Inspection on 09/05/06 for Third Row 19

This inspection was carried out on 9th May 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 no outstanding requirements from the previous inspection report, but made 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Third Row 19 28/06/07

Third Row 19 27/01/06

Third Row 19 07/11/05

Third Row 19 19/03/05

Third Row 19 19/01/05

Third Row 19 16/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Third Row 19 19 Third Row Linton Morpeth Northumberland NE61 5SB Lead Inspector Carole McKay Key Unannounced Inspection 9th and 22nd June 2006 09:30 Third Row 19 DS0000035930.V290680.R02.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 Third Row 19 DS0000035930.V290680.R02.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. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Third Row 19 Address 19 Third Row Linton Morpeth Northumberland NE61 5SB 01670 862893 01670 862342 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Thomas Cole Mrs Delia Cole Mrs Lynn Walton Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th January 2006 Brief Description of the Service: Linton is a small village situated in a rural ex coal mining area of Northumberland. The village is a small close-knit community comprising rows of attractive terrace houses. The village has a small shop, which is run by the local community as a co-operative, and a local pub. 19 Third Row is a small terraced house with a garden to the front and a rear yard. The nature of the service is not obvious from the outside. The home blends totally with neighbouring properties. The small staff team are drawn from the village and other communities nearby, so car parking is not a problem. This is one of three small homes in the village, all owned by Mr John Cole and Mrs Delia Cole. Lynn Walton manages it, with six regular carers as support. The service is home to one young man and is also the base for providing day care to a small number of clients. This is an unusual arrangement, which has been accepted by the Commission for Social Care Inspection because the person using the service was previously a user of the day care service and went on to use the service for one overnight stay per week, before becoming a resident at the home. There is one vacant place. One person was occupying the vacant place at the time of the inspection for short-term care. Information about the service and inspection reports are readily available at the home. The information provided by the service on May 2nd 2006 states that the fees are £1507.31 per week, with no additional charges. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A tour of the house was undertaken. The inspector spoke with the Manager of the service, one of the care staff and with the service user who lives at the home. The person who was staying at the service for a short-term break was not at home. The records were examined. Staff records are not kept at the home. This has been accepted under arrangement with the Commission for Social Care Inspection and is reviewed at each inspection. The records were examined during the second date of the inspection at another premises. One relatives survey was returned. What the service does well: What has improved since the last inspection? Arrangements have been made for a referral to help one of the service users to improve his communication. Arrangements have been made for a personal futures plan to be carried out for one service user. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 6 The Manager has identified that staff would benefit from training in developing communication and understanding autism. She is looking into finding suitable training. The premises have been improved. Some of the rooms have been redecorated and a new toilet and washbasin has been created on the first floor. This has improved the care that service users receive during the night. Mr Cole, has given the task of looking at the training needs of all of his staff to one of his managers. This is now underway and a plan for future training will be developed from this. This will make sure that staff have the correct knowledge and skills for supporting the service users who are in their care. The provider Mr Cole has identified that the way staff are recruited needs to be more formal and more carefully carried out, to make sure that service users are protected. Staff who do sleep over shifts now have somewhere to sleep when both bedrooms are occupied. What they could do better: Make sure that thorough assessments of the needs of service users are carried out before people are admitted to the home to make sure that the service can meet the needs of all service users. Make sure that each person living at the home, whether for short term or long term care, has a full service user plan so that the needs of service users are met. Have a more thorough process for staff recruitment. This will continue to protect service users by making sure that only suitable people are employed. Identify and plan the training that staff need. This will make sure that service users are supported by staff who have up to date knowledge of good care practice, which is related to the needs of service users. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 7 Make sure that all risks are assessed and plan how these are managed. Keep these risk assessments under review. This will make sure that service users are safe whilst continuing to develop their independence. Incidents and accidents need to be more clearly recorded. Have in place a process for regularly reviewing the quality of care. 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. Third Row 19 DS0000035930.V290680.R02.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 Third Row 19 DS0000035930.V290680.R02.