Report on actions you plan to take to meet CQC essential standards
 
Please see the covering letter for the date by which you must send your report to us and where to send it. Failure to send a report may lead to enforcement action. 

Account number	1-101721492	
Our reference	INS1-806980998	
Location name	Crofton Care Partnership	
Provider name	Crofton Care Partnership	

Regulated 
activity	Regulation	
Personal care	Regulation 23 HSCA 2008 (Regulated Activities) Regulations 2010
Supporting workers	
	How the regulation was not being met:	
	The arrangements for ensuring that staff were appropriately supported through training and supervision to deliver care and treatment to the appropriate standards were not adequate.  Regulation 23 (1)(a).	
Please describe clearly the action you are going to take to meet the regulation and what you intend to achieve	

1) Review training records and identify training needs for staff and ensure training is provided.
2) Review and ensure that staff have completed Induction Part 2 training.
3) Review and update Induction Part 2 to include evidence of assessment of knowledge and skills for CIS.
4) Develop next Release of Lynx (our electronic record system) to include training records and management module.
5) Review and update supervision and appraisal policy.
6) Communicate and roll out changes to supervision and appraisal policy to staff members.
	
Who is responsible for the action?	Mark Williams	
How are you going to ensure that improvements have been made and are sustainable? What measures are you going to put in place to check this?	

* We have a more detailed action plan which has notes responsible managers in the organisation and has deadlines.  Mark Williams has responsibility to monitor and review progress.
* We will report on the progress on the action plan at our management meetings.  Once complete the Partners will sign the action plan as completed.
* We will have updated training package to ensure that new starters training meets the CIS and that we have evidence of assessment of skills and knowledge within the required timescale.
* We are putting extra resources into our training (in terms of hours and budget) to ensure that training gaps are plugged.  Part of that budget will be rolled over.
* We are working with our software developer on the next update release of Lynx to include a better training record and management system that will include reminders when training falls due.
* Our updated policy will be rolled out and we will have appropriate records of supervision sessions with staff members.  Details of the reviewed policy will be circulated to all staff and training offered to managers in the reviewed system.  Associated documentation will also be reviewed.
	
Who is responsible?	Mark Williams	
What resources (if any) are needed to implement the change(s) and are these resources available?	

* Training - additional hours for completion of outstanding training.  Resources have been made available through additional management hours.
* CIS - new package and training materials.  Resources have been prepared and are being rolled out.
* Lynx Update - specification being agreed for next update release, which is part of our recurring development budget.
* Supervision and Appraisal policy and forms - forms being reviewed and rolled out along with memo to all staff and support for managers.  Additional resources are not specifically required as this action is around clarification of current practice rather than more supervisory requirements.
	
Date actions will be completed:	30/06/2014	

How will people who use the service(s) be affected by you not meeting this regulation until this date?	

All service users (approx 75) and all care staff (approx 40)

Completed by: 
(please print name(s) in full)	Mark Williams	
Position(s):	Partner	
Date:	05/03/2014