Inspection on 17/05/06 for Stoneleigh

This inspection was carried out on 17th May 2006.

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

Other inspections for this house

Stoneleigh 28/06/07

Stoneleigh 10/01/06

Similar services:

Flint House

The Ley Community

Yeldall Manor

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

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

CARE HOME ADULTS 18-65 Stoneleigh Stoneleigh 11 Arthurs Hill Shanklin Isle of Wight PO37 6EU Lead Inspector Annie Kentfield Unannounced Inspection 17th May 2006 10:00 Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stoneleigh Address Stoneleigh 11 Arthurs Hill Shanklin Isle of Wight PO37 6EU 01983 862931 01983 865086 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Kevin Michael Bell Clare Shilton Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (2) Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is currently accommodating 1 person under the age of 65 years with a past or present dependence on alcohol. This named person may remain at the home. 10th January 2006 Date of last inspection Brief Description of the Service: Stoneleigh is a residential care home caring for adults who have, or have had, mental health difficulties. It is registered for a total of 9 residents. The categories of residents are 2 over 65 years and the remainder under 65 years. The ownership of the home changed on 31/10/05. A new registered manager took over on the same day. The home is situated within easy reach of the town of Shanklin and is close to the seafront and all other amenities. Residents are able to involve themselves with the local community if they wish. The house is large, detached with gardens and occupies a corner plot on the main road into Shanklin. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence for this report was gathered from a number of sources including an unannounced visit to the home on 17th May between 10.00am and 4.00pm. In order to make a comprehensive judgement about the quality of this service; information and feedback about the service was also requested from service users and visitors/relatives of service users as well as community health and social care professionals who visit the home. In addition, reference in the report is made to data provided by the registered owners of the home. Four comment cards were received from relatives or visitors and all were satisfied with the care provided by the home. One person described the staff as “wonderful”. Seven comment cards were received from service users – some completed with support from a member of staff. All comments were positive. Three care co-ordinators from the community mental health services were spoken to by telephone and all expressed their satisfaction with all aspects of the service provided by the home and it is clear that there have been major improvements to the service since the home was taken over by the current owner and manager. At the time of the visit to the home – there were eight residents. What the service does well: It is evident from all of the feedback received that residents are happy in the home “I like living here” and “it’s very homely here”. A relative described the staff as “really caring for the residents”. The new owners have a positive and energetic approach to running the home for the benefit of the service users and are committed to making further improvements to the building and providing a good quality service. The manager and staff have a good working and professional relationship with the community mental health services to ensure that all of the care needs of the service users are being met. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: The new owner and manager have made significant improvements to the home in the first six months since taking over the home and this work is planned to continue. Although a number of requirements have been made it is recognised that this is a new service and the registered owner and registered manager have expressed their commitment to developing and providing a quality service. The provider and manager need to consolidate this positive start and ensure that the National Minimum Standards and Care Homes Regulations are being met in the following areas: The registered manager must review the home’s record keeping systems as a matter of priority to ensure she provides written evidence of the care provided and demonstrate that service users are protected by the home’s policies and procedures. In particular the manager must ensure that: • Care needs assessments are recorded in writing. • Care plans are regularly reviewed. • Service users have a written contract or terms and conditions of living in the home that includes information about the complaints procedure. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 7 Recruitment procedures must be more thorough to ensure that new staff only start working in the home when satisfactory references and POVA checks are in place. Medication recording and procedures must be reviewed to ensure that there are no gaps in the medication recording charts and all medication is accounted for at all times. It is recommended that staff that dispense medication receive accredited training in the safe administration of medication. The manager must achieve the Registered Manager Award within an agreed timescale. The manager must develop a quality assurance system that takes account of service users’ and others’ views about the service provided. A staff training plan needs to be developed to include a comprehensive induction programme, training in all areas of safe working practice, and training in the home’s specialist area of mental health. Radiators must be assessed for risk and covered where necessary. 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. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 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 Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 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 and 5 Quality in this outcome area is poor. This judgement has been made using the available evidence including a visit to this service. Feedback from the service users is mixed and some say they had sufficient information about the home before they moved in and some say they didn’t. However, it is appreciated that some service users have lived in the home for a number of years before the current owners took over. The home has yet to provide each service user with a new contract/terms and conditions of living in the home. This needs to be signed by the service user and/or their representative and a copy available for service users to keep. All service users should have a copy of the home’s statement of purpose and service users’ guide including written information about the complaints procedure. New service users who move into the home must agree their individual care plan that is based on their assessment of care needs that should be recorded both before and after they move into the home. Service users are encouraged to visit the home before deciding to move in. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 10 EVIDENCE: Although the owner explained that new service users have had their care needs assessed prior to moving into the home – records show that there is no written record of this for one service user. The assessment must be recorded in writing otherwise the home cannot demonstrate that all care needs have been properly assessed. An individual care plan must be drawn up from the care needs assessment and include all relevant information from care managers or others involved in the care of the service user. Reliance on verbal assessments may mean that some care needs are overlooked. The initial assessment should also demonstrate that the home has considered the needs of the existing residents and that the staff in the home can meet identified care needs. The home owner explained that he is in the process of drawing up a contract of terms and conditions for service users but has not had time to complete this. This does not have to be a complex document and only needs to specify the points listed in National Minimum Standard 5.2. The owner has produced a new service user guide and this could be given to all current and prospective service users. The current guide needs to include a copy of the home’s complaints procedure. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 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. 7 and 9 Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. Some care plans are very comprehensive and reflect consultation and review with the service users but some care plans lack essential information and evidence of reviews. Service users comments confirm that they are able to make decisions about what they do each day but this is not always recorded in the care plans. It is evident that service users are supported to take risks as part of an independent lifestyle but this is not always recorded in the care plans. EVIDENCE: The level of support provided by the manager and staff is not reflected in the record keeping of the home. The manager is still in the process of introducing a new system of recording care plans but this has yet to be completed. Those care plans that have been Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 12 reviewed contain sufficient information and show that service users have been consulted about their care plan. Others contain little information of the care to be provided or an updated risk assessment/risk management plan. However, there is evidence that the manager and staff have responded appropriately to all incidents where the safety and welfare of the service users may have been at risk. It is recommended that the manager makes the updating of care plans a priority and demonstrates that a person centred approach to planning care in consultation with the service users, is in place. The manager has introduced a key worker system and this should hopefully delegate some of the responsibility for regularly reviewing care plans and recording service users’ individual choices and aspirations to the key worker. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Service users have opportunities to take part in more activities of their choice and this is something that the new owner and manager are positively promoting. Feedback from service users is that the food is “good”. EVIDENCE: Service users, staff, and community care co-ordinators all commented that the home has a much more structured approach to supporting the service users to develop skills and activities in their chosen areas. There is a plan for each service user to have a designated ‘home day’ where the service users and their key workers decide what takes place – shopping, room cleaning etc. and service users are very happy with this arrangement. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 14 Staff spend time with the service users and will accompany people to shop, use the library, or provide help and support to arrange particular activities of choice. This could include voluntary work or training or leisure activities. Visitors are welcome in the home as long as this is with the agreement of service users. Service users said that the atmosphere in the home is friendly and informal and everyone “looks out for each other”. Service users are able to come and go as they wish and privacy is respected and bedrooms are lockable if service users choose. Comments from service users said that the food is good and the menu has been re-arranged so that the main meal is in the evening with a snack provided at lunchtime. Service users can make themselves drinks during the day in the kitchen and also make their own breakfast. Some of the service users like to help with cooking, laying tables, with a household rota for washing up and drying up. The laundry is now in the main building and service users can use this with support if they want to do their own laundry on their home day. House meetings are held monthly and recorded. