Inspection on 21/09/06 for Sussex Road, 15

This inspection was carried out on 21st September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sussex Road, 15 17/03/08

Sussex Road, 15 24/02/06

Sussex Road, 15 28/09/05

Sussex Road, 15 17/11/04

Sussex Road, 15 14/06/04

Sussex Road, 15 08/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Sussex Road, 15 15 Sussex Road Southport Merseyside PR9 0SS Lead Inspector Paul Kenyon Unannounced Inspection 21 September and 19 October 2006 09:30 st th Sussex Road, 15 DS0000005269.V296722.R02.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 Sussex Road, 15 DS0000005269.V296722.R02.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. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sussex Road, 15 Address 15 Sussex Road Southport Merseyside PR9 0SS 01704 537344 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) Speciality Care (Rest Homes) Limited Ms Samantha Jayne Faria Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 3 in the category of LD. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief Description of the Service: 15 Sussex Road is a small residential care home that offers support to up to three service users with learning disabilities. The home is owned by Arden College who are a subsidiary of Craigmoor Ltd. The Registered Manager of the service is Samantha Faria. The home is a domestic dwelling located in Southport. The home is close to local shops and transport links. Southport town centre is approximately ½ a mile away. The home is on two floors with one bedroom on the ground floor and two on the upper floor. Fees are currently charged at approximately £900 per week. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection this inspection year and was unannounced. The inspection was spread over two days. Both days included an examination of evidence, which supported the judgements made in this report, discussion with residents, staff and a tour of the premises. National Minimum Standards for Younger Adults were used to measure the quality of care provided. The nature of the disability of resident is such that it is not always possible to elicit their experiences of the support provided. Where possible any views or information expressed is included within this report yet observation of the support provided is used to make conclusions about the quality of life provided to residents. The daily lives of residents are such that there is an emphasis on accessing the community with staff support. As a result, no interviews with staff other that the Manager could take place. In total the inspection took five hours. Two residents preferred not to provide any views to the Inspector. One resident confirmed: ‘I ‘I ‘I ‘I ‘I am alright’ help with the shopping’ can’t cook but I help staff with making some things’ go out’ help around the house’ What the service does well: The service is good at producing clear care plans that are reviewed regularly and include the views of residents, their families and healthcare professionals where applicable. Residents also benefit from being encouraged to make decisions about their daily lives with the risks associated with these reviewes. The service is good at ensuring that residents are able to access the local community and to use educational and occupation opportunities available. Residents are enabled to maintain links with their families and are encouraged to participate in the running of the home. Residents have their nutritional needs met. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 6 The service is good at ensuring that residents are supported in a manner, which fits in with their wishes and meets their needs. Residents have their physical and emotional needs recognised by the service. The service enables residents to be provided with information in line with their needs if they are unhappy with the support they require and families are also provided with information in relation to this also. The service is good at protecting residents through policies, procedures and training. The service is good at ensuring that residents live in a home like and comfortable environment that blends in with the local community and is clean and hygienic. An individual who has the experience to fulfil the role manages the service. What has improved since the last inspection? What they could do better: The service must ensure that all staff receive medication training from an external source. The service must ensure that reports relating to monthly visits by senior managers of the organisation concerning the quality of care provided are obtained. The service still needs to ensure that all staff receive mandatory training in health and safety topics. The service must ensure that issues related to the testing of the electrical wiring of the home are addressed as soon as possible. One good practice recommendation relating to the protection of vulnerable adults is raised in this report. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 7 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. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 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 Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 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): 2 Quality in this outcome area cannot be made given that no new residents have come to live at Sussex Road since the last inspection. EVIDENCE: No evidence recorded. Sussex Road, 15 DS0000005269.V296722.R02.