Inspection on 27/04/07 for Trinity Street

This inspection was carried out on 27th April 2007.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Trinity Street 22/04/08

Trinity Street 31/10/06

Trinity Street 26/01/06

Trinity Street 13/07/05

Trinity Street 29/03/05

Trinity Street 29/09/04

Trinity Street 16/03/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Trinity Street 27 Trinity Street Batley Carr Dewsbury West Yorkshire WF17 7JZ Lead Inspector Cathy Howarth Key Unannounced Inspection 27th April 2007 09:00 Trinity Street DS0000026333.V338924.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 Trinity Street DS0000026333.V338924.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. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Trinity Street Address 27 Trinity Street Batley Carr Dewsbury West Yorkshire WF17 7JZ 01924 456160 01924 458001 Trinity.street@richmondfellowship.org.uk 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) Richmond Fellowship vacant post Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st October 2006 Brief Description of the Service: Trinity Street is a care home providing personal care and accommodation for up to 12 adults with enduring mental health problems. Nursing care is not provided. It is operated by the Richmond Fellowship, a national charitable organisation specialising in the care of people with mental health problems. The home is situated in a suburb of Dewsbury with good local amenities and easy access into the town centre. The home is purpose built and consists of 3 bungalows interlinked by glass corridors containing small conservatory areas. There are enclosed gardens to one side of the property. Each of the bungalows contains 4 single bedrooms with wash hand basins, and self-contained facilities for the communal use of residents. The Commission for Social Care Inspection was informed on 05.03.07 that the current scale of charges was £270.00 per week. Information about the home in the form of a Statement of Purpose and Service User’s Guide as well as the latest Commission for Social Care Inspection report are available at the home. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted on a short notice basis over two half days, the manager having been informed the day before in order to ensure she could be available on the day of the visit. The inspector used information provided in a pre-inspection questionnaire and responses to surveys sent out to people living at the home, relatives and health and social care professionals involved with people living at Trinity St. On the days of this visit the inspector met with the manager and deputy, people living at the home, and staff working there. A tour of communal areas was undertaken and one bedroom was seen. The inspector would like to thank people living at Trinity St and the staff for their welcome and assistance during this visit. What the service does well: What has improved since the last inspection? Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 6 The environment has improved with the fitting of new flooring but some areas of the bungalows need further attention for the well-being and comfort of people living there. The system for managing medication has improved but still needs some attention. Fire safety systems and training for staff have improved. Staff have been attending training in First Aid and almost all have now done this. 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 summary of this inspection report can be made available in other formats on request. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. People’s individual needs and aspirations are assessed before they are offered a place at the care home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the last inspection this area was assessed in detail and found to be a strong area for the home. Pre admission assessments are good and people choosing to live at Trinity St are given plenty of information to enable them to make an informed choice to live there. There have been no further admissions since the last inspection of the service. Each person has a needs assessment on file at the home from when they were admitted. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience adequate quality outcomes in this area. The service is generally understanding of people’s needs but improvements are needed in monitoring and planning for people’s changing needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person living at Trinity St has an individual plan outlining the support required to help them develop or maintain their skills. The quality of these was variable on this visit but the manager explained that they are in the process of implementing a new system of care planning and not all plans have been updated yet. The one health professional that responded to the survey said that they felt the service does well in being flexible and responsive to people’s needs and changes in their mental health, saying: “They are treated as individuals”. People using the service also echoed this view. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 10 There are risk assessments, which identify areas where people may need more support and supervision in order to make their lifestyle choices. Some of these lacked detail to inform the reader what measures may be needed in order to monitor this, for example for one person who manages their own medication there was a lack of detail about how the risks had been assessed and how this is managed on a weekly or day to day basis. Money is managed for some individuals who need this support. There were no details on files for how this was to be arranged for individuals or written agreements with people’s consent for this to occur. As noted on previous inspections daily records are limited and do not always reflect a clear picture of what has occurred. Key workers prepare monthly reports, but again these are limited and some were not up to date. Key workers are supposed to have weekly sessions with people to check out aspects of their care and whether they are encountering any difficulties or want to raise any issues or changes to care plans. Some of these were found to be weeks out of date. It was of some concern that issues raised in sessions did not seem to have been addressed promptly, for example in November one person had raised the issues of wanting to attend church but this has not been translated into their care plan or weekly activities. Another person needed a new bed and this has taken some months to organise. The person is still waiting and experiencing back problems because of the poor support they have in their current bed. There was evidence of reviews taking place and people say they are involved in this process. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 15, 16 and 17 People who use the service experience good quality outcomes in this area. People living at Trinity St are generally well supported to enjoy their chosen lifestyle and relationships and to develop their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living at the home use community based facilities using public transport, or on foot. Service users were seen to be supported as appropriate, to have personal, family and sexual relationships. There is a payphone for people to keep in touch with friends and family. One person has recently acquired a car and is enjoying the freedom that comes with being independently mobile. It was seen that people went about in the local area as they wished and several people went out to various appointments and activities while the inspector was visiting. People were also observed being involved in activities such as shopping for food, along with staff. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 12 Within the home people said that sometimes there is little to do. It was evident however, that efforts are being made to improve this. There are various groups that have started up such as a gardening group and a cookery group. People who spoke about this with the inspector said that they welcomed this. One person particularly likes to do word search puzzles and drawing and it was seen that equipment was provided to support any creative interests that people may have for example one person has an artist’s easel set up in a communal area. There was also evidence around the home of past creative activity, with mosaics in the garden and in conservatory areas. People who spoke with the inspector voiced the view that generally people get on well, although there are inevitable clashes of personality and mood at certain times. The fact that people can be separate in their won bungalows seems to help with this so that only a few people have to be in the same space at any one time. People also indicated that staff are sensitive to moods and work hard to prevent any such clashes. This is evidenced by the few incidents that have been reported. Menus for each bungalow were seen and these reflect a generally balanced range of food and alternatives taken by individuals are reflected on the record for the main meal although not for breakfast and lunch, where there is a choice for everyone from cupboard or fridge stores. It was noted that kitchens were completely accessible for people living at the home to help themselves to snacks and drinks at all times of the day. This is positive but the manager explained some controls have to be exercised in relation to food such a chocolate and biscuits, as there are some people with diabetes living at the home. On the whole this is done by agreement, but ultimately people can access these foods if they are determined to do so and have to accept the consequences of their actions in so doing. The majority of the cooking of main meals is carried out by staff, but the introduction of the cookery club has given some people the opportunity to practice preparing meals for themselves and others. People who spoke with the inspector said they have enjoyed this. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience adequate quality outcomes in this area. Generally people are well supported with their health and personal care. There have been significant improvements and planned improvements will further enhance the quality of care for people using the service at Trinity St. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As mentioned in the section on individual needs and choices, the home has a care planning system, which includes issues relating to health and personal care. In general staff support people well to attend outpatient appointments and to address their health needs. Issues arising from these health appointments are recorded, with the agreement of people living at Trinity St. However the systems for monitoring this are not well developed, and sometimes, important information gets ‘lost’. For example one person’s file indicated that staff needed to check if she had had a mammogram. It had apparently been ascertained that this had already occurred but the information was not recorded in such a way that it would be easy for staff to check. Also Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 14 having found this information out again it was only recorded in daily notes rather than such a way that any subsequent staff would know the outcome. The manager showed the inspector that she has already identified this problem and is in the process of implementing a record for health appointments and their outcomes to be recorded separately. This is positive and will be looked at again on the next inspection for evidence that this is working. As mentioned previously there is one person that has been waiting some time for a bed to better support him. This is something that directly affects health and should be addressed more promptly. At the last inspection requirements were made in respect of several matters including First Aid training for staff. This has been largely addressed and the programme to ensure all staff have gone through this training will have been completed by the middle of June notwithstanding any specific problems. This is an improvement. Requirements were also made in respect of the management of medication in the home. Since that time a new, more detailed policy has been drawn up and they have transferred onto the Boots monitored dose system for most medication. A controlled drug is now being administered at the pharmacy rather than within the home. There were still a few problems with ‘as required’ medications during this visit, as previous stock levels had not been entered on some MAR sheets making the task of stock balancing very difficult and cumbersome. However, balances could be identified eventually and were correct. In general it seems that the there has been an improvement in the management of medication with weekly stock checks and spot checking of administration records to ensure that staff are following the correct procedure. The inspector spoke with a new member of staff about their understanding of how medication should be given and it was explained properly. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. People living at Trinity St are listened to and the home’s approach protects people from abuse or self-harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home operates a robust and clear complaints procedure. People living there know how to complain and do use this system where they feel necessary. On this visit it was found that complaints were being properly recorded with the outcome of the complaints being recorded. There had only been one since the last inspection and it was still being investigated at this time. However the person making the complaint had been informed of the actions being taken. Someone independent of Trinity St, a service manager for the Richmond Fellowship, was looking into the complaint. Informal issues are addressed in keywork sessions and any taken to staff team meetings if necessary for action. People living at the home said that staff generally listen to them and take their concerns seriously. In addition there are meetings for people living at Trinity St fortnightly now where previously these were monthly. These are further opportunities for people to raise any concerns as they come up. The service has a clear approach to adult protection issues. All staff receive training in responding to allegations of abuse as part of their induction. There Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 16 was a recent referral relating to historical abuse. This has been dealt with promptly and appropriately. Risk assessments identify if people are likely to self-harm and actions are taken to address and monitor this. As mentioned previously monies are kept for some service users. These are held securely and the monies balanced on the day of this inspection visit. A recommendation has been made in respect of making sure the details of individuals’ arrangements and their agreement are recorded on their files. Staff recruitment records were seen and these show that the systems to protect people from unsuitable workers are robust. Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience adequate quality outcomes in this area. The environment has improved but requires further attention for the well-being and comfort of people living at Trinity St. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home offers good communal space for residents. There are twelve single rooms, with wash hand basins, divided into units of four rooms in three interconnected bungalows. Each bungalow has a lounge and dining/kitchen area. Laundry facilities are available for residents to do their own washing with staff support if necessary. Since the last inspection visit some improvements have been made within the environment. The flooring in the corridors and between the bungalows had just been finished before this visit and appears to offer a better and more Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 18 hygienic environment. Some people commented that this was an improvement and they liked it. In other areas there is still a need for some redecoration especially in bathrooms and showers where this is needed following the discovery of water seeping into the wall, which was making is spongy. Several bathrooms had paintwork that needs attention as it is cracked and peeling and therefore presents a risk in terms of cross infection. The maintenance system appears to be working effectively. The manager said repairs are done promptly and although there is no system for prioritisation at present, this is being considered. On the days when the inspector visited the home was clean and tidy. Trinity Street DS0000026333.V338924.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 People who use the service experience good quality outcomes in this area. People living at Trinity St are supported by a skilled team of workers who are suitably checked and well supported themselves. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live at Trinity St have the benefit of being supported by staff who are well trained. All staff go through an induction process, which is detailed and covers all aspects of basic care practice. Since the last inspection a programme of training has been implemented to address shortfalls identified in First Aid and fire training. This programme is due to be completed within the next six weeks. Staff are registered to do NVQ training once they have completed their basic training. At the time of this visit the proportion of staff with this qualification was 50 . During this visit the recruitment files for two staff recruited since January 2007 were examined. These were found to be in good order. The Richmond Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 20 Fellowship operates a robust process for vetting staff including checking references and disclosures from the CRB. No staff start work without all checks being completed. Agency staff are used from time to time but no record of their details is kept at present although CRB checks are shown to staff when they arrive to work at the home. It is recommended that details are obtained for an agency staff from the agency and that a record is kept that the CRB disclosure has been seen. Staff rotas were seen which showed that staffing levels were being maintained at three support staff in the mornings and in the evenings plus some extras at certain times as well as managers being available through the days. The home has one person sleeping in and one person awake at night. There is also an on call system whereby staff are designated on call, a manager is also available and in extreme emergencies there is an Assistant Director on call rota. This provides staff with a good level of back up and support if they need it. Staff team meetings have been made more frequent from monthly to fortnightly. Supervision for staff takes place monthly ordinarily but due to staff vacancies there have been some lapses in the frequency of these. Staff did report however that they do receive good support on a day-to-day basis from managers and from each other. Trinity Street DS0000026333.V338924.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. People living at Trinity St benefit from effective management in all areas including health and safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current manager is suitably experienced in this area of care. She has yet to be registered with the Commission however as required. Indications from this inspection are that the improvements that were needed from previous inspection are being actively addressed and progress has been noted is significant areas where there were previously shortfalls. This is a positive and is reflected in the positive views expressed by people living at Trinity St. Once Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 22 the management team is complete with another deputy it is to be hoped that this progress can be continued. Since the manager and deputy came into post last year they have been working on developing the service to make improvements. They have now to develop the next stage of this planning and consolidate the improvements that have been made. A senior manager from the Richmond Fellowship visits monthly to monitor the service and a report is produced from these visits with any actions that need to be taken by the manager identified. This means that any shortfalls can be identified and picked up each month. Supervision of the manager is also provided by the organisation. A review of quality was carried out in March 2006 and a development plan for the service was in process by the manager and deputy having away days to address improvements. Health and safety issues are addressed satisfactorily within the service. At the last inspection fire safety training for staff was seen as an area requiring improvement. Staff were due to have training in the following week after this visit and tests were being carried out as required. A routine health and safety check of the building is carried out every week and any issues that need addressing are reported for repair or replacement. Staff were also due to have basic food hygiene training in the following week. Trinity Street DS0000026333.V338924.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 X 2 3 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 x 2 X 3 X X 3 X Trinity Street DS0000026333.V338924.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 YA6 YA19 2 YA24 23(2)(b) Regulation 16(1) Requirement Furniture must be provided in a timely way where it is needed to protect the health and welfare of people using the service. The care home must be kept in a good state of internal repair. (Timescale of 30/04/06 and 05/01/07 not met.) Timescale for action 31/05/07 30/06/07 Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 25 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 YA6 Good Practice Recommendations Daily reports should more clearly reflect staff interventions and residents’ goals as recorded on the support plan, so that it’s evident to anyone reading the report whether the interventions are effective and goals are being achieved or need reviewing. Where any money is managed on behalf of individuals this should be clearly documented and the person’s agreement evidenced where possible. There should be a brought forward system for stock levels of ‘as required’ medicines to ensure that they can be easily balanced. The cracked and peeled woodwork in the bathrooms should be replaced with impermeable surfaces to prevent the spread of infection. There should be confirmation from any agency used that workers have been checked as required before they are allowed to work in the home. Staff supervision should take place a minimum of two monthly. 2. 3. 4 5 6 YA7 YA20 YA30 YA34 YA36 Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Trinity Street DS0000026333.V338924.R01.S.doc Version 5.2 Page 27 - 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. 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