Inspection on 29/11/05 for St Philips Close

This inspection was carried out on 29th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 16 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Philips Close 24/04/07

St Philips Close 31/05/06

St Philips Close 19/07/05

St Philips Close 01/02/05

St Philips Close 29/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 St Philips Close 3 St Philips Close Middleton Leeds West Yorkshire LS10 3TR Lead Inspector Valerie Francis Unannounced Inspection 29th November 2005 09:00 St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 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 Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 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 Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Philips Close Address 3 St Philips Close Middleton Leeds West Yorkshire LS10 3TR 0113 277 8068 0113 2778068 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) londonroad@tiscali.co.uk Milbury Care Services Limited Mr John Irving Care Home 4 Category(ies) of Learning disability (4) registration, with number of places St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2005 Brief Description of the Service: 3 St Philips Close is a purpose built bungalow located in a residential area of Middleton close to local amenities and public transport routes. There is roadside parking to the front of the home. There are well maintained gardens to the rear of the property that are accessible to service users. The home is registered to provide personal care for four people with learning disabilities. The accommodation includes four single bedrooms, a lounge, combined kitchen and dining room, a communal bathroom and toilet, a domestic style kitchen and separate laundry room. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this unannounced inspection between 9.am and 3 30pm. The purpose of the inspection was to ensure the home was operating and being managed to a satisfactory standard. The temporary manager was on duty at the time and facilitated in the process. The line manager and senior line management in the organisation was visiting the home at the time and they both contributed in the feedback session of the findings of the inspection. The inspector looked around the home, observed practice and spoke to the two staff on duty. Most of the residents living at the home have complex needs, and discussions with them were limited. Records were inspected including residents care files, risk assessments, daily records and staff training records. A pre-inspection questionnaire was given at the time of the inspection with a view that it would be sent back to the Commission after the inspection. What the service does well: What has improved since the last inspection? St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 6 There is ongoing recruitment and selection to make sure there is permanent staff available to residents at the time of the inspection all vacant position at 3 St Phillips Close had been filled. What they could do better: The registered person must review and update the statement of purpose and service user guide and send a final copy through to the CSCI. The service user’s care plan must cover all aspects of personal, social and healthcare needs and demonstrate how support and assistance is to be provided by staff. All prospective residents must have a full assessment carried out of before being admitted to the home. The home’s assessment format should have the information according to Standard 2 Risk to residents must be assessed and recorded and risk management strategies must be agreed with the service user and recorded in the care plan. Residents should have access to the complaint procedure, which they can understand. Any limitations placed on a service user must be made only in the person’s best interest and must be formally agreed and recorded with the service user, their representative and/or other professionals involved in their care i.e. if key to bedroom doors are not given then a care plan or assessment recording the reason why the key was not given should be made. Because of the registered management arrangement for both 1 and 2 St Philips Close the registered provider must give some consideration to allow the Registered manager to be fully supernumerary in order that he/ she can manage both homes effectively. The meals served to residents must be well balanced and nutritious. Residents must have a nutritional risk assessment carried out to make sure they are not at risk of malnutrition or any food deficiency. Staff must be provided with training in regards to the change in needs and dealing with the ageing of residents. Staff must have training on any specialist care given at the home and regular fire training. Staff must receive formal supervision. 50 of staff must have a National Vocational Qualification. The registered provider must make sure that all health and safety matters highlighted in this report are addressed and carried out in accordance with the home timescales and policies and procedures. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 7 The matter of the absence of the registered manager must be resolved. The management of the home must be resolved to make sure residents and staff have access to a permanent registered manager to ensure the continuity of management in both homes. 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 Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4&5. The home’s statement of purpose and service user guide was not available at the home. There was no evidence in the home to indicate that a full assessment is carried out of any prospective residents admitted to the home. EVIDENCE: The home’s Statement of Purpose and Service User Guide were being reviewed by line management of the home, to make sure that the information provides prospective residents and their carers/relatives with detailed information on which to base their decision when considering an admission into a care home. There have been no new residents been admitted to the home since the last inspection. The assessment document did not meet the standards. This should be reviewed in line with the National Minimum Standards for Younger Adults, so that staff can collect full information from prospective residents, and ensure that care plans are put together with all identified needs. However there was evidence that the home does get assessment information from placement agencies and other health care professionals. Although there are plans in place for staff training, staff had not had training on the specialist care needs for the people in their care. Relatives/carer and prospective residents have the opportunity to visit the home before admission to the home. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 10 The manager said the admission process to the home is one that is resident lead, giving that person time to move into the home with family input at all times if possible. After admission there is a six week probationary period which would allow the person time to change their mind whether or not to live at the home, and also to make sure that care needs not identified at the pre admission assessment to be identified. Although each person has a contract of tenancy those that were seen were signed by the registered manager and not by the resident, any family or someone advocating on their behalf. The financial Ledger Manager in the organisation looks after the finance of residents who have no families or a person to advocate on their behalf. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 11 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, 8,9 & 10. Although the manager said staff had had training on care planning the breach of the requirements made from the last inspection remains the same. It is important to make sure that resident’s needs are recorded in a plan of care. Risk assessments are not carried out for any identified needs. EVIDENCE: There were no real written plans of care for residents that would give staff providing the care, with clear information how the needs of the residents were to be met, or of the action to be taken to reduce any identified risks. It was evident from the information and observation that residents are given the opportunity to make decisions that would affect them personally. Staff were seen involving residents in the planning of the meal for the evening. From observation and from information seen, and discussion with the temporary manager, it was evident that residents are encouraged, supported and consulted about issues that would enable them to be involved in their home. No risk assessments for day to living and moving and handling were in place, the manager said risk assessments are carried out as part of the admission St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 12 process. However there was no plan in place that would show how identified risks would be minimised. The Senior line manager, who was visiting at the time of the inspection, said arrangements would be made for all staff to attend a refresher course on care planning and risk assessment. Staff said they were aware of confidentiality and data protection in relation to resident information and their role to maintain these records, which are stored in a locked cupboard. The manager said information is shared with staff on a need to know basis. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 13 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): 11,12,13, 16 & 17. Residents receive individual care which consist of varied and regular activities. Staff encourage and support residents to maintain relationships with their families. Residents have opportunities to shop for their food but the food served did not provide a nutritionally well balanced diet. EVIDENCE: Residents have the opportunity to attend day care centres and colleges where their skills would enhance their interest and lifestyle. Staff and families take residents to places of their preferred interest. Despite this it would appear that activities were carried out in the home are mainly domestic rather than recreational. Residents are mainly encouraged to take part in activities outside of the home keeping links with families and friends. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 14 The manager said if it was felt that for residents do not have the capacity to have a key to lock their bedroom, a plan of care should be in place explaining why they have not have been given a key. Staff said mail is opened and read by staff in the present of residents, with the contents explained to them, so that they have the opportunity to be involved in any matters that relates to them individually. The large enclosed back garden that is shared with the people at 1 St Phillips Close provides residents with space to walk around and sit out in the good weather. It was noted that convenience food was mainly served and that there was no real evidence that residents were served a healthy balanced diet. There was also no indication that fresh fruit or fresh vegetable were provided. There were no records on any file to confirm that nutritional risk assessments had been carried out, to make sure that none of the residents were at risk. The manager said systems would be put in place to make sure that residents have a healthy and balanced diet and each resident would have a nutritional risk assessment carried out. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 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 the following standard(s): 20 & 21. None of the staff have received certificated training in the handling, recording, storage, administration and disposal of medication. Training relating to death and dying and the aging process is needed to make sure that residents’ ageing and illness is handled with respect and as the individual would like. EVIDENCE: The home uses “Boots” pre-dispensed medicine system. Assessments showed that none of the residents had the capacity to be able to self medicate. Staff administering medicine received a one day training on handling medicine. The policy and procedure for safe handling of medicine needs to be line with the Royal Pharmaceutical Guidelines for residential homes and clear enough for staff to follow when ordering medicines. The inspector was told that the staff had a good working relationship with GP’s and health care professionals and can contact them for support and guidance. Although it is acknowledged that the home is for younger adults who are not receiving terminal care, there were no plans of care for resident’s last wishes. Staff had not received any training on the aging process or illness, dying and death, that would able them to meet the changing needs of residents, or to St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 16 support them in their last days. The inspector was told that staff that training on bereavement was to be arranged. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 17 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. Most residents do not have the capacity or are able to say how they are feeling. However staff work closely with them using other methods to try and interpret their wishes. There are systems in place to make sure residents are safeguarded from any abuse. EVIDENCE: Some residents are unable to use speech to say if they are not satisfied with the service. Although there is a complaint procedure, which meets the regulations, the format does not allow residents to have some autonomy when making a complaint. At the time of the inspection only one complaint that had been brought to the attention of the CSCI, which was still in the process of being, investigated. The home has a complaints procedure, which is displayed at the entrance to the home. Staff spoken with said they were aware of residents needs and they use their knowledge and experience to identify when residents are unhappy. There was no record or information in residents’ files, which indicated how each person expressed that they were sad or happy. The home has adult protection policies and procedures with whistle blowing policy in place which is accessible to staff. The temporary manager had a clear understanding of the procedures and responsibilities for reporting allegations of abuse. Staff were also aware of the procedures, and how to safe guard St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 18 adults from abuse. The manager has attended Protection of Vulnerable Adults training and all staff have had adult protection training. Although staff have access to the organisation’s policy procedure on handling aggression, training is also needed for staff to make sure they are trained to deal with aggression. All staff are only employed following a satisfactory CRB and POVA first check. Staff have access to the organisation’s policy procedure on handling residents money. A record is kept of all transaction of resident’s money carried out by staff. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 19 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): 25,26,27,28 & 29. The home is nicely decorated and furnished. It is clean and well organised. Resident’s bedrooms are personalised and furnished to suit individual choices. Specialist equipment is obtained to meet individual needs. EVIDENCE: Since the last inspection the communal sitting areas have been redecorated and new furniture bought suitable for the resident group. The dining room has also been redecorated. One resident’s bedroom had been redecorated. It was clear that each room reflected the occupants’ interests. All bedrooms were lockable though none was locked to further promote the privacy of the individual. Staff had received training on infection control. Each resident’s washing is done separately, the washing machine has a sluice cycle and staff are provided with protective clothing. During the course of the inspection of the premises it was noted the grid of the floor of the shower needed cleaning, the electrical expel air also in this room needed cleaning. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 20 A specialist bath was in place to accommodate the needs of residents and to aid staff in moving and handling when assisting residents in and out of the bath. In general the home was found to be clean and tidy. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 21 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): 31,32,33,34 36. Staff appeared to have a good understanding of the needs of resident group Staff would benefit from regular staff meetings, supervision and training courses that would enable them to work tighter as a team to ensure residents receive the care they needed. EVIDENCE: During discussion with staff they indicated that they were clear of their roles and responsibilities, it was evident that although staff were friendly with residents they were not overly friendly. Each member of staff is given a copy of the General Social Care Council (GSCC) code of conduct. It was evident that more training was needed with staff to make sure that they not only meet the practical care needs of residents, but also their specialist care needs. From discussion with the manager and line management to the home it was said that a training plan was being put in place for staff training, which included National Vocational Qualification, (NVQ) qualification, which includes LADF elements which is the specialist area for the resident group. Only one member of staff has an NVQ qualification and two members of staff working towards NVQ 3. 3 staff are working towards NVQ2. The manager and line management to the home indicated that there are plans in place to make sure that the home meet the target of 50 of staff with an NVQ qualification. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 22 Most of the staff team at the time had been employed at the home for some time, had and gained experience working with the resident group, to meet the needs of the residents living in the home. Two staff files were audited on this inspection all of which had the required information and checks carried out. There are two staff available on each shift during the day and one at night. Staff on night duty are aware of whom to contact in an emergency during the night. Staff have regular one to one supervision, which is held every 4-6 weeks with annual appraisals, there is monthly staff meeting. There was evidence that neither staff supervision or staff meetings had been held for some. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 23 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): 37,38,39,41,42 & 43. A temporary manager is in place to provide staff and residents with clear leadership in the home. The manager could do her job effectively with full supernumerary hours. Recording systems are good despite there being no clear plans of care in place. The health and safety checks in the home could compromise the health and safety of residents. EVIDENCE: At the time of the inspection the registered manager had been absent from the home for some time and a temporary manager has been put in place to provide staff with clear leadership whilst the management arrangements are resloved. However the registered provider should give some consideration for the manager to have supernumerary time in order that he/she has the opportunity to manage the home effectively. The temporary manager is a registered manager for another home. She has years of experience of working with the resident group, and is at present undertaking the Registered manager award course with a view to carrying out NVQ 4 in care, so that she meets the requirements of standard 37. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 24 It was apparent that staff make sure that residents welfare and wellbeing are protected. There are systems in place for resident’s families to express their views regarding the service provided at the home. There is a quality assurance policy procedure, but nothing in place in the home to get the personal view of residents, or from the people advocating on their behalf. However relatives and others have the opportunity to discuss matters at annual service reviews, where they are invited to complete the quality questionnaire. The monthly audit of the home (regulation 26) report on the way in which the home is managed and conducted is undertaken, a copy of which is sent to the CSCI. Staff have access to a range of polices and procedures which are regularly reviewed. All staff have had training in moving and handling and health and safety. From the inspection of the health and safety checks carried out there were several weekly check that were overdue, the water check for temperature, fire safety which was said to be carried out weekly had not been done for some time and fire drill should be done monthly was last carried out on the 26 November 2005. Previous to that it was done on the 26 September 2005. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 25 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 1 2 2 3 2 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 3 X 2 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Philips Close Score X X 2 2 Standard No 37 38 39 40 41 42 43 Score 2 3 2 X 2 2 3 DS0000001501.V269628.R01.S.doc Version 5.0 Page 26 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 17 Requirement The residents care plans must include all aspects of personal, social and healthcare needs and demonstrate how support and assistance is to be provided by staff. Any limitations placed on a service user must be made only in the persons best interest and must be formally agreed and recorded with the service user, their representative and/or other professionals involved in their care. Risk to service users must be assessed and recorded and risk management strategies must be agreed with the service user and recorded in the care plan. Staff must be provided with training in regards to the change in needs and dealing with the ageing of residents. Staff must receive formal supervision. The home’s statement of purpose and service user guide must be available at the home and accessible to residents and others. A copy of which must be DS0000001501.V269628.R01.S.doc Timescale for action 31/01/06 2. YA7 13 31/01/06 3. YA9 13 31/01/06 4. YA21 18 28/02/06 6. 7 YA36 YA1 18 (2) 4 31/01/06 31/01/06 St Philips Close Version 5.0 Page 27 sent to the CSCI area office within the given timescale. 8 YA3 14 All prospective residents must have a full assessment carried out of before admitted to the home. Staff must have training on how to handle aggression. The floor grid of the shower must be cleaned The electrical expel air must be cleaned Staff must have training on any specialist care given at the home and regular fire training. 50 of staff must have a National Vocational qualification. The registered provider must make sure that all health and safety matter highlighted in this report to be address and carried out in accordance with the home timescales and policies and procedures. The matter of the absence of the registered manager must be resolved. The management of the home must be sorted to make sure residents and staff have access to a permanent registered manager to ensure the continuity of management in both homes. The meals severed to residents must be well balance and nutritious. Residents must have a nutritional risk assessment carried out to make sure they are not at risk of malnutrition or any food deficiency. 31/01/06 9 10 11 12 13 14 YA35 YA42 YA42 YA35 YA32 YA42 18 16 16 18 18 23 27/02/06 31/01/06 31/01/06 27/02/06 31/03/06 31/01/06 15 YA31 9 19/02/06 16 17 YA17 YA17 16 (2) (I) 14 31/01/06 31/01/06 St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 28 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. 2 3 4 YA2 YA36 YA37 Refer to Standard Good Practice Recommendations Residents should have access to the complaint procedure, which they can understand. The home’s assessment format should have the information according to standard 2 Staff should have one to one supervision at least six times a year. The registered provider should give some consideration for the registered manager to have full supernumerary time to allow he/she to manage both homes effectively. St Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 29 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Philips Close DS0000001501.V269628.R01.S.doc Version 5.0 Page 30 - 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. 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