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): 2 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. The assessment of service users needs is not consistent, which means that staff cannot rely on having written information to guide them in providing care. EVIDENCE: The service provides long term care to one person. Another person stays at the home from time to time for short-term respite care. Both of these people received day care from the provider. The day care is based at the home and gave both service users an opportunity to get to know the premises and the staff, before coming to live there. A Care Management assessment of the needs of one of the service users was in place. This included a risk assessment. A full assessment of the needs of the service user who was using the service for a short-term break was not on file, although a short handwritten assessment of needs covering meals, activities and nighttime routines, dated April 2006 was included. No risk assessment was in place. The provider, Mr Cole, said that he has a Care Management assessment and care plan for this person, which is about day care, but not for the residential care placement. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. The care planning process is satisfactory but not consistently used, which means that service users’ experience of care will not be consistent. EVIDENCE: A Care Management Care Plan is in place for the long term resident at the home. A service user plan has been developed based on this document. This is broken down into needs, actions and evaluations. There are plans for developing communication skills and consent, both put in place in response to an earlier inspection. The file for the person using the service for short-term care did not contain a Care Plan or a service user plan, though the handwritten assessment did describe how staff should meet needs to do with meals, activities and nighttime arrangements. Enabling and risk taking is emphasised in the aims and objectives of the service. It is also part of the daily lives of service users at the service through Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 11 a programme of daily activity and the day care service run by the provider. Both service users were involved in this on the day of the inspection. This is a positive aspect of the lives of the service users. The file belonging to the person who lives at the service states that this person will be the only resident, for reasons of safety. The manager said that this was no longer the case as the ability of that person to make allowances for others had improved. A risk assessment was in place for the person living at the home, but was dated 2001. An updated risk assessment was not available. There was no risk assessment for the person staying for a short break. Third Row 19 DS0000035930.V290680.R02.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): 12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. The staff are committed to supporting the independence of the person living at the service. Matters are being addressed to do with privacy. EVIDENCE: Service users are supported to take part in community life, within their abilities. For example a service user whose mobility presents risks has been supported to go to the local shop and to use public transport. This is a big achievement for this person. Support for service users to go out of the home is part of the daily activity plan. A car is available and outings are regular. A short holiday has also been provided. Relationships with family are encouraged. One service user regularly spends time with relatives each week. Staff said that the service user values this. Staff include service users in the day-to-day running of the home. Staff talk to service users about what they are doing and about the plans for the day. Staff Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 13 said that one of the service users, who cannot fully participate, enjoys watching staff bake. The staff see this as an important activity for the service user. Staff engage and interact with service users on an on going basis to encourage communication skills. Meals and social skills are linked in the service user plan. There is a clear plan to help one of the service users to develop these skills and give mealtimes more structure. One service user plan includes personal objectives of the service user for the year ahead. These include a trip to a zoo, going for a bar meal, more shopping trips, the possibility of a drama class. A referral has been made for a Personal Futures Plan to be produced with one service user. The privacy and dignity of service users is not totally protected. The door to the short stay bedroom and the new toilet do not have privacy locks. The provider said that he has this matter in hand and the joiner is arranged to carry this work out. The main bathroom and the door to the bedroom belonging to the resident at the home are lockable. Third Row 19 DS0000035930.V290680.R02.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 adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users healthcare needs are identified and addressed, where a full assessment has been carried out. Regular health checks are carried out for the person who lives at the service. Prompt action is taken at signs of ill health for the person living at the service. Some staff training needs are to be addressed. The medication arrangements at the service protect service users from harm. EVIDENCE: The service has plans of care in place for supporting one service user with personal care. The service user plan for one of the service users shows a good level of health care monitoring. For example, under difficult circumstances, the staff do try to monitor the weight of one of the service users. This would be made easier if the service user could access a set of sit on scales once per month. The care plan for one of the service users contains a description of restraint to ensure the safety of the service user. The service user is unable to consent to this and a record of when and how this is employed is not available. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 15 The service user plan has appointments for dentists and other health care services included in it. A referral to a speech therapist has been requested. The provider, Mr Cole, has identified that staff need training in basic foot care and this has been arranged. Staff will then know how best to monitor the condition of service users’ feet and prevent problems occurring. A medication plan is in place for one of the service users. This includes information about consent. Medication records are in the file. The home has a revised policy and procedure. Medication is securely stored in a manner that is suitable for the amount of medication held. There were some documents showing that some staff have received accredited training in medication administration. This was not in place for the manager and other staff at the home. Third Row 19 DS0000035930.V290680.R02.