Inspection on 08/11/06 for Summerson House

This inspection was carried out on 8th November 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Summerson House 03/02/06

Summerson House 03/08/05

Summerson House 24/02/05

Summerson House 13/08/04

Summerson House 23/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Blenheim House

Prince Bishop Court

Park View (15)

Craigmore House

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

CARE HOME ADULTS 18-65 Summerson House 29-31 Stone Street Windy Nook Gateshead Tyne & Wear NE10 9RY Lead Inspector Mr Lee Bennett Unannounced Inspection 8 and 16 November 2006 10:35 th th Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerson House Address 29-31 Stone Street Windy Nook Gateshead Tyne & Wear NE10 9RY 0191 469 9611 0191 469 9611 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) www.c-i-c.co.uk. Community Integrated Care Care Home 6 Category(ies) of Learning disability (6), Physical disability (5) registration, with number of places Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 3rd February 2006 Brief Description of the Service: Summerson House is care home, providing personal care for up to six people with a learning disability. Nursing care is not provided, but district learning disability and psychiatric nursing services can be arranged where necessary. It is a purpose built bungalow style care home, with level access throughout. There is a large enclosed garden to the side and rear of the home, which includes a smaller paved area. The home is situated in a quiet residential area near to local public transport links and a range of local facilities, including a doctors surgery, shops, pubs and places of worship. The shopping centre and community facilities at Felling are a short drive away. The range of fees charged at the service are currently £1,385.35 per week. Additional charges are made for the purchase and use of a mini bus. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over two days in November 2006 and was a scheduled unannounced site visit. This included a separate look at the preinspection questionnaire (completed by the manager) and comment cards received from service users’ relatives and representatives. The care experienced by a sample of service users was ‘case tracked’ (this is where the inspector focuses on the service provided for individual service users) and time was spent chatting with service users and observing life in the home. A tour of the building took place, and a sample of staffing and service users’ records was inspected. Service users, staff and the deputy and prospective managers were spoken with, and the inspector shared a meal in the home. Due to the communication needs of service users it is difficult for them to make direct comments on the quality of care received by them, and therefore there are no specific comments given by service users in this report. The judgements made are based on the evidence available to the inspector during the site visit and the pre-inspection questionnaire supplied by the registered manager. What the service does well: Staff work to promote the independence of service users and encourage their community presence and involvement. There is an adapted vehicle available to enable this. There is a good standard of accommodation offered, and bedrooms have been personalised to suit individual tastes and needs. Staff are knowledgeable about service users’ needs, have a good rapport with service users and are sensitive to their personal care and emotional needs. Staff have worked effectively, under the supervision of relevant healthcare professionals, to support a service user with a lot of medical needs to stay at the home. This work enabled this man to remain in his own home environment for as long as possible. Staff also work with other health care professionals when needed. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users needs have been assessed prior to their admission to the home. Existing service users needs are also periodically re-assessed to an adequate standard. This can help ensure that the service can be planned in a way that meets service users needs and wishes. The home is able to meet the range of service users’ diverse needs to a good standard. EVIDENCE: There have been no new service users admitted to the home recently. However, the care experienced by a sample of service users was ‘case tracked’. Of the case files examined it was evident that their needs are now starting to be reviewed and re-assessed. Following these assessments, plans of care and risk assessments are developed by ‘key workers’. On the whole, these mirror the needs observed by the inspector. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 9 The needs of each service user are detailed within their personal case files, and they also detail the action taken to meet these needs and progress made. Staff are now beginning to receive (or are planned to attend) more training and guidance relevant to service users specific, diverse and specialist needs. These include needs relating to their health, epilepsy, personal care, challenging behaviours and medication. Further advice is available from specialists within the Social Services function (currently Community Based Services) of the local council and the Community Learning Disability Team. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care plans are in place, and are gradually being revised to reflect their current needs to a good level. Some care plans have yet to be updated and still only provide an adequate level of guidance. Effective care planning can offer guidance to care staff regarding care practice and ensure consistency where necessary. Service users are consulted on and participate in the life of the home to an adequate level. However, decision making arrangements and safeguards regarding service users’ personal expenditure (specifically in relation to their personal allowance and benefits to assist with their mobility) do not promote service users’ control. This may lead to service users’ financial interest not being best served. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 11 Service users are supported to take risks within a planned framework, irrespective of their age, gender or disability. This can help ensure their independence is promoted, balanced against a judgement about any risks involved. This can also help promote an awareness of safety to a good level and ensure equality of access to community facilities and activities. EVIDENCE: The communications skills and needs of the service users ‘case tracked’ means that staff often have to interpret their choices, and need to understand the meaning of their behaviour, gestures and noises. Staff demonstrated this by assisting service users to communicate with the inspector. Staff were observed to discuss and explain routines and activities with service users, irrespective of their communication needs. Service users are asked and allowed to make decisions affecting day-to-day choices and about the activities they participate in. As has been reported following the last three inspections, an adapted ‘minibus’ type vehicle is available for service users living at the home. This is funded through their personal benefits income, and allows for them to access a range of community services and facilities. There are individual agreements drawn up between the service user and Community Integrated Care (C.I.C.) in the form of a contract. However, a representative of C.I.C. has signed this agreement on behalf of the service users as well as on behalf of C.I.C. This appears to present a conflict of interest. The arrangements that would take effect should one or more service users leave the home have now been clarified and CIC will meet the costs incurred if a service user leaves the home. However, questions remain about a discount due to service users following the sale of the previous vehicle. Also it is unclear if any alternative mobility options were considered to determine which would provide best value for money for service users. Areas of risk are documented within each service users’ care file, including assessments relating to activities out of the home, behaviours that may challenge the service, personal care needs (such as help with eating meals) and the use of equipment. This can contribute to staff having guidance to enable service users to access community facilities without being placed at undue risk of harm. A model is used, whereby each risk area is identified, who or what may be harmed is noted, current and additional control measures are documented, and this is then reviewed. These documents need to be signed and dated to act as evidence and a prompt to them being kept up to date. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 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. 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 available evidence including a visit to this service. Service users are assisted, to a good degree, to lead active and fulfilling lifestyles by having a regular community presence and by accessing a range of community facilities. This will assist in them leading a full and enjoyable life. Service users are supported to maintain their personal relationships and friendships, to a good level, which helps them to keep in touch, and be involved in family life. Service users rights are respected, and routines in the home are flexible to a good level. This can help to promote a flexible service that encourages and promotes service users’ choices and preferences. Service users are offered and receive a menu and diet that meets their preferences and health needs. This can contribute to their general health and wellbeing. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 13 EVIDENCE: On the day of the inspection, the service users were being supported, by staff in activities within and out of the home. Service users are also assisted to have trips out, to use a sensory room, and to go on holiday. For those service users case tracked, their individual preferences are recorded, and the activities undertaken reflect these preferences, their needs and associated risks. A minibus is available to assist in accessing community facilities, though it’s use is dependant upon the availability of a qualified driver. There are currently four available in the home. Service users have also taken part in periodic holidays, and some have been to Cyprus with others going to Blackpool. Relatives are able to come to the home regularly and are made welcome by the staff team. They are able to visit their relative in private. Although contact with relatives varies, due to individual circumstances, staff in the home will assist service users to ‘keep in touch’ by sending cards and making phone calls. Service users also attend a range of activities, such as going to the pub, cafes, local shops, etc. This allows them to interact with people outside of their immediate home environment. There is a record kept of the meals planned and provided. Meals are normally taken within one of the two dining rooms. Service users have a range of dietary needs, which are outlined within their care plans. Staffs’ practice reflects the guidance and risk assessments provided. Staff have received specialist training in relation to feeding, where this has been necessary. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support appropriate to their needs and preferences, to a good standard, which can help to ensure their privacy and dignity is respected. But recording can be inconsistent. Service users health care needs are identified and arrangements are made to help ensure they are promoted and met to a good degree. This can help ensure their right to access health services is upheld. Medication arrangements are appropriate for the needs of service users, and are managed in a safe manner. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 15 EVIDENCE: The service users living at Summerson House have their personal and healthcare needs outlined within their case files. Their needs are supported and met, where appropriate, in private, and they are encouraged to cater for their own needs where possible. Specialist support and aids (such as manual handling and pressure relieving aids) have been sought and maintained where necessary, and multi-disciplinary input (for example from the District Nurse and Psychiatric Nurse) made available. On occasion, service users may need to be physically supported and restrained by staff should they put themselves or others at risk of harm. Staff record these incidents, however this has been inconsistent and each time physical restraint is used this must be documented. It may be necessary for the manager and staff team to review how they document such incidents, as they currently have to duplicate records. A simplification of the process may contribute to more consistent recording. Locked storage has been installed for service users’ medications, with internal and external medicines stored separately from one another. Printed administration records are kept, and a sample signature list is to be developed to identify what staff were responsible for each medication administration. Due to their levels of need, service users are not able to administer their own medicines, and designated staff therefore assist in this area. Staff at the home have undergone medication administration training, and are observant regarding the medication received and administered. An audit of the medications used by service users who were ‘case tracked’ was concluded successfully. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 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. 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 available evidence including a visit to this service. Service users’ views are listened to and acted upon to an adequate level. This can help contribute to a service user centred service. Appropriate steps are taken to help ensure that service users are protected from abuse, neglect and self-harm to a good level. EVIDENCE: A clear complaints procedure exists within the home. There have been no complaints reported within the past twelve months. As noted above, service users have varying communication needs, which make it difficult for them to say what they think about the service they receive. Staff therefore have to be mindful of service users’ behaviour as a means to gauge their feelings. See also the comments about quality assurance. Staff have, in the past, received training from the local Adult Protection Coordinator, which will help to explain the role of adult protection, and to offer guidance to staff. The care provider (C.I.C.) has its own procedures as well. Both the home’s own and the local authorities adult protection procedures are available in the home, should staff need to access guidance in this area. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from good, well maintained, homely, safe and clean accommodation. This can help promote a positive image for service users, and ensure they remain comfortable and safe. Service users bedrooms are furnished to a good standard. This can contribute to their comfort during their stay at the home. A good level of aids and adaptations have been provided to promote service users’ independence and safety. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 18 EVIDENCE: Summerson House is a purpose built bungalow, which provides level access throughout. Communal areas consist of a two lounge areas and a separate dining room in one end of the bungalow. There is also a conservatory area. Domestic style furnishings and fittings are provided, and adaptations, such as ceiling tracking, a hoist, grab rails and an adapted bath, have been installed in communal areas and service users’ own bedrooms. Bedrooms have been decorated and furnished in line with each service users’ personal tastes. A regular, planned cycle of cleaning is implemented. The water temperature for the homes two baths was near to 43oC to avoid the risk of scalding. A list of routine maintenance items was identified and immediate action agreed with the manager. These areas were rectified prior to the second inspection visit. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported by an effective staff team, who are competent and who are now receiving training relevant to their roles and the purpose of the home. This can ensure that service users are supported in a safe manner by staff who have an understanding of their needs. Induction arrangements are adequate for C.I.C. staff, but poorly developed in respect of agency workers. Service users are protected by the home’s recruitment policy and practices, which can help ensure unsuitable candidates do not gain employment in the home. These are implemented to a good standard. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 20 EVIDENCE: Staffing levels are maintained to a level where there is never less than two care staff working at any one time during both the day and no fewer than two at night. Recent staff recruitment has led to a decreased use of agency workers, with a consequent increase in staffing consistency. Staff records and confirmation by the manager show that staff are only employed in the home once receipt of sufficient background checks are carried out. This helps determine their suitability to carry out their role. These checks include the receipt of a Criminal Records Bureau ‘disclosure’, two written references, and confirmation of physical fitness. Agency workers are vetted by the supplying nurses agency. Confirmation of this is provided to the home’s manager, who retains the responsibility for ensuring staff have the appropriate checks in place. Staff are now receiving an increasing range of training, relevant to the needs of service users, health and safety, and to care in general. Specialist support to help a service user with specific dietary needs has been provided, with ongoing support available as necessary. The manager keeps clear records of the training staff have received, which can assist in the planning of future training for the staff team. Induction training for new staff was examined. For agency workers there is no formal induction / introduction arrangements and must be. The induction for C.I.C. staff must also include arrangements for the management of challenging behaviours. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. 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 available evidence including a visit to this service. Service users benefit from a well managed home. Quality assurance systems are being developed to an adequate standard, but require further work to incorporate the views of service users and their representatives and / or care experienced by them. This can help ensure the service remains focused on their needs and aspirations. Those records required by regulation are adequately maintained and available for inspection, to a good standard. This can help staff demonstrate how service users rights and best interests are safeguarded. The home is, to an adequate standard, free from hazards to service users. This can help contribute to the health, welfare and security of service users. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 22 EVIDENCE: There is a manager working in the home who is yet to undergo formal assessment by CSCI to ensure her fitness to manage a care home. She is qualified to NVQ level 3 in care, and is to undertake a course of study to attain an NVQ at level 4 in care and management. She is an NVQ assessor, and has undertaken a course in supervisory management. She has also attended training relevant to her post and the needs of service users, such as POVA training, first aid, food hygiene and control and restraint. Quality assurance (QA) arrangements are in the early stages of development, and the inspector offered advice to the manager on how these can be further developed. In particular thought needs to be given about how the service can find out what user’s experience of care, views and feelings are and how this can be included into the QA process. When the manager took up post, both she and the staff team undertook a review of how they viewed the service, what it’s strengths were and what areas needed to improve. This gives a good basis for further developing the QA system. Other quality management systems are in place, including health and safety checks, activity monitoring and monthly regulation 26 inspections (where a line manager inspects the service). Service user and staffing related records are written, maintained and stored within the home. Guidance as to what records are required is outlined within the Care Homes Regulation 2001. During the site visit there were a number of observed hazards and an immediate requirement form was issued to highlight these. These were subsequently dealt with. There is a health and safety policy available to guide staff, and various risk assessments have been developed, both to enable service users to be independent, but also to ensure care and working practices are undertaken in a safe manner. Health and safety checks are also undertaken regularly, including an audit of the building, fire safety checks and instruction, and regular water temperature tests. Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 X 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 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 YA7 Regulation 12(3) and 13(6) Requirement The registered person must ensure that the decision-making and liability arrangements entered into on behalf of service users, in respect of the minibus, are subject to external scrutiny and agreement, and best serve service users financial interests. The previous action plan dates for completion were 12/12/05 and 21/05/06. The registered person must, in consultation with the local Social Services Department, arrange for service users’ personal allowances and benefits to be paid direct to them and not via any bank account operated by C.I.C. The previous action plan date for completion was 21/05/06. The registered person must integrate training and guidance regarding control and restraint into the staff induction programme. It is acknowledged that training in this area is now DS0000007424.V319213.R01.S.doc Timescale for action 25/07/07 2. YA7 20(1 and 2) 25/07/07 3. YA16 13(6) 25/02/07 Summerson House Version 5.2 Page 25 planned, but delivery is still awaited. The previous action plan dates for completion of this requirement were 12/12/05 and 21/05/06. 4. YA16 13(8) The registered person must ensure that staff consistently record all instances where physical restraint is used within the home. This is a new requirement. The registered person must develop an induction programme for all staff, including agency workers, that includes guidance on dealing with difficult and challenging situations. This is a new requirement. The registered person must develop a quality assurance system that incorporates a review of service users experiences of care and interprets their views. This is a new requirement. 25/02/07 5. YA35 18(1)(c) 25/02/07 6. YA39 24(3) 25/04/07 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 YA9 YA35 Good Practice Recommendations The registered person should ensure that risk assessments are signed and dated. The registered person should ensure all care staff receive a minimum of five days paid training per year (pro rata for part time staff). Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South of Tyne Area Office St Nicholas Building St Nicholas Street Newcsatle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Summerson House DS0000007424.V319213.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!