Inspection on 11/12/08 for The Heathers

This inspection was carried out on 11th December 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Heathers 10/03/10

The Heathers 08/12/09

The Heathers 13/06/08

The Heathers 13/06/07

The Heathers 16/06/06

The Heathers 15/11/05

The Heathers 09/06/05

The Heathers 08/03/05

The Heathers 21/09/04

The Heathers 19/03/04

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St Anne`s Alcohol Services - Leeds

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Parkfield Rest Home

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Linwood Court

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Heathers 1 St Pauls Road Manningham Bradford West Yorkshire BD8 7LU     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stephen Marsh     Date: 1 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: The Heathers 1 St Pauls Road Manningham Bradford West Yorkshire BD8 7LU 01274541040 P/F01274541040 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Yorkshire Regency Health Care Ltd Name of registered manager (if applicable) Maraj Bibi Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence Additional conditions: The maximum number of service users who can be accommodated is: 29 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: Past or present alcohol dependence - Code A Date of last inspection Brief description of the care home The Heathers Residential Care Home is privately owned by Yorkshire Regency Health Care Limited, which also owns other care homes in the area. The home is a detached adapted property located close to Bradford City centre and within walking distances of Lister Park, local shops and other amenities. It is on a main bus route and there is a car park to the front of the property. Bedrooms accommodation is provided on the ground, first and second floors of the building. A passenger lift provides access to all Care Homes for Adults (18-65 years) Page 4 of 29 care home 29 Over 65 0 29 Brief description of the care home floors for people with mobility problems. In 2008 the home changed the category of people it is registered to care for and now only provides care and support to people who have past or present alcohol dependency. The fees for the service currently range from 495:00 pounds and 550:00 pounds per week depending on need. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is One Star. This means the people who use this service experience adequate quality outcomes. The home was last inspected in June 2008 and at that time the quality rating for the service was assessed as Zero Star. This means that the service was providing people with poor quality outcomes. In September 2008 we wrote to the registered providers expressing our concerns that the home had breached a number of regulations and requesting that they sent us an improvement plan indicating how and when the shortfalls in the service would be addressed. We also had a meeting with the providers in November 2008 to discuss our concerns. Care Homes for Adults (18-65 years) Page 6 of 29 This inspection was therefore to see if improvements to the service had been made in line with the improvement plan and how the improvements had benefited the people living at the home. The inspection process included looking at records, observing staff at work, talking to people living at the home and visitors, talking to staff and looking around the property. Before the visit we had provided some people living at the home, their relatives, staff and other health care professionals with survey questionnaires so that they could share their views of the service with us. We received three questionnaires back from people living at the home, two from staff and one from a health care professional. The information they provided has been used as evidence in the body of the report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Following the inspection visit in June 2008 Mr John Calver was appointed as manager. Mr Calver is a qualified nurse and has many years experience in the caring profession. Feedback was given to the provider and manager at the end of the visit. What the care home does well: What has improved since the last inspection? What they could do better: The ongoing programme of refurbishment must be continued to make sure that standards are maintained and improved and people live in a safe and comfortable environment. The registered providers and manager must continue to build on the work they have started and make sure the home is run affectively and in the best interest of the people living there. Care Homes for Adults (18-65 years) Page 8 of 29 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before admission and they can visit or stay for a trial period to make sure the home is right for them. Evidence: The home is currently reviewing the service user guide following the recent change in registration. Once completed the document will be made available to people considering moving into the home on a permanent or temporary basis. The manager confirmed that pre-admission assessment visits are always made to see people either in their own homes or temporary place of residence. Before admission people are encouraged to visit the home to meet the people who already live there and the staff. This means that staff can get to know the persons needs and the individual can see see at first hand the accommodation and facilities provided. People are also able to move into the home for a trial period if they are still undecided about living in a residential setting. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: People offered a place at the home are supported through the admission process and care is taken to make sure they settle into their new environment. The home will take emergency admissions, but only if a full needs assessment has been completed and the manager feels that the home can meet their needs. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements have been made in the care planning system however there is still a lot of work to be done before care plans are person centred and fully reflect peoples needs. Evidence: Care plans are now in place for all people living at the home and records show that where possible individuals are involved in the care planning process and in developing and reviewing their own plan. This means that people are involved in making decisions about how they would like their care and support to be provided. The care and support plans we looked at showed that improvements have been made to the plans since the last inspection visit. The new manager has started to involve the senior staff in the care planning and development process. While there is still work to be done to provide staff with the skills they need for this, it is a good start and will show benefits in the long term. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Risk assessments have been completed where areas of potential risks to peoples general health or welfare have been identified, such as managing challenging behaviour and they now give clear guidance to staff on how to meet the individuals needs. People continuing to drink alcohol while living at the home are put on a monitored drinking regime and agreements about the amount they drink on a daily basis were in place. The manager confirmed that the home has established good working relationships with other health care professionals working in the field of drug and alcohol dependency and seeks advice if people are not keeping to the agreement in place. Generally the standard of record keeping has improved although some of the daily record and reports need to be clearer and more informative. Just writing Personal hygiene is not too bad does not explain what is meant by this and what, if any, action needs to be taken. Our observations during the visit showed that the staff did seem to understand each person and their care and support needs. The interaction between people and staff was relaxed and friendly. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is now more pro-active in providing people with a range of social and leisure activities. Evidence: The home employ a part time activities co-ordinator who offers a variety of activities for people to get involved in. These include trips out to places of interest such as museums and garden centres. On the day after our visit some people were going to Leeds to see the Christmas lights. Other Christmas entertainment had been arranged including a party and a visit by children from a local school who were going to sing carols and play musical instruments. The co-ordinator has tried a number of other different types of activities, such as using the local sports centre and getting people interested in the courses at the nearby adult Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: education centre. The home also has a computer which some people like to use. Records are kept of the activities offered but they need to be more detailed and show what people have taken part in and enjoyed as well as when people choose not to take part. This will help to plan meaningful activities based on peoples interests. Feedback from people living at the home shows that the level of social and leisure activities has improved since the last inspection and we are aware that the manager is looking at ways of providing them with the opportunity to improve their personal and daily living skills. The manager confirmed that staff support people to maintain and meet their cultural and religious needs by encouraging them to attend religious services and by following their beliefs both within the home and the wider community. Mealtimes at the home are unhurried and people said they like the meals and thought they were very good. The meals are planned to include the wishes of the people who live at the home and to meet any special dietary needs. Drinks are available throughout the day. At lunchtime there is a choice of main course and dessert and the menus are flexible, to suit peoples preferences. There is always food available for staff to make a snack for people if they do not like what is on the menu. The cook said that she discusses the menus with people and makes changes to meet peoples preferences. She tries different dishes to see if people like them and everyone seemed to look forward to curry night. The cook was knowledgeable about peoples different dietary needs and makes sure that special diets are provided for those who need them. At present many of the people living at the home go into the main kitchen to make themselves drinks. Because of the way the kitchen is set up, they walk across the main working area to do this. This is a potential health and safety risk and also makes keeping the kitchen hygienic more difficult. A simple rearrangement of the freestanding work surfaces would mean that people could still make themselves drinks without going into the area where the cook is working. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs are met in a way that maintains their dignity and independence. Evidence: The manager confirmed that the daily routines of the home are flexible and based around the needs of the people living at the home. People spoken with said that they could generally plan their own day and restrictions were not placed on them unless they formed part of their agreed care and support plan. All people living at the home are registered with a general practitioner and are supported in having access to the full range of NHS services. The input of other health care professionals is clearly recorded in the documentation available, which shows that staff are seeking advice if they have any concerns about an individuals health care. Feedback from one health care professional confirms that the home is pro-active in seeking advice and that the staff generally do a good job in caring for a difficult client group who can at times be reluctant to comply with requests that affect their health Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: care. Through discussion with staff it was clear that they continue to have a good knowledge and understanding of peoples needs and encouraged them to take control of their own health care if possible. On reviewing the medication system we found that overall medicines are safely managed. At the present time no one at the home manages their own medication but the manager confirmed that risk assessments are carried out for all new admissions and people would be encouraged to manage their own medication if they had the capability. Since the last inspection the drug trolleys have been chained to the wall, a stock control systems has been implemented for PRN (as and when required) medication and a new controlled drug cabinet has been purchased and installed. People can therefore be confident that their medication is being stored and administered safely and in line with current legislation. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are now suitable systems in place to make sure that complaints are taken seriously and people are protected from abuse. Evidence: There is a clear complaints procedure in place and feedback from people living at the home shows that they would have no problems in approaching the manager and staff if they had any concerns. Adult protection (safeguarding) procedures are in place and information provided in the self-assessment form shows that 95 of care staff have attended a training course on the recognition and reporting of abuse. Concerns were raised at the last inspection that although many staff had attended safeguarding training they still lacked awareness of what actually constituted abuse, which put people at risk. However, on this visit it was apparent that staff were now more aware of their roles and responsibilities in this area of their work. Policies and procedures are in place to protect people from financial abuse, which precludes staff from being involved in the making of, or benefiting from peoples wills. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an ongoing programme of refurbishment and renewal to make sure that standards are maintained and improved. Evidence: Some ares of the home are still in need of upgrading and there is an ongoing programme of refurbishment and renewal in place. All the communal areas including lounges and the dining room are situated on the ground floor of the home, conveniently close to toilet facilities. Bedrooms are located on three floors of the home and consist of fifteen single and seven double rooms. Most of the bedrooms have an en suite toilet and wash basin and the twin rooms have dividing curtains, which are used when people need some privacy. Some people have tea and coffee making facilities in their bedrooms. In general much of the decor and furnishings are tired and well worn. We also found some of the bed linen to be rather worn and saw some sheets with holes in. However the home is gradually replacing some furniture and has bought new pillows and quilts. We were assured that the bed linen is also to be renewed. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: Communal bathrooms and toilets are located throughout the home. We found that the coating on one of the baths was badly marked and the toilet seat in the bathroom behind the office was in a very poor state. We also found that the carpet on one of the landings did not fit and even where it had been taped across a join, this had come away and was causing a tripping hazard. This matter was discussed with the manager who agreed that the area would be made safe. The providers are creating a small independent living unit on the top floor of the home, which will be used to assess and improve peoples daily living skills with a view to them possibly being integrated back in to the community. The home is also in the process of building a conservatory, which will provide access from the dining room to the rear of the building. This should stop people walking through the kitchen to get outside. There is a large tarmac area to the rear of the home with some pot plants. Because this is where the builders are working on the conservatory there is inevitably some mess. However, there is also a lot of mess that seems to have been there for a long time. As this is really the only place that people have to sit outside, it needs to be made more attractive and the large, commercial rubbish bins could be hidden behind some screening. On the day of the visit the home was clean and there were no unpleasant odours. However, the laundry floor needs to be sealed to make it impermeable, in order to help prevent the spread of infection. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment and selection procedure is now thorough and staff are being supported in developing the skills and knowledge they need to care for people properly. Evidence: Recruitment and selection procedures are in place, which include checking the Protection of Vulnerable Adults (POVA) register and obtaining at least two written references and a Criminal Record Bureau (CRB) check before new staff start work. We looked at the employment file for two recently appointed staff and found that the recruitment process had generally been thorough although a more rigorous exploration of their work and educational history would have been beneficial. The manager confirmed that all new staff receive induction training using the Skills for Care Common Induction Standards. These are nationally agreed induction standards designed to help new staff get the skills and knowledge they need to care for people. Following induction training there is an expectation that staff will study for a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: At the last inspection staff training records could not be found and concerns were raised about the level of training made available to staff. However, since being appointed the manager has carried out a training audit and more emphasis has been placed on providing the staff with the skills and knowledge they need to carry out their roles effectively. To achieve this the manager is currently in the process of introducing training and personal development plans for every member of staff. We asked the manager to provide us with a training programme for 2009 and to inform us when training had been completed to evidence the homes renewed commitment to training. No formal one-to-one staff supervision has taken place since the new manager has been appointed due to him having to priorities his workload. However it is anticipated that all staff will receive supervision on a regular basis and an annual appraisal of their work starting in early 2009. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the necessary experience and qualifications to manage the home effectively and in the best interests of the people who live there. Evidence: Since the last inspection Mr John Calver has been appointed to the post of manager and is in the process of applying for registration. Mr Calver is a qualified nurse and has many years experience in the caring profession. Since taking up post the manager has started to address many of the concerns raised in the last inspection report and identified where further improvements to the service need to be made. Staff confirmed that the manager has an open and approachable management style and has moved the service forward in the short time he had been in post. Concerns raised in the last inspection report about the management of the service have therefore in many respects been addressed although a great deal more work Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: needs to be done before the home is managed effectively. It is also important that the registered providers work with the manager to improve standards and makes sure the home is being run in the best interest of the people living there. The manager has started to introduce quality assurance monitoring systems and confirmed that survey will be sent out to people who live at the home, their relatives and visiting health care professionals early in 2009. The questionnaires will give people the opportunity to express their views and opinions of the service and should provide valuable information on what improvements they would like to see. The manager also intends to have regular meetings with people living at the home and staff so that shortfalls in the service are identified quickly and people do not lose confidence in the management team. Information provided in the self-assessment form shows that all policies and procedures in place are being reviewed to make sure they meet current legislation and all equipment in use at the home is serviced in line with the manufacturers guidelines. People living at the home can therefore be confident that their health and safety is not being compromised. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 Care plans must give clear guidance to staff on how peoples needs are to be met. So that they receive the level of care and support they require. 27/02/2009 2 35 18 A staff training programme for 2009 must be provided. So that we can be confident that people are being supported by trained and skilled staff. 27/02/2009 3 36 18 Formal staff supervision and appraisals must commence. So that staff receive the support they need to carry out their roles effectively. 27/02/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 29 1 24 The standard of decor and furnishings should be improved, so that people live in a pleasant and comfortable environment. Effective quality assurance monitoring systems should be put in place so that shortfalls in the service are identified sooner and people can be confident that the home is run in their best interest. 2 39 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 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. 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!