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): Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Procedures are in place and are made available. Service users’ relatives know who to contact with their concerns. Staff are aware of the procedures to do with protecting vulnerable people. All of these help to protect the service users. All accidents are not fully recorded in the accident book. Staff training to do with physical intervention guidance is not up to date. EVIDENCE: The home’s complaints procedure is available in the home and is also included in the Service User Guide. The manager said that no complaints have ever been received by the service. None are recorded in the complaints record. The home’s procedure includes the contact details of The Commission for Social Care Inspection (CSCI). No complaints about the service have been received by CSCI since the last inspection. One relatives’ survey was returned and stated that the relative was aware of the complaints procedure, had never made a complaint and was satisfied with the overall care provided. The home has written guidance and procedures for the staff about the protection of vulnerable adults. It was noted in the records that one of the service users had slapped another. There was no evidence that the home followed this through under the procedures for protecting vulnerable adults. The provider, Mr Cole said that this was an accidental incident and there was no injury. This was not recorded as an accident in the accident book. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 17 The home has procedures for physical intervention that state that this should only be used as a last resort. Mr Cole said that he is qualified to train staff in physical intervention techniques, which are in accordance with Department of Health guidance. Staff have not needed to employ these techniques at this service. It was observed that staff use physical intervention to prevent a service user from placing himself in the way of harm or harming others. There was no evidence that staff have received training in the most up to date guidance to do with this. This means that staff may unknowingly go against the most recent guidance. Third Row 19 DS0000035930.V290680.R02.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): 24,27 and 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The premises are gradually being improved to provide more privacy for the person living at the home. EVIDENCE: The home is attractively decorated and clean throughout. The room belonging to the service user who lives at the home long term is slowly being personalised with things that belong to him. Recent improvements have been made to the premises. Both bedrooms have been redecorated, as has the kitchen. The ground floor has a living room and conservatory. The garden is pleasant for sitting out and the yard is covered in, sheltered and has seating. A first floor wc and washbasin have been added to the property, to meet the needs of the person living at the home. The Manager said that this facility has had a positive impact on the care of this service user. This room does not yet have a privacy lock. This matter is in hand. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 19 One of the bedrooms, used for staff sleep in shifts and short-term care, does not have a door lock or lockable facility. The provider said that this matter was in hand. The dining table in the living room was very worn and the surface scratched and marked. The provider, Mr Cole, replaced this item before the inspection was concluded. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. Staff training needs to be planned better to make sure that staff have all the training they need to best work with the service users. Recruitment procedures need to be more robust to make sure that service users are protected. EVIDENCE: Staff records are not kept at the home. This has been accepted under arrangement with the Commission for Social Care Inspection and is reviewed at each inspection. The records were examined during the second date of the inspection at another premises. The Manager of the home, Lynn Walton, has been employed at the home for five years. Lynn works four sleep over shifts per week from 10pm until 10 am the following morning. Day care staff, also employed by the provider, offer daytime support Monday to Friday. One member of care staff is on duty in the evenings, and in the mornings till 10am, and at any time when Lynn is not on duty. Sickness and holidays are covered by bank staff or staff who are employed in other homes which are also run by the provider. Lynn has a background in working with people with learning disabilities and is qualified as a learning disability nurse. Both of the staff on duty demonstrate a good level of insight into the needs of people who are learning disabled. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 21 The listed staff have undertaken mandatory training in moving and handling, First Aid, Health and Safety and Food Hygiene. The certificates on file show that some of this training is due to be updated. This matter is being addressed. The information provided by the manager does not indicate that all of the staff hold National Vocational Qualifications in the care of people with learning disabilities. The staff files do not show that staff training needs have been assessed. Some staff have had specialised training to do with communication. There is no evidence of a staff training and development plan. Staff are required to complete an application form and to provide a work history. Some of the files do not contain references taken from the workers’ most recent employer and no explanation or statement to do with this is made. None of the files contain evidence of the outcome of criminal record checks. Without this information it is not possible to be sure that staff are suitable to work with vulnerable adults. The provider of the service, Mr Cole, said that because most of his staff had been recruited from Linton, which is a small community, his recruitment procedures had at one time been very informal. He said the he was moving towards more formal processes. The file for those staff most recently employed contained improved application forms, though there were some of the shortfalls identified above. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 22 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): 37,39,42 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The service users’ safety is protected by safety checks and safety systems. The quality of the service is not being formally reviewed on a regular basis, including staff training. EVIDENCE: The registered manager does not hold NVQ level 4 in management and care. It has been agreed that this is not essential as managers in the group do hold relevant qualifications. There is no evidence that the on going training needs of the Manager have been assessed. There is a Quality Assurance policy statement. There is no evidence that a formal quality assurance and monitoring system is in place. For a service of this size it would be sufficient to use the monthly visits by the provider, which are required by law, for this purpose but reports from these visits are not available in the home. The service provider, Mr Cole, visits the service Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 23 frequently and is in day-to-day contact with staff, service users and service users’ families and friends. Safety of staff and service users is protected by routine tests of electrical installation and gas supply. Information and controls are in place for hazardous substances, such as cleaning materials. The home has a fire evacuation plan and fire safety checks are regularly carried out and recorded. The home has an accident book. No recorded accidents have occurred. A first aid box is available. When service users occupy both bedrooms the home has no sleeping facility for staff. Staff said that under these circumstances they sleep on the sofa in the living room. Mr Cole has provided a reclining seat for staff to use since the first inspection visit. The staff records show that mandatory safety training has been provided, but some updates are required. Mr Cole said that he had identified that this was needed and dates had been booked for staff to take this updated training. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 1 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 1 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 X 2 X 1 X X 2 X Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 25 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA2 Regulation 14 Requirement The Registered Persons must, depending on whether individuals are self funding or referred through Care Management, either carry out a needs assessment covering those matters listed in Standard 2.3 of The National Minimum Standards for Care Homes for Adults, or obtain a summary of the single Care Management assessment and a copy of the single Care Plan, for persons admitted for short term care. The Registered Persons must, unless it is impracticable, prepare a written service user plan, for persons admitted for short-term care. This should be generated from the Care Management Assessment or the home’s own assessment, and cover all aspects of personal and social support and healthcare needs as set out in Standard 2 of The National Minimum Standards for Homes for Adults. Comprehensive risk DS0000035930.V290680.R02.S.doc Timescale for action 31/12/06 2 YA6 15 31/12/06 3. YA9 14(2) 31/12/06 Page 26 Third Row 19 Version 5.2 assessments and plans for managing risks must be in place and be kept up to date and regularly reviewed 4. YA18 15(1) 14(1) The registered Manager must arrange for regular access to sit on scales for a service user. Suitable locks must be fitted to the doors of bedrooms, bathrooms and toilets. The registered Manager must maintain a record of any physical restraint used on a service user. All staff who are responsible for the administration of medication must undertake accredited training in this Accidents and/or incidents must be recorded in full, and reported to the correct agencies. Staff recruitment procedures must include: The taking up of two written references, one from the most recent employer: where this is not possible an alternative must be obtained and the reasons should be recorded An assessment of staff training needs should be carried out for each new and existing member of staff, including the manager, and a staff training and development plan must be devised. This should meet with workforce Sector Skills Council specifications and targets and include training in adult protection and specialist DS0000035930.V290680.R02.S.doc 31/12/06 5 6 YA16 YA24 YA18 23,12(4)(a) 17(1)(a) Schedule 3 13(8) 13(2) 18(1)( c ) 17(1)(a) Schedule3 (j) 19 31/12/06 30/12/06 7 YA20 31/12/06 8 YA23 30/11/06 9 YA34 31/12/06 10 YA35 YA37 YA42 YA32 18(1)( c )(i) 31/12/06 Third Row 19 Version 5.2 Page 27 training. 11 YA39 24,26 The Registered Provider, Mr Cole, should use the monthly Regulation 26 visit to assess and monitor the quality of the service. Reports from these visits must be produced and copies must be sent to the local Commission for Social Care Inspection office for a period of six months from the date of the inspection 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA34 Good Practice Recommendations Staff recruitment application forms should ask the applicant to provide the names and addresses of two referees, one of whom should be the most recent employer. The form should also ask for a health and criminal declaration. Shortfalls and/ or contradictory information should be explored at interview. As good practice records of interviews and the outcomes of the recruitment process should be kept. Third Row 19 DS0000035930.V290680.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Third Row 19 DS0000035930.V290680.R02.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. 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