Inspection on 06/09/06 for The Firs

This inspection was carried out on 6th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Firs 13/01/09

The Firs 16/08/07

The Firs 07/02/06

The Firs 05/10/05

The Firs 25/01/05

The Firs 11/05/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 The Firs Thorpe Road Kirby Cross Frinton On Sea Essex C013 0NJ Lead Inspector Ray Finney Final Unannounced Inspection 6th September 2006 09:30 The Firs DS0000017963.V311239.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 The Firs DS0000017963.V311239.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. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Firs Address Thorpe Road Kirby Cross Frinton On Sea Essex C013 0NJ 01255 862617 01255 860259 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 Ahmad Fareed Kadar Mr Sheik Kemal Kadar Mr Colin Roy Denny Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1), Physical disability (1) of places The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons) One person, under the age of 65 years, who requires care by reason of a learning disability and who also has a physical disability, whose name was provided to the Commission in July 2003 One service user, aged 65 years and over, who requires care by reason of a learning disability, whose name was made known to the Commission in July 2004 The total number of service users accommodated must not exceed 8 persons 7th February 2006 Date of last inspection Brief Description of the Service: The Firs is an established care home for eight younger adults with learning disabilities. The home is located in a rural setting in a large country house in its own grounds, between the villages of Kirby Cross and Thorpe-le-Soken. Local shops, post offices and schools are found in these villages. The Firs is set in extensive grounds with established gardens to the front, side and rear of the building and off-road parking to the front. Bedroom accommodation is on the first floor with stairs and a passenger lift for access. Toilets, bathrooms and showers are on the ground and first floors. Communal areas on the ground floor comprise of a lounge, dining room and kitchen/dining area. There is wheelchair access to all communal areas and there are ramps to the front, side and rear of the building. Attached to the care home is a day centre providing facilities for service users in the community. The centre offers a range of experiences such as a spa pool, ball pool and a sensory room. In addition there is a petting farm with sheep, goats, chickens and rabbits. Service users living in the home are able to use these facilities. Access to the centre is separate from the home. The home offers transport based on the needs of the service users. Information about the service may be obtained by contacting the manager. The home charges between £554.00 and £1,400.00 a week for the service they provide. There are additional charges for personal items such as toiletries, hairdressing and holidays; chiropody costs £10.00. This information was given to the Commission in August 2006. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to compile this report. The manager provided information in a Pre-inspection Questionnaire. Documentary evidence was examined, such as training records, menus, service users’ care plans and staff files. Completed surveys were received from service users, their relatives and health care professionals. Overall comments received from relatives are positive. One service user said, “they treat me well”. A visit to the home took place on 6th September 2006; this included a tour of the premises, discussions with service users, members of staff and the manager and observations of interactions between service users and members of staff. On the day of the inspector’s visit the atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the registered manager, Colin Denny. What the service does well: What has improved since the last inspection? Since the last inspection, care plans have been improved and now contain sufficient detail to ensure staff can provide care in a way that meets service users needs and wishes. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 6 There have been improvements to the standard of cleaning in the home; in particular the bathrooms and toilets are better. The lounge and dining room have been redecorated. 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 Firs DS0000017963.V311239.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 The Firs DS0000017963.V311239.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 at least once during a 12 month period. 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. The home ensures service users are admitted on the basis of a full assessment. EVIDENCE: On the day of the inspection visit the manager discussed the assessment process with the inspector. The manager is able to demonstrate a good awareness of the assessment process. Three service users’ records examined, including the record for a service user admitted to the home two months previously, show comprehensive assessments of needs are in place. The assessments cover diet, weight, sight, hearing, communication needs, oral health, mobility, continence, cognition, social interests/hobbies/religious and cultural needs, personal safety/risk and family links. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 9 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 judgement has been made using available evidence including a visit to this service. Service users needs and goals are reflected in their Individual Plans. Service users are supported to make decisions about their lives. Service users are supported to take risks within the limitations of their capacity to understand. EVIDENCE: Since the last inspection visit care plans have been revised and there are improvements in the amount of information that they contain. Records examined show that care plans cover physical and mental health, social needs, communication, sensory needs, mobility and medication. A sample of four service users’ care plans was examined; they contain detailed information on how each individual service user likes to have support provided. The care plans are sufficiently clear and detailed to ensure that carers have the information needed to provide appropriate care in a consistent manner. As at the last inspection, the manager said that staff are involved in care reviews and care plans are discussed at team meetings. Evidence provided by the The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 10 manager and records examined show that care plans are reviewed and relatives or an advocate are involved in the process. Observations of interactions between staff and service users show that staff encourage service users to make decisions. One service user was seen to enjoy a long conversation with a member of staff, who displayed patience and listened and responded appropriately. Care plans examined show evidence of how the manager and staff encourage service users to make decisions and choices. Some service users receive support from Tendring Mental Health Support Advocacy Services. Evidence was provided at the last inspection visit that the home encourages service users to take calculated risks to promote learning and independence. The manager confirmed that promoting independence continues to be encouraged whenever possible. Two service users hold limited amounts of money so that they are able to buy refreshments independently when attending local college courses or clubs. Comprehensive risk assessments based on initial assessment of needs are in place and contain steps to reduce risk whilst maximising independence. The home has a policy on unexplained absences by service users that was reviewed in April 2006. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 11 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 this service. Service users are able to take part in a range of age, peer and culturally related activities and are part of the local community. Service users are supported to maintain appropriate relationships. The home ensures service users’ rights are protected. Service users are offered a varied and healthy diet that they enjoy. EVIDENCE: Service users living in the home are not able to access paid employment because of their complex needs. However, the home supports service users to take part in a wide range of activities. Two care plans that were examined contain evidence of college courses that service users attend. Staff support service users to do ‘jobs’ in the petting farm, feeding and caring for the animals. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 12 Records examined show that service users use a variety of leisure services within the community, including the local swimming pool and ten pin bowling. Although service users’ records show what activities they participate in, service users would benefit from being able to see what activities are planned if the activity planner was in an eye-catching format suitable to their needs and prominently displayed in a communal area. As previously reported, one service user who expressed an interest was supported to vote at the last election. Service users continue to benefit from the use of the day centre on site, which offers a spa pool, sensory room, a ball pool and an art room. The home ensures family links are maintained and this is documented in the files that were examined on the day of the inspection visit. Discussion with the manager demonstrates that information provided by service users’ families is taken into account when planning care. Surveys were sent to relatives and comments received indicate an overall satisfaction with the home. Service users and staff spoken with confirm that family links and personal relationships are encouraged. At the time of the last inspection visit, the wishes of one service user to move on and live with a partner were being explored and the service user was supported to apply for inclusion on the council housing list. Since then a number of types of alternative accommodation have been viewed and rejected by the service user, who has now decided to stay at the home. Observations on the day of the inspection visit show that staff do not enter service users’ rooms without knocking. Doors to service users rooms have locks and service users can lock the doors if they wish. Some service users with profound and complex disabilities have not got the capacity to use locks and keys. Two service users who are able to do so choose to make use of their keys. Since the last inspection new menus have been developed, which give service users a choice of two main meals. The inspector discussed menus with the housekeeper, who demonstrated an excellent awareness of how to prepare nutritious, varied, balanced meals that meet the needs and wishes of service users. Food is freshly made on a daily basis and dishes range from ‘traditional’ home made dinners to pasta and rice meals. Observations of a discussion between a member of staff and a service user indicate that service users can ask for an alternative if they wish. The home continues to make good use of seasonal and home-grown produce and the housekeeper changes the menus to reflect the best foods available. The inspector observed that a variety of fresh fruit and vegetables is available. Service users spoken with enjoy the food. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 13 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 this service. The home ensures service users receive personal support in the ways they want and need. Service users physical and emotional needs are met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Records examined show evidence of the way service users prefer to have personal care carried out (see evidence for standard 6). Interactions between members of staff and service users were observed to be appropriate and staff spoken with show an awareness of how to treat service users with dignity and respect. Staff rotas examined show that there is a mix of male and female staff on duty so that personal care can be provided by a person of the same gender. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 14 Samples of care plans examined contain details of individual’s health care needs. The manager has recently obtained new ‘Health Action Plan’ folders from the primary care trust and these are in the process of being completed for each service user. Service users records contain charts to record service users’ weight, records of seizures and appointments for consultants and G.P.s. One file examined contained a protocol for the administration of oxygen and guidelines for the administration of rectal diazepam. Staff have received training in respect of these procedures, which was carried out by the community nurse specialist. Care plans examined contain relevant information about prescribed medication. One service user’s record contains a clear protocol for administering medication with food, which was developed in conjunction with the community nurse. The home operates a monitored dose system. There are no controlled drugs in use at the present time, however the manager is able to demonstrate an awareness of appropriate storage and recording of controlled drugs. There are currently no service users living in the home with the capacity to self medicate. Medicine Administration Record (MAR) sheets were examined on the day of the inspection visit and are completed appropriately. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 15 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 this service. Service users can be confident their views are listened to and acted on. Arrangements are in place to help protect service users from abuse, neglect and self-harm. EVIDENCE: As at the last inspection, there is an appropriate complaints policy in place and there are forms available for the recording of complaints and concerns. The policy meets the required standard and contains information to ensure prospective service users and their representatives have a clear route to follow if making a complaint. The policy also gives information on how to contact the Commission for Social Care Inspection. The manager informed the inspector that no complaints have been received since the last inspection. The majority of comment cards returned by relatives indicate that they are aware of the procedure to follow if they wish to make a complaint, although one person said they were not aware of the complaints procedure, but indicated they had never had to make a complaint. Information provided in a pre-inspection questionnaire shows that the home’s policy around the Protection of Vulnerable Adults was reviewed in April 2006. Records examined show that there is a whistle blowing policy in place so that staff may be assured that they will be protected if they feel the need to raise concerns about practices. The manager informed the inspector that new staff are given the General Social Care Council good practice guidelines booklet. Records examined show that the home has carried out Protection of Vulnerable The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 16 Adults (POVA) and Criminal Records Bureau (CRB) enhanced disclosure checks. Training records examined show that staff receive Protection of Vulnerable Adult training. The Firs DS0000017963.V311239.