Care Home: 5 Priory Drive

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What the care home does well The people living in the home all said that they had chosen to live there. They said that they were treated with respect by the staff, that their privacy and dignity were maintained and that they had choice about what they did and how they spent their time. One person said that she was very happy living there and did not envisage wanting to move. Another said that it was a pleasure living there and that there was a caring atmosphere. The registered manager and the staff have a very positive attitude towards working with people with mental health problems. One member of staff said that it was rewarding to see someone making progress and becoming more independent. Staff take an obvious pride in the work that they do. They also said that they feel valued, well supported and said that the training they have is good. The staff and the people living in the home work together in the running of the home. They share the household tasks, make joint decisions about things such as menu planning and redecoration of the house and everyone sits down together for meals. There is a wide range of activities available for those living in the home to participate in. These include educational and work opportunities as well as leisure pursuits. The registered manager monitors all aspects of the running of the home to ensure that the high standard of care and support provided is maintained. What has improved since the last inspection? Aspects of record keeping criticised at the last inspection have been addressed. There have been improvements in staff training particularly in regard to refresher sessions in mandatory topics. Formal staff supervision is taking place more regularly. Some refurbishment of the property has been undertaken. What the care home could do better: Improvements in staff training need to be continued to ensure that all staff are up to date. Formal staff supervision needs to be in place on a regular basis for all staff. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 5 Priory Drive 5 Priory Drive Totnes Devon TQ9 5HU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Susan Samways     Date: 1 1 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 5 Priory Drive 5 Priory Drive Totnes Devon TQ9 5HU 01803867554 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): enquiries@comae.org.uk Mrs Lilah Ramsden,The Very Rev Mitred Archpriest Benedict Ramsden,Mr Simeon James Antony George Rams care home 3 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 3 Five Priory Drive is a small residential home, set close to the centre of Totnes providing care for up to three service users with mental healthy needs. The home is one of a number operated by the Community of St Anthony and St Elias, a partnership providing care in small domestic settings in the Totnes or Plymouth areas. (For ease of reference The Community of St. Anthony and St. Elias will be referred to as the Community throughout this report). The home is a domestic property, adjacent to two other properties owned by the Community. Three single bedrooms are provided for service users, with bathroom/shower and toilet facilities, a kitchen, a conservatory/dining room and a small lounge. There is an attractive small garden and limited parking. Service users have access to the services of the Community such as an extensive outdoor activities programme, arts and crafts activities and work placements. The current rate of weekly fees range from #1597.32 to #2039.40 The Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home inspection report is made available to all interested parties and is kept in the manager?s office. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The last inspection for this service was completed on 1st March 2007. This was an unannounced inspection which took place over two consecutive days. The registered manager was not available on the first day but was present for the second. Time was spent in discussion with the registered manager and in examining care plans, staff records and other documentation. Two of the three people living in the home were spoken to, the third declined, and four of the staff. All of those living in the home completed surveys as did four of the staff. Prior to the inspection the Annual Quality Assurance Assessment, completed by the registered manager, had been received. This provided information about how the Care Homes for Adults (18-65 years) Page 6 of 29 national minimum standards had been met, what had improved since the last inspection and what future plans there were for 5 Priory Drive. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get Care Homes for Adults (18-65 years) Page 8 of 29 printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents can be confident that their needs will be established through a thorough assessment process. Evidence: Since the last inspection there has been one new admission, the first for several years. The file for this person, as for those of the other two people living in the home, showed a very detailed assessment process. This involved the registered manager and other senior staff within the organisation visiting the prospective resident where they were being cared for and discussing their care and support needs with the person concerned and the staff caring for them. The prospective resident visited the home on several occasions including three overnight stays which enabled everyone concerned to establish their needs and whether the home could meet them. The visits also ensured that they would get on with the other two residents and that they wanted to live there. The assessment process took several months. The completed assessments in all three files were seen to be detailed and to have been reviewed when the persons needs changed. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The home has a comprehensive Service Users Guide which includes the Statement of Purpose, the complaints procedure and information about advocacy. Each person living in the home has their own copy which also has a copy of their contract with the home and their care plan. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home can be confident that they will be involved in identifying their needs, setting their personal goals and establishing how they will be met. Evidence: The care plans for all of the three residents were examined. These were found to be very detailed and covering all aspects of the persons life e.g. health, education, behaviour and family contact. The registered manager stated and the residents confirmed that they are involved in the care planning process and in setting the goals for each area of the care plan. The care plans also state any restrictions in what the person is able to do and the reasons for those restrictions. Risk assessments were found in each file covering many of the activities the residents participate in and daily living tasks. These clearly set out what the risks are and what action should be taken should the need arise. Wherever possible these are agreed with the person concerned. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Each resident has a daily record book where the care and support provided is documented and a record is made of how the person has spent their time and how they have been. These records were found to be detailed. They give a good indication of what the person had being doing, including their participation in household chores, their mood, behaviour and what they had been eating. The daily records also link in with the goals set out in the care plan. Staff spoken to and those who completed surveys were clearly aware of the needs of the people living in the home and the support they require to achieve their goals. Staff were observed to treat the residents with respect, consult them about day to day decisions that needed to be made and to listen to their opinions. They were also seen to use gentle persuasion and logical arguement when the person did not appear to be making the most appropriate decision. Staff are also aware of issues of confidentiality. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are encouraged to participate in a wide range of activities and to take responsibility for household tasks. The people living in the home are involved in menu planning and meal preparation. Meals are varied and nutritious. Evidence: A range of activities is available for residents to participate in if they wish. These are compiled in a monthly activities programme from which, with staff support, they can choose the ones they wish to undertake. They are then booked onto those sessions. The activities undertaken are documented on a weekly activity record and also in the daily record for each person. The available activities include arts and crafts, music, sports, outdoor activities and local trips and events. The Community employs coCare Homes for Adults (18-65 years) Page 15 of 29 Evidence: coordinators to arrange these. Support is also available for those who wish to undertake voluntary and conservation work. Those living in the home are encouraged to make use of local facilities such as the library, sports centre and cafes. Support to do this is provided if required. Residents receive support, including transport, to maintain contact with their families if they wish. The degree to which each person would like contact with relatives is respected. The support provided by staff has enabled one person to significantly increase the contact they have with their family and they are now able to have overnight stays with them. Staff who hold a full driving license are able if they wish to take a test with the Community which, if successful, enables them to drive vehicles owned by the Community. They can then take residents to activities or for family visits if required. Families of residents are welcome to visit the home if the person concerned is happy for them to do so. Any visits are recorded in the visitors book. The people living in the home are supported to take holidays if they wish. One person went on a 10-day holiday to Spain, accompanied by two staff of her choice. This was paid for by the resident as it was a holiday specifically requested by her. She was supported in the planning and organisation of the holiday by the staff who accompanied her. A rolling 5 week rota is in place identifying each persons responsibilities for everyday housework in the home. They are also encouraged to take responsibility for providing meals acceptable to everyone. Meetings have been held to compile a list of core meals which has been agreed by them all. Shopping is done on a daily basis with support from staff. Menus are recorded and these show a varied and balanced diet. The registered manager regularly audits completed menu records to ensure that everyone living in the home takes responsibility for menu planning and meal preparation and that a balanced diet continues to be provided. Staff and residents take their meals together in the conservatory which forms a pleasant dining room. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal care and support is provided in a sensitive and flexible way ensuring the persons privacy, dignity and right to choose are maintained. Evidence: Care provided is tailored to each individual persons needs. The daily records contained full details of all care provided. The manager stated that personal care and support is provided in a sensitive and flexible way ensuring the persons privacy, dignity and right to choose are maintained. They are encouraged and supported to manage their own health care and take personal responsibility for their own welfare as far as they are able. The home uses a recognised medication administration system and all records inspected were in order. This included those where medication was not dispensed in the blister pack system. The medicine cabinet is secured to the wall and each person has a separate drawer used solely for their medication and information about the drugs they are taking. At the time of the inspection no controlled drugs were being used but the required recording system is in place should that change. The home has Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: appropriate policies and procedures regarding the administration of medication in place. The registered manager stated that all staff receive training regarding medication during their induction period, have on-going in-house training and attend training by the local pharmacy when available. During the inspection the administration of medication was observed and noted to be in order being undertaken professionally, sensitively and knowledgably by an experienced member of staff. Each person goes seperately to the office where the medicine cabinet is sited. There they receive their medication individually to further reduce the risk of any error. Those seen taking their medication were aware of what was prescribed and what effect the medication had. Other professionals are also involved with residents as required, including a consultant psychiatrist employed by the Community who sees those living in the home regularly and additionally when there are any concerns. Other specialists involved include local G.Ps, dentists and specialist nurses. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home can be confident that any complaints will be taken seriously. People living in the home are safeguarded by staff having training regarding the protection of vulnerable adults. Evidence: All those living in the home completed surveys as part of the inspection process. Through those they all stated that the staff listened to them and acted on what they said, that they knew who to speak to if they were not happy and that they knew how to make a complaint. Each of them has their own copy of the Service Users Guide which contains a copy of the complaints procedure. The home has received no formal complaints since the last inspection and no complaints about the service have been received by the Commission for Social Care Inspection. Any untoward incidents are fully documented and, when necessary, reported to the Commission for Social Care Inspection. General day to day risk assessments are in place. No regular form of restraint is used within the home, although the manager is trained in the use of physical intervention/restraint. The home does not routinely manage residents monies, but will help anyone who may need support with managing money. At the time of the Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: inspection all those resident in the home were managing their own money. Training regarding the protection of vulnerable adults is included in the induction period and there is on-going in-house training. This is to ensure that all staff are fully aware of what constitutes abuse and the action they should take if they suspect abuse has taken place. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 5 Priory Drive provides the people who live there with a homely, comfortable and safe environment in which to live. Evidence: 5 Priory Drive provides the people who live there with a clean, comforable and safe environment in which to live. They are consulted about the decor and furnishings and can have their own rooms how they wish. The person most recently admitted chose the colour scheme for her room which was decorated and carpeted for her ready for when she moved in. All the bedrooms have locks which the occupant can choose to use or not as they wish. The facilities are all domestic in nature and one of the staff commented that they wanted those that live there to feel that they were at home rather than in a care home. It is very close to the town centre and therefore has easy access to local amenities. Staff and residents share the responsibility for keeping the home clean and tidy. During the inspection the home was found to be clean and fresh. The Community employs three maintenance staff who have an on-going programme of maintenance Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: and who deal with any emergencies promptly. The laundry area has cleanable floors and walls and is equipped with domestic size washing machine and tumble dryer. The expectation is that each person takes responsibility for doing their own laundry with support from staff if required. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home employs sufficient staff who have the skills, training and understanding to meet the needs of the people living there. Those living in the home are safeguarded by good staff recruitment procedures. Evidence: The files for five members of staff were examined. Recruitment is undertaken for the Community as a whole rather than for specfic homes so recruitment is managed centrally and not by the manager of the home. The files seen showed that a reasonable recruitment procedure had been followed. All but one of the files contained a completed application form. All had two references and a record of police checks having been done. Although it was stated that checks are made with the POVA register to ensure that nobody barred from working with vulnerable adults is employed, no dates for this had been recorded so there was no evidence that this had been done before the staff member commenced work. Staff files used to be held at the Communitys head office but they are now kept in a locked cabinet in the office of the home where the person is based. The care staff employed within the Community work a very specific rota. Staff are on Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: duty for a forty-eight hour period which includes a sleep-in and a two-hour rest period off. Two staff are on duty for each shift at this home. Although staff stated that the length of shift could be tiring they also said it provided consistency and that the two hour rest break refreshed them. The staff on duty during the inspection were observed to be able to cope with the demands of their role given such a long shift time. Staff spend time working in each of the Communitys houses which gives staff an awareness of the needs of all those living in the Communitys homes. This ensures a consistent approach and makes providing cover for absences easier and less disruptive for those being cared for. Staff were observed to treat the residents with respect. This is appreciated by the people living in the home who said that there is a good, caring atmosphere. One said that it is a pleasure living here. Induction training is provided with the management of the home requiring new staff members go through an in-depth programme. They spend two weeks prior to commencing work in a home attending sessions on topics such as health and safety, mental health and adult protection. This ensures that they are fully aware of the expectations of their role and are prepared to deliver the required care. Each home has its own induction which concentrates on the specific needs of the people living there. There is an on-going in-house training programme which covers subjects such as First Aid, manual handling, fire safety, food hygiene and infection control. Staff are also encouraged to undertake qualifications such as NVQ in care. This level of training helps ensure that staff are aware of their role and how to meet the needs of the people they provide care for. Training plans and programmes are managed centrally by the Community. Refresher sessions need to be included more often for mandatoy topics to ensure that staff are up to date and confident in what they are doing. The registered manager is also the Communitys physical intervention tutor and uses her skills to train other staff within the Community in the appropriate use of any physical intervention or restraint. The registered manager provides staff with formal supervision but she stated that she doesnt see everyone as regularly as she would like. This was reflected in the surveys completed by staff. Some said that they had supervision regularly while others said it was only sometimes. This needs to be addressed by the manager. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the people living there. Evidence: The registered manager is experienced and holds NVQ level 4 in Care and the Registered Managers Award. She also manages another small home nearby but has a senior member of staff who ably deputises in her absence. She appears to have an open style of management and both staff and the people living in the home approached her with confidence and were well received. The majority of the staff said that they felt well supported and valued and one person made a point of saying that she was a good manager. The registered manager monitors many of the aspects of running the home on a frequent basis. This ensures that care plans, risk assessments, reviews and daily records are up to date and appropriate. She also monitors menus, accident and incident reports and health and safety checks. By doing this she is aware of what is going on and how people are even though she is not there full time. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The records seen during the inspection, including accident and incident reports, were seen to have been completed appropriately. Policies and procedures are regularly reviewed and staff are required to sign to say that they have read them. The home encourages safe working practices by ensuring that staff have training in manual handling, infection control, fire safety, first aid and food hygiene. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 34 The dates of POVA checks for new staff should be recorded to evidence that all appropriate checks have been completed prior to someone commencing employment. Refresher sessions for all mandatory topics should be included in the training programme to ensure that staff are up to date. Formal staff supervision should take place on a regular basis for all staff. 2 35 3 36 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!