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 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): 18, 19 and 20 Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. Generally, the comments from community care co-ordinators confirm that the home is meeting the health and personal care needs of the service users. However, care records need to be reviewed to provide evidence of the care being provided. Comments from service users said that staff are either “always” or “usually” very friendly and helpful. However, there were gaps in the daily recording of medication and this is of serious concern. Medication procedures must be reviewed to ensure that all medication is properly accounted for. EVIDENCE: This is a small home and it is clear that staff know the residents well and are very familiar with the individual needs of the residents and are aware of signs or triggers that a resident may be unwell. The manager and staff have good communication with the community mental health services and liaise with the community services if service users need healthcare support or treatment. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 16 Community care co-ordinators were all confident that the manager and staff are meeting service users’ health and emotional care needs. The service users are fairly independent and self-caring and it is evident that staff work closely with the service users to provide prompting and support with personal care as appropriate. Medication was inspected with a member of the care staff and they confirmed that medication is reviewed every six months. Staff have information about the medication dispensed and any possible side effects and there is information about medication to be taken “as and when required”. Gaps in the MARS or medication recording sheets were noted. The manager is required to review procedures and ensure that all medication is properly accounted for. It is recommended that all staff that dispense medication receive accredited training in the safe administration of medicines. Unused medication is returned to the pharmacy and although this has been recorded with an initial, the manager should ensure that returned medication is recorded with the pharmacy stamp. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 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 and 23 Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. All of the service users said that they know how to make a complaint if they had to and have someone to talk to if they are unhappy about anything. The home has a policy and procedure about adult protection and it is recommended that staff training in this area be updated as part of the staff training development plan. EVIDENCE: One member of staff spoken to had a good awareness and understanding of the need to protect vulnerable residents, particularly those residents at risk of self-harm, and there are procedures for staff to follow if they have any concerns. The member of staff said they would like to do the adult protection awareness training when the opportunity is arranged. The inspector spoke to some of the service users during the inspection visit either on their own or in a group and all said they felt safe in the home and that staff listen to their views. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 18 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 and 30 Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. Although the home environment needs further upgrading it is clear that the new owners have made significant improvements to the building and both service users and visitors, as well as community care workers, were enthusiastic and positive about how much more pleasant and comfortable the home has become since November 2005. Generally the home is clean and tidy and hygienic and service users said it was “homely” and “comfortable”. EVIDENCE: In discussion with the registered owner, he said that he knew the home was not currently meeting all of the minimum standards. He is aware that more time is needed to meet all of the standards but was positive that this was realistically achievable within the next 18 months. Initially, urgent work was needed to repair leaking roofs and replace old furniture and bedding as a matter of urgency. Some of the bedrooms and communal areas have since been decorated and furniture replaced. There is Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 19 now an office and staff sleep-in room. The laundry has been moved into the home from an outside shed and every part of the home has been cleaned. The medication has been moved from the kitchen to the office. Service users expressed their satisfaction with all of these changes. The service users have been given the opportunity to grow vegetables and flowers in the garden and it is planned in the long term to increase the amount of communal space for the service users. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 20 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 and 35 Quality in this outcome area is poor. This judgement has been made using the available evidence including a visit to this service. Staff in the home are skilled and experienced. All comments about staff were positive and one visitor commented “staff are wonderful” and the residents are “greatly loved and cared for”. Recruitment procedures must be reviewed to meet current regulatory requirements. The manager must develop a staff training plan that includes a more structured induction training programme, mandatory training in safe working practice, and training linked to the home’s specialist area of mental health. EVIDENCE: Generally, the staff team is skilled and experienced and discussion with staff during the inspection visit demonstrated that staff are very aware and knowledgeable about the individual needs of the service users. Three of the staff team of five have an NVQ level 2 in care, one has NVQ level 3 in care and the manager has NVQ level 4 in care. All of the staff have done Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 