Inspection on 30/04/09 for Community Resettlement Project

This is the latest available inspection report for this service, carried out on 30th April 2009.

CQC found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Community Resettlement Project 10/08/07

Community Resettlement Project 10/07/06

Community Resettlement Project 01/12/05

Community Resettlement Project 02/04/05

Community Resettlement Project 01/11/04

Community Resettlement Project 15/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Community Resettlement Project 24-28 Argyle Street Kings Cross London WC1H 8EG     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: Pearlet Storrod     Date: 1 3 0 5 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 28 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 28 Information about the care home Name of care home: Address: Community Resettlement Project 24-28 Argyle Street Kings Cross London WC1H 8EG 02072783629 02078139776 mkumah@onehousinggroup.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Community Housing Association care home 18 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 18 The maximum number of service users who can be accommodated is: 18 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Community Housing Association manages the Community Resettlement Project (CRP). This organisation has considerable experience in the housing sector and provide a wide range of support and support services. The home itself provides support and support to adults with mental health needs. It is situated in a residential/commercial street very close to Kings Cross Station. The property is three adjoining houses. House number 24 is registered to accommodate five women; house number 26 is the office-cum-staff area and house number 28 is registered to accommodate thirteen male service users. The houses are interconnected. Accommodation for service users is provided in single rooms, each is furnished with a fridge and a wash hand basin. Communal facilities include toilets, bathrooms, kitchens and lounges. There are two gardens to the rear of Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home the premises. The houses are not suitable for service users with mobility problems and as they are listed buildings, alterations and adaptations are unlikely. The focus of the CRP is on rehabilitation and resettlement. Residents are to be motivated to be able to cook and undertake cleaning and laundry or improve these skills. An average stay is twenty-two months although residents can be there for longer. The fee charged for the service is £534.93. This is currently under review. Care Homes for Adults (18-65 years) Page 5 of 28 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 peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection begun on 30 April 2009 and was completed on 13 May 2009. It took nine hours to complete. Time was spent examining the files of people using the service and speaking to two people using the service and some staff. I also examined the information held on staff including their supervision and training records and the recruitment practice in operation. Other records observed related to medication, health and safety, complaints, incidents and I toured the premises inside and out to ascertain as part of the inspection process whether the requirements made previously were satisfactorily addressed. Care Homes for Adults (18-65 years) Page 6 of 28 Eighteen surveys were sent to the home for distribution to people using the service, seven were sent for staff and two for health professionals, none of which were returned to us. The registered manager asserted that she had difficulty in motivating people who use the service and staff to complete the documents. 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 printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The statement of purpose needs further review and must include up to date and accurate information. Prospective people who use services have their individual aspirations and needs fully assessed. Evidence: It should also be said that the Statement of Purpose makes reference to One Housing Group as the registered provider responsible for managing care and support services of people living at the home; this is in contrast to the name of the provider that is presently registered; other areas of the Statement of Purpose needs to be reviewed so that information provided to people using the service, potential service users and Commissioners of services have clear, up to date and accurate information. A clear referral process is in place. The admission criteria and referral process are briefly outlined in the Statement of Purpose. Evidence suggests that people who use Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: the service can be assured that an assessment of the needs will be carried out to ensure that their needs and aspirations can be met. Assessments of needs are comprehensively undertaken including three overnight visits to ascertain that individuals needs and aspirations and the information gathered are used to generate a support plan. Care Homes for Adults (18-65 years) Page 11 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. People who use services are consulted throughout their stay in respect to their changing needs, goals and risk management. Evidence: Support plans observed reflect the goals of individuals and progress of achievements and are person centered. A person using the service commented in a care review, I feel I have made progress with budgeting and have more money for other things apart from food. Care reviews are noted to occur six monthly or sooner depending on the needs of an individual. Care co-ordinators are given the opportunity to attend individuals support plan reviews and people using the service are consulted in respect to such invitation. People who use the service are actively encouraged to make choices and decisions regarding their support needs. Equality and diversity are known and responded to Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: accordingly using diversity action plans. Risk management plans are available and these are harmonized with the identified needs of people using the service. Care Homes for Adults (18-65 years) Page 13 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. People who use the service are supported