Inspection on 21/10/05 for Whiteheather

This inspection was carried out on 21st October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whiteheather 13/12/07

Whiteheather 19/02/07

Whiteheather 14/02/06

Whiteheather 17/11/04

Whiteheather 11/06/04

Whiteheather 29/01/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Whiteheather Clacton Road Weeley Essex CO16 9DN Lead Inspector Pauline Dean Final Unannounced Inspection 09:20 21st October Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 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 Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 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. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whiteheather Address Clacton Road Weeley Essex CO16 9DN 01255 830502 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) talk2gam@btinternet.com Whiteheather Care Ltd Mr Shashi Dhanatunge Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 5 persons) 17th November 2004 Date of last inspection Brief Description of the Service: Whiteheather is a detached bungalow offering care for five younger adults with learning disabilities. The property is situated on the Clacton Road, in the village of Weeley, Essex. Within the village there are local shops, a post office and schools. Public transport is available and the home has their own transport. This home was opened and registered in 2003 by the present proprietors, Whiteheather Care Ltd. Mr Gamika Rasal Gunasene is the responsible individual. Mr Shashi Dhanatunge is the registered manager. The property is set back off the road, with parking areas. At the rear of the property there is a large enclosed garden with a patio area, a paved area, lawns and flowerbeds. There is a garden shed for storage. The front garden has an in and out driveway with trees and lawn. Bedroom accommodation comprises of five single bedrooms, all with en-suite facilities of a toilet and wash hand basin. In addition there is a bathroom with bath, overhead shower, wash hand basin and toilet, there is also a separate shower room and separate toilet. Communal accommodation comprises of a lounge/dining room offering access to the back garden. The kitchen and laundry are comparable with those found in a normal household. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over one day in October 2005. This was the first inspection of the inspection year 2005-2006. Throughout the day there was discussion with the Registered Manager, Mr Shashi Dhanatunge. Mr Gamika Rasal Gunasene, Responsible Individual for Whiteheather Care Limited visited the home during this inspection. All service users were met during this inspection. No visitors or relatives were present during this inspection. A tour of the premises was conducted at this inspection and both care and staff records were sampled. In addition, some of the policies and procedures in the home were sampled and inspected. Twenty-eight of the forty-three standards were inspected, of these twenty were met, with eight standards either almost met or not met. There has been a gradual improvement in meeting the requirements, although it is noted that some of the requirements are repeat requirements, which require particular attention. It can be seen that the majority of these requirements relate to care planning and risk assessment paperwork. In addition, a shortfall was noted in staff recruitment processes and documentation, namely completion of Criminal Record Bureau (CRB) disclosures for new staff. The need to review all of this documentation to ensure compliance was identified during this inspection. What the service does well: Whiteheather is a small, established care home for five adults with learning disabilities. There are currently three residents. All of the residents living at Whiteheather are in the age group of 18 –65 years and have a diagnosis of learning difficulties and severe challenging behaviour. Whilst there have been some changes to the staff group since the last inspection, a stable staff group is in place. Mr Dhanatunge said he felt that Whiteheather offered a “good environment, giving choice to residents, with care staff supporting and enabling residents to maintain and master skills.” This was borne out at the inspection. Records evidenced opportunities for residents to access new leisure and social activities through college and club activities. From discussion with management and care workers, it was evident that there was good liaison with local community nurses, GPs and psychiatrist nurses. Residents’ records detailed input from these professionals and staff training opportunities offered by the local Primary Care Trust teams have been taken up by the home. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 6 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. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 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 Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 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): 2 & 5. A detailed and thorough pre-admission assessment is in place, with care and attention given to ensuring that the home can meet residents’ individual needs. Residents do not have individual contracts/statement of terms and conditions that clarify services offered. EVIDENCE: The pre-admission assessment paperwork for the most recent admission to the home was inspected and was found to meet requirements. Whiteheather had completed an assessment of needs, with both a risk management and an assessment tool in place. This met requirements as detailed in the National Minimum Standards – Standard 2.3. In addition the placing authority had carried out a detailed care management assessment. Contracts are in place between the local authorities and home. Copies of the statement of terms and conditions between individual residents and the care home were seen. Following this inspection, copies of contracts between residents and the care home have been sent to the Commission. