Inspection on 27/06/05 for The Hall

This inspection was carried out on 27th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Hall 10/08/07

The Hall 15/05/06

The Hall 09/01/06

The Hall 25/02/05

The Hall 20/09/04

The Hall 01/02/04

The Hall 24/06/03

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

CARE HOME ADULTS 18-65 The Hall Ashford Road Hamstreet Ashford Kent TN26 2EW Lead Inspector Lois Tozer Unannounced 27 June 2005 09:45 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 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 Stationary 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 Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Hall Address Ashford Road, Hamstreet, Ashford, Kent TN26 2EW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01233 732036 Mr Michael Rogers Mr Robert Mycroft Registered Care Home 9 Category(ies) of Adults with a learning disability registration, with number of places The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2005 Brief Description of the Service: The Hall is situated in the village of Hamstreet, Kent and is placed a short distance from the railway station and is on a public bus route. Access to local amenities, shop and recreation facilities can be easily reached on foot. The home is registered to provide care and accommodation for a maximum of 9 people aged between 16 and 65. The service is set up to be of benefit to young people who wish to move into greater independence, and therefore the aims of the service are to provide a great deal of opportunities for responsibility taking and personal development. The target age range of people using the service is 16 to 25 years who have a learning disability. The home is a spacious building with lots of character. Bedrooms are situated on the ground and first floor and are all single occupancy. A large lounge has been split in two to giving a greater range of communal space. The kitchen/diner has a small computer area off the dining room end. There are two bathrooms (one ground, the other first floor), both with toilets and one separate toilet in a central, ground floor location. The home maintains a smoke free environment within the home, but supplies a covered area in the garden for smoking by both staff and residents. The garden area is secluded and is mainly patio and bark covered, enabling it to be used all year round. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory unannounced inspection took place between 09:45am and 4:45pm on 27th June 2005. The manager, Mr Robert Mycroft, staff, and service users assisted throughout and all were welcoming and supportive of the inspection process. There were 8 service users living at the home, and 5 gave some views on life at the home and helped with the inspection process. One service user was out at college; the majority of the other service users’ college courses had ended for the summer break. Attendance of the award ceremony for course certificates was being eagerly anticipated for that evening. The aim of this visit was to enable the inspector to introduce herself to the service users and staff and get an impression, from the service user point of view, of what life was like at The Hall. Paperwork seen included individual goal and support plans, risk assessments and records of support and participation in activities; medication and administration documents; policies and procedures; duty rota and the accident book. The house is pleasant and well presented; there is an ongoing maintenance system in place due to the heavy wear and tear experienced. There is a high level of activities available to service users, with especial focus on education and development, and the range of choice for fun activities outside of the home is extensive and well supported both financially and by staff availability. A group discussion took place with 3 service users and 1:1 discussion with 2 other service users. It became clear that there was a very positive, friendly relationship between service users and staff, whilst maintaining essential professional boundaries. Although all people living at the home told the inspector they would rather not be living there (as their aim is to live independently), it was clear that the rules and structures of the home were seen as fair and reasonable. Observations of staff working with the service users demonstrated that people are very much encouraged to take responsibility with their day-to-day lives in a communal setting, sharing chores equally. There are teaching plans, fully documented and regularly implemented and reviewed for all service users that promote everyday life skills, such as communication, money, reading and writing, sexual awareness and consideration, health and safety and personal care development. Some positive comments from service users included ‘…I know that if there was a problem, I would to talk to staff or key-worker’. ‘Making shepherds pie for the whole house is my favourite kitchen job’. ‘I feel safe here, but I want to go to college every day’. ‘This room is for the play-station to be used, we can stay up late at weekends and watch films’. ‘I have a bike that [a staff member] help me build and staff have bikes here, we go dirt tracking over in the woods’. