Inspection on 19/07/06 for The Pines

This inspection was carried out on 19th July 2006.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 17 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Pines 27/04/07

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Flint Cottages 2 Flint Cottages, Culford Road Fornham St Martin Suffolk IP28 6TN Lead Inspector Claire Hutton Key Unannounced Inspection 19th July 2006 10:50 Flint Cottages DS0000067369.V305150.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 Flint Cottages DS0000067369.V305150.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. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Flint Cottages Address 2 Flint Cottages, Culford Road Fornham St Martin Suffolk IP28 6TN 01284 705062 01284 705062 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) Caring Homes Limited Matthew Philip Dale Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 3rd January 2005 Brief Description of the Service: Flint Cottages is set in a rural position in a small village outside Bury St Edmunds. It comprises of two buildings: Pines House and Pines House Annex. Pines House provides purpose built ground floor accommodation for 6 residents in single bedrooms, one of which has en suite facilities. Communal space comprises of an open plan sitting and dining area. The first floor provides private accommodation for the Senior Residential Carer. The Annex is attached to Pines house and had an interconnecting door, however, this is rarely used and the two facilities are viewed as separate homes. The Annex caters for residents who were relatively independent and provides four single bedrooms all with ensuite. Communal space is a lounge/diner and a large gallery kitchen. The garden is well kept and mainly lawn with a mixture of mature and newly planted trees, flower beds and patio areas next to the buildings. There is ample parking for staff and visitors, to the front of the Annex. Fees for this home currently range from £515 to £675. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that focused upon the core standards relating to Adults (18 – 65). It took place on two occasions. The first, a weekday between the hours of 10.50am and 4.30pm and a second visit on Friday 21st July at 4.40pm. The process included a tour of the building, discussions with residents and staff, talking to visitors, observations of staff and service user interaction, and the examination of a number of documents including residents care plans, medication records, the staff rota, recruitment, training records and records relating to health and safety. The report has been written using accumulated evidence gathered before and during the inspection. Seven completed comment cards were received back from relatives/visitors and five completed surveys were received back on behalf of the residents. Throughout the day the inspector met most of the residents, most of whom were able to express themselves and talk about what it was like to live at Flint Cottages. On both visits to the home the sole member of staff on duty was the manager. Since the last inspection the home has been sold and bought by a company called Caring Homes Limited. The previous deputy manager has now become the registered manager for the home. What the service does well: What has improved since the last inspection? At the last inspection four requirements were made of the service. Three of these have been actioned and with the fourth progress had been made. All staff employed now had the appropriate training to administer medication. Staff had received refresher training in first aid and food hygiene. In relation to an effective quality assurance, the home had developed a residents satisfaction questionnaire, but this had yet to be used. Regular Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 6 residents meetings are planned and the new owner was said to have undertaken an unannounced quality monitoring visits to the home in the way of regulation 26 visits. The registered manager has completed his NVQ 4 and registered managers award. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 and 5 Quality in this outcome area is poor. Whilst people who use this service can expect to have their needs and aspirations assessed. They are not currently provided with information such as a contract or have terms and conditions. Current important information about this service is not available. EVIDENCE: In terms of information available to prospective residents the expectation is that an up-to-date Statement of Purpose would be available along with a Service Users Guide. Neither of these were available to view at the home. The manager explained that a prospective resident for the home was currently in the process of getting to know more about the home and the home assessing them. Written information for the prospective resident and their family had been given in the form of a ‘service users accord’ developed by the previous owners. The prospective resident and their representatives had visited the home for a meal and then an overnight stay. During this time the manager explained that the home were gathering information and completing an assessment to decide whether they could meet the needs of the individual. This was also a time to decide upon compatibility with the existing residents. Information had also been obtained from the placing social worker. The next stage would be a three-month trial. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 10 On the first day of this inspection two social workers were visiting. They were there to reassess the needs of the resident group. This was a follow up to a previous assessment that was conducted approximately a year ago. A report of the assessment would be given to the home. Records relating to four current residents were examined. The local authority had placed each person at the home. Evidence of these contracts were not available for inspection, and therefore not available for the residents or their representatives to examine. Terms and conditions were issued some years ago and were in the name of the previous owners. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 11 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. People who use this service can expect that their needs, choices and decisions will be known, recognised and respected by staff, whilst taking account of assessed risks. EVIDENCE: Since the last inspection the manager of the home has been developing the care plans for residents. These contain a photograph. Those examined had six areas of care support highlighted that gave specific instruction to staff on how to support individuals. These included areas such as personal hygiene, mobility, diet and daily routine. There was evidence of reviewed of certain elements and risk assessments were part of the plans. Risk assessments varied but were mainly around balancing independence to promote individuals development, but offering a level of support for protection. Daily statements, feedback from surveys and observation on the day all confirmed that residents were able to make decisions about their daily lives and were offered appropriate support to make decisions. In relation to individuals decisions on what to spent their money on there are no concerns, but the process of keeping this safe and protected is discussed further in standard 23. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected 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. People who use this service can expect to maintain appropriate and fulfilling lifestyles in and outside the home and to decide upon their dietary needs for themselves as far as possible. EVIDENCE: Upon arriving at Flint Cottages only three residents were at home, usually it would have been one resident on that day, but two people were at home to participate in their review with a social worker. The remainder of residents were out at varying day services or work. From examining the four care plans and records the opportunities provided to residents is very good. Each person had an individual weekly planner that set out individual plans. These opportunities included all the differing day services available to people with a learning disability such as the community resource units, Nowton Park, Wood ‘n’ stuff, as well as work opportunities for some in local charity shops. Social and personal development opportunities were available by accessing clubs such as the Causeway, information bar, free way, gateway, befrienders club and a cinema club. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 13 One resident spoken with showed me their individual photograph album that contained photos of family, friends and holidays. One resident was looking forward to their night out and another spoke about a lovely meal they had had at a local pub. Seven comment cards were received back from relatives/visitors. All these were positive in relation to being welcomed at the home any time, being able to visit in private and being kept appropriately informed about their relative/friend. One resident spoke about visits from family very fondly and had photographs of relatives in their room. The Social Workers spoken with were pleased to see a more progressive stance being developed at the home with regard to residents developing personal relationships and how that could be supported by the home. Observation of interaction and approach by staff demonstrated that residents privacy dignity and rights are respected. Residents were given autonomy and control in may respects. Lunch on that day was bacon sandwiches. These were prepared quite independently by one resident for the other residents. Alternative choices of meal were made and given to residents. Cake and fruit were also available. The housekeeping and menus are decided by the residents, with one resident taking it in turns to go to the local supermarket for the weeks groceries. The cash and budget made available seems appropriate. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. People who use this service can expect support in a way they prefer and that medication is generally well managed, but further developments will ensure complete protection. EVIDENCE: Residents were spoken to in relation to the support they were given by staff. One resident said ‘yes staff are nice’. Another resident said the staff were ‘good’. Six completed surveys were returned on behalf of the residents. Five said they always received the care and support they needed. All six said that staff were available when they needed them. The home keeps a daily record of care given to each resident. The manager explained that the majority of support for residents is required in a morning and this can be a busy time. This was when two staff were needed. All residents are registered with a GP and the homes records and also speaking to staff demonstrate that they monitor any health needs and refer to the appropriate services. The home have a monitored dosage system for medication. All medication is kept secure, with the keys held by the senior person on duty. One persons medication was audited as a sample and found to be in good order. One resident who self medicates had a risk assessment in place for this. A list of Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 15 staff signatures and initials were not available to identify who administered what medication, if the need arose. Medication policy and procedures were requested. The home did not have a procedure for how staff administer medication. The manager agreed to write out a procedure for administration of medication for staff to follow. The manager confirmed that the one staff member who required medication training had received this. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. Residents cannot be assured that they are entirely safeguarded in relation to complaints being handled appropriately, but as far as is practicable they are safeguarded from abuse or harm. EVIDENCE: All six of the returned residents surveys say that staff listen and act upon what residents say. From the surveys returned four relatives/visitors were aware of how to make a complaint, but three were not. The manager stated that the home did have a complaints procedure and he would ensure this was displayed within the home. A request was made to examine the records of complaints received; however one was not available. The Commission was aware of a complaint raised by a social worker and enquired about this being received and investigated at the home. This had been received, but not logged nor responded to. The manager agreed to action the matter, which related to a concern about residents in Pines Annex not having access to a telephone nor staff at night as the sleep in person was in another house. In relation to protection of vulnerable adults the home had a copy of the revised local procedure developed by the local authority. Leaflets had been given to staff and a video that accompanied this for staff to view. The manager explained that this was also part of the staff formal induction process for staff that led to NVQ. The manager confirmed that all current staff had a criminal records bureau check undertaken (these had previously been seen at inspection) and had recently applied for a check to be done on a new staff yet to be recruited. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 17 In relation to residents finances the manager explained that as he had come into post he was in the process of becoming the appointee for all residents and was to be the sole signatory on their building society accounts. This whole area of residents finances must be reviewed by the organisation, a policy and procedure developed to safeguard primarily residents, but also staff who should not act as an agent where possible. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 18 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, 25, 27 and 30 Quality in this outcome area is good. Residents can expect to live in a clean and comfortable environment. Furthermore, they can expect to have a room of their own that reflects their needs and interests. EVIDENCE: Communal areas in Pines House and Pines Annex were visited and two residents chose to show their bedroom. Both houses are known to have adequate space and facilities to meet the needs of the residents. The building and grounds are all of good quality and are maintained throughout. One point that was made to the manager was that seals on the bath and kitchen sink in Pines House need replacing. All areas seen were exceptionally clean. The resident who chose to show their bedroom was happy with their room and said it was comfortable. There were personal possessions like family photographs on the wall. Individual radiator controls were now installed throughout the home. Water temperatures of a bath and a shower were taken and these were close to 43°c as required. Flint Cottages DS0000067369.V305150.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, 33, 34 and 35 Quality in this outcome area is poor. People who use this service will not currently find staff who are appropriately recruited, trained and in sufficient numbers to support a smooth running of the service. EVIDENCE: From discussions with the manager and examination of the roster evidence showed that the home currently employed only two care staff. In order that the home could function the manager was working the majority of his hours and overtime as a carer. This situation should have been avoided and was predictable and was one of the reasons the commission visited the home at this time. The manager explained that he had started recruiting new staff, but upon examination of these records the recruitment checks and processes were poor. A request was made to examine the organisation policy and procedure he was following for recruitment. This was not available and therefore the manager had been attempting to resolve matters such as application forms and reference requests for himself. A request was made for the files of staff currently employed to examine training and supervision records. Staff files had been removed from the premises on 4th July 2006 and had not been returned. The manager confirmed that no care staff currently employed held an NVQ qualification, but one person he intended to recruit did have NVQ 2. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 20 An immediate requirement was left with the home to assess the care needs of the residents and then to provide staffing levels to meet these needs. The requirement also requested evidence in the form of rosters for the coming weeks when the manager was due to go on annual leave. Assurances and rosters showing additional staffing were provided within the tight timescale of twenty-four hours. The manager later provided evidence of assessed needs. Flint Cottages DS0000067369.V305150.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, 41 and 42 Quality in this outcome area is poor. Overall the organisational management and administration of this home is very weak, offering poor support to a newly appointed manager and significantly putting at risk the well being and safety of residents. EVIDENCE: Since the last inspection Mr Mathew Dale has become the registered manager for the home. He has the appropriate qualification of NVQ 4 and registered managers award. He is awaiting his certificate and agreed to send a copy to the Commission once it has arrived. At the time of the inspection the manager was working hard to maintain staffing levels and most if not all his management time was being used as care hours. The support from the new organisation was not in evidence at this early stage of ownership of the home. There are a number of records required by regulation that were either not available or not updated. Throughout this report reference has been made to them and they make up the majority of the requirements in this report. The lack