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 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 live in a homely, comfortable and safe environment. Service users’ bedrooms promote their independence. The home is clean and hygienic. EVIDENCE: From a tour of the home the inspector observed that overall the environment is comfortable and the home is well maintained throughout. The living room is bright and clean and has been redecorated since the last inspection. As previously reported a few minor stains are noticeable on the floor, which are as a result of coffee being tipped out by a service user on a regular basis. However, the carpets have been cleaned and there are no unpleasant odours. The premises are accessible to all service users with wheelchair access to all communal areas and ramps to the front, side and rear of the building. Furniture in service users bedrooms is of good quality, domestic and unobtrusive. Bedrooms are individually decorated to service users’ tastes and there is ample evidence of personal items such as photographs, ornaments, The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 18 music centres, televisions and a guitar. All bedrooms have lockable doors (see evidence for standard 16). The laundry facilities are clean and appropriate for the size of the home. The non-porous floor covering in the laundry is clean but is starting to show some minor signs of wear. There are appropriate hand washing facilities in the laundry room and toilets. Overall, cleanliness has improved since the last inspection, particularly in toilets and bathrooms. Sealant has been replaced around basins, although the upstairs shower room needs to have the sealant around the shower tray renewed, as evidence of mould was seen on the day of the inspection visit. The Firs DS0000017963.V311239.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Overall service users are supported by competent and qualified staff, although the manager should ensure staff are supported to complete NVQ awards. Service users are supported by staff who receive appropriate training. Service users are protected by the home’s recruitment policy and procedures. EVIDENCE: From information provided in a pre-inspection questionnaire, 28.5 of a total of fourteen care staff have completed an NVQ award at level 2 or above. The home is also putting staff through Learning Disabilities Award Framework (LDAF) training. The home has an appropriate recruitment procedure in place. As previously reported, the manager is able to demonstrate a good awareness of the requirements of the standards relating to the recruitment of staff. Three staff files were examined, including that of the most recently recruited member of staff. Staff files contain required documentation including application form, photograph and proof of identity. Criminal Record Bureau (CRB) checks are in place for most members of staff, although the manager is still awaiting certificates for one member of staff. A ‘POVA First’ (Protection of Vulnerable The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 20 Adults) check has been carried out and the member of staff is working under supervision at present. Since the last inspection visit, the home has developed a structured training and development plan and a copy was provided with the pre-inspection documentation sent to the Commission. Staff files examined contain evidence that the home has an appropriate induction process in place. New staff are given an information booklet about PoVA and also a copy of the General Social Care Council Code of Conduct. The Firs DS0000017963.V311239.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 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. The home is well run and had policies and procedures in place to safeguard the rights of the service users. Service users views are taken into account through the Quality Assurance process. The home ensures the health, safety and welfare of service users are promoted and protected. EVIDENCE: The registered manager of the home has completed NVQ level 4 in Care and the Registered Managers’ Award. Information provided in the pre-inspection questionnaire shows that the home’s policies and procedures have been reviewed in April 2006. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 22 The home has a Quality Assurance system in place. As previously reported, a copy of the Quality Assurance report was sent to the Commission. Discussion with the manager on the day of the inspection visit indicate that the home continues to liaise with families and advocates to ensure their views are taken into account through the Quality Assurance system. Information provided in a pre-inspection questionnaire and records examined on the day of the inspection visit show that appropriate checks are being carried out on water temperatures, gas fittings and electrical fittings. Fire equipment was checked in December 2005 and the fire officer visited in July 2006. Staff records examined show that staff receive training on Health & Safety, Manual Handling, Food Hygiene and First Aid. Records examined show that fire alarms are tested regularly and fire training took place in April 2006. Records examined during the inspection included water safety checks, staff files, fridge and freezer temperature checks and records relating to the preparation and serving of food. There is evidence that the lift was checked in June 2006. Individual and home records were found to be up to date and in good order. The Firs DS0000017963.V311239.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 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 3 25 X 26 3 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 24 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 YA30 Regulation 13 (3) Requirement The registered person must make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. Timescale for action 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. 2. Refer to Standard YA12 YA32 Good Practice Recommendations The registered manager should ensure that the activity planner is presented in a format that is more easily understood by service users. The registered manager should ensure that 50 of care staff in the home achieve NVQ Level 2 in care. The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 The Firs DS0000017963.V311239.R01.S.doc Version 5.2 Page 26 - 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!