Setting

St Michael's Fellowship

Announced 25 April 2005 The Commission for Social Care Inspection aims to:

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St Michael's Fellowship

• 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

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St Michael's Fellowship

Reader Information Document Purpose Inspection Report Author CSCI Audience General Public Further copies from 0870 240 7535 (telephone order line) Copyright 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 Internet address www.csci.org.uk St Michael's Fellowship Version 1.10 Page 3 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 Residential Family Centres. 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

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St Michael's Fellowship

Every Child Matters, outlined the government’s vision for children’s services and formed the basis of the Children Act 2004. It provides a framework for inspection so that children’s services should be judged on their contribution to the outcomes considered essential to wellbeing in childhood and later life. Those outcomes are: • Being healthy • Staying safe • Enjoying and achieving • Making a contribution; and • Achieving economic wellbeing.

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St Michael's Fellowship

In response, the Commission for Social Care Inspection has re-ordered the national minimum standards for children’s services under the five outcomes, for reporting purposes. A further section has been created under ‘Management’ to cover those issues that will potentially impact on all the outcomes above.

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St Michael's Fellowship

Copies of Every Child Matters and The Children Act 2004 are available from The Stationery Office as above. 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 Michael's Fellowship Version 1.10 Page 4

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SERVICE INFORMATION

Address 84 Herne Hill Road London SE24 0AN

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manager (if applicable)

Type of registration RFC Residential Family Centre

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of places

St Michael's Fellowship Version 1.10 Page 5

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Conditions of registration:

The maximum number of adult members of families residing at any one time shall not exceed five.

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Conditions of registration:

Before a fifth family is admitted, the registered person shall notify the registration authority of the additional staffing arrangements to be put in place..

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Brief Description of the Service:

‘84’, is a residential family centre run by St Michael’s. It is an establishment that provides accommodation, assessment and support for children and their parents. Emphasis has been placed on offering a service to families where there is parental mental ill health. The parent’s capacity to respond to the children’s needs and to safeguard their welfare is assessed and the parents are given such advice and guidance as is considered necessary to enable them to do so. Parents are therefore ‘looking after’ their own children whilst their ‘parenting skills’ are assessed by the staff team. The centre also seeks to make external counselling available for some of the parents, if considered necessary.The stated aims include: ‘ informing the professional network around a family of the needs of the children; the capacities of the family to meet those needs; and identify factors, which either promote or isolate children from

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Brief Description of the Service:

experiences, which will give them the opportunity to grow and develop as any other healthy child”. The home manager and staff team undertake formal twelve-week assessments. Final reports aim to identify both risk and protective factors and make recommendations for after-care. A variety of models for ‘interventions with families’ are used in the centre, the staff aiming to “understand the childhood experiences of parents of being parented, in order to understand their values, beliefs and practices”. St Michael's Fellowship Version 1.10 Page 6

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SUMMARY

This is an overview of what the inspector found during the inspection.

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SUMMARY

This announced inspection was carried out over 7 hours as the annual inspection carried out on residential family centres.

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SUMMARY

It included obtaining the comments of placing authorities, service users and staff, a tour of the premises and discussion with 3 members of staff and 2 parent service users.

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What the service does well:

The centre has benefited from clear and consistent management and several staff who have worked in the centre for a number of years. The team members are keen to develop both individually and as a team. Service users spoken to felt that staff had made considerable efforts to fully inform them of the process of the assessment from the beginning and made make them feel welcome. The centre was also comfortably furnished.

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What the service does well:

Both the centre manager and the charitable organisation that runs it acknowledge the fact that the assessment can be stressful for both families and staff, and steps have been taken to alleviate this. Emphasis has been placed on evaluating and improving the service in a systematic way that includes the input of service users and examining things that have not gone well. Placing authorities commented that the staff team had engaged a parent in a very positive way and that they were flexible and approachable. A parent was also pleased with the staff approach and the clear understanding they had given her of the assessment process and her ongoing progress.

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What has improved since the last inspection?

A programme of redecoration and refurbishment had almost been completed at the time of this inspection. Arrangements for new admissions have been revised to provide a named worker to support families throughout the moving in day. Advanced child protection training has been identified for the centre staff and has been undertaken by most. The range of policies has been increased to include medication and the use of physical restraint.