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 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): 6, 7 & 9. With some exceptions, residents’ assessed and changing needs and personal goals are detailed in their individual care plans to help ensure that their personal needs are met. Records did not fully detail residents’ rights to make decisions about their lives, with assistance as needed. Both risk assessments and risk management strategies are in place to help support residents in their daily living. EVIDENCE: All three care plans and risk assessments for each resident were sampled and inspected. Seven to eight care plan objectives were found to be in place for each resident. All aspects of personal care and social support are considered in these documents. However, in the healthcare needs, more detail is required to clarify the input from healthcare professionals and the implications this has on the care of the resident. Mr Dhanatunge was also advised that where there is an input from family and friends that this too needs to be detailed in the care plan of the resident. The need to link care planning goals, risk assessments and risk management strategies was also highlighted. More detail was required in the risk assessment process and the possibility of a review and revision of a care plan objective and the linking risk assessment was raised. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 10 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): 12, 13, 15, 16 & 17. Residents are supported and enabled to have opportunities for personal development through the provision and promotion of appropriate leisure and training activities in the community. Family contact and visiting arrangements are open and relaxed, with family links promoted and encouraged. The home offered a healthy, varied, planned menu, with consideration given to preferences and dietary requirements. EVIDENCE: The skills of residents at Whiteheather are such that they are limited with regard to the development of employment and only one resident is able to access college courses. This resident attends a pottery course and enjoys dancing and bowling. Mr Dhanatunge spoke of looking for college courses and activities that would be suitable for all of their residents and whilst they had approached local community education colleges they had found this extremely difficult because of the disabilities and challenging behaviour of their residents. Mr Dhanatunge said that as much as the residents are able they are encouraged and escorted to use the services of the local community. The Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 11 home has a large mini bus and is able to take residents to local beaches, woods and the countryside for walks and rides in the area. Two of the residents are able to walk to local shops and during the summer months this has been encouraged. All three residents had enjoyed a holiday in Skegness. Photographs were seen of this trip and one resident had obvious pleasure at seeing these photographs. Family links and contact are maintained through regular telephone calls and visits to the home by the family. Birthday celebrations are planned for one resident who spoke of his family involvement in this event. One staff member interviewed spoke of the ways in which they respect residents’ privacy and dignity. They gave an example of steps they would take to ensure that these needs are met. During this inspection, examples of this were seen. Whiteheather employs a person to do the household shopping. They visited the home and went shopping for food supplies on the day of the inspection. Local supermarkets and shops are used. Mr Dhanatunge said that shopping is undertaken at least three times a week and the cupboards, fridges and freezers were found to have a variety of food. The home has a planned fourweek rotation menu, with detailed nutrition records evidencing meals eaten by each individual resident. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 12 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, 19, 20 & 21. Residents’ personal and healthcare needs are met within the home and records evidenced that they are supported to access healthcare professionals, as needed. The administration of medication for residents was found to be detailed and recorded helping to ensure that residents’ health needs are met. The management of ageing, illness and death of residents has been considered to help ensure that staff and management deal with these matters with sensitivity and respect. EVIDENCE: From speaking with care staff and the Registered Manager, the Inspector understands that residents receive personal support in the way they prefer and require. Care planning daily record keeping evidenced this. The resident group is of the male gender and the majority of care staff are male. Healthcare records and correspondence detailed the physical and emotional care needs of the residents. Record keeping was well managed with care staff kept fully informed through this record keeping. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 13 Medication records, storage and administration was sampled and inspected. A care staff member detailed the processes of record keeping and records were seen of medication entering and leaving the home. All staff administering medication were said to have attended a medication training course. Mr Dhanatunge said that the home has a good service from their pharmacist and should they need advice this can be sought from this service. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 14 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 & 23. Appropriate practices were in place to help ensure that residents’ views are listened to and acted upon and their protection is promoted. Staff training, the awareness of management and staff, policies and procedures, and staff recruitment practices supports this. EVIDENCE: The home’s complaints procedure was seen to be in place and is contained in the Service Users’ Guide. Care staff interviewed were aware of this procedure and said that should they have any concerns they would take them to the Registered Manager or the Responsible Individual. Equally they had a good understanding of the Adult Protection Procedure and they said they would raise any concerns with the Registered Manager or the Responsible Individual. At the time of inspection there were no ongoing complaint investigations or Protection of Vulnerable Adults (POVA) investigations. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 15 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 & 30. Whiteheather provides a safe, homely and pleasant environment, which was clean and comfortable. EVIDENCE: Whiteheather was found to be warm, bright and comfortable. The premises were showing some signs of wear and tear. Mr Dhanatunge highlighted the ways in which the home’s management ensures that Whiteheather continues to present itself as homely and comfortable. With the current resident group this does present as a challenge due to wear and damage resulting as a consequence of some episodes of challenging behaviour. Frequent changes in furnishings provided with appropriate furniture of a fitted wardrobe/cupboard has and the installation of a concealed provisions in their room. and furniture ensure that residents are and furnishings as required. The provision been added to one of the resident’s room securely fitted hi-fi unit has enhanced the In-house laundry/utility facilities of a washer and dryer, domestic in character, are found in the laundry/utility room of the home. Care staff ensure that the laundry is completed during the day, with night carers completing the ironing as required. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 16 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): 31, 32, 33, 34, 35 & 36. There is clarity in staff roles and their responsibilities. Staffing levels and skills are appropriate to the needs of the residents and, with the exception of the completion of Criminal Record Bureau (CRB) disclosures, there are appropriate recruitment procedures in place. Whiteheather has an in-house induction training programme in place only. There is a need to introduce a structured accredited training course and regular recorded supervision sessions to help ensure that staff are appropriately trained and supervised to meet residents’ individual needs. EVIDENCE: From discussion with management and reviewing staff rotas, there was evidence staffing levels are met. Management hours were detailed as 09.30 to 14.30, seven days a week, with care staff covering three shifts of 07.30 to 14.30, 14.30 to 21.30 and 21.30 to 07.30. Whiteheather operates with three care staff on each shift, with additional care staff on the rota to cover planned activities and outings. There have been some changes in the staffing group since the last inspection. From sampling staff files, it was found that copies of job descriptions and the General Social Care Council (GSCC) codes of conduct and practice have been distributed. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 17 From speaking to a care worker, it was evident that they had an understanding of their skills and knowledge. They gave examples of when the home seeks specific expertise from outside professionals and the input into the resident’s care plan. National Vocational Qualifications (NVQ) opportunities are offered within the care home. Two former staff had completed NVQ level 2 and two current staff are nearing completion of their NVQ level 2 training. In addition, two more staff are to start NVQ level 2 training in the near future. The files of three care staff were sampled and inspected. With the exception of the completion of Criminal Record Bureau (CRB) disclosures for two new care staff, these were found to be in good order. Mr Dhanatunge was reminded of the requirement to ensure that all staff working in a care home should obtain a satisfactory Criminal Record Bureau (CRB) disclosure before they start work. Following this inspection, Mr Dhanatunge contacted Criminal Record Bureau (CRB) and wrote to Commission for Social Care Inspection (CSCI) confirming that these applications were nearing the final stages for completion. Whilst it is acknowledged that there is in-house induction training, the need to adopt a structured training programme such as the Learning Disability Award Framework (LDAF) was discussed with Mr Dhanatunge. It is noted that NVQ training opportunities are progressed, but the need to link these to LDAF was highlighted to help ensure that all staff have the underpinning knowledge and understanding to progress towards NVQs. The documentation used for the current supervision/appraisal system in the home was sampled and reviewed on two staff files. Whilst it was seen to cover some aspects of the National Minimum Standards – Standard 36.4, the need to increase the frequency and record keeping was raised with Mr Dhanatunge. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 18 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 & 42. Staff and residents are well supported by the home’s manager, who is handson and part of the care team in the home. An effective quality assurance and quality monitoring system is still required to ensure that residents’ views are taken into account when monitoring, reviewing and developing the service. Records required to protect residents’ needs, with the exception of care planning, were found to be in place and the majority of safety certifications sampled were found to meet requirements helping to ensure the safety and welfare of residents and staff. EVIDENCE: Mr Shashi Dhanatunge said that he is hoping to complete his National Vocational Qualification (NVQ) Level 4 in Care and Management and the Registered Manager’s Award by 15th November 2005. As at the last inspection, an effective quality assurance and quality monitoring system has still to be introduced. Whilst it is acknowledged that there would be limited response from residents and their relatives, the need to engage Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 19 healthcare professionals, representatives and other interested parties was discussed. Immediate consideration as to how this can be achieved is required. As stated earlier in this report, more detail is required in the healthcare needs of care planning documentation. There is a need to include any input from family and friends within the plan of care of the resident. It is acknowledged however, that only one of the current three residents at Whiteheather maintains family connections. In addition, risk assessments and risk management strategies need to considered and reviewed within the care planning objectives. Safety certifications were sampled and inspected. Records are held of hot water testing at outlets used by residents. The gas safety certification was seen and a copy of this certificate was sent to Commission for Social Care Inspection (CSCI) following this inspection. Copies of the regular servicing of boilers and central heating systems by a CORGI (Council of Registered Gas Installers) registered persons were not seen at this inspection. Records of the maintenance of electrical systems and electrical equipment were seen during the inspection and copies of the Electrical Installation Certificate was sent to Commission for Social Care Inspection (CSCI) following this inspection and prior to writing the final draft of this report. These were shortfalls at the last inspection. Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 2 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Whiteheather Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 X 1 X 2 2 X DS0000048917.V250104.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation Requirement Timescale for action 18/12/05 2 YA7 3 YA34 4 YA35 14, 15, 17 The registered manager must review and revise agreed individual plans of care for each resident, ensuring that all aspects of personal and social support and healthcare needs are met. (This a repeat requirement. Previous timescale of 09/01/05 not met.) 12, 13, The registered manager must 15, 17 ensure that care planning goals and risk assessments and risk management strategies are linked into the plan of care. 17, 18, The registered manager must 19, ensure that all new staff working in the care home have obtained a satisfactory Criminal Record Bureau (CRB) disclosure before they start work. Confirmation of receipt and completion of Criminal Record Bureau (CRB) disclosures for the most recent staff is required. 17, 18, 19 The registered manager must ensure that all staff working in a learning disabilities service have the underpinning knowledge and understanding from LDAF accredited training. (This a DS0000048917.V250104.R01.S.doc 18/12/05 18/12/05 18/12/05 Whiteheather Version 5.0 Page 22 5 YA36 6 YA39 7 YA41 8 YA42 repeat requirement. Previous timescale of 09/01/05 not met.) 17, 18, 24 The registered manager must ensure that all staff receive the support and supervision they need to carry out their job. 24 The registered person must ensure that there is an effective quality assurance and quality monitoring system in place to measure success in acheiving the aims, obtjectives and statement of purpose of the home. (This a repeat requirement. Previous timescale of 09/01/05 not met.) 12, 13, 17 The registered manager must ensure that the records required by regulation for the protection of residents and for the effective and efficent running of the business are maintained and up to date and accurate. 13, 16, 17 The registered manager must ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. This is with particular regard to the holding of safety certification for gas and electrical systems. (This a repeat requirement. Previous timescale of 09/01/05 not met.) 18/12/05 18/12/05 18/12/05 10/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Whiteheather DS0000048917.V250104.R01.S.doc Version 5.0 Page 24 - 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. 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