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Although the requirement to address a wedged fire door has been met for that particular fire door, two further doors were held open without proper closures fitted, rendering them useless if needed. A 1st floor hallway window, despite being restricted, was easily overridden by service users, therefore needs improvement. It is essential that such shortfalls are noticed and addressed as a matter of course to ensure the safety of everyone in the home. The service user group is, in the main, teenager, some below 18 years old, so it is questionable if it is appropriate that staff smoke with service users as this is poor role modelling for a healthy lifestyle and is not inline with the standards in relation to responsible promotion of health. Some improvement in bathrooms, to make them more homely in appearance is recommended and to provide toilet roll holders and remove shared hand towels is required, as cross infection has been proven to start from such areas. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 7 If staff and service users are not keen on using blow hand-dryers, the effectiveness of this provision must be reviewed. Medication is generally well managed, but some shortfalls were found, that being; staff medication was stored in the service user medication cupboard; the controlled drugs store was not secured to a wall; the door to the store room had an ordinary catch type lock, where a 5 lever lock is required and the controlled drug register did not have sequentially numbered pages. Planned staff supervision is not taking place on a regular basis, which must be improved, as is the planned support available to new staff to complete their induction packs in the timescale suggested. Improvement for induction timescales was previously a recommendation, but is now a requirement to reflect the amendment to the Care Homes Regulations (amendment 1770), which restricts the inductees work until satisfactory induction has been completed. 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 Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 standard(s) None of these standards were inspected. EVIDENCE: The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8, 9, 10 Service users benefit from support and development plans that are reflective of Individual needs and aspirations. Responsible decisions are actively encouraged, as is participation in all aspects of home life. Risk assessments are in place to enable greater independence within an assessed, safer framework. Service users know that sensitive information is kept safe and confidential. EVIDENCE: Care, goal and support plans were very well documented and were being reviewed on a regular basis. Service users are involved in the development of goals and are fully aware of the content of support plans. Staff actively encourage service users to make decisions that have a positive outcome for the individual. Staff were seen to use skilful negotiation to explain situations and possible outcomes of decisions a service user was considering taking. The service user had the opportunity to reflect on the outcome and then make a more informed decision. Every service user is fully involved in the day to day running of the home; a service user read out a list of essential chores to his fellow peers. Domestic duties are rotated so that everyone has a chance to develop their skills. Risk assessments are in place for known risks and are completed on a daily basis to assess the level of support a person may need when leaving the home. The reviewing system of all documentation above was The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 11 efficient and effective and had input from a range of professionals concerned with individual persons development and wellbeing. The storage of information was safe and secure and access to sensitive information was on a need to know basis. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15, 16, 17 Personal development is the main aim of the service; plans and outcomes demonstrate this is effective. Educational development is also very well supported, both within and external to the home. Links with the community are good and offer a wider experience of life to the service users. Leisure time focuses on service user interests, as well as offering some degree of new experience. Service users are supported to maintain links with family and friends. Rights and responsibilities are a strong feature in the ethos of the home, offering service users an opportunity to promote their independence further. Service users are supported to plan and prepare healthy meals. EVIDENCE: Personal development is the main feature of this service, the aim being a move to greater independence. The care and support plans really reflect this and outcomes of development are monitored and reviewed. All service users attend some form of education on a weekly basis. To further enhance learning, staff support service users within the home with learning plans, such as cooking, money skills, road safety and relationships. Specialist professional are consulted to assist the development of plans and real progress was The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 13 demonstrated in documented outcomes and identified by some service users themselves. Within a risk assessment framework, service users are encouraged to get out into the local community without support and are enabled to get further a field using the house and public transport. Leisure time documentation showed that quite a lot of group activities took place, service users, when asked, confirmed that this was OK and that they got to go out in 1:1 and smaller group situations frequently. Staff have a positive attitude to encouraging physical activity, such as mountain biking, and staff bikes are available to enable their joining in. A service user said that they got out to the woods dirt-tracking quite frequently. Family relationships and contacts are supported by the home, with visitors welcome as long as the service user is happy to receive them. The home frequently supports people to visit family in their own homes. Daily routines are fully understood by service users, who have developed, with staff support, a rota of tasks. The rules regarding completion of these necessary tasks are quite strict, but service users confirmed that they were fair and prevented any unequal work. Apart from the offices, service users have unrestricted use of the home. A wide range of fresh fruit and vegetables is used each day. A service user said that they cook in turns and staff help plan the menu and that food from their own cultural background was supported. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 standard(s) 18, 19, 20 Service users know that they will be supported in the way they prefer. Physical and emotional health needs are generally well supported, but a review of the currently permitted practice of staff smoking with service users needs to take place. Some medication practices require improvement, but some very good practices were also evident. EVIDENCE: Fully documented support plans for personal care were seen. A great emphasis on maintaining dignity, autonomy, and independence was demonstrated. Teaching plans to encourage a greater level of skill and understanding in personal care issues are in place, with outcomes and reviews being monitored on an ongoing basis. One resident expressed happiness that they could count change given back to them much better than before. Healthcare is also well supported; medical attention is sought without delay if required, with outcomes documented. Support to better understand personal healthcare is generally very good, with input from the appropriate professionals to assist service users to be more independent and stay safe. An area of concern is that smoking is permitted for both staff and service users in the same place. As the home is registered to provided accommodation and support to service users aged from 16 years old, it is essential that the supplementary standards be adhered to, and staff do not unwittingly give positive role modelling to a habit that has serious health implications. Requirements to provide health promotion material in appropriate formats in The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 15 relation to smoking and a review of the home’s policy in line with this standard have been made. Medication management was generally well handled, in line with the standard, however the following shortfalls were found, and requirements to address these, using the Royal Pharmaceutical Society of Great Britain Guidelines have been made. Medication belonging to staff was stored in the service user medication cabinet; there was no documentation to acknowledge its presence in the home, and additionally, appropriate facilities should be provided for staff to keep their personal belongings safe, such as lockers. The controlled drug cabinet was not secured as required. The office where medication was stored did not have a suitable 5-lever lock onto door. Good practice was in place regarding the monitoring of controlled drugs, however the drug register pages were not sequentially numbered. The medication journal was many years out of date, an up to date copy is recommended, with renewal every 2 years, or sooner, if a product comes into the home that is not specified in the existing journal. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 standard(s) None of these standards were inspected. EVIDENCE: The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29, 30 The house is homely and comfortable, but some safety aspects require improvement. Service users bedrooms do meet individual needs and promote independence. Toilets and bathroom quantities are below national minimum standards, but are situated in easy reach, both upstairs and down. Work to make the facilities more homely is recommended. Shared space meets service users needs. Some improvements to the control of infection are required. EVIDENCE: Although the home gets a lot of wear and tear, it is reasonably well presented, and the manager said that urgent maintenance issues are always dealt with quickly. Service users had mixed feelings about the house, but this was in respect of a keenness to get into a more independent environment. Service users have to take a large part in the care of the home, and it was a credit to them, it was clean, tidy, and fresh. Everyone said that they liked their personal rooms and they had what they wanted in them. A service user was negotiating with staff for better furniture, and this was being supported within a budgeting and self care support plan. The garden area is available for use all year round, as it is mainly patio, with a large bark covered space for activities, a smaller bordered grass area (planned to be used for camping practice) and a The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 18 brick built bar-b-cue. Shared space has been well thought out, the large lounge has been divided into two parts, enabling play station fans a place to have fun, an TV lounge, comfortably furnished, the dining area off the kitchen is always available and a small area housing a computer is also available. The manager has an office with a seating area for 1:1 private discussions; staff have an administration office and a dedicated sleep in room. In discussion with 3 service users, I asked if they felt the main bathroom should be made more homely, with curtains and other features. All agreed, so it is strongly recommended that this be given some collective thought. Shortfalls forming requirements see were that two fire doors were held open with objects, which is unsafe practice. A service user demonstrated that a window restrictor on landing could be easily overridden, and a person could hang out of it, so a tamper resistant restrictor needs to be installed. All 1st floor rooms need to be checked to ensure this is not the case elsewhere. The skirting under the kitchen sink had been broken, and the floor underneath was not vinyl covered, collecting dirt that was difficult to get to for cleaning. Toilets need to be provided with toilet roll holders or dispensers and the use of communal hand towels must stop. Hand dryers have been installed, but the manager mentioned these were not the preference of most, so an assessment should take place to see if disposable paper towels would be better. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 The provision of formal supervision for staff needs improvement to ensure that every member of the team has a planned, documented opportunity to discuss events, concerns, and development of the home. EVIDENCE: The manager said that documented supervisions were not all they should be and that meetings were not planned in advance. There is a clearly effective open door policy in the home and staff have easy access to their friendly, approachable manager and team leaders, but this does not offer a formal opportunity to discuss issues that may not be easy to bring up. A requirement to review this situation and put in place a forward plan for such meetings has been made. In this forum, child and adult protection need to be discussed, and any concerns that have not been raised informally have the opportunity to be aired. A recommendation from the last inspection that new staff complete their inductions within appropriate timescales still needs improvement. Using the formal supervision route would enable the supervisor to offer regular, planned support to the staff member. Amendments to the Care Homes Regulations (1770) now make clear that, until a new staff member is fully inducted, they are restricted on the work they can do without supervision. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 The home is well run, with focus on service user development. Service users benefit from an ethos of responsibility and rights. The manager is well supported by his staff team ensure the right level of support is available to service users. Positive role modelling from staff, in respect of smoking, is an area that requires improvement. EVIDENCE: The manager is currently undertaking the NVQ 4 registered managers award. He has overall responsibility for the home and has an effective planning and reviewing system in place to enable staff to support service users as individuals. Service users said that they generally liked the staff, but had disagreements from time to time. They confirmed that the rules of the home were fair and that staff were respectful. There was a healthy, open relationship evident during the visit, with constant conversations and planning between staff and service users taking place. The downside to the relaxed, informal support was that it largely took place while staff and service users were smoking together. This is addressed earlier in the report, but the ethos must be inclusive to all, including non-smokers, who were standing on the The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 21 edge of the smoking group. Leadership within the team, from staff, requires positive role modelling. The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 N/A 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Hall Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score 3 2 x x x x x H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 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. Standard YA 19 and Sup. standards 19.6 & 7 YA 38 YA20 Regulation 12 (1,a, b; 5, a, b) 13 (4; c) Requirement Provide health promotion material in appropriate formats in relation to smoking. Review practice of staff smoking in the presence of service users and incorporate into the home’s policy in line with standard. In reference to the Royal Pharmceutical Society of Great Britain Guidelines; Cease storing medication belonging to staff in the service user medication cabinent. Secure the controlled drug cabinet to the wall. Fit suitable 5 lever lock onto door where medication is stored. All fire doors must be held open with a suitable holder that will automatically shut if required. These doors must not be held open with wedges. Mend the skirting under the kitchen sink. Provide toilet roll holders / dispensers. Discontinue the use of communal hand towels. Plan and implement regular 1:1 staff supervision, covering topics Timescale for action 01/08/05 2. 13 (2) 15/07/05 3. YA24 23 (4; c[i]) 15/07/05 4. 5. YA24 YA30 23 (2,b) 13 (3) 01/09/05 01/08/05 6. The Hall YA36 18 (1, a) 01/08/05 Page 24 H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 relating to the home and to child and adult protection issues. To be documented. (Previous recommendation from report dated 03/02/05) Ensure that new staff are supported to complete their induction training within the permitted timescales. 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 YA20 Good Practice Recommendations Ensure the controlled drug register is sequentially numbered with a start and finish number documented on the inside of the hard cover. Purchase up to date BNF medication journal. With service user input, make the bathrooms more homely. 2. YA27 The Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Hall H56-H05 S23574 The Hall V232883 270605 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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