Inspection on 06/06/06 for Wickett Hern Road

This inspection was carried out on 6th June 2006.

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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wickett Hern Road 16/02/06

Wickett Hern Road 14/09/05

Wickett Hern Road 03/03/05

Wickett Hern Road 20/09/04

Wickett Hern Road 06/11/02

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Wickett Hern Road 123 Wickett Hern Road Armthorpe Doncaster South Yorkshire DN3 3TB Lead Inspector Valerie Hoyle Key Unannounced Inspection 6th June 2006 11:00 Wickett Hern Road DS0000032121.V296605.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 Wickett Hern Road DS0000032121.V296605.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. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wickett Hern Road Address 123 Wickett Hern Road Armthorpe Doncaster South Yorkshire DN3 3TB 01302 831969 01302 833616 NONE 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) DMBC Edmund James Watkins Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The emergency bed is used for a maximum of 12 weeks One specific named service user over the age of 65, named on variation application dated 30th September 2005, to continue to receive respite care at the home 16th February 2006 Date of last inspection Brief Description of the Service: Wickett Hern Road provides a respite service for adults with a learning disability. The home is owned and managed by Doncaster Metropolitan Borough Council. The home can accommodate eight service users; one of the beds is made available for emergency admissions for short stay only. The facility is set within the residential area of Armthorpe on the outskirts of Doncaster. Previously a family home the premises provide a domestic environment for temporary stays. The home has its own transport and this assists service users to maintain their education, work or day centre placements during a period of respite. Information gained on the 6th June 2006 indicate that the current fees range from £58:70 to £740. Additional charges include outings, meals whilst out of the home and personal toiletries. The home provides information to guests and their relatives prior to admission into the home. Service Users Guides are available on request from the manager. The last published inspection report is available on request and a copy is available for visitors to read. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over 6 hours where a partial tour of the building was undertaken. The inspector examined three guests (service users) care plans and supporting documentation. Six staff was spoken to during the visit. The registered manager assisted with the process while examining records, policies and procedures. Three of the eight registered beds were occupied during this visit. The registered manager has provided information via pre-inspection questionnaire and a number of CSCI ‘have your say’ questionnaires were sent to service users in their own homes to gain their views on the service. Two relatives were spoken to on the telephone to gain their views on the respite services provided at the home. What the service does well: The home provides a valuable service to guests and enables their carers to take a welcome break. Care plans continue to be developed and improved as service users return for further stays. Staff contacts service users and their relatives following stays at the home to obtain feedback. The information is used to improve future stays. Although staff have not received any formal training on communicating with service users who may find the spoken word difficult. They were able to understand the needs of service users currently using the respite bed. The staff said parents often send in picture cards to help communication. The staff provides opportunities for guests to participate in social and leisure activities. Guests often plan their stays so that they can meet up with friends, and see their stays as a holiday break. Staff have responsibility to ensure guests maintain life skills, and there is clear evidence that guests help with tasks in the home like clearing tables after meals and making their own beds. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Some staff training remains outstanding from previous inspections and this must be addressed by the organisation. Staff records and discussions with staff demonstrated that they have not received any training in managing challenging behaviour, this must be organised by the registered manager to ensure that staff have the necessary intervention skills. Methods of communicating with guests could be improved, as most staff do not have skills in the use of sign language including Makaton. Staff training has not yet been undertaken in areas of infection control, first aid, health and safety, moving and handling, adult protection. Less than 50 of staff employed at the home hold NVQ qualifications The registered manager continues to work towards attaining Registered Managers Award. Supervision and annual appraisals of staff need to be brought up to date to give staff opportunities to discuss their development. There are robust employment procedures, although the staff file examined showed that a CRB check had not been obtained prior to the commencement of employment. The staff department of DMBC must follow procedures to ensure service users are safe and protected. The registered providers should consider the implementation of a refurbishment programme, as some bedrooms require redecoration to make them more homely. Bathroom tiles are in need of some repair to make sure they are safe. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 7 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. Wickett Hern Road DS0000032121.V296605.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 Wickett Hern Road DS0000032121.V296605.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Information is made available to service users (guests) prior to admission and they are encouraged to visit the home and meet other guests. Service users (guests) are not admitted into the home without a full needs assessment taking place by the registered manager, to ensure their needs can be met. EVIDENCE: Information is available to guests prior to their respite stay at the home although the manager is intending to make the information more users friendly including the use of pictures. Information would also be made available in other formats and languages on request. ‘Have your say’ surveys received from guest and their carers confirmed they receive information prior to their stay at Wickett Hern Road. There is a comprehensive assessment used to assess the needs of prospective guests who spend time at the home. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 10 The placing authority also provides detailed information about the person and this was examined and the manager said it is used in all cases, including emergency stays, to ensure staff are able to meet the needs of guests. New guests are always encouraged to visit the home for tea and meet other guests and staff before making decisions about if they want to use the respite services. The manager has responsibility to undertake visits to new service users to assess their care needs and there are plans to delegate this responsibility to other senior staff when they have attended training regarding lone worker procedures. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 11 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, Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, examination of documents and discussion with staff. The home continues to promote philosophies to enable guests (service users) to meet their full potential, with clear care plan instructions and comprehensive risk assessments to maximise their safety and protection. Guests are supported and encouraged to make decisions about their lifestyles ensuring continuity from time spent at Wickett Hern Road and their own homes. EVIDENCE: Three care plans examined reflected the individual needs of each resident. Specific information on the actions and responses required by staff to ensure identified needs were met were included. Guest’s care is reassessed after each stay, and staff make a call to carers prior to the guests next stay to ensure information is up to date and discuss any issues. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 12 CSCI surveys returned, confirmed this arrangement and relatives spoken to said the regular update was valuable to ensure a consistent approach to their relatives care. The manager is still to develop person centred plans where guest can be fully involved in making decisions about who and what support they may need during their stay. Comprehensive risk assessments were in place. The plans described where guests need more support from staff to stay safe. The manager should prompt a review (by the placing authority) of the placement of one guest who is currently occupying an emergency stay bed to ensure clear strategies are in place, for his/her ongoing care. Guests bring small amounts of money with them during their respite stay so that they can participate in activities and outings, including trips to the bowling alley and coast. Facilities are available for guests to keep their money safe in the allocated bedroom or staff can keep the money safe. Records were examined which confirmed this arrangement. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, discussion with relatives and staff and ‘Have your say’ surveys received. Guests are helped to maintain links with family members and follow routines outside of the home, although relatives usually take the opportunity to take a holiday break, while guests are in Wickett Hern road. Dietary needs of guests are well catered for with a varied selection of food available that meets resident’s tastes and choices. Social and leisure activities are provided at the home for guests to maintain and develop independent living skills, supported by an informed staff group. EVIDENCE: Transport to help guests pursue leisure activities outside of the home during their respite stay. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 14 Staff confirmed arrangements to integrate guests into the community and said it was an important to offer this service, so that they are able to develop social skills. Information provided on the pre-inspection questionnaire indicates guests can participate in outings to the coast, shopping trips and outings to the local pub, and bowling. Guests surveys received also indicated that they have opportunities to join in leisure activities. The provision of respite care at the home means that guests return to their families after their stay, and therefore staff are aware of the importance of maintaining routines to ensure continuity of care for when they return to their own home environment. Guests are encouraged to help with tasks around the home such as laying the tables for meals and helping clear away the pots and help with the dishes. Staff were observed interacting with guests in an appropriate manner and staff had a good understanding of the needs of the guests who found verbal communication difficult. The rights and privacy of guests were also observed during this visit. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, examination of documents and discussion with staff. Staff provides sensitive personal support to ensure privacy dignity and independence is maintained for all guests. Medication policies and procedures are generally well managed and staff have the necessary skills to administer the medication to guests. EVIDENCE: Guest retains their own GP whilst staying at the home, although an emergency arrangement can be made if needed. Records examined and discussion with the staff on duty confirmed guest’s healthcare needs are met. Guest are escorted to medical appointments by staff and comprehensive records are completed ensuring information is shared with those who care for the individual. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 16 An audit of medication stocks and records was examined and were found to be correct. All guests currently at the home require medication. Staff at the home ask relatives to ensure sufficient medication is provided for the length of stay of the guest and that it is labelled and in its original packaging to ensure their safety. The manager said that policies and procedures in relation to medication receipt, storage and administration is under review by DMBC. All staff has received accredited medication training provided by a local college, to ensure they have the necessary skills and knowledge to undertake this task Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, discussion with staff and comments collected from ‘Have your say’ surveys. Guests are provided with information to enable them to raise concerns about the home and their care. Adult Abuse Policies and procedures and training of staff on abuse ensure the protection of guests from abuse EVIDENCE: The home has a complaints procedure that is available to guests and visitors. The procedure is also referred to in the information given to new guests, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. The staff at the home have developed their own comments/compliments folder, which collates all information from guests and their carers following their respite stay at the home. The registered manager has a copy of the Local Authorities Adult Protection procedures. They also have an Abuse Policy, which has been prepared by the owners and is incorporated into the homes policy and procedure manual. Wickett Hern Road DS0000032121.V296605.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service, including a tour of the building. The home provides a well-maintained safe environment suitable for guests. The home provides a clean and hygienic environment to maintain the health and safety of guests. EVIDENCE: A partial tour of the building found it clean and free from odours. The home provides comfortable communal areas with one lounge and a dining area. There is a separate domestic kitchen and laundry. Carpets identified in the previous inspection have not yet been replaced although the manager said they were on order. The décor in the bedrooms are looking in need of refurbishment, and the manager said these were to be redecorated as part of a rolling programme. Bedroom furniture in some bedrooms are showing signs of wear and the registered provider should consider replacing them to improve the environment. Examination of the bathrooms shows signs of rust and consideration should be given to replace with a new hoist. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 19 The bathroom tiles in the upstairs bathroom are unsafe and must be repaired or replaced. The grounds were tidy, and accessible to the guests, the rear garden includes a small lawned area. It is well situated in Armthorpe, within easy walking distance of all local shops, and parks. Wickett Hern Road DS0000032121.V296605.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is poor. The judgement has been made using available evidence including a visit to this service, and interviews with staff. Sufficient staff are employed at the home to meet the needs of guests. Staff have the skills to fulfil their roles within the home, although their remains some outstanding training that needs to be addressed. Recruitment polices are not always fully completed, which potentially poses a risk to service users. Staff are supported to fulfil their roles and formal supervision is provided, although in some instances these are not up to date. EVIDENCE: Staff rotas examined show sufficient staff to meet the needs of the guests. Six staff were spoken to during this visit and they appear happy working at the home. Staff said they had worked at the home for over two years and enjoyed working with all the guests who spend time at the home. Relatives spoken to and comments from surveys received were positive. Relatives said staff are very helpful and caring and treat guests with respect. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 21 Staff have adequate skills to meet the needs of guests, although they do not meet the requirement of 50 NVQ qualified staff. A number of staff are working towards the award. Staff training files examined showed that staff still require training in infection control, adult protection, First aid, moving and handling and health and safety. Discussion with the manager indicated that staff have not received any formal training to deal with challenging behaviour, therefore staff must attend a behaviour management course to ensure they have the necessary skills to deal appropriately with guests. This remains outstanding from the previous inspections. The staff member who has responsibility for arranging training said DMBC training department are making places available and she hopes that all mandatory training will be updated. A comprehensive induction programme is available for all new staff and this includes some distant learning workbooks for staff to complete. The manager and senior staff have responsibility for ensuring all staff are given the opportunity to have formal supervision. Staff files and discussion with the manager indicates supervision is not taking place on the required frequency. Yearly appraisals have not been undertaken and must be brought up to date by the manager. One new member of staff has been employed since the last visit. Staff employment files are held centrally at DMBC Council House. The staff file examined did not include a CRB check. This must be obtained immediately to ensure the safety and protection of guests. Wickett Hern Road DS0000032121.V296605.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the guests. The registered manager is able to demonstrate that they actively seek the views of guests. Staff and guests follow health and safety procedures and records provide evidence of servicing of essential equipment. EVIDENCE: The registered manager has the skills and abilities to manage the home well. He is aware of the procedures required to meet National Minimum standards. Records are generally well maintained, and a representative of DMBC undertakes monthly quality audits to ensure the service meets its statement of purpose. The manager is looking for a training provider to continue the Registered Managers Award, as this is a requirement of his registration. Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 23 The registered providers must support this training to ensure he is ‘fit to manage’ the service. Quality assurance systems have been developed using a survey to gain the views of service users. The survey includes pictures to assist guests who may have difficulty with reading. The manager said he intends to test out the surveys and may consider further development to make it more user friendly. DMBC also send quality assurance survey although the outcomes of the last annual survey were not available. A compliments/concerns folder has been established and this includes feedback from relatives following respite stays of their family. Maintenance and service records examined were up to date and current to the services provided. Accident records were fully completed for both guests and staff and the manager carries out her own investigation. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures are in place and service records were examined and were current. Wickett Hern Road DS0000032121.V296605.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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Wickett Hern Road DS0000032121.V296605.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. Standard YA24 Regulation 23 Requirement The registered manager must ensure that the tiles in the upstairs bathroom are made safe or replaced The registered manager must ensure CRB checks are obtained for all employees prior to commencement of employment The registered provider must ensure the staff have the necessary knowledge and skills in behaviour management. The registered provider must ensure that staff have the skills to communicate using Makaton. (timescale 1 December 2005, 1 April 2006 not met) The registered manager must ensure staff receive training in Infection control, first aid, health and safety, moving and handling, adult protection (timescale 1 April 2006 not met) Staff must receive regular formal supervision and ensure yearly appraisals are completed The manager must achieve NVQ4 in management and care Timescale for action 01/08/06 2. YA34 19 01/08/06 3. YA35 18 01/09/06 4. YA35 18 01/09/06 5. 6. YA36 YA37 18 9 01/09/06 01/09/06 Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 26 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 YA32 YA24 Good Practice Recommendations 50 of care staff achieve a care NVQ 2 by 2005 The registered providers should replace carpets in some bedrooms and first floor corridor as they are showing signs of wear. The registered providers should redecorate bedroom to improve the environment for service users. Some of the bedroom furniture is in poor repair and should be replaced. 3. YA24 Wickett Hern Road DS0000032121.V296605.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Wickett Hern Road DS0000032121.V296605.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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