Care Home: St Anne`s (Dewsbury 1)

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What the care home does well The arrangements in place for people moving into the scheme are good and improving. People living on the scheme are involved in decisions about their lives, and play an active role in planning the care and support they receive. People using this service have excellent opportunities to live their chosen lifestyle and make and maintain fulfilling relationships. People are well supported by the Dewsbury 1 scheme to maintain their health. Their personal care support needs are met in a respectful way that maintains their dignity. People living on the Dewsbury 1 scheme are listened to and protected from abuse. People live in a homely, comfortable and safe environment, which is clean and hygienic. The staff team are trained and competent to meet people`s individual and joint needs. The home`s recruitment policy and practices offer protection to people living there. The service is well managed in the best interests of people who live there. What has improved since the last inspection? There are now more detailed support plans for people living on the scheme. Staff are participating in more fire drills and so should be better equipped to ensure the safety of people should this occur. What the care home could do better: All staff should receive training in de-escalation of aggressive behaviour in order to avoid physical intervention with any individuals living on the scheme The single toilet in Burking Rd should have a wash hand basin fitted to promote good hygiene practices. The service should have a minimum of 50% of staff qualified to NVQ2 level. All certificates relating to lifting equipment should be kept on the premises in order that they can be referred to for the safety of people using the equipment. CARE HOME ADULTS 18-65 St Anne`s (Dewsbury 1) 2 Oxford Road Dewsbury West Yorkshire WF13 4LN Lead Inspector Cathy Howarth Key Unannounced Inspection 7th November 2007 09:45 St Anne`s (Dewsbury 1) DS0000026350.V354318.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 St Anne`s (Dewsbury 1) DS0000026350.V354318.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. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Anne`s (Dewsbury 1) Address 2 Oxford Road Dewsbury West Yorkshire WF13 4LN 01924 459028 01924 559936 areaoffice@st-annes.org.uk www.st-annes.org.uk St Anne`s Community Services 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) Miss Bernadette Marie Airth Care Home 14 Category(ies) of Learning disability (14), Learning disability over registration, with number 65 years of age (14) of places St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 5 services users with learning disability can be accommodated at 2 Oxford Road, Dewsbury 5 service users with learning disability can be accommodated at 7 Burking Road, Dewsbury. 4 service users with learning disability can be accommodated at 61 Track Road, Batley. 11th December 2006 Date of last inspection Brief Description of the Service: St. Anne’s (Dewsbury 1) is the collective name for a scheme of three houses, registered to provide residential care to adults with learning disabilities. The registered manager and deputy manager oversee all three houses and each house has their own staff team, with some flexibility between each house. There is a key worker system in place for each service user. The three houses are very different in character and are located within a mile of each other. Each house is in keeping with its location and public transport facilities are situated close by. Dewsbury, with all its facilities is approximately a mile from each house. The Commission was informed that on 7.11.07 the charges to people living on the scheme ranged from £63.95 to £98.60. Information about the service in the form of a Statement of Purpose and a Service User’s Guide together with the latest Commission for Social Care Inspection report are available from the each of the houses. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken using a self-assessment form returned by the manager of the service, responses from surveys sent to people living on the scheme, health and social care professionals and staff working on the scheme. No responses were received from relatives of people living there although these were sent out. The inspector visited all three houses on the scheme and spoke with people living there and staff. Overall this inspection was positive and showed that the scheme provides good support for the people living there. The inspector would like to thank all involved for their time and welcome throughout this inspection. What the service does well: The arrangements in place for people moving into the scheme are good and improving. People living on the scheme are involved in decisions about their lives, and play an active role in planning the care and support they receive. People using this service have excellent opportunities to live their chosen lifestyle and make and maintain fulfilling relationships. People are well supported by the Dewsbury 1 scheme to maintain their health. Their personal care support needs are met in a respectful way that maintains their dignity. People living on the Dewsbury 1 scheme are listened to and protected from abuse. People live in a homely, comfortable and safe environment, which is clean and hygienic. The staff team are trained and competent to meet people’s individual and joint needs. The home’s recruitment policy and practices offer protection to people living there. The service is well managed in the best interests of people who live there. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The arrangements in place for people moving into the scheme are good and improving. EVIDENCE: There have been no new admissions to the service since the last inspection when it was found that appropriate arrangements were in place and had been used for people admitted to the home. At the last inspection some licence agreements had not been completed. These were found to be done on this visit. The manager said they have been working on updating the Service User Guide and a welcome pack for new people coming to live on the scheme, to make it more user-friendly for newcomers. This is positive. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People living on the scheme are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: This area has improved since the last inspection. People were found to have good detailed plans in place and these are being monitored weekly by staff to make sure that people are getting the service they need. There are good risk assessments in place to ensure that people are supported to take risks in such a way that hazards are minimised. On the day of this visit one person was having a review, and was fully involved in the decision-making. The service uses person centred planning with people to help them identify the aspects of their lives that are important to them and what their goals and aspirations are. For one person who is Muslim it was seen that arrangements are in place to ensure that he can pursue his faith and St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 10 celebrate festivals. Halal meat is purchased to make meals he can enjoy and on festivals cards are sent. For a forthcoming celebration a party is planned. People who responded to the surveys said they were happy with the support they get and professionals who are involved with people said they felt the service was good at meeting people’s individual needs. One person said: “At review meetings they do let individuals have their say and also have evidence on what activities and chores individuals participate in. ” There was evidence from the case files that where external professional support is needed this is sought, for example one person has recently been referred to a psychiatrist for mental health support. Advocates are also sought for individuals who may need support from an independent source to protect their interests. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People using this service have excellent opportunities to live their chosen lifestyle and make and maintain fulfilling relationships. EVIDENCE: During this inspection it was clear that people using this service have a wide variety of interests and the service strives to ensure that people have the opportunities they want to follow these. The range of daily activities is from working in farms with animals, day centres, college courses, church services, shopping or going to the pub for a meal. Some people have simple regular leisure activities they enjoy such as going for fish and chips on a Friday to a local café where they are known. This helps people to feel valued in the community. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 12 As well as regular activities people have holidays and trips they enjoy. On the day of the visit, two people were setting off to the theatre in Bradford to see Half a Sixpence. The previous week some people had been to see the illuminations in Blackpool. People also participate in chores around the houses as far as they are able supported by staff, such as cleaning and laundry. These tasks are recorded in the files and are part of helping people to develop self-help skills. Some people also pursue interests within the home. At Oxford Rd art work done by individuals was on display, one person was doing rug making and another person was seen knitting. One person showed the inspector several drawings done by a staff member for him to paint. These are positive evidence that staff are keen to support people to be occupied and to enjoy their lives in the way that they choose. Contacts with families were said to be good. There was evidence that people who have family were in regular contact and some individuals visit their families weekly. Unfortunately no relatives responded to the surveys sent out so it was not possible to gain their direct views of the service. In all the houses staff cook most of the meals, although individuals may be supported to help with this. People choose the types of food they eat. People said they could choose what they liked and menus were seen on display. In one house people take turns choosing for the week, in another people choose at a weekly meeting. In one house people like to have tripe and one person regularly goes to Dewsbury market to collect this specially. Fresh fruit was seen to be readily available and as mentioned previously one person is supported to have a halal diet. The service does not have any permanent transport of their own so most people use public transport or taxis to go out. Others simply walk if it is local. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People are well supported by the Dewsbury 1 scheme to maintain their health. Their personal care support needs are met in a respectful way that maintains their dignity. EVIDENCE: People living on the Dewsbury 1 scheme have their health care needs monitored by staff with support from health professionals and families as appropriate. The inspector saw good monitoring of people’s overall health in a new Health Action Plan. This was a visually appealing document with pictures and symbols, which helped people to answer questions about their health, needs and results in a plan about which areas need support. The case files that were seen showed that people were receiving appropriate support for routine health matters such as GP, optician and dental appointments and for one off things such as flu jabs. Appropriate referrals have also been made to specialist services such as psychiatry, where people’s needs have indicated this. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 14 Responses from professionals involved with the service have indicated that they are happy with the health care support the service gives. One person said: “They have acted in the best interests of people – I knew two people before they went to live there and their health and appearance has greatly improved.” Another person indicated that communications regarding people’s welfare was also good, saying: “We speak regularly on the phone about any issues or changes in the person’s health care.” No one on the scheme is able to manage their own medication, but all are supported by staff to make sure they get the correct medicines. Storage of medication is satisfactory and the houses use a monitored dose system, which makes it easier to manage. A sample of medication records were inspected and found to be accurate. The inspector had the opportunity to observe care being offered to individuals and relationships between staff and people living there. These were positive, discreet and respectful. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People living on the Dewsbury 1 scheme are listened to and protected from abuse. EVIDENCE: People living on the Dewsbury 1 scheme can use the St Anne’s complaints procedure. One person had done this since the last inspection and the matter had been resolved satisfactorily. The complaint was properly looked into and recorded. The service has other, less formal ways of listening to people, such as regular user meetings and reviews, where people can bring up issues they are not happy about or just want to talk about. These are important mechanisms for people to use. People reported in their responses to surveys that they know how to use these mechanisms and have confidence that they will be listened to by staff and managers. Staff on the scheme have had training in safeguarding vulnerable people. This is provided as a basic training course by St. Anne’s. People also have access to courses in behaviour management if this is required but up to this point staff have not felt this was necessary. However it may be needed in the future so it is recommended that staff do this training in order to be equipped should they need to use techniques to avoid having to use physical intervention with people. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 16 Most people living on the scheme need support with finances. Staff do this and accounts were recently audited by St. Anne’s internal auditors and found to be of a good standard. One person’s money was checked during this visit and also found to be accurate. Two safeguarding referrals have been made in the last year. Neither related to abuse within the service by staff and both were handled appropriately by the manager and staff. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People live in a homely, comfortable and safe environment, which is clean and hygienic. EVIDENCE: On this visit all three houses were seen, all communal areas and some bedrooms were shown to the inspector by their occupants. The environment was in good order with no major problems seen. There has been a programme of redecoration, which has refreshed some areas. All the houses were warm, comfortable and pleasant. All three houses are well equipped with furnishings and entertainment equipment such as TVs DVD players and CD players. The only thing that detracts from the environment in Oxford Rd and Burking Rd is the fact that there is no room for an office. This means therefore that necessary paperwork and a desk is sited in the dining rooms of these St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 18 properties. This may cause some difficulties at times when staff need to have confidential papers out. All such papers are kept in lockable filing cabinets, which have been chosen to resemble ordinary furniture as far as possible. However this is intrusive into the living environment and any possibility of an alternative should be grasped. The scheme has a the support of St. Anne’s maintenance team, one of whom was visiting Track Rd on the day of this visit, attending to the list of minor repairs that is prepared ready for his visit. Urgent jobs can be addressed without delay, via a call out system. It was recommended at the last inspection that a sink be fitted in the single toilet at Burking Rd. This has not yet been done although it has been ordered and is re-recommended as the inspector observed one person leave this toilet without going to wash their hands in the bathroom, which highlighted the need for this facility. At Oxford Rd safety grilles have been fitted to some of the windows around the doors for extra safety following a recent attempted break in. This is a positive step in terms of securing the safety of people living there. At Track Rd it was noted that there was a jug available in the toilet for washing which meets the needs of Muslims for toilet practices. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The staff team are trained and competent to meet people’s individual and joint needs. The home’s recruitment policy and practices offer protection to people living there. EVIDENCE: The scheme has been through a period of difficulty with staffing, having vacancies and using cover from bank and agency staff. Staff had reported in surveys that this has caused some problems and this was echoed by one day services manager who said that sometimes agency or bank staff do not know people as well and this has caused some problems from time to time. However, at the time of this visit, the induction of new staff to fill the vacancies was taking place. The manager was particularly pleased that several men had been recruited, as the majority of staff were women before this. The new deputy manager is also male. The inspector spoke with one new member of staff who confirmed that he had been through a rigorous recruitment process of checks and interviews. He also St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 20 gave details of his induction and support from experienced staff, which indicates that staff have been supportive and welcoming to the newcomers. He was working in a supervised capacity alongside new staff for two weeks to get to know what is expected of him. New starters all do a 7-day block of induction training provided by St Anne’s to all new staff, which covers the basic training that staff need to do their job. All new starters on the Dewsbury 1 scheme are booked to do this before Christmas. The scheme continues to provide NVQ2 training to staff but the percentage has reduced with staff leaving to just under 50 since the last inspection. It is therefore recommended that this be addressed to meet National Minimum Standards. The inspector observed good relationships between staff and managers. Feedback in the surveys from staff indicates that overall people were happy in their work, saying for example: “Same old complaint- short staffing BUT I am in a good team that work together for the good of residents and support each other.” St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The service is well managed in the best interests of people who live there. EVIDENCE: The manager of the scheme is well qualified and able to manage the scheme. She is registered by the Commission for Social Care Inspection. The scheme has a new deputy manager and these two provide support for the three houses, working alongside staff and providing support and supervision. The scheme carries out an annual audit of quality, sending out questionnaires to all stakeholders in the service such as family members, day services staff, health professionals as well as the people who live on the scheme. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 22 The questionnaires had just been returned at the time of this visit but the results had not yet been collated so no report was available. The scheme also has a ‘Team Plan’, which outlines the team’s goals for the year. This plan was seen to have realistic and measurable goals, which would serve to improve the service. Health and Safety matters are generally managed well within the houses. At the last inspection it was identified that staff were not getting sufficient practice in fire drills. This has improved since that time but needs to be sustained. A sample of other records relating to safety was seen. The test certificates for the stair lift and the bath hoists at Oxford Rd were not available but were supplied later. They had been kept at headquarters. These should be kept on the premises so that staff can ensure that they are current at all times. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 23 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 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 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 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 3 4 Refer to Standard YA23 YA27 YA32 YA42 Good Practice Recommendations All staff should receive training in de-escalation of aggressive behaviour in order to avoid physical intervention with any individuals living on the scheme. The single toilet in Burking Rd should have a wash hand basin fitted to promote good hygiene practices. The service should have a minimum of 50 of staff qualified to NVQ2 level. All certificates relating to lifting equipment should be kept on the premises in order that they can be referred to for the safety of people using the equipment. St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Anne`s (Dewsbury 1) DS0000026350.V354318.R01.S.doc Version 5.2 Page 26 - 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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