these Karaoke nights. Having been on a very brief tour of the homes communal areas it was positively noted that a large collection of games, books and videos were available in the main lounge/conservatory, including Bingo, which the manager said the service users liked to play. The home has its own transport by way of a seven-seater people carrier. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Suitable arrangements are in place to ensure the service users physical and emotional health care needs are identified, planned for and met. The homes policies and procedures for handling medicines in the home, along with staff training in this area of practice, also ensures the service users are, so far as reasonably practicable, protected from harm. EVIDENCE: Following an incident involving a service user who was staying over night with family members at the time it was positively noted that the Fernando’s had taken prompt action to minimise risk. A referral was immediately made to a local neurological specialist and interim arrangements made for this particular individual to have one to one support in the wider community until further notice. The manager was very clear about his responsibilities regarding the service users health and demonstrated a good understanding of each service users health care needs. Apart from the aforementioned incident, which occurred out side the home, none of the service users have been involved in any accidents since the homes last inspection. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 13 Since the homes last inspection sufficient numbers of the current staff team have attended suitable foundation training in the ‘Care of medicines’ in a residential care setting. Documentary evidence of this training by way of certificates of attendance were available on request. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The homes arrangements for dealing with complaints and allegations and/or suspicion of abuse are sufficiently robust to ensure the service users are, so far as reasonable practicable, always listened too and protected from harm. EVIDENCE: According to the homes complaints log no formal complaints or concerns have been made about the homes operation in the past twelve months. The one member of staff met said they always took into account service users wishes and feelings and was very clear when information given to her in confidence must be shared with others. The member of staff went onto to say that if they were in doubt about when confidences should be shard they could always discuss the matter with Mr or Mrs Fernando. No allegations of abuse have ever been made within the home, although the Mr Fernando was very clear about his role and responsibilities regarding disclosures of abuse, should he ever receive one or suspect it. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 & 28 Overall, the size and layout of the home, which is furnished and decorated to a good standard, ensures the service users have a homely, safe and clean environment in which to live. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 16 EVIDENCE: No changes have been made to the environment of the home since October 2005 and the manager said he has no plans to make any physical alterations to the building, either internally or externally, in the foreseeable future. The manager was able to produce letters from both the homes local Fire and Environmental Health authorities advising him that St Ann’s lodge 2 had been assessed as ‘low’ risk by both these authorities and consequently the premises would not be inspected so frequently. As previously mentioned all the service users were out at the time of this visit, consequently none of their bedrooms were viewed on this occasion. Having tested the temperature of the hot water emanating from the homes first floor bath it was found to be a safe 42 degrees Celsius at 13.50. The manager said that all the homes water outlets had been fitted with preset, tamper-proof and fail-safe thermostatic mixer valves as standard to ensure water temperatures never exceeded 43 degrees Celsius. Some of the tiles at the base of the bath panel in this room are either damaged or missing. The manager agrees that this bathroom is looking rather ‘worn’ and is in need of up dating. The home feels and looks extremely homely and is decorated to a very high standard. There is also plenty of space for the service users, the Fernando family, and staff to spent time together in the main lounge, conservatory, or kitchen/dinning area. The garden at the rear of the property has been landscaped and is extremely well maintained with a wide variety of different trees, shrubs and plants. It was also positively noted that at the bequest of a service user, whose 21st Birthday was coming up, the rather impressive Christmas lights display at the front of the house had been left up as part of the Birthday celebrations. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Overall, sufficient numbers of ‘suitably’ experienced and competent staff are employed by the home to meet the health and welfare needs of the service users, although most staff still require further refresher training to up date their existing knowledge and skills. All the formal supervision session’s staff receive from the proprietor must be recorded to demonstrate that all persons working at the home are being appropriately supervised on a bi-monthly basis. The homes recruitment arrangements are sufficiently robust to ensure, so far as reasonably practicable, that all person employed to work there are ‘fit’ to do so. EVIDENCE: The one member of staff who was on duty at the time of this inspection was informally interviewed. The member of staff said it was the first time they had worked in care and overall they found the experience an enjoyable one. This particular individual demonstrated good awareness of service users rights and understanding of the core values that should underpin good practice, such as promoting choice and independent living. The member of staff said the Fernando’s always encouraged staff to support the service users to make informed choices about their lives and become as independent as possible. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 18 Three out of five of the homes current staff team have already achieved a National Vocational Qualification in care - Level 2 or above and the one member of staff spoken to at length has recently enrolled on a relevant NVQ course. Documentary evidence of this training was available on request in the form of certificates of attendance. The Fernando’s are commended for ensuring that at least 50 of their staff are NVQ qualified, in line with National Minimum training targets for care staff working in residential care settings. The proprietor is evidently committed to ensuring that his entire staff team will have achieved an NVQ in care over time. There have been no changes made to staffing levels in the past twelve months, which remain adequate to meet the assessed needs of the service users. As previously mentioned the proprietor and one member of staff were both on duty at the time of arrival, which was more than adequate to meet the assessed needs of the service users, who were all out at the time. The home continues to operate a very flexible approach to arranging staffing levels and it was evident from duty rosters sampled at random that most weekends when three or more of the service users stay over night with family members then the number of staff on duty will be reduced to just one, with a second senior member of staff and/or proprietor ‘on call’ to deal with emergencies. The previous weekend only two service users spent the night away with family and consequently staffing levels remained unchanged at two staff on duty at all times during the day. The home continues to experience relatively low levels of staff turnover and consequently the Fernando’s have not needed to recruit any new staff since October 2005. As required at the time of the homes last inspection the proprietor has now obtained a Protection Of Vulnerable Adults and a more up to date Criminal records (CRB) check in respect of its most recent recruit. The proprietor said he has learnt from the experience and was adamant that in future he would not allow anyone to commence their employment at the home unless they have provided him with an up to date CRB and POVA checks. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 19 It was positively noted that the proprietor had arranged for one member of staff to attend English classes to help them improve their communications skills. Since the homes previous inspection the vast majority of staff have attended vulnerable adult protection training, although the proprietor acknowledged that the vast majority of his staff team needed to up date their existing knowledge and skills in a number of key areas of practice. The proprietor said he was in the process of arranging dates with an accredited training organisation for sufficient numbers of his staff team to attend fire safety; moving and handling; first aid; recognising, preventing and reporting abuse; health and safety; equal opportunities and risk assessment training. It is also recommended that the proprietor undertakes a thorough training needs and development assessment of his entire staff team to enable him to plan for and meet any identified shortfalls. The proprietor was adamant that each member of his staff team is formally supervised on a bi-monthly basis, which was confirmed by the one member of staff met, although no documentary evidence of this training was available for inspection on request. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 The service users benefit from living in a home that is well run by a suitably competent and now qualified owner/manager. The homes health and safety arrangements are in the main suitably robust to ensure the service users; their guests and staff live and work in a reasonably safe environment. However, a more detailed fire risk assessment for the building still needs to be carried out and all the homes portable electrical appliances and water tank tested at more regular intervals to minimise the risk of fire and legionella. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 21 EVIDENCE: The proprietor said he had recently completed the last unit of his NVQ level 4 in care and was awaiting the results. The proprietor is congratulated for achieving this award and his NVQ level 4 certificate will be viewed at the homes next inspection. Up to date Certificates of worthiness were in place as evidence that ‘suitably’ qualified professionals had carried out periodic checks in respect of the homes gas installations (landlords check); electrical wiring; and fire alarm system. The proprietor conceded that the homes water tank had not been checked for legionella in the past twelve months and nor had all its portable electrical appliances. The homes fire records showed that staff continue to check the fire alarm system on a weekly basis. Since the homes last inspection in October 2005 two fire drills involving all the service users have been carried out in accordance with good fire safety and prevention guidance. The one member of staff spoken with at length demonstrated a good understanding of the homes fire safety arrangements and was able to point out all the homes fire exits and said she had participated in at least one fire drill in the past six months. The proprietor has carried out a fire risk assessment of the premises as required in the homes previous inspection report, although further revision is still required to establish a far more detailed assessment which includes an emergency plan for the building. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 22 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 2 28 3 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 2 X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X X X 2 X St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation 12.1 2,13.4 &15.1 Requirement Written assessments detailing the management strategies the home has in place to minimise identified risks/hazards associated with service users maintaining and/or developing their independent living skills need to be drawn up and copies included in care plans. Previous timescale for action of 1st December 2005 not met. Timescale for action 01/02/06 2. YA27 3. YA35 23(2)(b) (d) Missing and damaged tiles in 01/07/06 the first floor bathroom must be repaired and/or replaced as a matter of urgency and the room redecorated. 18(1) & 19, Sufficient numbers of the 01/08/06 Sch 2.4 current staff team must up date their existing knowledge and skills and attend suitable training courses in a number core areas of practice, including: fire safety; moving and handling; first aid; recognising, preventing and reporting abuse; health and safety; equal opportunities and risk assessing. Documentary DS0000033380.V276239.R01.S.doc Version 5.1 Page 24 St Ann`s Lodge (2) 4. YA36 18(2) 5. YA42 13(4) & 23(4)(a) 6. YA42 13(4) 7. YA42 13(4) evidence of attendance of these courses must be made available for inspection on request. Written records of all the formal supervision session’s staff receive from the proprietor must be appropriately maintained and made available for inspection on request. A far more comprehensive fire risk assessment of the building, which includes an emergency plan, must be carried. All the homes portable electrical appliances must be checked by a suitably qualified person on an annual basis and an up to date certificate of worthiness made available for inspection on request. A suitably qualified person on an annual basis must check the homes water tank for legionella. 01/04/06 01/04/06 01/04/06 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA35 Good Practice Recommendations The proprietor should consider undertaking a thorough training needs and development assessment of his entire staff team to enable him to plan for and meet any identified shortfalls in staffs existing knowledge and skills. St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 St Ann`s Lodge (2) DS0000033380.V276239.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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