Inspection on 19/07/05 for St Mungos Association

This inspection was carried out on 19th July 2005.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Mungos Association 21/10/08

St Mungos Association 06/11/06

St Mungos Association 25/10/05

St Mungos Association 19/01/05

St Mungos Association 03/09/04

Similar services:

Agar Grove & St Augustine`s Alcohol Treatment & Rehab

Herbert Street

Haven (The)

Charis

Hartley House

Brook Drive, 124

Rugby House Project

City Roads Crisis Intervention

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

CARE HOME ADULTS 18-65 St Mungos Association 53 Chichester Road London NW6 5QW Lead Inspector Julie Schofield Unannounced 19 July 2005 10.15am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Mungos Association Address 53 Chichester Road London NW6 5QW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 7624 4453 020 7328 2438 St Mungos Association Mr Michael Dunne Care Home 27 Category(ies) of YA A 27 registration, with number of places St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19 January 2005 Brief Description of the Service: Chichester Road is one of a number of projects run by St Mungo’s Association. It is a “wet” home for men and women with alcohol dependency needs and is registered to accommodate 27 service users, many of whom have been “rough sleepers”. Staff provide encouragement and support, including assistance with personal care and help with managing finances. Staff give information and support in respect of the service users’ health care needs and advice regarding the importance of eating well is supplemented by the appetising meals offered. There are also 2 life skills workers who organise a programme of activities, both inside and outside the home. There are bedrooms and bathrooms on the ground, first and second floor. There is a lift that links the ground and first floor and there is a TV room (dry room), a games room (wet room) and a dining room on the ground floor. Service users use the garden areas at the front and the back of the building when the weather is fine. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a Tuesday in July 2005 and lasted for 4 hours. The Inspector would like to thank the manager, deputy manager and staff who took part in the inspection. Thanks also to the 5 residents who gave their comments to the Inspector. They all expressed satisfaction with the service they received and in particular praised the quality of the staff. A partial site inspection took place and residents’ case files and staff files were examined. What the service does well: What has improved since the last inspection? St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 6 The area behind the dining room is being developed into a pleasant garden area with shrubs and pots and seating for residents. Since the last inspection the home has been redecorated and the manager said that residents had the choice of 3 colour schemes for their bedrooms and were involved in the choice of colours for communal areas. The manager said that this is part of an overall programme of redecoration and refurbishment. Residents thought that the communal areas were well decorated and furnished and that they enjoyed sitting in the garden areas. Since the last inspection the manager has returned to the home after completing his Diploma in Social Work. He already holds an NVQ level 4 Management qualification. 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 Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4 Prior to admission an assessment of the prospective resident has been carried out by the placing authority and by a manager from the home to ensure that the service provided by the home can meet the needs of the resident. Residents are involved in the process of choosing a care home that can meet their needs and make their decision after an introductory visit to the home. EVIDENCE: The case files of 2 residents, recently admitted to the home, were examined. Both files contained a referral form that had been completed by the placing authority. Each file contained a copy of the local authority’s completed needs assessment/community care assessment form. The prospective resident had been involved in the assessment. After admission a care plan had been developed with the resident, which they are encouraged to sign. New residents, and their social workers, are now being asked to sign an agreement for the home to help the resident manage their finances, with an agreed daily budget. This agreement also involves the safekeeping of pin numbers and benefit cards. Agreements need to be drawn up with the existing residents. An assessment visit form is used to record pre-admission visits made to the home by the prospective resident. These were kept on file. Visits last 3 days and it is an opportunity for the resident to view the accommodation, to meet St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 9 the staff and the existing residents and to take part in the activities of the home before they make a decision regarding admission. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 9 Residents’ needs are identified in care plans. Although the changing needs of residents are monitored there is a need for more regular review meetings. Staff support residents to take responsible risks so that residents can enjoy an independent lifestyle. EVIDENCE: Four case files were examined. Each file contained a comprehensive care plan that had been drawn up by the home, within the last 3 months. The care plan identified areas of need and then identified goals and action plans for the resident and for the staff team. These were signed by the key worker and where possible, by the resident. The areas of need were tailored to the individual needs of the resident and included social activities, alcohol consumption, finances, personal hygiene, diet, family contact, aggression etc. One file also contained a CPA care plan. Files also contained a brief care plan summary, which could be used on a day-to-day basis for providing care or for a new member of staff to quickly become familiar with the needs of a resident. There is a key worker system in place in the home. The deputy manager said that the care plans are reviewed during meetings between the resident and their key worker. Review meetings, which are convened by the placing authority and to which the relatives are invited, take place on an annual basis. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 11 Each of the 4 case files examined contained a comprehensive risk assessment document, which covered the areas of physical health, mental health, substance use etc. From this document risk management strategies have been developed. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 13, 14, 15, 17 Residents have access to activities both inside and outside the home, which provide an opportunity to develop their social skills. The imaginative programme of activities gives residents the opportunity to bring other areas of interest into their lifestyles. The support of staff enables residents to maintain family contact. A varied and balanced menu is available in the home and staff encourage residents to purchase meals in the home in order to raise the general health of residents. EVIDENCE: Encouraging residents to join in activities and to use the communal areas in the home helps to develop the social skills of residents. One to one sessions with the key worker and discussions about feelings help residents to develop their skills in dealing with emotional problems. Meetings and one to one sessions with the key worker also encourage the resident to build their communication skills. The life skills workers help in the development of independent living skills by working with individual residents in the areas of personal hygiene, room tidying etc. Assertion and confidence training has also St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 13 taken place and one resident has been learning to say “no”. While residents are able to attend religious services in the community the deputy manager said that Church of England and Roman Catholic services take place in the home. It was noted during the inspection that residents are able to come and go as they please. Residents confirmed that they use facilities in the local community such as shops, pubs, places of interest, cultural centres (Camden Irish Centre) etc. To gain access to these may involve using public transport. The home is waiting for delivery of their new 8 seater minibus. Staff assist residents both inside and outside the home and this is a recognised part of their duties. Residents have voted at elections. Several residents attend a lunch club held nearby and a day centre for Irish residents and a drop in centre for African-Caribbean residents are also used by a few residents. There are 2 life skills workers who provide a service for residents on 5 days per week. Details of the programme of activities are posted on the notice board in the games room. During the inspection games of dominoes were taking place and 1 resident was pleased because they had won the games. Musical entertainers were due to visit the home later in the day. The programme is imaginative and Friday is a time for therapies and relaxation. Consideration is given to stimulating the mind and caring for the body. Photographs taken during outings arranged by the home were on display and included photographs of the London Eye, the Tower of London and the zoo. There were also poems by residents on display. Last summer a holiday was arranged and a small number of residents chose to take part. This year a few weekend breaks are planned. Staff support residents to maintain links with their families and this was included in one of the care plans examined. There is a notice in the entrance hall about visits to residents in the home and visits are welcomed at all reasonable times. Residents are able to entertain visitors in their rooms or in the meeting/visitors room on the first floor, which has recently been redecorated. Relatives are invited to case reviews, with the permission of the resident. A catering firm produces the meals served in the home and there is a fourweek menu cycle. A cooked breakfast is prepared each morning and the midday meal consists of soup and sandwiches. The evening meal is a three course meal consisting of soup, main dish(s) and dessert. The menu is varied and includes a salad as an alternative to vegetables with the main dish. The menu includes hot and cold alternatives to the main dish and a resident confirmed that alternatives were available. Although only the breakfast is provided within the fees the cost of other meals is low and the manager confirmed that most residents purchase one or two courses in the evening. The purchase of the midday meal depends on the life style of residents and whether they are in the home at that time. Staff encourage residents to purchase meals in the home and food records are kept for each individual St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 14 resident. Residents are able to make a hot drink at any time of day, free of charge and there is a chilled water dispenser in the games room. Residents commented on the good food that was served in the home and said that the cost of meals were very reasonable. A resident said that the cook was good. They confirmed that the menus were discussed during residents’ meetings. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 Residents’ health care needs are identified and staff support residents, where necessary, to access health care services in the community. EVIDENCE: Four case files were examined and there was evidence of access to GP services, out patient appointments and access to community health care services i.e. optician, dentist, chiropodist etc. Referrals had been made for dementia assessments, physiotherapist services, psychiatric assessments, OT assessments, mental health assessments etc. A resident said that when they had a hospital appointment a member of staff was able to escort them. A resident said that they felt good because staff helped them to shower and shave each day and to put clean clothes on. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Residents are confident to tell a member of staff if something is wrong. Policies and staff training help promote and protect the safety of residents EVIDENCE: A discussion took place with the manager regarding the 2 complaints received since the last announced inspection. Even though complaints by residents can sometimes be difficult to investigate due to memory loss and behavioural issues on the part of the resident the manager demonstrated that investigations are thorough and that the resident is notified of the outcome. The home has a policy which includes timescales for each stage of the process and which gives information regarding other agencies, including the CSCI, which the complainant may wish to contact. Residents confirmed that they would speak to some one if there was something that they were unhappy about and one resident said that he would “grab some-one from the office”. Staff were described by residents as “approachable”. The home has a policy for the protection of vulnerable adults. There is a poster for residents about abuse and bullying on display in the entrance hall and tells the resident how to get help. Residents confirmed that they could speak to some one in the home if there was something that they were unhappy about. The manager confirmed that no allegations or incidents of abuse have been recorded since the last announced inspection. A member of staff on duty confirmed that they had received protection of vulnerable adults training. They spoke clearly about what their response would be in the event of a disclosure being made and were aware of the role of the manager and the limits surrounding confidentiality. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28 Residents live in a home with comfortably furnished and decorated communal areas, which are kept clean. They are satisfied with the accommodation and facilities in the home and pleased with its convenient location. EVIDENCE: Residents said that the home was in a good location as there were shops and a park nearby. They said that the home was kept clean and residents said that their rooms were “nice” and that they were sufficient in size. One resident said that it was a nice place and that they were glad to have a roof over their head. Another resident said that it was better than most places that they had been in and that the friendliness of both residents and staff was one of the reasons for this. Communal space consists of a games room and a separate television room on the ground floor and a visitors/meeting room on the first floor. These areas are comfortable furnished and have all been recently redecorated. They are furnished in a homely manner. There is a garden area at the front of the house and one behind the dining room and each area has seating for the residents. The communal space is sufficient for the needs of residents, some of who will spend time in their room or will go out for part or all of the day. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 18 Residents said that the communal areas were well decorated and furnished and that they enjoyed sitting in the garden areas. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 36 There are sufficient numbers of staff on duty to meet the needs of residents and the response to call alarm bells being pressed ensures that residents receive prompt assistance in the event of an emergency. The recruitment of permanent staff provides continuity for residents and would benefit those who suffer from memory loss. Residents are supported by a staff team, which has access to a training programme that develops their skills, understanding and knowledge and includes NVQ training courses. Recruitment practices safeguard the welfare of residents. EVIDENCE: A discussion took place with the manager regarding the programme of NVQ training. He confirmed that 1 member of staff has completed their level 2 training, 1 member of staff has almost completed the course and 2 members of staff will be starting in September. In addition another member of staff has previous qualifications that would be above level 2 training. A member of staff on duty confirmed that they have had “lots of training opportunities” and these have included an introduction to mental health issues, understanding alcohol dependency, care planning, key working, motivating residents and dealing with difficult residents training. The new training manual includes dementia care training and the manager is encouraging staff to attend. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 20 The rota was examined. The manager’s hours are supernumerary and the deputy may or may not be one of the 2 project workers on duty during the day. In addition there are 1 or 2 care workers on duty. At night there is 1 member of staff on waking night duties and 1 member of staff sleeping in but on call. A janitor carries out the cleaning duties and the catering duties are contracted to an outside company. There is a life skills worker on duty Monday to Friday. Although residents all praised the support and assistance given by staff and said that they were “nice people”, “approachable” etc one resident found the practice of agency staff working in the home “confusing” as he didn’t know who they were. There was evidence that the home was in the process of recruiting more permanent staff. A resident commented that there was a call bell in their room and that if they needed help day or night and rang the bell a member of staff was there within a couple of minutes. Two staff files were examined. These members of staff had joined the home since the last announced inspection. Each file contained evidence that a satisfactory enhanced CRB disclosure had been obtained, each contained 2 satisfactory references and each contained photographic proof of identity. The manager said that 2 people had recently been offered posts in the home but had not received a starting date as the company were waiting for the return of a satisfactory CRB disclosure before employment. The manager and deputy manager share the task of giving individual supervision sessions to members of staff and they confirmed that they have been trained to carry out this task. The deputy manager confirmed that the yearly appraisals of staff had been carried out during the last 6-month period and the manager was having his appraisal session with his line manager later on the day of the inspection. A member of staff on duty confirmed that they received regular individual supervision sessions and that during these sessions their training needs are identified. They also confirmed that staff meetings were held on a monthly basis and that all members of staff were able to contribute items towards the agenda. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 42 A competent and knowledgeable manager is able to direct the quality of service received by residents. Feedback is encouraged from residents and staff and used to achieve good standards. The health and safety of residents is promoted through staff awareness and training. EVIDENCE: The manager has recently returned to the home after completing a DipSW training course. He has also achieved an NVQ level 4 in Management. The manager said that the staff try to empower residents and encourage residents to give their views of the service. Some of the residents have advocates. Residents confirmed that regular residents’ meetings were held and a copy of the minutes of the last meeting was on display in the games room. The manager said that a copy was also placed in individual residents’ information folders. A member of staff confirmed that if they had a suggestion or an idea that could benefit the service received by residents the member of staff could raise this in handover, or during a staff meeting or in supervision. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 22 An example given of a suggestion was in relation to a resident(s) making racist remarks. In order to encourage understanding and harmony a programme of “international days” has been set up. These days celebrate a particular culture and residents have enjoyed taking part. It has also been an opportunity for residents who have not traditionally socialised to any great extent to play a more active part in the home. The next planned event is a “St Lucia Day” where a steel band will be providing the music. A member of staff on duty confirmed that they had undertaken training in all safe working practice topics i.e. manual handling, first aid, health and safety, fire safety, food hygiene and infection control. A discussion took place with the manager regarding the safety of residents throughout the day, taking into account alcohol consumption. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x x Standard No 11 12 13 14 15 16 17 3 x 3 4 3 x 3 Standard No 31 32 33 34 35 36 Score x 2 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Mungos Association Score x 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 24 No 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 YA6 Regulation Requirement Timescale for action 01 February 2006 2. YA32 14.2&15.2 That a recorded review of the care plan and suitability of the placement is carried out on a 6 monthly basis and that resident (and family) are invited to attend. If the placing authority is unable to attend minutes of the meeting should be forwarded. 18.1 That 50 of staff supporting residents achieve an NVQ level 2 qualification. 31 December 2005 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 YA33 Good Practice Recommendations That use of agency staff is kept to a minimum. St Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 4th Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Mungos Association G62-G11 S17439 St Mungos v217521 190705 Stage 4.doc Version 1.30 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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