to maintain as much independence in their lives as possible. Evidence: People using this service are continually encouraged and supported by staff to access education, voluntary work and training. This was indicated in three support plans that I observed and is outlined in the (AQAA) Annual Quality Assurance Assessment. Individuals are encouraged to enhance their life skills and to develop new ones. An example of support provided is highlighted in the previous outcome area, where an individual asserted making progress with budgeting. Another individual is noted to have participate in sky diving to raise money for a charitable event; a certificate of achievement was noted. One other individual was support to access training in arts Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: and design. I noted also from information in the file of another individual that they were looking forward to course in drama and education at the Holy X Centre within the local community. People using the service are persuaded and supported as appropriate to maintain links with family and friends. I noted that an individual had recently returned from a weekend trip to Paris in April of this year, with their sister. It was evidently clear that the rights and responsibilities are taken into account with regard to individuality and choice. A Healthy Lifestyle Group is set up, which looks at eating healthily including dietary needs for people with health related problems such as diabetes and other physical health needs. Attempts are made to invite external professionals to some events, for example assisting individual people to understand food that are nutritious and healthy. Care Homes for Adults (18-65 years) Page 15 of 28 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Systems are in place to meet the needs of people using the service. Monitoring and recording of information in respect to attending medical appointments needs to be more robust. Evidence: Personal care in the physical sense is not provider at this service. Personal support is provided in all other aspects according to individuals assessment of identified needs. This may include reminders to attend medical appointments and escorting an individual to the bank and assistance / support with the administration of medication. The emotional needs of people are addressed. Though surveys were forwarded to the service for distribution we received no written feedback from anyone. I sought the views of health professions over the telephone and was told by a health profession who described the service as good. They asserted that there was a difficult case previously, which was handled well. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Recorded information relating to some individuals requiring routine blood screening were found to be inconsistently held. In other words, it was unclear whether an individual had attended their last or in some cases previous screening appointment. Information recorded in the file of a person using the service did not correlate with that in the individuals medical file. A staff member consulted the office diary to confirm whether an appointment had been attended by the individuals concerned. This is an area that needs to be frequently monitored and updated; Staff must ensure that information held in the files of individuals and their respective medical files correlate in respect to such appointments. All other aspect of medication management appear sound; it is noted though that the medication policy and procedure needs review. The (AQAA) indicates that the medication system was revised and improved. The document state that the medication policy was last revised in March 2007, though the medication procedure that was available was last reviewed in January 2006. Care Homes for Adults (18-65 years) Page 17 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The systems in place to ensure that the views of people are listened to and acted upon are in place, a review of the timescales is needed to ensure robustness. Evidence: There were no complaints made during this inspection. People using the service with whom I spoke confirmed their knowledge of whom to speak to if they had a concern. Two complaints were received in the last twelve months, though the AQAA makes reference to receiving one complaint since the last inspection. The last complaint is ongoing. The complaints record showed that complaints are generally addressed. I noted on the file of an individual person using the service that the unregistered provider had issued to the individual written notification about the changes being made in respect to problems relating to maintenance requests, repairs and complaints. A new address is observed, referred to as the Customer Contact Centre responsible for logging complaints. I discussed this with the registered manager who asserted that the document should not have been sent to the person using the service. I also examined the complaints procedure, updated in September 2007 as confirmed by the manager. The complaints process state at stage one that the manager of the service will investigate a complaint. It does not state the process that would be followed if a complaint was being made about the manager. The process of complaint is prolonged Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: as it spans four stages; stage one, two and three of the complaint allow 10 working days each for decisions to be forwarded to the complainant; stages two and three the complainant is given 20 days to say whether they are satisfied with the outcome reached. Stage 4 makes reference for an appeal to be made to the Boards Complaint Panel within 20 days of the Assistant Directors decision being received, should the complainant be dissatisfied with outcome/decision. The Statement of Purpose state that state 4 is the final internal level of appeal and is heard by members of the One Housing Group Board, their decision is final. The Housing Ombudsman may also be referred to as a last resort by the complainant. There is also available an Appeals Policy and process reviewed on 31 March 2007. This appeal relates to the assessments and allocations process and support plan reviews for which a person using the service or their advocate/relative may have a disagreement. This appeal process has 8 stages to comprehend with the last one (stage 