Inspection on 03/10/06 for St Anthony`s

This inspection was carried out on 3rd October 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Anthony`s 28/03/08

St Anthony`s 06/12/05

St Anthony`s 23/06/05

St Anthony`s 09/09/04

St Anthony`s 13/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 St Anthony`s St Anthony`s 7a Roseberry Road Langley Vale Epsom Surrey KT18 6AF Lead Inspector Deavanand Ramdas Unannounced Inspection 15th September 2006 10:00 St Anthony`s DS0000013795.V310303.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 Anthony`s DS0000013795.V310303.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 Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Anthony`s Address 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) St Anthony`s 7a Roseberry Road Langley Vale Epsom Surrey KT18 6AF 01372 278542 Mrs Marie Rajendra Mrs Marie Rajendra Care Home 5 Category(ies) of Learning disability (5) registration, with number of places St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 25-65 YEARS 23rd June 2005 Date of last inspection Brief Description of the Service: St. Anthony’s is registered with the CSCI (Commission for Social Care Inspection) to provide accommodation and care to five service users with a learning disability. The premises is located in a residential area close to public amenities and accommodation comprises of an office, a lounge, dining area, laundry area, conservatory, kitchen, toilets, bathrooms and five single bedrooms. Accommodation is on two floors accessed by stairs and private parking is available. The home has a garden to the rear of the property which is private, secure and accessible to service users. The fees charged by the home range from £807 - £1,192 per week. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes key inspection by the CSCI (Commission for Social Care Inspection) and carried out by one inspector over a period of six hours. The inspection commenced at 10:00 hrs and finished at 16:00 hours. A tour of the premises took place, staff and service users were spoken to, and documents and records were examined. The inspector noted service users living at the home have communication difficulties and judgements were made about them based on their mood, behaviour and information given by staff. The inspector would like to thank the manager, staff, service users and a visitor for their contribution to the inspection. What the service does well: The home has an experienced registered manager who has a professional nursing qualification in learning disability and an approved management qualification to ensure service users benefit from a well run home. During discussions a member of staff stated ‘‘the manager is very good’’ and ‘‘I feel confident to talk to her’’ and a visitor commented ‘‘the manager is always trying to make things as nice as possible for service users’’. The home has person centred plans which reflect the individual needs and choices of service users and it is recorded ‘‘parents are pleased with the care and support their son is receiving at St. Anthony’s’’ and a member of staff stated ‘‘care is good’’ and ‘‘there is enough staff to do the job’’. Meals at the home are good and offer variety and choice. During discussions a service user stated ‘‘food is very good, I like steak pie’’ reflected in the menu plans and a visitor commented ‘‘the diet is very good, they all seem to improve’’. Activities at the home are planned and organised and service users have fulfilling activities. During discussions a service user stated ‘‘staff are helpful, friendly and take me bowling’’ and ‘‘I went on holiday to the seaside, I enjoy walking on the beach’’. A visitor remarked ‘‘service users have a lot to do, definitely’’. The home values equality and diversity and the manager is aware of the disability of service users. Evidence confirmed the home had a policy on equal opportunities and information in the home is in a widget format (a method of communication using symbols) to make the information understandable to service users. Further evidence indicated the home had regular meetings with service users to promote choices and individual rights. During discussions a visitor stated ‘‘I think service users are very lucky to have St. Anthony’s as a home. Staff have formed positive relationships with service users and work to improve their quality of life. It is recorded ‘‘parents are pleased with the care and support their son is receiving at St. Anthony’s’’ and a visitor commented ‘‘staff are excellent, very nice and welcoming’’. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 6 The home has good neighbourly relationships and a neighbour is a frequent visitor to the home. Further evidence indicated the home employed a volunteer who lived in the local area and during discussions a neighbour commented ‘‘the home is no bother whatsoever’’. What has improved since the last inspection? 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 Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 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 Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for information need strengthening to ensure prospective service users have up to date information on which to make decisions about admission to the home. The systems for assessing needs are good ensuring prospective service users have their needs and aspirations assessed prior to admission to the home. EVIDENCE: The home had a statement of purpose and service user guide which was written in plain English, nicely presented and in a widget format (a method of communication using signs and symbols) to make the information understandable to service users. Following discussions with the manager a requirement has been made for information about fees to be included in the service user guide to ensure prospective service users have up to date information on which to make decisions about admission to the home. The manager stated prospective service users would be admitted to the home following a full assessment of needs. The inspector sampled records in respect of needs assessment and noted service users have a completed community care assessment, behavioural assessment including a functional analysis and the homes assessment covered personal care, social support and health care needs to ensure service users individual needs and aspirations are assessed. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 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): 6,7&9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning are good, however, care plans must be reviewed to ensure they reflect the changing needs and personal goals of service users. Decision making at the home is good ensuring service users make decisions about their lives with assistance as is necessary. The systems for risk taking are good, however, risk assessment records must be signed and dated by staff to promote the safety of service users. EVIDENCE: The home had individual service user plans which reflected person centred planning. The inspector noted information on care plans was in a widget format (a method of communication using signs and symbols) to make the information understandable to service users. Further evidence indicated the home had a key worker system and care plans had input from a specialist to manage challenging and difficult behaviours. A review of records indicated care plans were in need of reviewing and action has been required in respect of this matter. During discussions a member of staff stated ‘‘care is good and there is enough staff to do the job’’. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 10 The home had meetings to enable service users to make decisions about their lives with assistance as necessary. The inspector sampled records which reflected discussions about activities, meals and holidays. Further evidence indicated service users went on vacation to the seaside which was their preferred choice and during discussions a service user stated ‘‘ I went on holiday for a week’’ and ‘‘I enjoy walking on the beach’’. The home had risk assessments and risk taking plans to promote the independent lifestyle of service users. A review of records indicated service users had risk assessments to promote swimming activity at a local leisure centre and further evidence indicated risk assessments enabled service users to travel independently using public transport to promote an independent lifestyle. A review of records indicated risk assessments were reviewed and updated but not signed and dated by staff and action has been required to promote the safety of service users. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16&17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for occupation are good ensuring service uses participate in fulfilling and appropriate activities. Community links are good ensuring service users are part of the local community. Relationships are good and promote family links and friendships. The daily routine of the home is good and promote the independence of service users. Meals at the home are good and offer variety and choice. EVIDENCE: The home had a daily activity plan and service users participated in fulfilling activities. The inspector noted service users attended a local day centre, garden centre and college to do advanced cookery. Further evidence indicated service users did not have opportunities for paid employment due to the nature of their learning disability and during discussions a visitor stated ‘‘service users have a lot to do, definitely’’. Service users are part of the local community and a review of records indicated service users accessed local community facilities including pubs, restaurants and shops. During discussions a service user stated St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 12 ‘‘staff are friendly and helpful and they take me bowling’’. Further evidence indicated the home had good neighbourly relationships and a local resident commented ‘‘the home is no bother whatsoever’’. The home had no restrictions on visitors and family and friends are welcomed at the home. A review of records indicated a relative visited the home regularly and observations confirmed a visitor to the home assisted a service user in the garden. The home had a daily routine and service users have unrestricted access to the home and garden. Observations confirmed staff interacted with service users and addressed service users by their preferred names. Further evidence indicated service users participated in housekeeping tasks and observations confirmed the manager supported a service user to clean the home as part of daily living activities. The manager stated the home had written menu plans and kept a record of meals at the home. Observations confirmed a service user had chicken stew with potatoes, carrots and peas for lunch and dessert was fresh fruits. A review of records indicated meals were healthy and offered variety and choice and during discussions a visitor stated ‘‘the diet is very good, they all seem to improve’’ and a service user commented ‘‘food is very good, I like steak pie’’ reflected on the menu plans. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19&20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for personal support are good ensuring service users receive personal support in the way they prefer and require. The systems for healthcare are good ensuring service users physical and emotional needs are met by the home. The arrangements for medications are good and promote health. EVIDENCE: The manager stated staff provided flexible personal support and observations confirmed service users had good personal hygiene and were appropriately dressed. Further evidence indicated a service user had management guidelines for personal care and a review of records confirmed a preferred routine for a service user with communication difficulties to ensure appropriate support. Service users are registered with a local GP and have access to optical, chiropody and dental services through the local PCT (Primary Care Trust). Further evidence indicated the home had input from a psychiatrist and a specialist in autistic spectrum disorders to ensure service users emotional needs are met by the home. The home had a policy on medications, a service level agreement with a local chemist and staff have training in medications. Observations confirmed medications were appropriately stored and medication record sheets had a recent photograph of the service user and were dated and signed by staff. Further evidence indicated the home had information about St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 14 medications at the home and kept a record of medications returned to the pharmacy to prevent mishandling of medications and promote health. Following discussions with the manager a recommendation has been made for staff to have an annual assessment to determine competency in the administration of medications to promote health. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22&23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaint process at the home is good with complaint information available to staff, service users and relatives. The arrangements for protection need strengthening to protect service users from harm. EVIDENCE: The home had a complaints policy which was available in the policies and procedures file. Further evidence indicated the manager was aware of the disability of service users and complaints information was in a widget format (a method of communication using signs and symbols) to make the information accessible to service users. A review of records indicated no complaints recorded about the home and during discussions a member of staff stated ‘‘I am aware of the complaints policy which is also in service users’ files’’. The home had a copy of the local authority (Surrey County Council) procedures on safeguarding adults. Further evidence indicated staff have training in safeguarding adults and a review of records confirmed no safeguarding adult matters were recorded about the home. The inspector noted staff have training in managing challenging behaviour and the home had guidelines for managing verbal and physical aggression. A review of the home’s policies and procedures indicated the whistle blowing policy was in need of updating to protect service users from harm and action has been required in respect of this matter. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24&30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises is good ensuring service users live in a nice and comfortable home. The arrangements for hygiene are good ensuring the home is clean and hygienic for service users. EVIDENCE: The home has a good standard of décor with nice furniture and fittings. Observations confirmed the home is comfortable, clean and free from offensive odours. Further evidence indicated the home is in keeping with the local community and the premises is accessible to all service users. The inspector noted the gardens are well maintained, private, secure and accessible to service users. During discussions a visitor commented ‘‘the manager is always trying to make things as nice as possible’’. The home has a policy on infection control and a laundry area with a washing machine and dryer. Observations confirmed staff practiced infection control measures and washed their hands regularly to prevent the spread of infection in the home. The home had input from a continence advisor to promote continence and prevent the spread of infection and a review of records St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 17 indicated the home had a service level agreement with an approved contractor for the disposal of clinical waste to promote health. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34&35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for qualifications are good however, training in NVQ (National Vocational Qualification) needs to be strengthened to ensure service users are supported by competent and qualified staff. Recruitment and vetting procedures need to improve to protect service users from harm. The systems for induction are good ensuring service users are supported by appropriately trained staff. EVIDENCE: The home has three staff who have NVQ (National Vocational Qualification) training and one staff is working towards the qualification. Observations confirmed staff were good listeners, communicators and comfortable with service users. Further evidence indicated staff had specialist training in managing challenging behaviour and autism spectrum disorders to ensure staff have the skills necessary for the tasks they are expected to perform. A requirement has been made for the manager to provide an action plan outlining how the home will meet the training targets set out in the NMS (National Minimum Standards) to ensure service users are supported by competent and qualified staff. A visitor to the home commented ‘‘staff are excellent, very nice and welcoming’’. The home had a policy on recruitment and the inspector sampled recruitment files. Observations confirmed a St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 19 shortfall in vetting procedures and following discussions with the manager a requirement has been made for employees to have completed application forms, two references, statement of terms and conditions and a recent photograph of the employee to protect service users from harm. Staff working at the home have induction and foundation training and training is linked to service users’ needs. The inspector noted the home had a policy on equal opportunity and during discussions a member of staff commented ‘‘I have induction with the manager’’ and ‘‘training is good, we need to learn to do the job’’. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 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): 37,39&42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for the day to day management of the home are good ensuring service users benefit from a well run home. The systems for quality assurance are good ensuring service users and stakeholders participate in the review of the home. The arrangements for safe working practices need strengthening to promote the welfare of staff and service users. EVIDENCE: The home has a registered manager who has a professional nursing qualification in learning disability and an approved management qualification to ensure service users benefit from a well run home. During discussions a member of staff stated ‘‘the manager is very good, I feel free and confident to talk to her’’. The home had an annual quality audit carried out by the manager and used questionnaires to obtain feedback about the home. Further evidence indicated the home had annual reviews to monitor the quality of care and it is recorded ‘‘parents are pleased with the care and support their son is receiving St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 21 at St. Anthony’s’’. A review of records indicated the home had regular meetings with staff and service users to participate in the review of the home and a visitor stated ‘‘I think service users are very lucky to have St. Anthony’s as a home’’. The home had a policy on health and safety and staff have training in food hygiene, fire safety, first aid, infection control, manual handling and other appropriate and relevant training. Further evidence indicated the home had a health and safety audit and a food safety audit dated January 2006 conducted by the local authority (Surrey County Council) with no recommendations. The kitchen appeared clean and hygienic and food was appropriately stored. The inspector noted information on health and safety legislation was available in the home and the home had a current gas safety certificate and electrical safety inspection report to safeguard the welfare of service users. A review of records indicated staff were in need of refresher training in respect of mandatory courses and action has been required in respect of this matter to promote the health and safety of staff and service users. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 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 2 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 23 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 YA1 Regulation 5(1)(b) Requirement The registered person must ensure information about fees charged by the home is included in the service user guide to ensure prospective service users have up to date information on which to make decisions about admission to the home. The registered person must ensure care plans are reviewed and updated to reflect the changing needs and goals of service users to promote personal care, social support and healthcare. The registered person must ensure risk assessments are dated and signed by staff to promote the safety of service users. The registered person must ensure the home has a whistle blowing policy to protect service users from harm. The registered person must ensure employees have statement of terms and conditions, two written references and a recent photograph to protect service DS0000013795.V310303.R01.S.doc Timescale for action 01/12/06 2. YA6 14(2)(a) 15(2)(a) 01/12/06 3. YA9 13(4)(b) 01/11/06 4. YA23 13(6) 01/12/06 5. YA34 7,19,19 Schedule 2 01/11/06 St Anthony`s Version 5.2 Page 24 users from harm 6. YA42 18(1)(a) The registered person must conduct a review of mandatory training courses to ensure staff have appropriate refresher training to safeguard the welfare of staff and service users. 20/10/06 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 YA20 Good Practice Recommendations The registered person shall ensure staff have an annual assessment to determine competency in the administration of medications to promote health. St Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Anthony`s DS0000013795.V310303.R01.S.doc Version 5.2 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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