Inspection on 08/09/06 for Wrekin Cottage

This inspection was carried out on 8th September 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wrekin Cottage 22/10/08

Wrekin Cottage 04/07/07

Wrekin Cottage 17/05/06

Wrekin Cottage 28/10/05

Wrekin Cottage 07/06/05

Wrekin Cottage 05/01/05

Wrekin Cottage 23/06/04

Wrekin Cottage 16/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Wrekin Cottage Forbes Close Ironbridge Telford Shropshire TF7 5LE Lead Inspector Sue Woods Key Unannounced Inspection 8th September 2006 09:30 Wrekin Cottage DS0000020540.V292561.R02.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 Wrekin Cottage DS0000020540.V292561.R02.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. Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wrekin Cottage Address Forbes Close Ironbridge Telford Shropshire TF7 5LE 01952 432065 01952 432209 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) www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2006 Brief Description of the Service: Cottage And Rural Enterprises (Limited) is a registered charity established in 1966. The Company has communities nationwide and its headquarters are based in Leicester. Care Ironbridge is a residential development that occupies a small cul-de-sac in the Ironbridge area of Telford. The development was purpose built and is situated close to local amenities and is a short journey from Telford Town Centre. Wrekin Cottage was individually registered with the Commission for Social Care Inspection in September 2006 as part of a wider plan to modernise and develop the service. Recent changes to its registration mean that the home is now registered to provide accommodation and personal care to a maximum of fifteen adults with learning disabilities below the age of 65 years. Wrekin cottage is set in beautifully maintained and attractive gardens. In addition to the cottages on site service users have access to workshops, a community centre, communal dining room and games area. Information is shared with service users in the service user guide and in house meetings and quality review sessions are held on a regular basis. Fees range from £425.69 to £566.46 not including individual support packages. Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of Care Ironbridge was carried out on 8th September between 9.30 am and 3.30 pm. The inspection reviewed all 22 key standards and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating based on each outcome area for service users has been identified. These ratings are described as excellent/good/adequate or poor based on findings of the inspection activity. As part of the fieldwork activity inspectors spoke with service users and staff and reviewed records including care plans (two in detail), rotas and health and safety information. The manager of Wrekin cottage was on duty during the inspection and was supportive and fully cooperative. Staff files were reviewed on 23rd May 2006. What the service does well: Service users are supported by a staff team who receive good support and numerous training opportunities. Staff have developed skills in order to safely support service users with identified medical and personal support needs and this has impacted positively on the lives of those service users. Person centred plans including the newly implemented health action plans contain detailed information relating to individualised care and support needs and when reviewed and updated will provide the home with a valuable resource. Service users have opportunities to access community resources and maintain family links. Service users identified the manager and the staff when asked what was good about the home. Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The manager has not yet applied for registration with the Commission for Social care Inspection however she was aware of the need to do so and was also aware of areas that required improvement within the home. In some cases she is actively putting plans into place to make changes. The main area for review is the menu planning and recording. Although service users are not keen to implement a ‘healthy options’ menu the team are looking at ways of introducing variety in a planned way with service users being consulted at every stage. Records in relation to fire safety and emergency lighting checks should be kept at the home to allow the manager to monitor that they take place in line with the homes policy and procedure. Freezer temperature checks should be carried out to support existing checks to fridge temperatures. One staff member felt that the key worker situation could be improved for the future. One service users felt that improvements could include more roast dinners and more walks. The manager welcomed all of these suggestions. Wrekin Cottage DS0000020540.V292561.R02.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. Wrekin Cottage DS0000020540.V292561.R02.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 Wrekin Cottage DS0000020540.V292561.R02.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): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An effective admissions process is in place to ensure that the home will be able to meet the assessed needs of service users admitted. EVIDENCE: Since the time of the last inspection of the service there have been no new admissions to the home. Arrangements at the time of the last inspection were satisfactory. Wrekin Cottage DS0000020540.V292561.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including information taken from a previous visit to this service. Person centred care and support plans enable staff to offer service users choice and assist with decision making as well as delivering care in a way that they prefer. Risk assessments ensure that support is given in a safe manner. EVIDENCE: The care files for two service users were reviewed in detail by the inspector. There was a big improvement seen in the standard of presentation of the files and all required information was available. Both files reflected a person centred approach to care planning and it was positive to see that essential lifestyle plans and health actions plans are now being used. There was evidence that service users had been involved in the process and had even chosen the colours that the plans were written in. Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 11 Risk assessments were in place to support health and safety and identified activities. The manager has recently implemented risk assessments for supporting service users when staying in hospital. Annual reviews had been carried out for both service users case tracked. Service users and their social workers had attended these reviews along with key staff from CARE. Service users are consulted in a number of ways within the home. In house meetings take place on a regular basis and advocacy support is available as required. Service users help with weekly shopping and weekly activities reflect likes and preferences. The manager reported that service users chose not to use their right to vote at the last elections however she will continue to encourage service users to do so. Service users are also being encouraged to answer the telephone at the cottage. The manger recalled when a service user recently answered the phone and it was a member of his family calling. Wrekin Cottage DS0000020540.V292561.R02.