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Inspection on 20/07/05 for The Watery Lane Project

Also see our care home review for The Watery Lane Project for more information

This inspection was carried out on 20th July 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The manager and his team advocate well on behalf of the service users, ensuring that each person is enabled to lead a fulfilling lifestyle, which maximizes their full potential. Service user meetings are arranged, when individuals have an opportunity to comment on the environment, holidays and any other aspect of daily life at Watery Lane. Relevant documentation has been developed in a suitable format for the one person who has the ability to understand the contents, this relates to his care plan, which is produced in Braille, and Statement of Purpose. In due course this same service user will be offered the opportunity to participate in some way in the recruitment process. The team at Watery Lane work within a multidisciplinary framework, seeking advice from other professionals when necessary to ensure service user health and social care needs are met. Record keeping is of a high standard and case files are well maintained.

What has improved since the last inspection?

Watery Lane has always been a home which aspires to good practice, and therefore no major improvements have been anticipated. The manager consistently works towards meeting the National Minimum Standards, and just recently has developed a quality assurance-monitoring tool for future use.

CARE HOME ADULTS 18-65 The Watery Lane Project RNID Poolemead Centre Watery Lane Twerton Bath BA2 1RN Lead Inspector Gillian Underhill Unannounced 20 July 2005 09:30 th 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 Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Watery Lane Project Address RNID Poolemead Centre Watery Lane Twerton Bath BA2 1RN 0207 296 8000 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) RNID Mr Nicholas Foskett PC Care home 3 Category(ies) of SI Sensory Impairment (3) registration, with number of places The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 3 people of either gender with dual sensory impairment aged 18-64 who require personal care only. Date of last inspection 8-Mar-2005 Brief Description of the Service: Watery Lane was established in the Summer of 2003 and accommodates three people with dual sensory loss impairment, aged 18- 64, who require personal care and intensive stafing support.The building, which is situated on the main Poolmead RNID Poolmead site, is on one level with en-suite bathrooms with specialist baths and showers, which enables service users to maintain and maximize their .There is a large spacious open plan room, which is designed for easy access and movement into the living area,dining room, and kitchen.The hallway has support rails,which enable service users to access different sections of the home independantly.Externally there is a ramp with support rails on both sides,which lead to a spacious, enclosed garden and patio area,which has been raised to enable service users to grow their ownvegetables and flowers.There are many features around the home of a therapeutic and tactile nature,which offer stimulation and a positive enviornment for service users. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection, which was completed in one day, five staff were consulted, three service users observed, documents were read and care practices observed. The home was clean and welcoming, and rails have recently been installed to the front and rear of the building in order to aid service users mobility. Staff were confident and articulated their views regarding the delivery of care and support to the service users very well. Service users all looked settled and happily carried out their designated tasks and responsibilities under the guidance and support of staff. The manager is forward thinking and positive, and any requirements made in the past have always been swiftly complied with, within the agreed time scales. What the service does well: The manager and his team advocate well on behalf of the service users, ensuring that each person is enabled to lead a fulfilling lifestyle, which maximizes their full potential. Service user meetings are arranged, when individuals have an opportunity to comment on the environment, holidays and any other aspect of daily life at Watery Lane. Relevant documentation has been developed in a suitable format for the one person who has the ability to understand the contents, this relates to his care plan, which is produced in Braille, and Statement of Purpose. In due course this same service user will be offered the opportunity to participate in some way in the recruitment process. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 6 The team at Watery Lane work within a multidisciplinary framework, seeking advice from other professionals when necessary to ensure service user health and social care needs are met. Record keeping is of a high standard and case files are well maintained. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 5 The Statement of Purpose is in line with requirements and is accessible to service users, and others involved in their care. No new admissions to the home have been made; therefore those standards, which relate to assessment and admission, have not been assessed. Although there are service users contracts they are not given to the home by the RNID: this must happen so the manager knows what is expected contractually. EVIDENCE: The home’s Statement of Purpose has been reviewed and updated, and now contains all information as outlined in the National Minimum Standards, and as required in the previous inspection report. The documentation is well presented, and includes photographs of the home, garden, and communal areas. The document has been forwarded to the RNID’s transcript centre to be developed in Braille. Contracts have been exchanged by the RNID, with service users or their relatives, but this does not apply to the contract between the funding agency and the RNID. This must happen so the manager knows what is expected contractually. This is an outstanding requirement from previous inspections. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,&10 Care plans reflect the service users needs and objectives. Service users are able to make decisions about their lives with the required support and guidance of staff. Any limitation on choice must be fully recorded in care plans and shared with the relevant funding agency. Service users are fully supported to take risks as part of an independent lifestyle. All information on service users is handled appropriate, and staff are fully aware of the need to ensure that confidences are kept. EVIDENCE: The care plan for one service user was examined, and was found to be in line with requirements and recommended good practice. The manager was previously required to include the service users housekeeping responsibilities in individual care plans, which has since been actioned in full. Money management and consent to medication has also been included. The care plan for one person has been developed in Braille; two other service users would not understand the content of their care plan in any format. Six monthly reviews are carried out and outcomes documented. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 10 House meetings are held with service users, to discuss all sorts of issues, like holidays, new equipment, work routines and meals etc. Support and tuition is offered in money management, and details of this have been recorded into individual care plans. Two support workers felt that one service user is strongly encouraged to retire to bed at 9.30pm, which is the time that the waking day staff go off duty and the ‘sleeping in’ night cover arrangement begin. On discussing this with the manager, there does appear to be somewhat of a dilemma, inasmuch as if this service user decides not to retire to bed at 9.30pm, he will not be directly supervised, which does seem to worry some support workers. Each person resident in the home is offered, and encouraged to participate in the day to day running of the home, but at this point none are able to offer any representation in management structures, or policy groups etc. The manager is working towards the development of relevant document in appropriate formats for the one service user who has the communication skill to understand the content. Because service users are fully involved in daily activities within the home, hazards and risks are ever present, therefore generic and individual risk assessments have been developed, and are regularly reviewed. A missing persons procedure has been developed. The manager said that two service users would not comprehend issues of confidentiality, but one service user has been told that records on his welfare are kept. Each person employed in the home has signed the policy on confidentiality, and all records are accurate and stored securely. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,14 &16 Service users have opportunities to maintain and develop independent living skills, and are also able to have access to, and choose from a wide range of leisure activities and pursuits. The home Statement of Purpose identifies how independence will be promoted, and from evidence gathered during the inspection this aspect of care has been fully embraced by the staff team. The RNID policy on smoking needs to be ‘home specific’, and must outline clearly that non-smokers will not become passive smokers inadvertently. EVIDENCE: Each service user attends daily Educational Development Studies. One person works in a coffee shop, as part of his life skills process. Other studies which service users participate in are music, art, woodwork and horse riding sessions. Meetings are held with service users to discover what trips and holidays they would like to be arranged. In October two service users are going to Minorca. A The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 12 few weeks ago all three service users when to the Tank Museum, and later in the year they are going to the Motor Show with staff. The daily routines in the home fully promotes independence and choice. Privacy is fully respected, and this was directly observed during the inspection process. One service user has a Countdown Symbol Calendar to assist him to recall important dates and events. Mail sent to the service user is opened by them with the help of the keyworker. All three-service users have fob keys to the front door and their bedroom. Two people have full access to the surrounding grounds, and the other service user do so with the support of staff. Service users responsibility for housekeeping tasks have been fully recorded into their care plan. There are rules on smoking, and an RNID policy has been developed for this purpose. None of the service users smoke, but on the day of the inspection staff who smoked outside of the home, did not always close the door, which meant that service users and others inadvertently inhaled cigarette smoke. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 21 The manager needs to talk to relatives about the service users longer term health care needs, and confirm, if possible whether service users will be able to remain in the home when they grow older and/or if they require nursing care. This information should then be recorded into the persons care plan and be reviewed 6 monthly. If more staff were to receive training on bereavement then they whole team would feel confident when dealing with the illness and death of a service user. EVIDENCE: The service users longer-term needs are reviewed 6 monthly within a multidisciplinary arena, but the manager said that discussions have not taken place with their relatives regarding whether or not they will be able to remain in the home if they require nursing care, or, as they grow older. A small number of staff have received bereavement training, and the home has a Death and Dying policy, dated October 2002.This policy states that all employees will be provided with guidance on issues relating to a service users death, whilst maintaining good practice in the home. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 14 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) 22 & 23 Although no complaints have been made by service users and/or their relatives, the policy and procedure in place would be supportive in such an event. Together with the home’s information and processes, including staff training on the Protection of Vulnerable Adults, service users are protected from abuse, neglect and self-harm. EVIDENCE: There is a complaints procedure in place, which contains all relevant details and has been provided in English and Braille. There have been no recorded complaints since the last inspection, and staff are very aware of the complaints process and of the action they should take if a complaint is made while they are on duty. All staff have received training on the Protection of Vulnerable Adults, and staff said they have read and signed the homes policy on this issue. Each staff member had received a police check through the Criminal Records Bureau, and the manager has created an up to date log of names and serial numbers of all returned checks, which have been signed by the inspector. The manager said he is still trying to access the Adult Protection procedure from 2 funding agencies, and contact has been made again to ensure this information is provided. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 15 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) 24,25,26,28,29 &30 Service users live in a homely, comfortable and safe environment and have been provided with a single bedroom, which meets their individual needs and lifestyle. Fittings and fixtures are of a good quality, and specialist equipment has been provided to maximize their independence. The home is clean and hygienic. Outdoor space, along with the newly established vegetable garden has provided service users with a new interest and increased opportunities for an extra hobby. EVIDENCE: The home is clean, bright and very comfortable, and bedroom and communal space is in line with requirements. Only one person uses a wheel chair, but the building is accessible for this mobility aid, with door width in excess of 800mm. Service users have access to local amenities and local transport. There is a maintenance programme in place, and the manager has plans to purchase new chairs, lockers for staff, new fridge and storage cupboards. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 16 Each of the service users bedrooms has been arranged to specifically meet their individual needs and lifestyle. One service user has a sensory corner in his bedroom and really enjoys spending his time there. Each bedroom is lockable, and furniture and soft furnishings are of good quality. Recently an O.T referral was made for an assessment for support rails for one service user in order to assist in maintaining his mobility. Outdoor space is ample, and the surrounding garden contains a patio and a newly developed vegetable plot. The communal space for meals and for relaxing has been designed specifically for people with sensory loss. There is equipment in place to maximize service users mobility and independence, and this consists of flashing lights, and a buzzer call system, lower light switches, tactile symbols and textile surfaces, flashing fire alarm system, bed vibrators, and support rails front and rear of the house. No hoists are currently neither used, nor magnetic door closures. A washing machine is in the kitchen, and a wash hand basin has been provided for infection control. The inspector has always been of the opinion that facilities for washing laundry are not ideally situated in the kitchen, but acknowledges that space is of a premium and staff are aware of the measures they need to take to ensure infection control. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 17 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) 33 & 36 Service users are fully supported by an effective staff team, with knowledge and experience of the service users needs. Service users benefit from a well supported and supervised staff team. Team meetings, which are usually weekly and involve staff working that shift. Whole team meetings are held throughout the year. The low staff turnover and sickness level ensures continuity of care and support to service users. EVIDENCE: There is a key worker system in place, and a ratio of staff and skill mix to meet the current needs of the service users. The staff team consists of 5 full time support workers, 4 part time, 1 senior support worker, 1 Deputy, and 1 manager. This provides 1-1 care, 7 days a week, with additional 5 mid shifts Monday to Friday for service users who require it. There is 24-hour on- call support and also evening cover. A minimum of 3 support workers provide service user care throughout each shift. There is a low staff turnover, and sick leave, which allows for continuity of care. There is one part time vacancy for a support worker, which has been advertised, and a strong team of 5 support workers. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 18 Staff who are left in charge of the home are at least age 21. Regular weekly team meetings take place, with the last recorded date being the 18th July 05. Although supervision dates were not examined, staff confirmed that they have regular 1-1 supervision. Annual appraisals have taken place with agreed outcomes on file. One relief support worker at the home recently won the student employee of the year award from Bath Spa University College. This award recognises the importance of part time work experience for the future employability of students, as well as the valuable contribution these students have made to key local employers. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 19 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) 37,38,39 ,40 &42 The manager is qualified and competent to run Watery Lane, and meet its statement of purpose, aims & objectives. The management style is productive and staff said they receive good support from the senior management team. Staff may benefit from Equal Opportunity training. The manager has developed quality assurance monitoring questionnaires, and this initiave is commended Written policies and procedures comply with topics as set out in Appendix 3 of the National Minimum Standards, but should be signed and dated by the manager. Some policies relevant to service users will be developed in Braille. The Health & Safety of service users is promoted, but fire training needs to be regularised and recorded. A written statement of the home’s arrangements for maintaining safe work practice would assist staff to clarify details of working within a safe environment EVIDENCE: The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 20 The registered manager has completed NVQ to level 4,and hopes to complete the Registered Managers award within the next 3 months. He also undertakes periodic training to maintain his knowledge and update his skills and level of competence. The management approach is open and positive, with a clear sense of direction and leadership. Staff say their views are listened to, and that they are well supported by the manager. Staff have not undertaken Equal Opportunity training to date. The manager has developed questionnaires, based on seeking the views of service users, relatives and other professionals. There are other systems in place to measure the success in achieving the aims, objectives and statement of purpose of the home. The results of the quality assurance and monitoring systems will in due course be feed into the RNID’s data base and will be made available to service users, their representatives, and other interested parities. There are policies and procedures in place, which comply with legalisation. A number of documents have been developed into ‘home specific’ policies which staff have read and signed. The complaints procedure is in Braille and English, and staff are aware of the contents. The homes operational plan has been dated 2004 to 2005. Policies and procedures have not been signed and dated by the manager. Only one service user has the ability to understand the contents of some relevant policies, and to this end the manager is working towards to development of such documentation in a suitable format. The manager ensures as far as possible the health and safety of service users and staff. The last date of the hot water/heating system was recorded on the 6/7/05,maintenance of electrical equipment 10/12/04 and fire extinguishers 11/7/05.All staff have completed basic food hygiene training, the same applies to first aid. Manual handling has been completed by 13 staff, with 4 staff to complete in due course. A risk assessment on safe working practice has been completed. The fire log was in good order, with fire drills carried out on a regular basis and in line with requirements. The records for fire training were not up to date. The last Fire Officers visit was carried out on the 8th August 03.All other fire safety checks had been carried out as recommended by Avon Fire Brigade. A written statement on the homes arrangements for maintaining a safe work practice has not been developed. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 21 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 3 x x x 1 Standard No 22 23 ENVIRONMENT Score 3 3 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 3 3 3 x 3 3 3 Standard No 11 12 13 14 15 16 17 3 x x 3 x 3 x Standard No 31 32 33 34 35 36 Score x x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Watery Lane Project Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 x D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 22 yes 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. 2. 3. Standard 5 42 42 Regulation 5 13 13 Requirement Manager to be supplied with service users contract between funding agency and RNID Regular fire training to be provided to staff Written statement on the homes arrangements for maintaining safe working practice to be developed. Timescale for action From 20/7/05 From 20/7/05 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 6 40 21 35 Good Practice Recommendations Any restrictions to choice to be recorded into service users care plan Smoking policy to be amended to home specific policy Long term health care needs of service users to be discussed at reviews. Equal opportunities training for staff to be considered. The Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 23 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG 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 Watery Lane Project D56_D05_S49993_WateryLane_V236741_200705_Stage4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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