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What they could do better:

Staff could be better trained and prepared for the challenging situations that may occur at the centre, given the nature of the assessments undertaken and St Michael's Fellowship Version 1.10 Page 7 the implications for families if the outcomes of the assessments are not favourable. The arrangements in place for staff to complete essential centre administration should be improved. Family records must be held securely and must only leave the premises on the express permission of centre managers. More must be done to improve bathroom safety (regulated hot water temperatures) and the frequency of routine fire equipment checks).

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What they could do better:

Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Michael's Fellowship Version 1.10 Page 8

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CONTENTS

Enjoying and Achieving - There are no NMS under this outcome

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CONTENTS

Statutory Requirements Identified During the Inspection St Michael's Fellowship Version 1.10 Page 9

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The intended outcomes for these standards are:

• Families have access to health care, education, employment and leisure activities which promote their good health and well being, including their mental health, in a safe environment.(NMS 4)

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JUDGEMENT – we looked at outcomes for standard(s) 4

Service users had access to health care and leisure activities in a safe environment that promoted their self-care and childcare, good health and mental well-being.

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EVIDENCE:

Service users were temporarily registered with a local GP practice and the centre had regular contact with the group practice health visitor to ensure that parents were able to access regular immunisation programmes and health screening for their children. The centre is in close proximity to both general hospitals with accident and emergency departments and a specialist psychiatric hospital with a 24-hour emergency clinic. A consultant psychiatrist also provides support and advice to the staff on a regular basis.

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EVIDENCE:

The Service Users Guide contained contact information for local opticians, dentists and hospitals. Each parent service user had been required to sign a consent form for medical treatment and first aid provided by home staff to either the parent or child in an emergency situation. Service Users were provided with a safe lockable area to store medications within their bedrooms.

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EVIDENCE:

Temporary placements at local schools had been arranged in the past, although placing authorities had also arranged transport for children to continue to attend their own school in some cases. However, the majority of children have been below school age and have used one o'clock clubs and a local playgroup instead. The centre also has good access to local parks. St Michael's Fellowship Version 1.10 Page 10

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The intended outcomes for these standards are:

• Parents and children enjoy a level of comfort and security within the centre based on mutual respect and an understanding of what may have an adverse effect on other residents.(NMS 8) • The privacy of parents and children is respected and information about them is handled with appropriate confidentiality.(NMS 9) • Parents and children are able to complain if they are unhappy with any aspect of the centre. They are confident that any complaint will be taken seriously, investigated and addressed without delay and they will be kept informed of the progress.(NMS 10) • The welfare of children is promoted, children are protected from abuse, and an appropriate response is made to any allegation or suspicion of abuse.(NMS 11) • Families are protected from abuse, neglect and self-harm.(NMS 12) • All significant events relating to the protection of children or vulnerable adults within the centre are notified by the registered person to the

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The intended outcomes for these standards are:

appropriate authorities.(NMS 13) • There is careful selection and vetting of all staff and anyone else resident on the premises.(NMS 15) • Parents and children stay in accommodation that provides physical safety and security.(NMS 22) • Parents and children enjoy a level of comfort and security within the centre based on mutual respect and an understanding of what may have an adverse effect on other residents.(NMS 8)

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13, 15 & 22

The centre has provided a comfortable and secure environment, where mutual respect between families has been promoted and monitored by professional and diligent staff who have all been subject to the necessary background checks. Parents have been able to raise concerns and complaints with apparent ease and no fear of reprisal, and the issues they have raised have been recorded and addressed appropriately. Environmental safety ha s been handled thoroughly and systematically by a designated member of staff, although there is further work to do to ensure that the centre is as safe as possible. Both staff and service users would benefit from training in how to safely deal with crisis situations, of which there has been several, caused by placement breakdowns when children are removed from a parents care for their protection. Family records must be better secured. St Michael's Fellowship Version 1.10 Page 11

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EVIDENCE:

The ‘House Rules’, ‘Statement of Purpose’ and ‘Service Users Guide’ lay out the standards of behaviour expected and the consequences of not abiding by them clearly. Signed written agreement is sought as part of admissions procedures during which there are meetings where service users have opportunity to discuss and become familiar with the standards of conduct acceptable within the centre. A parent commented that it was important for her to know from the start what was expected of her and that staff had explained the assessment process to her and given her feedback about her progress.