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 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. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users lead full and active lives with opportunities to participate in risk assessed activities of their choice. Service users benefit from supported family contact and involvement Service users may not be receiving a balanced or varied diet if mealtime planning has no structure and records do not evidence what service users have eaten. EVIDENCE: Service users have opportunities to access college courses, work opportunities and services available on site as per detailed activity plans. The plan for one service user showed that he went out three times last week socially (excluding the weekend). Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 13 One service user who spoke to the inspector stated that she was choosing a DVD for everyone to watch this evening after tea. One service user was asking staff what to wear for a forthcoming meal out and identifying who she was inviting to her birthday party. One service user told the inspector that he had enjoyed a holiday to Wales this year. Another service user had been to Malta, to a place where his parents took him when he was a child. This holiday was identified as an aim of his lifestyle plan. A member of staff and a service user shared with great enthusiasm the holiday that they shared earlier this year. Service users were aware of the ‘Family Forum’ day coming up next week and one service user was looking forward to his family coming to stop overnight and take him out for a meal. There was evidence on one file reviewed that the family were very much part of the life of the service user and there was a letter on file thanking the manager and the staff team for their support over recent months. Service users pursue goals and activities during the daytime when they are at day services or when additional staff support is available. On the day of the inspection a service user went out with a support worker to shop for a gift for a family member. The home is not currently providing weekly menus or a record of foods that service users have eaten. This arrangement is due to be changed as the manager is looking to introduce a healthy eating plan for everyone at the cottage. The manager reported that service users have opposed this idea and therefore the manager is now looking at offering healthy options gradually as part of the daily choice of meals. Currently service users take turns in going shopping and each person then chooses food that they would like for the week. There was fresh fruit readily available in the cottage and service users were seen to make themselves drinks throughout the day of the inspection. Wrekin Cottage DS0000020540.V292561.R02.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 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. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users benefit from a knowledgeable staff team who support them in ways that they prefer. Service users are protected by effective systems for the storage and recording of medication EVIDENCE: Health action plans detail the needs and wishes of service users in relation to their health care and support. Appointments are recorded. Medication arrangements were reviewed at the time of the inspection. Records had been completed as required and the medication cabinet was orderly. A protocol was available to support staff with the administration of a named medication to one service user. The protocol is to be reviewed annually. Consent to administer paracetamol was also seen on the medication file. The manager plans to review this agreement during medical appointments or when medication changes. Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 15 The manager is currently liaising with the National Autistic Society in an attempt to gather specialist information, support and training for identified service users. Medical appointments are well documented. Records of seizures are kept and the manager reported that there has been a decrease in seizures over recent months for one service user. A record in the daily notes of one service user stated that he needed to see a doctor and the next day this was actioned. Wrekin Cottage DS0000020540.V292561.R02.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 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. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users are protected by staff being aware of complaints and adult protection procedures and by operating an open and accountable system of supporting service users to manage their money. An effective use of the multi agency adult protection procedures ensures that the agency operates in the best interests of service users. EVIDENCE: A complaints book was seen readily accessible in the office. Although the home has not received any complaints the manager was aware of the new recording procedure. The book was introduced to staff via the communication book and it is an agenda item at the next staff meeting. The manager reported that all staff have attended adult protection training and this was later confirmed by the organisations training coordinator. Two adult protection referrals have been made from Wrekin Cottage. One was reviewed at the time of the last inspection of the home and the other is pending a conclusion and interim safety measures have been implemented for when the service users attends day services. At the last staff meeting whistle blowing, harassment and complaints were discussed. The residential services manager was present. Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 17 The inspector reviewed the storage and recording of two service user’s money. One cash tin reviewed contained the amount of money recorded. One tin was empty, as the service user had taken it out shopping with him. Receipts in tins reflected activities recorded on files. The manager reported that most service users manage their own money. Wrekin Cottage DS0000020540.V292561.R02.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 good. This judgement has been made using available evidence including information taken from a previous visit to this service. The home is clean and well maintained providing service users with a safe place to live. EVIDENCE: The inspector saw all communal areas during this inspection. The lounge/dining room has been redecorated with only one wall left to complete. Service users are being consulted about colours for accessories and at the time of the inspection one service user agreed to go shopping for new curtains. All areas seen by the inspector were clean. It is acknowledged that plans to improve the environment will add ensuite facilities and modernise existing bathrooms. As yet there is note date for the refurbishment programme to begin. Bathrooms seen were clean and water was safely regulated. Records of temperature checks were seen in the office. Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 19 The locks identified as being inappropriate at the time of the last inspection of the home have been changed. The manager reported that the last inspection of the home by the fire authority was on 17/02/05. Arrangements at the time of this inspection were satisfactory. The manager had no knowledge of the last environmental health officer’s visit. At the time of the inspection the maintenance worker was tidying the gardens around the cottage. The manager reported that any works identified are carried out promptly. The garden had been planted out by a service user and looked lovely. The tomato plants and potato plants were being well cared for. There are no smokers living at Wrekin Cottage and the deputy manager is going to produce a smoking risk assessment for when staff smoke outside. Wrekin Cottage DS0000020540.V292561.R02.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 Quality in this outcome area is good. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users benefit from being supported by well-trained and competent staff. Service users are protected by satisfactory recruitment and selection procedures. EVIDENCE: The inspector spent time with the organisations training coordinator who explained how she ensures that staff receive all mandatory training and refreshers as appropriate. She detailed the induction programme and detailed how she works with the home managers to ensure the programme is delivered. Staff do not work unsupervised until they have completed their induction. The training coordinator has a dedicated training budget and accepts requests for specialist training to support staff and managers. Recent examples include training for the manager in autism and makaton training for staff and managers. It was noted that the organisation has training officers to deliver the majority of the mandatory training including adult protection. The training coordinator stated that the main agency used by CARE all provide their staff with the mandatory training courses as identified by CARE. The Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 21 training coordinator produced individual training profiles for both staff selected at random by the inspector. Training needs are identified during appraisals and during supervision. Staff recruitment files were reviewed in May 2006. These files are consistently well maintained and staff and the manager stated that no one works at the home until they have received their satisfactory CRB disclosure. There have been no recent external appointments to the staff team. The rota accurately reflected the staff on duty at the time of the inspection and a service user who was at home at the time of the inspection knew who would be supporting her later that day. The manager and the deputy manager felt that staffing levels were adequate and welcomed the opportunity to over recruit to the home by 60 hours. One to one support hours are detailed on a separate rota. One service user said that the staff were ‘magic’. Interactions seen between staff and service users at the time of the inspection were relaxed and staff were knowledgeable of daily routines and individuals support needs. The manager is aiming to carry out staff supervisions every 4 – 6 weeks. A spare key to the supervision file has been cut and is kept in the office in case access to the file is required when the manager is unavailable. Wrekin Cottage DS0000020540.V292561.R02.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. This judgement has been made using available evidence including information taken from a previous visit to this service. Service users benefit from being supported by an effective management team. The health and safety and welfare of service users and support staff is promoted and protected. Identified records, kept at the home, will allow the manager to demonstrate this. EVIDENCE: The manager of the home as not yet applied for registration with CSCI and the importance of her doing this was discussed again at the time of this inspection. Since the time of the last inspection of the home significant improvements have been noted in relation to the general confidence of the manager. This Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 23 confidence has led to improvements in all aspects of management within the cottage and in particular the record keeping. The manager is currently working towards NVQ level 4 in Care. She recently completed the ‘Management Through People’ course and felt that as a result she was able to support her staff to become a team. A service user who spoke with the inspector felt that the manager was ‘ a good manager’ The deputy manager demonstrated how he uses the organisations policies and procedures to clarify information received. As certain safety checks are carried out by the maintenance worker for CARE and not the home staff, some records are not kept at the cottage. It could not be established what the current arrangements were in relation to the checking of emergency lighting. The manager committed to retain relevant health and safety checks at the cottage for future monitoring. The accident book was seen on the wall in the office for easy access. There have been no accidents at the home since the time of the last inspection. Individual COSHH risk assessments were seen to have been recently introduced. Electrical appliances had been safety checked on 30/01/06. Managers and staff who spoke with the inspector stated that senior managers were approachable and helpful. It was noted that a new residential services manager has recently been appointed and is currently completing her induction. One staff member felt that the key worker situation could be improved for the future. One service users felt that improvements could include more roast dinners and more walks. The manager welcomed all of these suggestions. A service user joined the inspector and the manager in the office to review health and safety arrangements within the home. The service user knew where to go during a fire evacuation practice and has heard the alarms being tested. Data sheets were available to support the products chosen at random from the COSHH cupboard and risk assessments had been carried out in September 2005. The manager is reviewing these assessments later this month The home carries out fridge temperature checks but not freezer checks the manager stated that she would redesign the monitoring form to add these to it. Wrekin Cottage DS0000020540.V292561.R02.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 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 X Wrekin Cottage DS0000020540.V292561.R02.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 YA17 YA42 Regulation 17 (2) schedule 4 (13) 13 (4) Requirement Timescale for action 10/10/06 3. YA37 8, 9 The home must keep a record of foods eaten to demonstrate that diet is satisfactory The home must be able to 10/10/06 demonstrate that safety checks are carried out as required within the home (to include tests of emergency lighting, fire drills and freezer temperatures) The Manager must apply for 10/10/06 registration with CSCI (This requirement has been carried forward from the last inspection of the home. Previous timescale not complied with) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations It is recommended that staff sign and date care plans to demonstrate that they have read and understood them Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wrekin Cottage DS0000020540.V292561.R02.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!