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Inspection on 21/08/07 for Walkley Lodge

Also see our care home review for Walkley Lodge for more information

This inspection was carried out on 21st August 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The people who use the service were involved in decisions about their lives, and the staff encouraged them to play an active role when planning their care. The staff and the management knew the people well enough to know their likes and dislikes and behaved sensitively. On the whole the senior staff supervised and supported the support staff. The physical design and layout of the home enabled people who use the service to live in a well-maintained and comfortable environment, therefore encouraging independence. The charm and character of the old manor house was maintained. The bedrooms were large and furnished to suit each individual`s taste and needs. The people who use the service have access to staff who are in the main trained, skilled and in sufficient numbers so that they receive support in line with their terms and conditions. The families commented that the staff were committed and that they were kept informed of progress or any unfortunate incidents.The people living at Walkley Lodge enjoy the openness and respect given to them by the manager and her staff at the home.

What has improved since the last inspection?

The service has been registered with a new provider. Therefore this does not apply to the present administration.

What the care home could do better:

Written information of the service needs to be available in the appropriate format for those who wish to move in so that they are able to make an informed decision about the service provided by the home. To make sure that the people using the service are being involved in their needs assessments and their ongoing care reviews an appropriate mode of communication must be used by the assessors and the staff at the home to evidence individuals` involvement. All staff working in the home needed to receive training and deemed competent by the management when handling those people who have behavioural problems. The staff must be supported appropriately so that they do not feel threatened by some people living at the home. The aims and objectives of the service and also the needs of the people who live there should influence the identified training. This should be part of the annual development programme for the staff employed at the home. The progress made by those living at the home needs to be monitored by 3-6 monthly multidisciplinary team reviews and the decisions made should be recorded in their care plans as evidence.