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EVIDENCE:

Staff demonstrated an understanding of the need to balance issues of privacy against the need to protect children. Observations were generally carried out in the communal areas, although the first two weeks of each assessment involved night waking staff and a general rule that bedroom doors would be left open until children were asleep. A parent confirmed that she received her post unopened and that staff knocked her bedroom door and waited for verbal permission before entering.

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EVIDENCE:

The majority of family records were stored securely in the staff office, parent service users having their own copies of daily recording sheets and review meeting minutes stored in their bedrooms. The record of structured play sessions was unavailable. Centre management investigated the whereabouts of these records and discovered that a member of staff had taken them home. This is unacceptable. (See requirement 3)

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EVIDENCE:

A record of complaints made had been kept, when examined the record indicated that the minor complaints made had been handled appropriately with satisfactory outcomes and feedback to the complainant. A parent commented that she knew how to make a complaint and had felt safe and able to do so when the need had arisen. Parent service users also had the opportunity to raise concerns during regular house meetings and key work sessions. The centre manager has noted the need to address verbal complaints in a more formal manner, documenting the outcome for the complainant using the system in place.

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EVIDENCE:

Routine links had been established with other agencies concerned with child protection, i.e. the placing authority, schools, hospitals, general practitioners and the centres health visitor and centre staff did not work in isolation from them. There were clear procedures in place for responding to allegations or suspicions of abuse, either by staff, or by parents, or by other children in the centre. The centre had a clear policy on ‘Child Protection’ and ‘Arrangements for protecting children accommodated on the unit’ were in place. St Michael's Fellowship Version 1.10 Page 12 One member of centre staff had untertaken advanced child protection training provided by the local ACPC, four staff had undertaken advanced child protection/family assessment training organised ‘in house’ with an external trainer. The centre provides a service for adults who may have a mental illness. There was evidence that the centre staff received the necessary support and

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EVIDENCE:

guidance from psychiatric services to enable them to respond appropriately if a parent's mental health deteriorated to the extent that a child or the parent was at risk.

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EVIDENCE:

The centre has a policy that restraint should not be used unless a parent or child was in imminent danger. It is therefore essential, that a requirement made in the previous inspection report for centre staff to be trained in the safe restraint of children, anger management and de-escalation techniques be implemented. Training in breakaway techniques is also recommended for the protection of parents, children and centre staff. (see requirement 1 & recommendation 1).

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EVIDENCE:

Notification of significant events had been made to the relevant authorities within the required 24-hour timescale. Procedures examined confirmed that centre staff had sufficient guidance in this area and placing authorities confirmed that they had received notification in a timely manner. The CSCI has received notification of events in the centre as appropriate.

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EVIDENCE:

Service users have been supported by staff who have been thoroughly vetted during the recruitment procedure. All staff had enhanced criminal records bureau checks on file. Regular visitors to the centre are also police checked, and the admittance of family visitors was mindful of any restrictions in contact arrangements stipulated by the placing authority. Only centre staff were permitted to open the front door and a record of all visitors to the centre had been maintained.

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EVIDENCE:

The premises were secure and were subject to detailed health and safety checks by a nominated and appropriately trained member of staff. Professional checks of gas, electrical and fire alarm equipment had been conducted with the required regularity. Fire evacuation drills had been conducted with the required frequency, although fire alarm call point tests had not. (see requirement 2). St Michael's Fellowship Version 1.10 Page 13

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The intended outcomes for these standards are:

• Parents and children are admitted to and leave the centre in a planned and sensitive manner.(NMS 2) • Children and their parents have their needs assessed and written plans outline how the assessment will be undertaken.(NMS 3) • Parents and children using the centre feel well-informed and party to decisions made.(NMS 6) • Parents and children enjoy sound relationships with staff based on honesty and mutual respect(NMS 70)

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JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 6 & 7

Parents and children had been admitted to the centre in a planned and sensitive manner. The manner in which family members left the centre was dependent on the outcome of the assessment. If an assessment had gone well this could be carefully planned, if it had not, care had been taken to handle the situation with as much sensitivity is possible. Parents had been kept well- informed and appeared to enjoy sound relationships with staff.

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EVIDENCE:

The centre’s admission procedure and discussion with the centre manager indicated that referrals were made and considered during a selection meeting between the centre manager and other available team members, during which assessment documentats from the placing social work and health teams were discussed. If the centre was able to offer an appropriate service to the family concerned they were then offered the opportunity to visit the home to meet other service users and staff and ask questions before accepting the offer of a placement.