21 training in food hygiene, first aid and working with challenging behaviour. The registered owner is an accredited food hygiene assessor. The manager must ensure that all areas of health and safety and safe working practice are covered within the first six months of staff being appointed. It is recommended that a staff training matrix be produced to ensure that training is regularly updated. The induction training programme is basic and needs to be developed to demonstrate that it meets the recommended Skills for Care – training council specifications. The staff training plan should include training for staff in the area of mental health relevant to the needs of the service users and in line with the home’s statement of purpose. Recruitment procedures for new staff must be more thorough and the check on the POVA (Protection of Vulnerable Adults) list must be in place and satisfactory before new staff start working in the home. New staff that are awaiting satisfactory Criminal Record Bureau checks may work in the home with supervision (this should be recorded during their induction) if all other recruitment checks are satisfactory. Guidance on CRB and POVA is available from the Commission website www.csci.org.uk There is a volunteer who occasionally works with the service users and they have received a satisfactory Criminal Record Bureau check. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 22 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 and 42 Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. The home is well managed and responsibility is shared between the registered owner and the registered manager. It is evident that the views of service users are listened to and they are supported to make decisions about their lives. The manager needs to develop a formal system of quality assurance based on seeking the views of service users about the service provided in a measured way. The health, safety and welfare of service users is promoted and protected. Health and safety risk assessments need to include individual risk assessments of radiators and hot pipe work. The manager must achieve the Registered Manager Award (or equivalent) within an agreed time. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 23 EVIDENCE: The management approach of the home is open, positive and energetic and comments from everyone demonstrated that the owner and manager are very well liked and regarded. The registered manager must achieve the Registered Manager Award (or equivalent) within an agreed timescale. The registered owner is responsible for health and safety in the home and this is clearly an issue of priority as evidenced by the home’s records. The only issue that needs to be addressed is for the registered owner to ensure that individual risk assessments for radiators and hot pipe work are recorded, and these to be covered where a risk is identified. A system of Quality Assurance must be developed. At the moment, this is informal and based on 1:1 discussion with service users, and home meetings. In discussion, the owner said he would probably introduce a regular questionnaire for service users and others, to gain regular feedback about the service that is recorded and reviewed. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 24 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 2 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 3 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 2 X 2 X 2 X X 2 X Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 25 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 YA1 Regulation 4 and 5 Requirement Service Users must have appropriate information about the service provided including a copy of the complaints procedure, in a suitable format. The manager must demonstrate that an assessment of care needs has been carried out before new service users are admitted to the home. Service Users must have a contract or terms and conditions of living in the home. Care plans must be updated to the new system for the home. Individual care plans must be regularly reviewed in consultation with the service user. Care plans should record how service users are supported to take responsible risks as part of an independent lifestyle. The registered manager must ensure that medication is properly recorded and accounted for. The training plan for care staff should include all areas of safe working practice and specialist DS0000063853.V288634.R01.S.doc Timescale for action 30/08/06 2. YA2 14 17/05/06 3. 4. 5. YA5 YA6 YA7 5 15 15 30/08/06 30/06/06 30/06/06 6. YA9 15 30/06/06 7. YA20 13 17/05/06 8. YA32 18 30/08/06 Stoneleigh Version 5.1 Page 26 9. YA34 19 10. YA35 18 11. 12. YA37 YA39 9 24 13. YA42 13 skills and knowledge related to the needs of service users with a mental illness. New staff should not work in the home until satisfactory information and a POVA check is in place and is supervised until the satisfactory CRB check is received. The staff induction training programme should meet the specifications of the care sector training council (Skills for Care). The registered manager must achieve the Registered Manager Award (or equivalent) Develop a formal quality assurance system to demonstrate the way residents’ views are considered in the running of the home. Radiators and hot pipe work in the home must be individually risk assessed and covered where a risk is identified. 17/05/06 30/06/06 30/12/07 30/08/06 30/08/06 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. 2. Refer to Standard YA23 YA20 Good Practice Recommendations It is recommended as good practice that all staff receive training in adult protection awareness and policy and procedures. It is recommended as good practice that staff that dispense medicines receive accredited training in the safe administration of medication. Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Stoneleigh DS0000063853.V288634.R01.S.doc Version 5.1 Page 28 - 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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