CARE HOME ADULTS 18-65 Walkley Lodge Commonside Walkley Sheffield South Yorkshire S10 1GE Lead Inspector Marina Warwicker Key Unannounced Inspection 21st August 2007 07:20 Walkley Lodge DS0000069696.V349061.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 Walkley Lodge DS0000069696.V349061.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. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walkley Lodge Address Commonside Walkley Sheffield South Yorkshire S10 1GE 0114 267 8925 0114 267 8291 walkleylodge@activecarepartnership.co.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) Southern Cross Healthcare (Focus) Limited Mrs Gillian Kathryn O`Hara Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: 2. Learning Disability - code LD, maximum number of places 7. The maximum number of service users who may be accommodated is 7. NA Date of last inspection Brief Description of the Service: Walkley Lodge is a listed building, which has been converted into a home for seven adults. The home maintains the charm and charactor of a manor house. There is provision for seven adults with learning difficulties. Walkley Lodge is situated in a residential area of Sheffield. It is within easy reach of public transport and shops. The weekly fee changes each year. On 21st August 2007 the fee ranged from £1902 to £2450. The fee included the hotel fee and the personal care. However, the individual allowances were used to buy clothes, toiletries, pay for transport and personal items such as games, magazines and comics. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A site visit was carried out on Tuesday 21st August 2007 between 07:20am and 12.40pm. The night and day staff were consulted and the early morning routines were observed. Four people living at the home were consulted. Five staff were spoken with. The relatives of all service users were contacted by post to obtain feedback about the service. The comments received from the surveys are included in the report. Time was spent familiarising and interacting with the young people and the staff. The premise was inspected which included the communal areas inside and outdoors. Samples of records such as the care plans, medication records, some service reports and staff recruitment & training files were checked. During the inspection the registered manager was informed of the findings. I would like to thank the young people who were at the home, the manager, and all the staff for their contribution to this inspection process. What the service does well: The people who use the service were involved in decisions about their lives, and the staff encouraged them to play an active role when planning their care. The staff and the management knew the people well enough to know their likes and dislikes and behaved sensitively. On the whole the senior staff supervised and supported the support staff. The physical design and layout of the home enabled people who use the service to live in a well-maintained and comfortable environment, therefore encouraging independence. The charm and character of the old manor house was maintained. The bedrooms were large and furnished to suit each individual’s taste and needs. The people who use the service have access to staff who are in the main trained, skilled and in sufficient numbers so that they receive support in line with their terms and conditions. The families commented that the staff were committed and that they were kept informed of progress or any unfortunate incidents. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 6 The people living at Walkley Lodge enjoy the openness and respect given to them by the manager and her staff at the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Walkley Lodge DS0000069696.V349061.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 Walkley Lodge DS0000069696.V349061.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, 4 and 5. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Prospective people and their representatives who wish to use this service have the information needed to make an informed decision. However, the information is not made available in the appropriate formats for the diverse users of this service. EVIDENCE: Information about the home was available but this was not in the format the users of the service were able to understand. The manager said that she realised this and was looking into using different formats, such as Makaton and Pictures. Three care plans were checked and needs assessments documents from the placing authorities were seen. It identified Walkley Lodge as a suitable placement. It was noted that the present group of people were of the same gender, and race. But their cultural and religious beliefs were diverse and reflected their individualities. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 9 Not all the staff employed at the home were able to communicate using the individuals’ preferred mode of communication. The staff said by allocation of key workers individuals became familiar with people and understood their particular behaviour. The staff made the following comments. “Each person has a different way of letting us know what they wanted. Getting to know the people as individuals is the only way to deal with it. “ “ Our clients don’t use any one method of communication. It is a bit of signing, pointing, recognition of pictures and verbal explanation.” The relatives of those who use the service, the support staff and the care mangers confirmed that all five people using the service had opportunities to visit the home and spend time as well as had a ‘settling in period’ before arranging permanent placements. Three peoples’ contracts and terms and conditions were checked. The care managers had agreed to the contract as part of the funding arrangements. It was difficult to establish how much the people living at the home understood about the Terms and conditions of their stay. Although in each person’s room there were copies of the statement of purpose and service user guide in a written format. The manager agreed that the format of the information was not user friendly and needed addressing. Walkley Lodge DS0000069696.V349061.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who use the service are involved in decisions about their lives, and they play an active role in planning the care and support they receive. EVIDENCE: Three care plans were checked and four young people using the service were consulted and staff on duty were interviewed. The care plans had been generated from the care management assessments and these have been reviewed regularly by the staff at the home. Although there were comments on the care plans that the young people had been involved in the reviews, it was difficult to evidence this is due to the lack of recognised modes of communication facilities. On the day of the site visit the staff interacted with the people with respect and helped them make decisions. The people were able to get up when they wanted to, have their breakfast where they wanted, get dressed in clothing of Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 11 their choice and do what they wanted to. If anyone had previously arranged appointments to keep the staff reminded them and help them to attend them. One young person travelled on public transport to attend a day centre. The support staff said that they went along to ensure the person’s safety but did not intervene and remained an observer. A support staff said, “We help the residents to identify hazards and avoid them or minimise risk from them. Often they listen and try and understand.” During staff interviews they said how they maintained confidentiality of information and when they needed to share information although it had been given in confidence. The answers were in line with the home’s policies. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who use services are able to make choices about their life style, and receive support to develop their life skills. EVIDENCE: Social, educational, cultural and recreational activities were identified in the individual care plans checked which helped the reader to envisage the life style the young person wanted to experience. The senior staff said that they had helped the people by accessing training and development so that they could develop employment skills. The staff accompanied the young people to the local parks and the shops so that they were able to interact and integrate in the local community. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 13 One of the staff was very enthusiastic about the young people expressing themselves by art and crafts. She had framed some drawings by a young person living at the home. This was displayed in one of the common rooms which gave the others encouragement to be creative. People at the home were able to access a combination of in house and outdoor activities. The staff said that they supported those who wanted to maintain family links. Two family members confirmed this. Two staff said when people got mail/letters the manager or the senior carers dealt with them. One of the senior carers said, “We get very few letters. If we knew the family was coming in then we give them the letters for them to read it to the people or we sit with them and with their permission read it to them.” Breakfast and lunchtime were observed. Each individual had meals they had chosen and some helped the staff to prepare their meal. The staff said that each weekend they sat down with each young person and wrote the menu for the following week. The staff said, ”We encouraged them to choose some healthy eating options. Often they will have some healthy options.” There was fresh fruit readily available in the dining room. “Some people help with shopping for food.” Staff helped those who needed encouragement discreetly during mealtimes. The person who was going out for the day prepared her lunch and she was very proud of her achievement that she told the inspector about it. This helped her to be in control and be independent. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who live at Walkley Lodge receive health and personal care based on their individual needs. EVIDENCE: The comments from the surveys, people using the service and the staff confirmed that personal support was provided in private and the people were encouraged to care for themselves. The staff said that they saw their role as to help with the selection of clothing and grooming and facilitated the young people to express their individuality by their appearance. The people who live at the home had access to the general practitioner and other health care professionals. There was evidence in the care plans that people had attended health checks. The senior carers carried out the management medication since the people living at the home were unable to take on this responsibility. The staff had carried out risk assessments to support these decisions. Records were Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 15 maintained of all current medication for each person; information such as the reason for the medication and known side effects were recorded. This practice was commendable. The manager said the staff were allowed to administer medication following satisfactory completion of medication training. Some staff had attended training on dealing with death and dying. However, during conversation with staff it was understood that due to the age group of people living at the home there was a lack of recognition for the need to be competent at dealing with matters relating to palliative care, deteriorating conditions and aging. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who use the service are able to express their concerns and have access to an effective complaints procedure; this contributes to the protection from abuse and neglect. EVIDENCE: The people who use the service were able to express their feelings and the staff were sensitive to their concerns. Speaking to the people and the feedback from the surveys evidenced this. The management maintained a record of formal complaints made to them. Two staff made the following comments, “Often when the routines are changed or interrupted then they get upset and complain.” “Some family members feel upset to see their daughter in a home and they complain to show some ownership of the person. We are trained to listen and be sympathetic and not be judgemental.” The staff training records confirmed that most staff had attended training on Protection Of Vulnerable Adults. The staff interviewed explained the action they would take in the even of an allegation of abuse or neglect. Walkley Lodge DS0000069696.V349061.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, 29 and 3. 0 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The physical design and layout of the home enables people who use the service to live in a well-maintained and comfortable environment, therefore encouraging independence. EVIDENCE: The representatives, the care managers and the visiting professionals commented that Walkley Lodge was suitable for the needs of the people who occupy the home. The people living at the home seemed happy and contented with the environment. The home was clean, airy and free from offensive odours. There was sufficient lighting and ventilation. The people who live at the home used the laundry room and the support staff supervised them. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 18 On the day of the site visit it was noted that the front door needed its safety features updating. The door needed strengthening and requires blinds to maintain the privacy of the people who were within the home especially during nightime. The manager was informed and the handyperson explained that the company wanted to replace the front door and since this was a listed building there were some problems. During the site visit it was observed that people had access to environmental adaptations and disability equipment as needed. The staff said,” The Company is good at purchasing any equipment we need.” The home’s records indicated that arrangements had been made to repair and maintain equipment to ensure safety. Walkley Lodge DS0000069696.V349061.