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EVIDENCE:

During meetings with the family ‘a placement agreement’ was devised, detailing the purpose and scope of the residential assessment of parenting skill and capacity. An ‘agreement’ examined had been signed by the adult service user, social worker and centre manager. The home’s expectations of how time would be spent in the home and expectations of behaviour were clearly laid out in the Service Users Guide supplied during the process of admission.’ St Michael's Fellowship Version 1.10 Page 14 During each week of the assessment a new plan was devised with each parent. The plans were clear, concise and informative, giving both staff and service users up-to-date information and direction.

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EVIDENCE:

A newly referred father was moving into the centre on the day of the inspection. He indicated that he had visited the centre twice before, was clear about the purpose of the assessment, and how it would be conducted. He was able to relate the general house rules and described the staff as welcoming and approachable. His children were not arriving until the next day, giving him time to shop for groceries and organise the bedroom. Another parent commented that the placement had been positive for her and that she had been kept well-informed and party to decisions made by centre staff who she viewed to be honest and respectful.

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EVIDENCE:

The centre does not offer emergency admissions. Discharge from the centre is planned easily if the assessment has gone well, however when a placement ends suddenly the parent/s and anybody working or living in the centre at the time can experience extreme emotion. The centre manager demonstrated a clear understanding of the need to support staff and families during these stressful times. A member of staff and a parent confirmed that they had been given the opportunity to discuss their anxieties when this has happened. The centre manager indicated that when assessments ended suddenly it was sometimes difficult to arrange for the belongings of the departing parent to be taken from the centre. It would be useful if responsibilities for these eventualities were discussed before admission. (See recommendation 2). St Michael's Fellowship Version 1.10 Page 15

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The intended outcomes for these standards are:

• Parents and children live in pleasant, well designed and maintained surroundings providing sufficient space and adequate facilities to meet their needs.(NMS 19) • Parents and children enjoy homely accommodation, decorated, furnished and maintained to a high standard, providing adequate facilities for their use.(NMS 20) • Shared spaces complement and supplement residents’ private rooms.(NMS 21)

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The intended outcomes for these standards are:

JUDGEMENT – we looked at outcomes for standard(s) 19, 20 & 21.

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The intended outcomes for these standards are:

The centre has provided pleasant, well-designed and well-maintained surroundings for families during assessment. There is sufficient space and adequate facilities to meet their needs, although areas of the centre are homely, pictures and lampshades removed during redecoration has left the centre a little bare in some areas. Fire and hot water safety must be improved to ensure maximum protection of families and staff and to prevent children from being scolded.

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EVIDENCE:

The centre is located close to local schools, leisure facilities, health services, public transport routes and shops. The centre has been undergoing some redecoration work and the majority of rooms were attractively decorated. There is a small garden at the front and at the back, both were well maintained. The centre was locked and a security alarm enabled between the hours of 10pm and 7am for security, visiting rules were in place and visitors allowed in the downstairs communal areas between the hours of 12pm and 9pm.

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EVIDENCE:

Communal areas consisted of a lounge, kitchen, dining area, laundry and playroom. Other rooms were also available for meetings. Two new cookers had been purchased since the last inspection visit, and there were also five refrigerators available (although five families were not accommodated). The playroom was well stocked with toys and the communal areas were child safe. During recent redecoration work, pictures and lampshades had been removed and are yet to be replaced in some areas (see recommendation 3) St Michael's Fellowship Version 1.10 Page 16 Bedrooms were well decorated and furnished and had recently been fitted with new vanity sinks. Plans were underway to redecorate the two remaining bedrooms. Parents commented that they were happy with their bedrooms, bathrooms and communal areas and considered the facilities available to be adequate. Placing authorities contacted identified the redecoration and

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EVIDENCE:

refurbishment of the two remaining bedrooms to be a priority.

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EVIDENCE:

Hot water temperatures in bathrooms had yet to be safety regulated in addition to the colour changing temperature safety bath mats available (see requirement 4). The premises and appliances had been subject to professional checks of gas appliances, electrical appliances and wiring, pest control and environmental health.