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 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 good. This judgment has been made using available evidence including a visit to the service. Residents benefit from having their needs included within a plan of care which if reviewed on a regular basis and includes their views. Residents are able to make decisions on the issues that are important to their daily lives and are provided with the support to do this. Residents are supported to take risks within their daily lives. EVIDENCE: One care plan was examined in detail and others briefly examined. This care plan related to an individual who has psychological health needs. The care plan had been reviewed in September 2006 and had included the agreement of the resdeint. The care plan had been reviewed on many occassions over the past few months to reflect the needs of the individual. This tied in with the maintenance of the persons psychological health. Guidelines are in place for staff and these have been devised by the community nursing team. A recent Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 11 review had been undertaken involving the Manager,family members and health care professionals. The home has developed individual care plans for resdients to refer to and these are placed inside bedrooms although two residents have removed these through choice. These care plans will be updated given that some details have changed and it is understood that the residents newly-appointed advocate will be involved in this process. Residents meeting minutes evidenced that individuals are provided with information to make decisions about their lives and that their aspirations are identified. Residents can communicate verbally but to differing degrees. One is able to converse clearly, another needs to be prompted to respond, another has been receiving intensive input from a speech therapist over some time to improve commnunication skills that this person is capable of using. All residents now have savings acccounts and are able to deposit money in these. Pass books evidenced the existence of these accounts. These are kept securely locked away. One person has a relative who is their appointee. All residents now have an advocate and this person has visited to introduce themselves to residents and is available for assistance. A risk assessment for one individual was examined given the psychological needs of this person. All risk assessments are current and include reference to these needs and any risks in the wider community as well as risks in pursuing an independent lifestyle (using local facilities). Risk assessments also include reference to medication administration and the keeping of keys. Other risk assessments noted that these were all up to date and were unique to the needs of residents. Sussex Road, 15 DS0000005269.V296722.R02.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 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 available evidence including a visit to the service. Residents are able to access the community and take part in valued activities. Residents are able to maintain links with family and friends. Residents benefit form having their rights respected and recognised their daily lives. The nutritional needs of residents are met. EVIDENCE: Only one resident offered any information about their daily routines in the community. At present all occupational and educational activities are being reviewed. One resident mainly has leisure pursuits and does not seem keen on any long standing occupation or education. Another resident has a mix of leisure, education and occupation through voluntary work. The other has accessed education in the past but this was withdrawn following a lack of interest by the individual. A further computer course was discontinued due to circumstances beyond the control of the service. One resident confirmed that she goes for walks, has been on hoilday and goes to a local church based social group. Evidence suggested that another resident goes carriage-riding, Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 13 has done voluntary work in a charity shop in the past, has ongoing speech therapy and goes to a gym regularly. All have lived in Southport for a number of years and rely on the staff team to help them identify local facilities. Community access is daily and is linked to the wishes of residents as much as possbile. All residents continue to have family links and do go to visit their relations on a regular basis. Two have longstanding close friendships, which continue to be maintained. All attend a local social group, which again reinforces their opportunity to sustain friendships. All risk assessments include reference to resident’s ability to use keys and as a result they do not retain them, however, keys are available to their rooms and are on display with a photograph of each person near them so that room keys can be used if wished. All are able to pursue activities together or individually. One person prefers being more on their own and this was observed during the visit. This person got up later and was able to have breakfast on her own and pursue an activity on her own. She had plans to go to a gym (a regular feature in this persons life) on a one-to-one basis with a member of staff. Staff were noted to interact with residents in an informal yet informative manner with attention paid to their health and safety and through encouraging their communication skills. Staff interaction is vital yet one resident has sought excessive contact with the Manager. Measures are in place for this resident to interact with other staff members through activities. A rota for involvement in household activities is available and is this pursued as much as possible. Menus are in place and there was evidence of staff being encouraged to provide alternative meals to residents in line with their preferences. Records of food are also provided and the opportunity is available for residents to have meals out. One resident confirmed that she helped to do the shopping and there are shops and supermarkets close to the home for this. The same individual also confirmed that while she did not cook a meal completely independently, she was able to help with some tasks. No one has specific dietary needs at present with only food preferences being recorded. Steps are taken to ensure that residents have a varied menu as opposed to having the same items all the time. Residents can choose when and where to have meals. One resident had risen later than the others and was having breakfast in the dining area. No individuals need to be assisted directly with meals and drinks. One person does need support when drinking but this takes the form of verbal prompting. A dining area is available. The kitchen is domestic in scale and the refrigerator and freezer were noted to be sufficiently stocked. Sussex Road, 15 DS0000005269.V296722.R02.