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 this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The people who use the service have access to staff who are in the main trained, skilled and in sufficient numbers so that they receive support in line with their terms and conditions. EVIDENCE: The staff interaction with the people living at the home was observed. The other visiting professionals comments and feedback from the staff surveys were also were also taken on board. It was concluded that the staff were accessible, approachable, reliable and motivated. However, some staff were not comfortable with some of the people. During discussions with the young people and the staff it was discovered that some people who were using the service were abusive towards some of the staff members and that staff were frightened and felt intimidated by the behaviour of certain young people. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 20 This situation highlighted the gaps in staff skills and competencies and above all the lack of understanding by the people who use the service of their Terms and conditions of their stay at Walkley Lodge. The manager was informed of the findings. She explained that on some occasions it was the personalities and there had been occasions when some individuals had been discriminated against by the people living at the home. Three recruitment files were checked and staff were interviewed with regards to recruitment. It was evident that the manager operated a robust recruitment procedure, which complied with the laws of equal opportunities and discrimination. The manager was informed that staff photos needed to be up to date and the pictures needed to be clear so that the persons would be easily identified. Although there was a training programme it needed to be reviewed to fulfil the aims of the home in line with the changing needs of the people living there. The staff said that most of the time they received support and supervision by the senior care staff. Three comments were received. “We need to have one senior staff not attached to anyone during the day if we were to be given proper support. Recently this had not been possible because of staff turnover and sickness.” “Usually if we are given the required number of staff then we are happy with the support. But when staff don’t turn up to shifts, it is difficult for manager to get someone at short notice.” “Sometimes with X &Y it is much better to take them out to the park or for a long walk. It is usually not possible because we need additional staff on top of the rostered ones.” Due to the above findings discussions took place between the manager and the inspector with reads to retention of staff and staff competency. Walkley Lodge DS0000069696.V349061.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 this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The people living at Walkley Lodge enjoy the openness and respect given to them by the management of the home. But the is a need to have clear boundaries between the people who live and work at the home so that diversity and equality is promoted. EVIDENCE: The people living and working at the home were supported and supervised by the registered manager and her senior staff. The staff made positive comments about the management of the home. Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 22 Minutes of the staff meetings were available. The monthly visit report (i.e. Reg26) by the Responsible Individual was very informative and highlighted the positives and commented on the areas for improvement. The staff working at the home maintained accidents and incidents records. However, the follow-up action taken by the management had not been documented. The manager was made aware of this. The quality assurance systems need does not focus sufficiently on the interaction between the young people living at the home and the diverse group of staff employed by the home. In some cases there was a lack of mutual respect. The management need to promote diversity and equality among those who live and work at Walkley Lodge. The staff had attended mandatory training including health & safety and fire safety. Whilst reviewing the training files and other operational documents it was proved that the manger took practical measures to maintain health & safety of the people who lived and worked at the home. Walkley Lodge DS0000069696.V349061.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 4 5 3 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 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 2 X X 3 X Walkley Lodge DS0000069696.V349061.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NA 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 To demonstrate that the people using the service are being involved in their needs assessments and their ongoing care reviews an appropriate mode of communication must be used by the assessors and the staff at the home. All staff working in the home must receive training and deemed competent by the management when handling those who have behavioural problems. The staff must be supported appropriately so that they do not feel threatened by the behaviour of some people living at the home. Neglecting to address such issues may result in staff feeling vulnerable and in extreme situations lead to abusive actions or neglect by staff. To ensure that the people receiving the service are aware of their assessed and changing needs the management must ensure that the key workers are able to discuss and reflect the DS0000069696.V349061.R01.S.doc Timescale for action 16/10/07 2 YA3 18 12/11/07 3. YA6 15 16/10/07 Walkley Lodge Version 5.2 Page 25 4. YA9 13 5. YA24 23,12 6. YA32 18,19 goals in each of their care plans. Staff need to establish the best mode of communication for each person to achieve this. People living at the home should have 3-6 monthly multidisciplinary team reviews and these should be recorded to evidence that the peoples’ progress are being monitored and preparations are being made for their future. The front door must be strengthened and blinds must be fitted to safeguard the privacy and dignity of the people who live and work at the home especially during nightime. As part of staff supervision and support the manager must ensure that the new staff receive induction, which empowers them in understanding the needs of the people living at the home. To ensure that the staff are competent and confident; the manager must introduce systems to support individual staff according to their capability. 16/10/07 09/10/07 09/10/07 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 YA35 Good Practice Recommendations Training needs assessments should be carried out for all staff working at the home. The identified areas for training should be influenced by the aims and objectives of the service and also the needs of the peoples who live there. This should be part of the annual development programme for the staff employed at the home. DS0000069696.V349061.R01.S.doc Version 5.2 Page 26 Walkley Lodge Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Walkley Lodge DS0000069696.V349061.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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