Inspection on 12/02/08 for Sycamore Drive (9)

This inspection was carried out on 12th February 2008.

CSCI found this care home to be providing an Good service.

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

Sycamore Drive (9) 19/03/07

Sycamore Drive (9) 18/10/05

Sycamore Drive (9) 15/04/05

Sycamore Drive (9) 27/09/04

Sycamore Drive (9) 27/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Sycamore Drive (9) Carley Lodge Fulwell Sunderland SR5 1PP Lead Inspector Miss Hilary Stewart Key Unannounced Inspection 14th and 21st February 2008 10:30 Sycamore Drive (9) DS0000015759.V357110.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 Sycamore Drive (9) DS0000015759.V357110.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. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Drive (9) Address Carley Lodge Fulwell Sunderland SR5 1PP 0191 549 6083 0191 549 6083 sycamoredrive@c-i-c.co.uk www.c-i-c.co.uk. Community Integrated Care 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 Robert Trueman Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning Disability, Code LD - maximum number of places 4 The maximum number of service users who can be accommodated is: 4 19th March 2007 Date of last inspection Brief Description of the Service: The home provides personal care to four men both over and under the age of 65 years, all of who have a profound learning disability. One person also has a physical disability. It provides residential care only and any health needs are dealt with by the Community Nursing Services. The home has been open since 1995 and was especially adapted for the people that live there. It is a bungalow and would be difficult to determine from the outside of the home that it provides a residential service as it blends in well with other houses. The home is near to a local bus service into the City Centre and it also has its own transport. The fees that people have to pay to live at the home are £989.55p per week. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 8th March 2007. • How the service dealt with any complaints, concerns and safeguarding issues since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff. The Visit: An unannounced visit was made on 14th February 2008 and another visit was made on the 21st February 2008. On the second visit an expert by experience spent some time at the home and told the inspector what they thought of the service. The people who use the service do not use speech as their main means of communication. Surveys were sent out but non were returned. During the visit we: • • • • • • • Talked with the staff and the manager. Observed the people who live at the home. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked to see if the staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. Information is available to help people make an informed choice about the service before they decide to use it. All of the people have care plans which give information to staff about how to support them and meet their needs. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 6 The staff at the home treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The home is clean, warm and pleasantly furnished so the people who use the service have a comfortable place to live. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly so good relationships are maintained. The home has adult protection policies and procedures for the staff to follow. Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. The staff are supervised and trained so they know how to provide the people who live at the home with good care. What has improved since the last inspection? What they could do better: If the people who live at the home had good opportunities to take part in a variety of leisure pursuits and interests regularly, this would help them maintain links with the local community and keep and develop social skills. This would be helped even more if the home had a better type of transport. All staff must have training in the safe handling of medication and they must receive fire instruction at the required intervals. This will make them more aware of how to keep the people who use the service safe and help them to do their job. Repairs and refurbishment to the bathroom would make the home more comfortable and pleasant for the people who live there. The manager must make sure that all checks have been carried out with staff before they start to work at the home. This will make sure that only suitable people work there which will keep the people who use the service as safe as possible. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 7 If the manager looked at how the staff manage peoples behaviour at meals times, they could make sure that the people at the home are being treated in an appropriate way for their age. This would protect their rights and show that they are valued. Nappy sacks should be kept out of sight in the bathrooms to avoid any embarrassment and respect the dignity of the people who live at the home. 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. Sycamore Drive (9) DS0000015759.V357110.R01.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 Sycamore Drive (9) DS0000015759.V357110.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are carried out before people receive the service and plans are made which ensure they get the care and support they need. EVIDENCE: The manager said and records showed that the people who live at the home have had their needs assessed before and after they move in. A person can only move into the home if the manager is sure that the persons needs can be met there. If a person decides to move into the home they can visit before they move in permanently, so they can be gradually introduced to the other people who live there. Then they would be gradually introduced by having visits before they moved in permanently. The manager said that the people who live at the home now will have gone through that process but they have lived at the home for some time. Sycamore Drive (9) DS0000015759.V357110.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. People who use the service get the personal support they require and at the same time staff make sure that their privacy, dignity and independence is respected. People are supported to become more independent and at the same time, staff look at the risks to keep them as safe as possible. EVIDENCE: All of the people who live at the home have an individual care plan. The manager said that staff try to involve the people in writing them up, but most may not understand them due to their disability. The manager and staff said that they consult the people at the home as much as possible. One person uses symbols to communicate. Staff also observe peoples facial expressions and gestures to see if they are enjoying something or not. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 11 Each plan includes information about what care each person needs, such as their social relationships, their independence and what type of support they need. The plans were easy to read and contained enough appropriate detail to support the care practices. One described very clearly how to meet the health needs of the person and how staff should support them. Some risk assessments are general and about the home, while each person has an individual one, to promote an independent lifestyle. However, one risk assessment was not dated but had been reviewed on 2/07/2007. All of the risk assessments had been originally written in October 2001, but they had been reviewed regularly. Sycamore Drive (9) DS0000015759.V357110.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, 14, 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. People at the home are supported by staff who value them, while maintaining links with their families and friends. This means they can have new experiences and interests and do not become isolated, although the choice of activities is limited. EVIDENCE: Staff said that people are given choices as much as possible. All of the people have individual activities and some were out during the visits. The people were unable to confirm what they thought of their activities. Daily records show that activities take place for each person. The daily routines within the home are structured around the people who live there. Sufficient staff were on duty to enable residents to take part in activities individually. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 13 The activities are based upon what the people like to do. Some of the activities were home based and the variety was limited. The home-based activities were watching films or TV, listening to music and one person had sensory equipment in their bedroom. Activities outside of the home included drives out and walks in the park, visits to the theatre. Records showed that sometimes people did not go out for a few days. The manager and staff said this was because most of the people at the home do not like crowds or other people about, as this causes them anxiety. Staff said that they try to think of new activities for people to try. This is further limited by the home’s people carrier, which, due to its design, only two of the people can use it at any one time. It is tatty inside and not easy to drive. The “expert by experience” said that the home should have games and art and craft activities for the people to choose from. They also said that they thought the home was very nice but would not choose to live there as they do enough indoor and outdoor activities. They thought that the people at the home should go out more and socialise in the community. People are involved in domestic routines as much as they can. One person was out shopping and another was in their bedroom during the visit. Staff said that they respect people’s privacy and they are aware of their rights. They were observed knocking peoples bedrooms doors prior to entering. The people at the home looked relaxed and comfortable with the staff. Staff were observed explaining to the people what they were doing and asking them what they would like for lunch. Meals served at the home are the choice of the people who live there. People have a choice of two meals and the food served is written down so staff can make sure the people have a varied diet. Meals served at the time of visit looked appetising and nutritious. The people can have a meal different from what is on the menu if they choose. Staff could say what the people preferred to eat; they said that one person did not like pasta so would not be offered that at meal times. They let the people try new foods to see if they like them and they can use the kitchen at any reasonable time to make drinks and snacks. The manager said that they get an adequate amount of money to buy food for the home. During the visit the “expert by experience” thought the food they had at lunchtime was very nice. There was a lot of choice and it was well presented. A member of staff had asked one person to leave the table at lunchtime until they calmed down and the expert by experience said that they did not think the member of staff treated the person as an adult. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 14 However they did think it was good that staff encourage the people at the home to help cook and prepare meals and that they can have access to the kitchen for snacks and drinks. The people at the home are supported to keep in contact with their families and friends. They are encouraged to visit them as much as they want. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 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. 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. People have personal support when they need it, so they can be as independent as possible. Healthcare needs are met, which ensures that people stay healthy. EVIDENCE: The care plans identify the personal support that each person needs with everyday tasks. One person needs help with their personal hygiene and relevant details were in their care plan. The “expert by experience” said that they thought the staff supported the people well at the home and one member of staff had said “ it’s their house, their personal home, we just work for them”. They also saw that there were nappy sacks clearly visible in the bathroom. They should be kept out of sight to protect the dignity of the people who live at the home. Specialist support is available from psychologist/psychiatric services when required. And community-nursing services are used when needed. On the day Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 16 of the visit the Specialist Epilepsy Nurse was visiting the home and giving advice to staff about how to support one of the people. They also have a Continence Advisor who visits the home regularly. Records are in use to monitor the administration of prescribed medicines. The administration sheets that are in use are known as a monitored dosage system. Staff who are authorised to administer medicines are listed in the file and there is a copy of their signature. One member of staff had not completed training in the safe administration of medication and was found to be giving people their medication. The manager said that they had been shown what to do and it was planned that they would get their training in the near future. Each person at the home has an individual medication plan with his or her photograph, as a safety measure. The staff said that the people at the home do not control their own medication. Records showed that this had been risk assessed and the outcome of this was recorded on the medication care plan. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 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. 