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 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 good. This judgement has been made using available evidence including a visit to the service. Residents benefit from being supported in line with their needs and wishes. The physical and psychological needs of residents are met. Medication systems are not entirely safe. EVIDENCE: Support for residents is mainly around prompting rather than direct personal care. One resident was being supported to have a bath but this was mainly around getting prepared and getting out of the bath rather than actually hands on care. Support is provided in the form of discreet prompts such as one resident being reminded to be careful while having a drink. Risk assessments tie in with the support required. One resident has a health condition and the risk assessment relates to staff support while maintaining personal care. Routines are flexible. One resident got up later than the others and had breakfast on her own. This tied in with the care plan that suggested that this person prefers her own company. No residents need moving or transferring at present. Support services are in place, such as the meeting of psychological needs through the input from the commmunity nurse team. A Keyworker system is in place and an advocate is now available. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 15 All residents rely on the staff team to attend health care appointments. One resident has had her psychological needs assessed with the formulation of behavoural guidelines which are available. These have been devised by the community nurse. Other evidence included records of other medical appointments for all residents, eg chiropody, opticians, general GP appointments. All medical needs are monitored as evidenced by records. A medication system is in place. All medications are receipted and there is evidence of a disposal system in place. All medications are secured and are presented in the form of a monitored dosage system. No resident self medicates and this is reinforced through risk assessments. No controlled medications are prescribed at present. There has been no medication awareness training provided however, the Manager has sought to instruct new staff in the medication system as evidenced through staff meeting minutes. Sussex Road, 15 DS0000005269.V296722.R02.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 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 good. This judgement has been made using available evidence including a visit to the service. Residents and their families are provided with the information they need to make a complaint if they wish. Residents are protected from abuse. EVIDENCE: A complaints procedure for families is available and this includes reference to the Commission for Social Care Inspection. In addition to this, residents have been provided with access to a talking service user guide. This provides a verbal reference to complaints. Residents meetings of late have asked residents if they have any complaints and no complaints have been raised as evidenced in the complaints book and no complaints or concerns have been raised to the Commission for Social Care Inspection about the service. The home has a local authority procedure book on abuse and the reporting of allegations. The organisation also has a protection co-ordinator who also provides training on abuse awareness for staff. Some newer staff have been recruited into the service and these will need to attend this training in the near future and this recommended. Restraint has been used for one person of late and methods of physical intervention have been outlined by community nurses and is included within behaviour strategies although this evidences that other techniques should be employed first and sees restraint as a last resort. All staff have access to policies and procedures in relation to whistle blowing as well as the restrictions they have in residents finances. Staff have signed these policies. Sussex Road, 15 DS0000005269.V296722.R02.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 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 good. This judgement has been made using available evidence including a visit to the service. Residents benefit from a clean and home like environment. EVIDENCE: The premises are home-like in appearance and are generally pleasantly decorated although some wear and tear has been noted. Any repairs or equipment needed are obtained through an ordering system. Since the last inspection, new flooring has been put in place in one bedroom and a new drier has been purchased. Examination of an electrical inspection noted that some issues needed to be addressed yet these had not been done. This is outlined in Standard 42 of this report. There is sufficient lounge space in the home for three residents. The home is situated on a main road with the town centre within walking distance and is in keeping with the local community. The home was noted to be clean and hygienic during the visit with no offensive odours present. There is no need to provide clinical waste facilities since the needs of residents at present do not reflect the need for this. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 18 Laundry facilities are included within the kitchen in the form of a domestic appliance. This reflects the aims of the service to provide an ordinary domestic feel to the house. As a result, clothes that require laundering are brought into areas that are used for food preparation. Written guidance for staff to refer to taking infection control into account in this area has now been devised. Sussex Road, 15 DS0000005269.V296722.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Quality in this outcome area is adequate. This outcome has been made using available evidence including a visit to the service. Residents do not benefit from receiving support form a consistently well trained staff team. EVIDENCE: No recruitment records were examined at this inspection given that information received prior to the inspection indicated that no new staff had been recruited since the last inspection. A requirement at the last inspection noted the need for more specific training to be given in epilepsy and autism. This has now been done. A training record was made available and while some training had been undertaken by staff, some mandatory training had still not been undertaken. This is raised as a requirement in this report. A memorandum was available to indicate training that was to be made available in the near future. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents benefit from receiving a service managed by an experienced person who ensures that the needs of residents are taken into account. Quality assurance systems are in place but do not fully measure the quality of the support provided to residents. The health and safety of residents is not fully consistently promoted. EVIDENCE: The manager has been registered with the Commission for Social Care Inspection for about twelve months. She has worked for the organisation for a number of years and has the experience to manage the service at 15 Sussex Road. The home has recently experienced difficulties in ensuring that the psychological needs of one person are met. In striving to focus on the needs of this person, the Manager has been able to ensure that the needs of the other Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 21 two residents are not disregarded and has maintained the level of support provided to them. The quality of the service is measured in a number of ways. It was understood that annual questionnaires had been sent to relatives to determine their views of the service provided to their daughters. In addition to this, resident meeting minutes noted that residents had been given the opportunity to comment on the support they received and were asked if other improvements could be made. A senior manager of the organisation has visited on a monthly basis and has produced a report on each occasion outlining the performance of the service. This was last done in July 2006 and no further reports had been made available to the Manager. The production of monthly reports relating to these visits is raised as a requirement in this report. A number of aspects of health and safety systems were examined as part of this inspection. Training records noted that while the majority of staff had received mandatory training, some omissions still occur. Mandatory training for all staff is raised as a requirement in this report. A number of records relating to health and safety were also checked. Fire drills occur on a regular basis as well as tests to smoke alarms and the servicing of fire fighting appliances. A fire risk assessment has been completed and was reviewed during 2006. Water temperatures are monitored regularly despite thermostatic control valves being installed on sinks and baths used by residents. A certificate was available to confirm the safety of gas appliances. Window restrictors have been put into place on all upstairs windows. Portable appliances have also been tested. There have been few accidents experienced by residents since the last inspection. One accident outside did result in the need for a reporting of dangerous occurrence notification being made. The Commission for Social Care Inspection was notified of this. A number of incidents have occurred in the home following behaviours displayed by residents. Again these have been recorded and have been received by the Commission for Social Care Inspection as notifiable incidents. A certificate for the testing of the electrical wiring system was examined. A test raised some issues in relation to certain aspects of the wiring. The report stated that these needed attention. Despite being reported, these have yet to be addressed. This is raised as a requirement in this report. Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 N/A 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 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 X 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 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 2 X 3 X 2 X X 2 X Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 23 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. 2. 3. Standard YA20 YA35 YA42 YA39 Regulation 13 18 26 Requirement External medication awareness training must be provided to staff Staff must receive training in all mandatory topics Reports for June, July and August 2006 relating to senior managers visits to the service must be made available. All issues included within the electrical report must be addressed Timescale for action 30/11/06 31/12/06 30/09/06 4 YA42 23 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA23 Good Practice Recommendations Protection of vulnerable adults training should be provided to newer staff Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Sussex Road, 15 DS0000005269.V296722.R02.S.doc Version 5.2 Page 25 - 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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