Inspection on 15/02/06 for Walton House

This inspection was carried out on 15th February 2006.

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

The inspector found 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Walton House 10/12/07

Walton House 17/10/06

Walton House 11/11/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Walton House 4 Walton Crescent Lanesfield Wolverhampton West Midlands WV4 6DX Lead Inspector Rebecca Harrison Announced Inspection 15th February 2006 10:00 Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Walton House Address 4 Walton Crescent Lanesfield Wolverhampton West Midlands WV4 6DX 01902 563223 01902 683320 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) Arcare (West Midlands) Limited Mrs Suman Bala Sharma Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 Brief Description of the Service: Walton House is a traditional style semi-detached property, which is located in a residential area of Lanesfield approximately 3 miles from Wolverhampton City centre. The home offers access to local amenities and transport and the premises are in keeping with the local community. The home is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care to a maximum of three adults who have a learning disability. The homes philosophy is to Maintain a high standard of care, respecting individuality, privacy, residents dignity and independence at all times. First and foremost a happy and secure environment within the home. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and commenced at 10.00am and lasted just over 4 hours. The Lead Inspector was Ms Rebecca Harrison and the Provider Representative was Mrs Suman Sharma, Registered Manager. The three people living at the home were out accessing day services and did not request to speak with the inspector. The inspection included talking with registered manager, a manager from a sister home, examination of a number of records and a tour of the premises. The managers were welcoming and helpful throughout the inspection. The purpose of the inspection was to review the progress made by the home since the unannounced inspection undertaken on 12th September 2005 when 28 requirements and five recommendations were made. No complaints have been received by the home or referred to the Commission for Social Care Inspection since the home was last inspected. There have been no referrals made under adult protection procedures. What the service does well: What has improved since the last inspection? Since the last inspection the proprietors and staff have demonstrated a clear commitment towards meeting the National Minimum Standards and this was evident in the findings of this inspection. Considerable improvements have been made to the environment in order to provide people with a pleasant, clean, safe and homely place to live. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 6 A manager responsible for undertaking risk assessments has received training and has developed comprehensive risk assessments for the individuals living at the home. All service users have received a formal review and have been assessed by an Occupational Therapist since the last inspection and action identified. Record keeping practices are much improved with evidence of regular review. A training and development plan has been developed and staff are now receiving training opportunities appropriate to their job role. 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. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 the following standard(s): 1 and 5 Appropriate procedures are in place to enable successful admission to the home. EVIDENCE: There have been no new admissions or discharges over the last twelve months therefore it was not possible to assess key standard 2 on this occasion. The home currently has no vacancies. The Statement of Purpose and Service User Guide have been revised following requirements made at the previous inspection. Both documents were found well presented and meet the requirements of Schedule 1, Regulations 4 and 5 of The Care Homes Regulations 2001. A requirement was made at the previous inspection that the manager develop and agree with each service user a written contract as specified in standard 5.2. The findings of this inspection evidence that this requirement has since been met. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 the following standard(s): 7 and 9 Service users are supported in decision-making processes and enabled to take responsible risks as part of an independent lifestyle. EVIDENCE: The intended outcome for key standard 6 was assessed and met at the previous inspection and was not reviewed on this occasion. A recommendation was made at the previous inspection that the home liaise with day services and social/health care professionals to develop consistent behaviour management strategies for the person identified with behaviours that challenge. Discussions held and records seen evidence that the home has met this recommendation and consulted with the necessary professionals and a formal review has been held and action identified. It was reported that service users access independent advocacy services provided through local authority day service provision and attend sessions fortnightly. Discussions with managers indicate that the home has regular input with day services. A letter on the homes quality assurance file dated 13.10.05 from a day service employee was positive and evidences that good working relationships have been developed. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 10 Documentation seen on care files evidence that service users have been actively involved in the refurbishment of their home and are offered choice in relation to their lifestyle. Services users are supported with the management of their personal allowances and their financial records are well maintained by the staff team and receipts retained for all purchases made. A requirement was made at the previous inspection that service users be enabled to take responsible risks within a risk-assessed framework. Following the last inspection the registered manager from a sister home has attended training in risk management through an external provider and has since developed comprehensive risk assessments with service users in consultation with the staff team. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 the following standard(s): 13,16 and 17 Service users have a presence in the local community; their rights are respected and are provided with a healthy diet. EVIDENCE: The intended outcome for key standards 12,14 and 15 were assessed and met at the previous inspection and was not reviewed on this occasion. Discussions held with managers and records seen evidence that people living at the home have a presence in their local community and have developed positive relationships with the neighbours. During the inspection a neighbour called by with a box of Indian sweets for the service users. It was reported that service users access transport provided by social services, the home and taxis. Preferred daily routines were recorded on the two care files reviewed. Service users are responsible for cleaning their rooms and are supported by the staff with other housekeeping tasks around the home. A no smoking policy is in place. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 12 Service users have unrestricted access to the home however they are currently not provided with lockable bedrooms. Records evidence that the provider has made this provision available and has consulted with service users and their families in relation to this. Whilst this is acceptable to the people currently living at the home, this must be kept under regular review and appropriate locks fitted if an individual requests such or for any future admission to the home. During the week service users are provided with a main meal at the day service that they attend and therefore the menu provided by the home is flexible. It was reported that none of the individuals currently living at the home have any special dietary needs. Weight monitoring forms are in place. Staff maintain a record of meals eaten at the home however managers were advised to monitor the records as they indicate that people are consuming large amounts of chicken. Service users are supported with food shopping and the preparation of basic meals, laying the table and washing up. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 the following standard(s): 18 and 20 Personal support is provided in a sensitive manner. The management of medication needs to be improved and closely monitored to ensure service users are safeguarded by the homes medication procedures. EVIDENCE: The intended outcome for key standard 19 was assessed and met at the previous inspection and was not reviewed on this occasion. Preferences and guidelines for personal support was found well documented on the care files reviewed in addition to a recent initial assessment undertaken by a Occupational Therapist from the local team. Service users are currently supported by an all female staff team however discussion held with managers evidence that they would welcome applications from men when next recruiting. Since the last inspection the home has changed pharmacists and Boots Chemists now supply the home with prescribed medicines for two service users. The Monitored Dosage System (MDS) is now used and staff have received the appropriate training in the new system. The manager and senior carer have undertaken accredited training in the safe handling of medicines and it is the intention that all staff access this distance learning accredited training course as soon as possible. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 14 The medication cupboard was found well organised however a few gaps were noted on the medication administration records (MAR) and the wrong code had been entered for one individual that had taken social leave. It was reported that the prescribed medication had been administered and staff had failed to use the new codes for social leave etc provided through Boots Chemist. Incoming drugs and quantities had not been checked against the medication received. A returns book is available. It was reported that none of the service users are currently prescribed controlled drugs. The homes medication policy was not reviewed on this occasion. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 The home has a satisfactory complaints procedure in place and systems to safeguard service users from potential abuse. EVIDENCE: Two requirements were made as result of the previous inspection that the homes complaint procedure is given/explained to each service user and that the home obtains a copy of the local Adult protection policy and procedures and staff are provided with training in adult protection. The findings of this inspection evidence that the home have complied with the requirements made. Comments received from two service users, relatives and visitors in preparation for this inspection indicate that they are aware of the homes complaints procedure. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 the following standard(s): 24,25,26,27,28,29 and 30 Service users are provided with a clean, comfortable and safe environment to live. EVIDENCE: Eight requirements were made at previous inspection relating to the environment. During a tour of the home it was evident that the home has been much improved and now provides people with a homely, clean and safe environment to live. Following the last inspection the bathroom on the first floor has been refurbished and fitted with two separate shower facilities with thermostatic water valve fitted and a new toilet. The lounge, dining room, kitchen and hallway have been redecorated, new flooring has been provided in a number of rooms throughout the home, some new curtains purchased and new bedding provided in service users rooms. Re-tiling of the shower room has been undertaken and a number of windows at the rear of the house repainted. It was reported that the outside of the house and all outstanding windows are to be painted during the spring and summer months. A comprehensive record of maintenance and renewal is now in place and a policy has been developed on maintenance, repairs and renewal. A number of pieces of furniture still require replacement. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 17 Both the fire officer and environmental health officer have visited the home since the last inspection. A letter was forwarded to the CSCI from the fire officer confirming that the fire arrangements are satisfactory. The home is awaiting a report from the Environmental health, however the registered manager confirmed that no recommendations were made as a result of the visit. Since the last inspection all three people have been assessed by an Occupational Therapist from the local team. Managers reported that none of the service users currently require any specialist equipment to aid their independence. The home was found very clean and tidy during this announced inspection. An infection control policy is now in place and the manager and senior have previously accessed training in infection control however all staff are to undertake a distance learning course shortly. A new COSHH file has been developed which includes guidelines for staff and service users. The home does not provide a separate laundry therefore a risk assessment must be developed for soiled clothing and linen being carried through a room where food is prepared and cooked – see requirement made under standard 42. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Service users are supported by a committed staff team who are undertaking training opportunities appropriate to their role. EVIDENCE: The intended outcome for standard 36 was assessed and met at the previous inspection. Outcomes for standards 33,34 and 35 were previously assessed and not met. Five requirements were made as a result of the last inspection in relation to staffing levels, recruitment practices, training and development. The current staffing structure consists of a registered manager; senior care assistant and two care assistants. The ratio is a minimum of one staff to three service users. It was reported that the home works closely with two other sister homes located within close proximity thus providing flexibility to support people either individually or in very small groups in the community. It is the expectation that service users access local day service provision throughout the week however if a service user is ill or requests to stay at home then this can be accommodated. One staff has achieved an NVQ qualification; one is currently undertaking the award and funding has been sourced for the other care assistant to commence the award in March. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 19 Significant shortfalls were identified at the previous inspection in relation to recruitment procedures. It was reported that no new staff have been recruited since the last inspection however the numbers and gender mix of the staff group needs to be kept under review. Comment cards received in preparation for the inspection from relatives and visitors indicate that the home has sufficient numbers of staff on duty. A new recruitment file has been developed which is comprehensive and well presented. The personnel file of one staff member who also works in another home was not available however this will be reviewed during an unannounced inspection at the sister home, which is scheduled shortly. Managers made a commitment to ensuring staff files are available for inspection at the homes where staff work. An employee checklist is currently being devised as recommended at the last inspection. The recommendation for service users to be actively supported in staff selection has been carried forward. Recruitment procedures will be inspected at the following inspection of this service. Following the last inspection opportunities for staff to access training has much improved. A training and development plan has been developed and a copy of the Independent Sector Training Programme arranged through Wolverhampton City Council has been obtained. Staff have started to access a number of courses both mandatory and service specific. Further courses have been identified to include Disability Awareness, Person Centred Planning and Lone Working. All staff have received training in epilepsy provided by a community nurse based in the local team and a letter of confirmation that training had taken place was seen on file. Staff were not available at the inspection to talk with, however managers confirmed that staff are committed to their work, motivated and are equipped with the necessary skills to meet the needs of the people accommodated. A recommendation was made at the last inspection for an agenda format for supervision sessions to which managers/staff contribute has not yet been implemented however there was evidence that staff receive regular formal supervision and records are maintained on personnel files. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41 and 42 The manager and her team are committed to improvement. Quality assurance and monitoring requires further development to inform future planning. Health and safety arrangements have improved but require further development in order to fully safeguard service users and staff. EVIDENCE: The intended outcomes for standards 41 and 42 were previously assessed and not met. The joint proprietor, Mrs Suman Sharma is the registered manager of the home and has fifteen years experience and has obtained the NVQ level 4 Registered Managers Award. Since the last inspection the manager has undertaken a number of training opportunities to include Health and Safety, Food hygiene, Fire Safety and the Monitored Dosage System. Further training has been sourced for Lone Working, Adult Protection and Risk Assessment and Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 21 Mental Health. The home has a quality assurance file in place, which contain a small number of letters with positive views about the service since 2003. Managers reported the difficulties experienced in acquiring the views of the people and their families. Further avenues need to be explored in order to measure success in achieving the aims, objectives and statement of purpose for the home therefore an annual development plan should be developed to assist in measuring success and inform planning and review. In preparation for this inspection a number of CSCI comment cards were completed by two service users, an NVQ Assessor, Chiropodist and the relatives of one service user. All people stated that they are satisfied with the overall care provided. Visitors stated that they are made welcome. The relatives commented that they are kept informed of important matters affecting their relative but would like him to be provided with warm clothes and more spending money when on family visits. Comments received from service users indicate that they like living at the home, like the food, feel safe and well cared for. One person said that he sometimes doesn’t get on with the people he lives with and sometimes his privacy is not respected. Another service user commented that sometimes the home provides suitable activities. Nine requirements were previously made in relation to record keeping and health and safety arrangements. This inspection identified that records required by Regulation are much improved but require further development. A policy for safe working practices has been developed however this requires additional information to ensure the home complies with legislation under Standard 42.4. A fire risk assessment has been undertaken and it was reported that this has been seen and approved by the fire officer. Risk assessments for all safe working practices have been developed with the exception of soiled laundry, manual handling and water temperatures in wash hand basins and the kitchen. Thermometers are now in place and records are now being maintained for water temperatures. Records evidence that staff have received mandatory training and that health and safety is discussed at team meetings, which are now held monthly. Hazardous substances are now appropriately stored and a new COSHH file has been developed. Portable appliances have now been tested. An engineer was checking the hard wiring at the time of the inspection and a report of the findings will be forwarded to the provider. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 X 3 X 4 X 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 3 26 2 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 2 X 3 X 2 X 2 2 X Walton House DS0000030209.V273562.R01.S.doc Version 5.1 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 2 3 4 5 Standard YA20 YA20 YA24 YA26 YA34 Regulation 13(2) 13(2) 23 16(2) 23(2)(l)(m) 19(1)(b) Requirement MAR records must be appropriately maintained. All incoming prescribed drugs must be checked and signed for. Furniture and fittings must be of a good quality and fulfil their purpose. Bedrooms must include furniture as required under NMS 26.2. The home must obtain two references before appointing staff and explore any gaps in employment. Staff must not be employed at the home until a CRB disclosure is obtained. Personnel files for staff employed to work at the home must be available for inspection and contain the relevant documentation. Timescale for action 28/02/06 28/02/06 31/03/06 31/03/06 28/02/06 6 7 YA34 YA34 19(1)(b) 19(1)(b), sch 2 28/02/06 28/02/06 8 YA39 24(1)(a,b)(2)(3) The registered person must develop the homes quality assurance and monitoring systems further to inform future planning. 31/03/06 Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 24 9 YA41 17 Schs 1,2,3,4 10 YA42 12(1) 11 YA42 13(4) All records required by 31/03/06 regulation for the protection of service users and for the effective and efficient running of the business must be maintained, up to date and accurate. The health and safety policy 31/03/06 must be developed further to include all relevant legislation for safe working practices. Risk assessments for all safe 31/03/06 working practice topics in Standards 42.2 and 42.3, and for soiled clothing and linen being carried through the kitchen must be carried out and their conclusions communicated to staff. 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 Refer to Standard YA17 YA34 Good Practice Recommendations It is recommended that food consumed be closely monitored to ensure service users are being provided with varied and balanced meals. It is recommended that service users are actively supported to be involved in staff selection. Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Walton House DS0000030209.V273562.R01.S.doc Version 5.1 Page 26 - 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!