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 this service. A satisfactory complaints procedure is in place. This means that complaints are dealt with effectively, so people know that their comments are taken seriously. Satisfactory protection procedures are in place to protect the people at the home from risk of harm. EVIDENCE: Policies and procedures are in place that demonstrate how the home responds to complaints. The manager said that the home had not had any complaints since the last inspection. Staff actively encourage the people who live at the home and their families to tell them their opinions of the service, as much as possible. All of the people have a copy of the complaints procedure. Staff said that as the people at the home have difficulty using speech, they have to use other ways to communicate with them. They watch for any changes in behaviour, as this often is a good indicator of whether someone is unhappy or possibly ill. They also observe their facial expressions and gestures to get an indication about whether they like something or not. The service currently has policies and procedures on safeguarding adults to inform staff what to do if they think a person at the home could be suffering from abuse. There is a copy of the local authority’s safeguarding adult’s procedures in the office. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 18 Staff and the manager could describe what actions they would take to safeguard the people who live at the home from potential abuse. The manager and staff confirmed and records showed that staff had received training in safeguarding adults. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. 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 this service. The home is comfortable, warm and clean so the people have a pleasant place to live. Although some repairs are needed EVIDENCE: There are enough bathrooms and showers for the people who live at the home. In one of the bathrooms, the floor is lifting and the vanity unit is damaged. The radiator cover was missing and the shower was leaking. On the second visit the radiator cover had been replaced. The bedrooms looked comfortable and the people who live at the home had personalised them. They had been made very individual. The building is clean and generally well maintained; it is clean and hygienic so the people have a pleasant comfortable place to stay in. The “expert by experience” said that they liked the way the bedrooms at the home were full of Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 20 the people’s personal belongings and how they could have a choice of how their bedrooms are decorated. They also said that they found the home clean, tidy and nicely decorated. The home looked in a good state of repair and was odour free. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. 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. Sufficient numbers of staff are in post to meet the diverse needs of residents and they have opportunities for training so they know how to give the people who live at the home good care and meet their needs. Furthermore the home has robust recruitment procedures in place which help to prevent risk of harm to residents. EVIDENCE: Staff said that they receive training, which helps them with their work. The manager confirmed that all staff have an individual training file and personal development plan, which makes sure they get the training and support they need. Staff all have mandatory training, such as first aid, food hygiene and safeguarding adults training. The manager said that all of the staff have vocational qualifications. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 22 Sufficient staff were on duty at the time of the visit. Staff confirmed and records showed that sufficient staff had been on duty in the home the previous week. All staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. They do not see the original check but the head office send them written confirmation that it has been carried out. All staff go through a recruitment process and they cannot not start to work at the home until this is completed. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records are kept at the home, the originals are kept at the organisation’s main office. A reference for one person was not available as they had been transferred from another home. Some records showed gaps in staff ‘s work history that had not been explored during the recruitment process. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. 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 this service. The opinions of the people who live at the home are sought and valued. They are used to ensure that the service is run in their best interests and to improve the service. EVIDENCE: The people who live at the home and their families are asked their views about the running of the home as much as possible. Staff support them to complete a yearly questionnaire about the service and staff talk to them in key worker sessions. Staff said and records showed that the people have meetings with their key workers. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 24 Safety checks have been carried out on the equipment in the home; such as testing electrical equipment and the servicing the central heating boiler. The manager spoke knowledgeably about maintaining and promoting the welfare of the people who live at the home. Records showed that accidents are recorded and the manager said that they check them regularly. They also said that they have health and safety checks of the building to make sure it is maintained for example the broken radiator cover in the bathroom was replaced on the second visit. Fire safety risk assessments had been completed. The fire logbook showed that fire drills take place but fire instruction was not as regular as it should be. The manager said that a member of staff who has now left was the person who organised staff fire instruction but the records could not be found. Staff said that they have fire drills and mandatory training. Records showed that regular training is provided for staff in fire safety, first aid, moving and handling. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 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 2 13 3 14 2 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 x 3 X 3 X X 2 X Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 YA12 Regulation 16 Requirement The people at the home must make sure the people at the home are able to take part in regular valued and fulfilling activities. All staff must have training in the safe handling of medication. The bathroom floor and the vanity unit must be repaired or replaced. Staff must receive fire instruction at the required intervals. The manager must make sure that all checks have been carried out with staff before they start to work at the home. Timescale for action 01/04/08 2. 3. 4. 5. YA20 YA24 YA42 YA34 13 16 23 19 31/05/08 31/05/08 31/05/08 31/05/08 Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 27 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 YA16 YA18 Good Practice Recommendations The manager should review how staff manage peoples behaviour at meals times. Nappy sacks should be kept out of sight in the bathrooms or bedrooms to respect the dignity of the people who live at the home. Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Sycamore Drive (9) DS0000015759.V357110.R01.S.doc Version 5.2 Page 29 - 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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