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EVIDENCE:

The environmental health report of October 2004 indicated that some areas of the premises needed some remedial work in regard to fire safety precautions. (see requirement 5). St Michael's Fellowship Version 1.10 Page 17

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The intended outcomes for these standards are:

• Parents and children who use the centre know what they can expect, how they will be treated, how the centre operates, and have had this information in written form prior to admission.(NMS 1) • Parents’ progress is recorded to reflect their ability to care for the children in a safe manner, promoting their welfare.(NMS 5) • Parents and children receive the care and services they need from competent staff.(NMS 14) • Staff are sufficient in number, experience and qualification to understand the needs of parents and children and who are able to respond appropriately when required.(NMS 16) • Parents and children receive a service from staff who are themselves supported and guided in safeguarding and promoting the children’s welfare.(NMS 17) • Staff are trained and enabled to carry out the role to which they are appointed.(NMS 18) • Parents and children enjoy the stability of an efficiently run service and purchasers have confidence that they are getting value for money.(NMS

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The intended outcomes for these standards are:

23) • The service’s work with parents and children is continually adapted in the light of information about how it is operating.(NMS 24) • There are adequate records of both the staff and families using the service.(NMS 25)

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JUDGEMENT – we looked at outcomes for standard(s) 1, 5, 14, 16, 17,

The Centre management team are suitably qualified and experienced and have provided effective leadership and supervision to staff. Centre staff, who have qualifications and experience appropriate to their role, have maintained good records of the service they have provided and have made efforts to ensure that these records are accessible to the adults being assessed. Further work is required to ensure that staff training already undertaken equates to the required standard and for staff to receive formal supervision on a regular basis.

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EVIDENCE:

St Michael's Fellowship Version 1.10 Page 18 The centre’s Statement of Purpose document and Service Users’ Guide accurately described what the centre set out to do and the way in which the service would be provided. The staff information was clearly set out and had been reviewed in April 2005. All information required by the National Minimum Standards and Regulations had been included. Both documents were very well presented, with good quality photographs and easily accessible information on the overall structure of the organisation. Discussion with the staff and service users indicated that the documents had been distributed and read as appropriate. A ‘Statement of Values and Beliefs’ had been included along with a useful local map, public transport information and lots of local contacts that would be of considerable assistance to new service users.

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EVIDENCE:

Staff recorded daily notes on the ability and progress of each parent’s care of their child/ren during the assessment. At the end of every day the parent was able to read the typed notes from the previous day and add comments if they wished to. Two copies were made of each day’s notes, one to be kept by the parent and one to be maintained in the centre’s records. Both copies were signed and dated by the parent. The centre’s copies were maintained chronologically and were stored confidentially and securely in the staff office. Placing authorities praised the ability of the staff team to positively engage one parent in the assessment process.

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EVIDENCE:

Examination of the staffing information contained in the centre’s ‘Statement of Purpose’ and information supplied in the pre-inspection questionnaire completed by the centre manager confirmed that staff with suitable training and experience had been employed to work in the centre. The centre manager and deputy both have a diploma in social work and other appropriate qualifications including staff supervision. Centre staff also had a wide variety of appropriate qualifications including art therapy, court skills, counselling, youth work, substance misuse, the framework for the assessment of children & families in need, child development, mental illness, applied psychology, drug awareness, psychology, advanced child protection, child development, working with mental illness and health and social care.

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EVIDENCE:

As the requirement is that 80% of staff are qualified at Level 3 or equivalent by 2005 the centre must take steps to equate the qualifications already obtained against this standard and, if necessary, address any shortfall. (see requirement 6).

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EVIDENCE:

The centre manager indicated that she had yet to complete an audit of the training currently provided for staff working in the centre against the training required in the National Minimum Standards for Residential family Centres. (See requirement 7).

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EVIDENCE:

Supervision meetings between the centre home manager or deputy centre manager and staff had been held regularly in most cases and a written record St Michael's Fellowship Version 1.10 Page 19 kept on file. The centre has a policy to supervise staff with key-working responsibility or a particular issue to deal with on a fortnightly basis. Time constraints had affected the frequency of supervision meetings at times and this must be addressed. (see requirement 8).

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EVIDENCE:

Staff confirmed that informal supervisions were also available in between times and were clear about the lines of accountability within the centre’s organisational structure.

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EVIDENCE:

Staffing levels were identified as an area in need of review. Placing authorities and the centre manager have identified that the burden of administration was heavy at times. (see recommendation 4).