of time dedicated to managing the home Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 22 has impacted upon the development of these records. This has come at a particular time when both the manager and organisation are new and therefore records and procedures need to be reviewed and amended and put in place. The social workers spoken with during inspection felt optimistic about the new manager and expected a good working relationship to develop. The manager explained that the home had received one regulation 26 visit in June from the organisation. This is a monthly unannounced visit to the home to monitor standards and care provided. The outcome is a report, a copy of which should be at the home and one sent to the commission. One was not available at the home and the commission still await a copy. In relation to quality assurance and self monitoring the manager explained that the home had developed a satisfaction questionnaire, but had yet to use this. Residents meetings were planned to be held once a month. Matters relating to health and safety and servicing of equipment were discussed and evidence examined. Two issues were brought to the managers attention the first being the lack of a gas safety certificate and the second the lack of recording fridge and freezer temperatures. Staff were said to have recently completed their basic food hygiene certificate on which this item is covered. Flint Cottages DS0000067369.V305150.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 1 2 3 3 X 4 3 5 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 1 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 1 33 1 34 1 35 1 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 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 2 X 1 2 X Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 4 and 5 Requirement Timescale for action 15/09/06 2. YA5 5 (3) 3. 4. YA20 YA22 13.2, 13.4 4, 5, 22 and 17 (2) schedule 4 The registered person must produce an up to date statement of purpose setting out the aims, objectives and philosophy of the home, its services and facilities and terms and conditions; and provides each service user with a service users guide to the home. The registered manager 15/09/06 develops and agrees with each prospective service user a written and costed contract/statement of terms and conditions between the home and the service user/or their representative. Where the local authority has placed a resident the registered person must supply a copy of the agreement to the resident and/or their representative specifying the arrangements made. A procedure for administration 15/09/06 of medication must be developed for staff to follow. All complaints must be taken 15/09/06 seriously and responded too in line with the homes complaints procedure in terms of DS0000067369.V305150.R01.S.doc Version 5.2 Flint Cottages Page 25 5. YA22 6. YA23 7. YA23 8. 9. YA24 YA32 10. YA33 11. YA34 acknowledgement, timescale and investigation. 4 5 22 The home must keep a record of 17(2) Sch all complaints received about 4 the operation of the care home and the action taken by the home in respect of any such complaint. 20(3) The registered person must ensure as far as practicable that they do not act as the agent for service users. 20(3) A policy and procedure on dealing with residents finances must be developed and implemented. 23(2)(b) In Pines House the seal around the bath and the kitchen sink must be replaced. 18(1)(a) Staff must have the competencies and qualities required to meet service users’ needs and achieve Sector Skills Council workforce strategy targets within the required timescales. 18(1)(a)(b) The home must have an effective staff team with sufficient numbers and complementary skills to support service users’ assessed needs at all times. Staff numbers/hours relating to the needs of service users are to be based on guidance recommended by the Department of Health. 19(1) The registered person must operate a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. The organisations policy and procedure must be available for inspection. The registered person ensures that there is a staff training and development programme which DS0000067369.V305150.R01.S.doc 15/09/06 15/09/06 15/09/06 15/09/06 15/09/06 15/09/06 15/09/06 12 YA35 18(1)(c) 15/09/06 Flint Cottages Version 5.2 Page 26 13. YA37 14 YA39 15 YA39 16 YA41 17 YA42 meets the Sector Skills Council workforce training targets and ensures staff fulfil the aims the aims of the home and meet the changing needs of service users’. 10(1) The registered manager must 18(1)(a) be given support by the organisation to meet his responsibilities in running the home and meet its stated purpose, aims and objectives. This includes ensuring he has sufficient dedicated management time. 24(1)(2)(3) There must be an effective quality assurance and quality monitoring system in place, based on seeking the views of service users, to measure success in achieving the aims, objectives and statement of purpose of the home. This is a repeat requirement from 04/01/06. 26 There must also be regular regulation 26 visits to the home and a copy sent to the Commission and a copy retained at the home. 17(2)(3) Records required by regulation for the protection of service users and for the effective and efficient running of the business must be maintained, up to date and accurate. 13(4) The register manager must 23(2)(b)(c) ensure so far as is reasonably practicable the health, safety and welfare of service users and staff. Therefore a currently gas safety certificate must be obtained and the fridge and freezer temperatures regularly checked. 15/09/06 15/09/06 15/09/06 15/09/06 15/09/06 Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations A record should be kept of staff initials and signatures to help identify by whom medicines have been administered. Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Flint Cottages DS0000067369.V305150.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!