Inspection on 26/11/07 for Weaver Court

This inspection was carried out on 26th November 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 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Weaver Court 19/11/08

Weaver Court 09/01/07

Weaver Court 07/12/05

Weaver Court 19/04/05

Weaver Court 09/11/04

Weaver Court 28/05/04

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

CARE HOME ADULTS 18-65 Weaver Court Moorfield Place Idlecoft Road Idle Bradford BD10 9TL Lead Inspector Linda Trenouth Key Unannounced Inspection 26th November 2007 12:00 Weaver Court DS0000046742.V354448.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 Weaver Court DS0000046742.V354448.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. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Weaver Court Address Moorfield Place Idlecoft Road Idle Bradford BD10 9TL 01274 615538 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) Bradford District NHS Trust *** Vacant *** Care Home 22 Category(ies) of Dementia (1), Learning disability (22), Learning registration, with number disability over 65 years of age (8), Physical of places disability (22), Sensory impairment (2) Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2007 Brief Description of the Service: Weaver Court is a Bradford District Care Trust home situated in the Idle Croft area of Bradford. The home is registered to provide personal care for up to 22 people with learning disabilities. The home provides long-term care. Accommodation is provided on two floors; there are 22 single bedrooms. Communal lounges are located on both floors. There are five bath/shower rooms, some of which have hoisting facilities. The home has a catering kitchen and a domestic kitchen. All laundering is undertaken on the premises. Weaver Court has a large enclosed garden and car parking is located at the front of the building. Local shops and bus routes are within easy access. The fees for the people living at the home are £63.90 and £98.56 per week, people pay for extras such as haircuts, clothing, toiletries, and trips out. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We visited the service unannounced over one day for approximately 7 hours. The inspection also included gathering information and evidence before and after the visit to decide the overall judgement. The manager was available during the visit. We looked at the records, watched staff working, and talked to people who live at the home. We also looked around the building. The main purpose of this inspection is to make sure that the service continues to provide a good standard of care. We sent comment cards to people using the service, relatives, advocates, and social and health care professionals, to give them the opportunity to comment on the service, 6 relatives and 1 health care professional comments cards were returned. The manager has been in post for over 9 months but has not yet applied for registration with us. The manager of the home completed a self-assessment form called an AQAA, which is information we ask for every year and is used as part of the inspection process. The returned self-assessment documentation provides information about staffing and people who use the service. Feedback was given at the end of the inspection and requirements made during this visit can be found at the end of the report. What the service does well: The service user guide provides adequate information to help people understand what the home provides. Other information is provided in the 3 monthly Weaver Court newsletters. People have a choice in what they want to do from day to day and regular house, staff and relative meetings are held to make sure everyone has a say in things that matter in the home. The manager and staff make sure that the people’s health care needs are met. They see their own GP regularly and get good support from the community health facilities. People also say that the staff treat them well and one health care professional Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 6 commented, “I do find that staff are respectful towards the service users” “I have been impressed with the level of support the staff give to service users to ensure their wishes are met wherever possible.” People are encouraged to join in leisure and social activities and to make dayto-day decisions about their lives. People have enjoyed a variety of activities both within and beyond the home. The manager and staff are innovative in seeking ways to raise funds and improve the service. The “ the courtyard”, a new area created from staff fund raising, is a café and events venue for people living at Weaver Court. Recruitment procedures are thorough which means that staff are safe and suitable to work with people staying at the home. The staff have good training opportunities to provide them with specialist knowledge that they need to meet a wide range of needs. The manager is competent and provides direction and leadership to the staff team. Staff say that they feel well trained and supported by the management. What has improved since the last inspection? The first floor alterations and refurbishment have been completed making sure that that people live in a comfortable and safe environment, which meets their needs. Refurbishment for other areas of the home has progressed with new floor covering provided throughout the home and people have been involved with choosing, curtains, bedding and furniture. All staff records are available in the home so that it can be clearly seen that recruitment is undertaken properly and staff are safe to work at the home. The structure of the mealtime has been reorganised to make sure that all people have a positive experience in a well-supported environment. Medication is now stored safely and meets the Royal Pharmaceutical Society’s Guidelines. The manager has sent out satisfaction surveys to all the people who live at the home and their families. This is important to make sure that everyone has a say in how the service is run. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 7 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. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home receive information about what the home has to offer and their needs are assessed to make sure that these can be met. EVIDENCE: The service user guide is up to date and provides people with good information before they decide to move into the home. The home also has other helpful literature to guide prospective clients and a three monthly newsletter keeps everyone up to date about events in the home. There have been no new admissions to the home in the last year but the manager has organised for the people who moved from Farmhill Court to have a full assessment to make sure that home can fully meet their needs. When people were asked if they wanted to move into Weaver Court they commented “I had been using Weaver Court since it opened for respite care and enjoyed staying there.” Weaver Court DS0000046742.V354448.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 and 9. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People could be better supported to make their own choices with improvements to the care planning systems in the home. EVIDENCE: The home has started to introduce new care plans which are more accessible to people. This is still in the early stages and the majority of people remain with the old style of care plan. Of the documents seen only one had part of a new care plan and other information was out of date, this made the information confusing and difficult to follow. The risk assessments on one file related to another home and were out of date. These did not address the current risk for the person. One other care document failed to look at a person’s manual handling and other safety needs. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 11 The manager showed a completed care plan and risk assessment, which she hoped would be introduced for all people at the home in the next few months. People are helped to make choices, people were observed getting up at lunch time as their choice and one person prefered to dress in their night clothes. Staff were clear about the reasons for this and supported people with their individual choice and needs. People commented that they did what they wanted to do at the home. Weaver Court DS0000046742.V354448.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, 14, 15, 16 and 17. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People enjoy an active and varied lifestyle and participate in a wide range of community activities. EVIDENCE: All of the people living at the home take part in activities in the community, this includes, using local shops, visits to the pub and going on day trips to places of interest. The staff say that people also use the local facilities, the hairdressers, dentist and local GP. This is important so that everyone has the opportunity to be part of the local community and not be isolated from it. The home has a good range of activities that people can be involved with. There is now an activities assistant in post who organises activities both within the home and in the community. Special events have been organised such as birthday parties and a Halloween celebration. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 13 The People have enjoyed a variety of outings to Knowsley’s safari park and Blackpool. People also enjoy independent activities and are supported in their religious interests. The staff have raised funds to convert an area adjacent to the home called the “Court Yard”. This area has been created to increase the level and choices of activities available to people in the form of a large recreational area for special celebrations and Karaoke nights. Staff help keep in touch with family and friends and some people are helped to visit their friends and relatives outside the home. A special reunion party for the people who moved from Farmhill Court has been held and was a great success and enjoyed by all, the staff hope this will be a regular event. The activities during the week are stimulating and varied but people must be given the opportunity to have an annual holiday. Staff say that they are looking into the options of holidays or short breaks for individuals. The meal times have been reorganised into two separate sittings to make sure that people have a more relaxing experience. The menus are displayed for people to see in the dining room and people say they have a choice of food for their teatime meal. Weaver Court DS0000046742.V354448.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 and 20. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s personal and healthcare needs are met. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. The care records have a health section which details health needs and records appointments and visits from heath care workers. People’s personal care is provided by staff they feel comfortable with, where this is not possible this is explained to them. People have the support of many different health professionals such as Speech and Language Therapists and Physiotherapists. Waddiloves Health Centre also provides support with Dental, Chiropody, Optical and hearing needs. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 15 The local GPs support the home and staff accompany people to their appointments. Staff say that they have basic first aid training and senior staff have training in the administration of medication. A number of staff have also attended palliative care and other specialised training. Specialist equipment is fitted throughout the home to meet special care needs including, hoists, special baths, adjustable beds and recliner chairs to support them with their changing needs. The completion of a disabled bathroom and walk in shower room on the first floor makes sure that people who have mobility needs can be safely supported with their personal care. Staff say that there is now a medication room on the first floor providing secure lockable storage for medication. Medication records and storage seen was satisfactory. Weaver Court DS0000046742.V354448.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 using the service and their relatives feel confident that their concerns would be acted on properly and procedures are in place to safeguard them from harm. EVIDENCE: The service user guide has been updated and continues to include details of where to make a complaint. There is an accessible guide for people who live at the home which explains how they can make a complaint. Relatives say that they know who to speak to if they have any areas of concern. There are regular house, relative, and staff meetings so people can raise any problems they may have. This is important so that everyone knows their concerns will be listened to and that their opinion matters. Staff say that staff meetings and staff supervision focus on protection, making sure that staff have good information and knowledge about good working practices and their role in the protection of vulnerable people. The manager says that staff receive adult abuse awareness guidance in their induction and other forms of training are provided and updated so that staff are clear about how to recognise and respond to abuse. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 17 Newsletters are written and sent out to parents and carers keeping them up to date with what is happening at Weaver Court. Relatives feel that the communication from the home is good and they are kept up to date with information about their relative. There has been one safeguarding issue raised at the home and this was investigated and dealt with by the manager of the home. The manager and staff share information regarding incidents that occur in the home with the relevant agencies and work to make sure that everyone is kept safe from harm. The staff and manager liaise with other agencies when they have concerns. The PALS (Patient Advisory and Liaison Service) is asked to advocate and support individuals at the home. This shows that the manager and staff want to be accountable and run the home in the best interest of the people living there. The manager says that staff have completed challenging behaviour training so that they have the knowledge and skills to calm down difficult situations. This is important to make sure that everyone feels safe. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People stay in a better environment but the appearance and comfort still need improvement. EVIDENCE: The first floor level of the home has been refurbished to meet the needs of the people who live there. Flooring within all the communal areas has been changed from carpet to easy care flooring in a wood effect. This has assisted with maintaining the cleanliness of the home and environment. The manager says that the refurbishment of the lower level of the home is planned in the new year. The dining room, lounges and corridors all need redecorating. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 19 The manager says that new furniture and curtains have been ordered and the communal areas are awaiting redecoration. The bedrooms have been painted and new furniture has been chosen, people have been involved in choosing the colour schemes for their rooms. People feel that the home is always clean but commented, “the home is always fresh and clean but in definite need of refurbishment” Staff keep a record of any repairs that are needed and continually look at the health and safety in the home. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. 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’s needs are met by trained and competent staff team, and are protected by good recruitment practices. EVIDENCE: The recruitment files have all the relevant information. All staff are subject to the necessary CRB (Criminal Records Bureau) and (POVA) Protection of Vulnerable Adults checks. An application form is completed and two written references are taken up prior to an offer of employment being made. Potential new staff are introduced to the people who live at the home and people can have their own say about the applicants. This is to make sure that only the right people are employed at the home and the people living at the home are protected. The staff team at Weaver Court have clear job descriptions outlining their roles and responsibilities. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 21 Staff have induction training with Bradford District Care Trust, which covers the basic knowledge that they need to work safely and competently. New staff have started work at the home and have all completed the LDAF (Learning Disabilities Award Framework) training. Staff are also registered on the NVQ (National Vocational Award). Over 50 of the staff have completed NVQ level 2 training and above. This means that the staff are well trained to work with people who have a learning disability. The staff show a good understanding of the needs of the people. They are well motivated and committed to providing a high standard of care. Staff say that they have regular supervision from their line manager, however the casual staff at the home do not have the same support. All staff must have support and supervision to make sure they work safely and competently. Some time was spent observing the interactions between the people who live on the first floor and the staff. This area is segregated from the rest of the home as the staircase is unsafe for people to use. If people wish to join other people on the ground floor they have to walk some considerable distance outside on the adjacent road. The group living in this area were all transferred from a home that closed, so were kept together as a group. This environment is positive in that it gives people a smaller and quieter self-contained environment. The concerns raised however were about the staffing provided to this group of people. Only one member of staff works in this area supporting 6 people who have a high level of need. The staffing levels need to be increased, to provide enough support. Due to the isolation and segregation of this area any staff working here cannot rely on the support of other staff so a minimum of two staff need to work in this area to make sure that people are always safe. Some relatives also feel that the staffing levels are inadequate. Relatives comment; “there is insufficient staff on duty” The staff say that they struggle to manage people by themselves, sometimes they have to leave people unsupervised and go find someone in another area to help them. The only other way of getting help is by telephone. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. 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 manager runs the home well and has made many significant improvements to the service. EVIDENCE: The manager is suitably qualified, and experienced to manage the home effectively. She has completed the NVQ level 4 in management and health and social care. The manager says her post is permanent. The registered provider must now make sure they register the manager without delay. This is to make sure there is an accountable and consistent manager to provide support and make sure the service is safe. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 23 Relatives confirmed that they were invited to the relative meetings and felt able to raise any queries and concerns with the staff and manager of the home. The manager makes sure that everyone has their say in the way the home is run with staff and house meetings and regular contact with families. She has also completed a quality assurance survey seeking everyone’s opinion about aspects of the home. One health professional commented, “They appear to be a very enthusiastic manager and staff team. Lots of fund raising, open days, news letters, getting people to attend events” The staff monitor health and safety. Records confirm gas, electrical and water safety are complete. Fire safety records are not well maintained and concerns were expressed that the system was not tested regularly putting people at risk. Also several fire doors were wedged open despite clear signage saying they were fire doors. The manager said that they were held open because frailer people could not open the doors. The acting manager must seek advice from the fire officer about an appropriate device to hold fire doors open whilst still making sure the home is kept safe. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 2 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 2 x Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 25 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 Standard YA6 YA6 Regulation Sch(3) 15 Requirement The risk assessments must be completed to make sure that everyone is safe. The new care plans must be completed for all people so that staff are clear about what action they need to take to meet people’s needs and people receive consistent care in the way that they prefer. The refurbishment programme must continue and bedrooms and communal areas must be refurbished. People need to be able to lock their bedroom doors; suitable locks need to be fitted to their bedroom doors. The bedrooms also require lockable storage within the room so that people’s privacy and belongings are protected. Suitable staffing must be provided at all times to make sure that everyone is safe and all their needs are met. Previous timescale 01/04/07 not met. The manager must apply for registration with us. This will DS0000046742.V354448.R01.S.doc Timescale for action 01/02/08 01/02/08 3 YA25 23 01/04/08 4 YA25 23 01/04/08 5 YA33 18 01/02/08 6 YA37 8 01/04/08 Weaver Court Version 5.2 Page 26 7 YA42 23 make sure that there is accountable and consistent management. Previous timescale 01/04/07 not met. Fire systems must be checked regularly and fire doors must not be wedged open to make sure everyone is safe. 01/02/08 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 YA14 YA24 Good Practice Recommendations People at the home should have an annual holiday. Instructions for staff posted on people’s bedroom furniture must be removed. Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Weaver Court DS0000046742.V354448.R01.S.doc Version 5.2 Page 28 - 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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