Inspection on 17/05/05 for Victoria Cottage

This inspection was carried out on 17th May 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

Victoria Cottage 17/03/09

Victoria Cottage 15/03/07

Victoria Cottage 23/11/05

Victoria Cottage 14/12/04

Victoria Cottage 22/06/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Victoria Cottage 37 St Andrews Road Bedford Beds MK40 2LW Lead Inspector Fiona Mackirdy Unannounced 17 May 2005 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. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Victoria Cottage Address 37 St Andrews Road Bedford MK40 2LW 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) 01234 271225 01234 271225 www.hollycaregroup.co.uk Victoria Cottage Ltd Deidre Taylor Care home 14 Category(ies) of LD - Learning Disability (14) registration, with number of places Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of people that can be accommodated at the home is 14. 2. The home shall only admit service users between the ages of 18 and 65 years. 3. The home shall only admit service users whose primary assessed need is a learning disability. 4. The home may also admit up to two service users who have a physical disability in addition to their learning disability. 5. Any service users who have physical disabilities in addition to their learning disabilities must be provided with a bedroom on the ground floor. Date of last inspection 14 December 2005 Brief Description of the Service: Victoria Cottage is located in a pleasant residential area of Bedford within walking distance of the local park and the town centre. The home is registered to provide for fourteen younger adults with learning disabilities, two of whom may also have physical disabilities. Most service users go out from the home during the day to various day care activities, although the home also provides day care for two service users. The accommodation is arranged over two floors with single bedrooms on each floor and a double room on the ground floor. Each bedroom has a washbasin facility and a call bell. Eight of the bedrooms have ensuite shower facilities. Two of the bedrooms share the ensuite facility. A combined shower toilet room is located on the lower floor and a separate toilet is located on the upper floor. The communal facilities of a large lounge, an all weather conservatory and a dining room are all located on the ground floor. To the rear of the property is a well-maintained garden with an enclosed pond. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over five hours during the late afternoon and early evening. The care of two service users was looked at in depth, which included observing their routines and how they were cared for. The inspection also involved speaking to some service users and staff, looking at a sample of records, and a partial tour of the premises. There were twelve service users living at the home on the day of this inspection. What the service does well: What has improved since the last inspection? What they could do better: The home must make sure that service users stay healthy by helping them to go to appointments such as the dentist, opticians and chiropody. They should keep records about the outcomes of appointments so that service users get help if their health problems don’t clear up straight away. The home must make sure that service users receive all medication prescribed by their doctor, including creams or gels. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 6 The home must make sure that there are full written plans about how to care for service users and make sure that they give the care that is described on the plans. This includes making sure that service users who don’t go out to a day centre have interesting things to do during the day, and that everyone has a chance to do things in their spare time if they want. As all the service users in this home are adults, the manager must make sure that staff don’t treat them like children and that they have a chance to do things that other people their age do. This means the home has to look at how they do things now and make some changes. The manager must make sure that new staff are suitable to work in the home, by making sure that she gets all the information needed before they start. Although the surroundings of the home are generally fine, the home has not been redecorated for some time and so it would be more attractive and homely if this was attended to. 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. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - 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 Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - 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) 2 & 3 Although the form used to assess needs allows for a range of information to be gathered and staff have received some training in the specialist needs of service users, the home cannot consistently demonstrate how it meets the needs of service users with more complex needs. EVIDENCE: The home used a proforma for assessing service users’ needs which allowed for a wide range of very detailed information to be gathered. However, those seen did not always contain sufficient detail particularly in relation to service users’ specific conditions and communication needs. Since the last inspection the home had provided training for staff in issues relating to service users’ needs such as autism and challenging behaviour, but some aspects of care planning and practice seen during the inspection indicated that this knowledge was not yet consistently put into practice. See ‘Individual Needs and Choices’ for more specific detail. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - 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, & 9 The format used for care plans is good but they are not completed in enough detail to show how staff should support service users on a day-to-day or longer term basis. EVIDENCE: The care plans of two service users were looked at in detail. The format used by the home enabled information about a range of needs to be gathered, including scoring tools for assessing areas such as pressure sores, falls and mental health. However, the care plans had not been completed with sufficient specific detail to enable the reader to have a clear picture of the needs of the individual or how they should be supported. Care plan goals had been identified for some areas of service users’ needs but again it was not clear from the care plan or from daily records how the service users were being supported to achieve these goals. Some aspects of the service users’ care plans were not being implemented in practice, for example, providing a programme of structured day activities, developing better communication through the use of Makaton and visual aids, and monitoring food and fluid intake. One care plan seen was negative in tone about the service user, indicating that she was wilfully incontinent at times. However there was no evidence to back up how the judgement, that her actions were deliberate rather than part of her diagnosed condition, was made. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 10 Some risks to service users had been assessed. However those seen were scant in the amount of detail provided and did not clearly identify what the risks were, or action that should be taken to minimise risks. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - 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, 12, 14, 15, 16 & 17 There are not sufficient or suitable opportunities for all service users to maintain and develop skills, or to take part in activities for meaningful occupation or leisure. Service users receive support to maintain links with friends and family, which they value. Some routines in the home are institutional and therefore service users do not always receive support to take part in activities enjoyed by other young adults. EVIDENCE: As mentioned above, service users’ care plans identified goals for their development. However daily records indicated that, in practice, they were not always given appropriate support to work towards achieving these goals. Similarly some goals were very general and did not always show understanding of the service users’ condition. For example, a goal for one service user with autism was for her to ‘integrate’. It was not clear whether this was her choice, whether it was achievable or how it would be measured. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 12 Most service users went out from the home during the day to attend day centres or college. Those service users who stayed at home had a written programme indicating a variety of meaningful activities. However, daily records indicated that these activities were not taking place in practice. Some service users spoke at length about their leisure activities and were keenly planning a forthcoming holiday. However, other service users did not have very regular opportunities to engage in leisure activities, particularly outside of the home. The afternoon routine of the home was observed. Service users clearly had a preferred routine that they received support with. However two service users had been assisted to bathe and dress in their nightclothes by 5pm. Although the manager confirmed that this was the service users’ preferred routine, it indicated that they had perhaps become institutionalised in their behaviour and that they were not offered activities outside of the home during the evening which may encourage them to stay in their day clothes. At other times during the afternoon staff were observed treating a service user as a child, both in their use of language and the selection of a television programme for preschool children, without offering her a choice. At the same time, and in the same room a CD was put on very loudly and therefore it was impossible to clearly hear either the television or the music. The home should review the routines in conjunction with the service users to offer them more appropriate routine and activities. Records indicated that service users’ family and friends were very involved in the operation of the home. A number of service users visited their relatives regularly and were supported to maintain contact. Service users clearly valued the contact that they had with their family and friends. The evening meal was observed and sampled. Service users enjoyed the meal and an alternative meal was offered to one service user who did not like what was on the menu. It was noted that there was not sufficient space for staff to sit with service users and therefore they stood observing them while they were eating. It is therefore recommended that this be reviewed so that mealtimes can be a more social occasion involving staff and service users. One service user who needed full assistance with her meal did not receive her meal until twenty minutes after other service users were served. The component parts of her meal had not been blended separately and therefore the meal did not look appetising and would not offer her a range of tastes. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - 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) 18, 19 & 20 The arrangements for supporting service users with their health and personal care needs are not sufficiently robust to ensure that their health is promoted and that they receive care to meet their needs. EVIDENCE: Staff could competently explain the personal care needs of service users, although, as mentioned previously, care plans did not contain sufficient detail to adequately describe how to support individuals. Therefore they were at risk of not receiving appropriate care if staff did not know their needs well. Staff were sensitive to the need to maintain the privacy and dignity of service users who shared a room. Service users looked clean and well-dressed. The home had links with other professionals at the learning disability resource centre who had provided some specialist support as needed for individual’s need. Records indicated that service users were supported to attend GP and specialist appointments. However, the outcomes of these appointments were not consistently recorded and on files inspected there were no results recorded of a service users ECG and chest x-ray in January /February 2005. Daily notes indicated that the service user was still experiencing chest and breathing difficulties and it was therefore of concern that the home appeared not to have followed up the results of these appointments. For other service users there Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 14 was no indication of how they would receive dental or foot care. It was noted that a service user had developed a pressure sore earlier in the year. The home had taken appropriate action to seek support in treating the sore, but must ensure that they are proactive in assessing the risk and preventing sores developing. As mentioned previously, food and fluid intake charts were not always being completed, even though this was an important part of service users’ care needs. The care two service users received when they became distressed was observed. One intervention was wholly inappropriate and compromised the service user’s dignity. The intervention did not appear to be effective in any case and the manager was advised during the inspection that the practice had to cease immediately. The evening medication administration was observed. Staff took good care in verifying that medication was correct before giving it to service users. Only a few service users were offered a drink with their medication. Although staff explained that this was the service users’ preferred routine, all service users should be offered a drink so that they can decide on each occasion whether they want it. Records of medication were mostly in order, although some prescribed medications had not been signed for on the medication record. These were all additional medications such as topical creams dietary supplements. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Service users were not adequately safeguarded by the home’s recruitment processes and were therefore potentially at risk. EVIDENCE: The recruitment files seen did not demonstrate that the home was checking staff’s employment history thoroughly or obtaining references from their last employment working with vulnerable adults. It was of concern that an inappropriate practice in response to one service user’s distress had not been identified as potentially abusive. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 16 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. The environment of the home is generally acceptable but decorating and refurbishment is needed in some areas to ensure that service users live in a comfortable and homely environment EVIDENCE: Two service users bedrooms were inspected. One was in a good state of décor and had been highly personalised to the service users’ tastes. Suitable arrangements had been made to promote the service users’ privacy, as this was a shared room. The other service users room was in need of total redecoration and refurbishment as the furniture and carpet were worn and there were no curtains at the window. Although the manager stated that the service user had pulled the curtains down, the home must ensure that there is a suitable window covering that meets the service user’s needs. The lower panes of the window had been obscured to provide some privacy, but this also had the effect of limiting the service user’s view. This room was also uncomfortably warm. Both bedrooms seen had ensuite facilities, which were clean and met the needs of those service users. Communal bathing facilities were not inspected on this occasion. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 17 The communal areas of the home were in an acceptable state of décor, but it was noted that there were not enough comfortable seats in the lounge to seat all service users and there were not comfortable seats in other communal areas. Work had recently taken place on making the garden more accessible and safe for service users and the manager said that some activities in the garden were being planned for the summer months. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 18 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) 31, 34 & 35. Staff provide kindly care but need further guidance to ensure that the care they provide is in line with best practice and meets the needs of the service users. The recruitment practices in the home are not sufficiently thorough to ensure that staff are suitable people to work with vulnerable adults. EVIDENCE: Staff were observed relating to service users in a kindly and courteous way. Observations indicated that service users had developed positive relationships with the staff and were happy to approach them. Staff said that they felt they worked well together and that the systems of communication had improved considerably in recent months. However, some staff, whilst kind and friendly, treated some service users as children. Similarly, account was not always taken of service users specific communication needs, for example, if they were autistic. The recruitment files of three staff were inspected. These did not contain all information required by regulations. One had a CRB that indicated that not all the worker’s previous names had been checked. One did not have any references on file and in other cases a full employment history had not been obtained. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 19 Staff had received a considerable amount of training since the last inspection and commented positively on this. However it was not clear how some training had been put into practice, particularly in relation to service users with autism. Further training had been booked for the coming months but the home had not yet completed a training needs assessment for the staff team as a whole or for all individual team members. New staff had not received induction training to Learning Disability Award Framework standards. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 20 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 & 41 The manager has developed some knowledge of the service user group but has not yet consistently applied this to improving the care provided to service users. EVIDENCE: The manager had limited experience of providing care for people with learning disabilities in a small home like Victoria Cottage. She had undertaken a range of short courses in relevant topics since coming to the home and had enrolled on an NVQ level 4 in management. Staff spoke positively of the management of the home and commented particularly that communication had improved over the last few months. However, as mentioned elsewhere in this report some routines and practice in the home needed reviewing, particularly in relation to service users who had needs on the autistic spectrum. The manager must therefore focus on implementing what she has learnt, reviewing current practice and routines in the home and improving the outcomes for service users. Similarly, the home must ensure that there are robust monitoring systems that will identify Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 21 shortfalls in providing essential care, such as health checks and meaningful activities. Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 22 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 x 2 2 x x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 x 3 x x Standard No 11 12 13 14 15 16 17 2 2 x 2 3 2 2 Standard No 31 32 33 34 35 36 Score 3 x x 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Victoria Cottage Score 2 1 2 x Standard No 37 38 39 40 41 42 43 Score 2 2 x x 2 x x I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 23 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. Standard 1 Regulation 4 Timescale for action Expand the statement of purpose 31/10/05 to include more details about the range of needs that can be met at the home (Original timescale of 31/5/05) Develop the service user’s guide 31/10/05 in a format which is meaningful and include understandable information about the terms and conditions (Original timescale of 31/5/05) Ensure that there is a full and 30/9/05 current assessment of all service users needs covering all areas detailed in this standard 31/8/05 Review the practices and routines in the home to ensure they are in line with current best practice, promote choice and are age appropriate, specifically: the selection of music and television programmes routines and communication for people with autistic spectrum disorders the time that service users dress in their night clothes Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 24 Requirement 2. 1&5 5 3. 2 14(2) 4. 3, 16 & 23 12 the language used to address service users interventions when service users demonstrate distress 5. 6, 7, 11, 14, 18 15 Expand service users’ plans to include: all areas of need assessed (as listed in Standard 2)· any action or support required to meet those needs or to develop skills any restrictions on choice or freedom The plan must be drawn up with the service user (and/or their representative where appropriate) (Original timescales of 31/10/04 and 31/3/05 not met) The registered person must complete risk assessments in respect of service users’ environment, their known and likely activities and ensure that strategies to manage identified risks are in place (original timescales of 31/10/04 and 31/3/05 not met) Provide a programme of day activities as detailed in service users care plans Ensure that all service users receive routine health checks, and keep full records of the outcomes of these and other health appointments Ensure that all medication is given as prescribed, including topical creams, gels and dietary supplements and that accurate records are kept Ensure that information listed in Schedule 2 of the Care Homes 30/9/05 6. 9 13(4) 30/9/05 7. 8. 11 & 12 18 16(2)m 13(1) & 17 31/8/05 31/10/05 9. 20 13(2) 31/7/05 10. 23 & 34 19 31/7/05 Page 25 Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Regulations is obtained for all staff working in the home 11. 24 & 28 23 (Original timescale not met) Implement a programme of refurbishment and redecoration which includes providing sufficient seating in the lounge Provide curtains or another suitable window dressing in FBs bedroom Provide all new staff with structured induction training to Learning Disability Award Framework standards 30/11/05 12. 13. 26 35 23 18 31/7/05 30/9/05 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 8 12 14 17 Good Practice Recommendations Further develop service user participation in the home, including those service users who do not communicate verbally or participate in groups Further develop the day activities provided by the home to reflect individual service users’ needs and preferences Record information about service users interests and hobbies and provide suitable leisure activities in and out of the home Review the routine of mealtimes with a view to ensuring that all service users are offered their meals at the same time, that component parts of liquidised meals are blended separately and that staff sit and eat with service users The registered person should ensure that all staff undertake training in adult protection including recognising and responding to all forms of abuse Undertake a training needs analysis to ensure that key training is identified for staff which is required for their role 5. 6. 23 35 Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 Page 26 Commission for Social Care Inspection Clifton House 4a Goldington Road Bedford MK40 3NF 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 Victoria Cottage I51 S44185 VICTORIA COTTAGE V221506 170505 - Stage4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!