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EVIDENCE:

Written guidance and Policy was available in all areas identified in NMS 17.3. External specialist guidance and support to staff was also in place in regard to group dynamics and team development. This guidance was provided in meeting forums.

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EVIDENCE:

The residential family centre was one of a group of services operated by an independent charity, St Michael’s Fellowship, an organisation that has been operating for over a century.

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EVIDENCE:

The centre manager confirmed that she had sufficient budget information to manage the home. Discussion during the inspection indicated that the centre had good relationships with neighbours in the local and wider community. There was overall evidence that the registered persons had maintained adequate records for families, staff and premises, exercised effective leadership and undertaken ongoing evaluation of the service provided by the centre. St Michael's Fellowship Version 1.10 Page 20

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SCORING OF OUTCOMES

This page summarises the assessment of the extent to which the National Minimum Standards for Residential Family Centres have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection.

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SCORING OF OUTCOMES

4 Standard Exceeded (Commendable) 3 Standard Met (No Shortfalls) 2 Standard Almost Met (Minor Shortfalls) 1 Standard Not Met (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

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SCORING OF OUTCOMES

STAYING SAFE ACHIEVING ECONOMIC WELLBEING Standard No Score Standard No Score 8 2 19 3 9 2 20 2 10 3 21 3 11 3 12 3 13 3 15 3 22 2

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SCORING OF OUTCOMES

ENJOYING & ACHIEVING MANAGEMENT Standard No Score Standard No Score No NMS are mapped to this outcome 1 4 5 3 MAKING A POSITIVE 14 3 CONTRIBUTION 16 3 Standard No Score 17 2 2 3 18 2 3 3 23 3 6 3 24 3 7 3 25 3 St Michael's Fellowship Version 1.10 Page 21 Are there any outstanding requirements from the last inspection? Yes

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STATUTORY REQUIREMENTS

This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Residential Family Centres Regulations 2002 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales.

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STATUTORY REQUIREMENTS

No. Standard Regulation Requirement Timescale for action 1. RFC8 11(5)(6) Centre staff must receive training in the safe restraint of children, anger management and de-escalation techniques. Previous requirement. 07/09/05

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STATUTORY REQUIREMENTS

2. RFC22 22(1)(c) (v) Fire detection equipment must be tested with the required frequency. (One of the fire alarm call points must be tested each week in rotation). 17/06/05

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STATUTORY REQUIREMENTS

3. RFC9 10(3)(a) Family records must be stored securely in the centre. Records leaving the premises must be authorised by centre management (for external meetings). 03/06/05

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STATUTORY REQUIREMENTS

4. RFC20 21 10(1)(a) 11(4)(a) Hot water accessible to very young children, or people with disabilities which place them at risk from excessively hot water, is maintained at between 41 and 45 degrees centigrade at tap and other outlets accessible to them. Previous unmet requirement. 20/07/05

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STATUTORY REQUIREMENTS

5. RFC20 21 & 22 Confirmation that remedial action identified in the October 2004 Environmental health report has been addressed must be supplied to the CSCI Southwark office. A suitable laundry room lobby 29/07/05 St Michael's Fellowship Version 1.10 Page 22 fire door and the replacement of intrumescant strips on fire. 6. RFC14 15(a)(b) The Centre must have a minimum of 80% of its care staff qualified at level 3 or equivalent in the caring for children and young people NVQ. 30/12/05

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STATUTORY REQUIREMENTS

7. RFC18 17(5)(a) Training must be provided for centre staff in all areas identified in NMS 18.5 Previous unmet requirement. 09/12/05

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STATUTORY REQUIREMENTS

8. RFC 17 17 Centre staff must receive formal one to one supervision from their line manager at least once a month. 29/07/05

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RECOMMENDATIONS

These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out.

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RECOMMENDATIONS

No. Refer to Standard Good Practice Recommendations

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RECOMMENDATIONS

1. RFC8 Centre staff should receive training breakaway techniques. 2. RFC2 Responsibility for the moving of the possessions of families whose placement ends abruptly should be considered during pre-admission planning with the placing authorities. 3. RFC20 Wall decorations/pictures and lampshades removed during recent redecoration should be replaced. 4. RFC16 Staffing levels should be reviewed and if necessary increased to provide adequate time to complete administration tasks and other duties. St Michael's Fellowship Version 1.10 Page 23

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Commission for Social Care Inspection

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

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