8) making reference toAppealing against the Appeal Decision. It indicates, if the customer would like to complain about the outcome of the appeals process they should use the (CHG) Community Housing Groups Formal Complaints Policy. This contradicts the complaints protocol for people using the service as no reference is being made in respect to the complaints policy and procedure relating to CHG. The system is confusing for people using the service and needs to be systematically reviewed for clarity and more succinctness. The timescale for the investigation and outcome of complaints and process must meet National Minimum Standards compliance. A policy in respect to the protection of vulnerable adults is available. Discussion with staff indicated that staff have awareness of the procedure to follow if an allegation was made. Staff spoken with asserted. No safeguarding issues were noted though it was noted that an individual has been reported missing from the home since March of this year. Staff confirmed that a warrant to arrest the person concerned has been issued by the Police. Care Homes for Adults (18-65 years) Page 19 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service experience adequate adequate outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Recent investment has improved the appearance of this home creating a more comfortable and safer environment for those living and working there and for visitors, though the defective heating and hot water system continues to be an ongoing problem for people living at this service. Evidence: Some improvements have been made to the physical features of the home internally and externally and a pleasant appearance and homely feel now exists. Improvements noted relate to upgrading the furniture within the lounge in both sections of the house, fixing the handrails in the garden and maintaining the garden to a good standard. Some improvements have occurred with regard to the environmental standard. Attention is needed in some other areas of the home as identified during the inspection, namely the sealant around the bath in the staff bathroom needs to be addressed along with the peeling paint on the window sill above the bath. The extractor fan here needs cleaning. The key to room 4 was not working and this required urgent attention. It was important that this matter was attended to urgently as the provider accepts no responsibility for the personal belongings of people using Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: the service that go missing from their individual rooms. I noted that the timescale for repairs was a concern for staff as they vigorously pursued the provider to have issues around maintenance and repairs followed up and satisfactorily addressed. One example of this is the defective boiler, which has been ongoing for approximately 18 months and this is causing a problem for people using the service, with hot water as previously reported, emanating from a cold tap. Ventilation in a bathroom in the basement in house 24 and the warped fire door on the 3rd floor of the house needs attention. The curtains in the womens lounge were not properly hung up and this presented an unhomely appearance. These areas are hazardous to the health and wellbeing of people using the service. Some of the previous requirements have been addressed and staff continues to strive to get the outstanding repairs addressed satisfactorily. I suggest that the registered person requests a visit from the local Environmental Health Standards Agency who would inspect and report their findings for any necessary action. Care Homes for Adults (18-65 years) Page 21 of 28 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. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Staff photographs being placed on their individual files have still not been attended to since two previous inspections. A trained and competent staff team support people who use the service. Evidence: The majority of the staff have NVQ Level 3 in care and the registered manager has achieved the NVQ Level 4 in health and social care and the Registered Managers Award. A two week induction occurs for newly employed staff working at this service. Staff photographs were missing from the files and this is an area that is outstanding to be addressed as outlined in the previous report dated 10 August 2007. The photographs must be recent. This is a repeated requirement, which must comply with Schedule 2, Regulation 7, 9 and 19. Care Homes for Adults (18-65 years) Page 22 of 28 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. Quality in this outcome is adequate. This judgment has been made using available evidence including a visit to this service. Staff strives to ensure that the service continues to run well. Systems are in place to establish the views of people using the service and to act upon them accordingly. Efforts are made by staff to ensure the health, safety and welfare of people using the service are protected. Evidence: The registered manager is making strong attempts to ensure that the service is managed well. People using the service are given the opportunity to voice any concerns they may have at key working meetings, house meetings and at the monthly monitoring visits. As mentioned previously there was evidence to show that some records in respect to individuals required to have routine health screening were not appropriately monitored and recorded. The medication policy needs review. The Information in the AQAA is Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: inaccurate as the copy of the policy that I saw was drawn up in 2006 and not 2007. I understood that the medication policy was in the process of review; although I requested to see the revised draft document, this was not made available. The operational practice in this area needs to be more robust. I saw evidence that the manager know what is required to improve the service to meet compliance and noted a proactive attitude amongst the manager and the team in their endeavours to pursue the issues to be address; for that reason I have given a rating of good in this discipline. The majority of the requirements made previously have been addressed though concerns still exists in respect to the boiler. Hot water was reported to emerge from the cold water taps for example, which is hazardous to the health and wellbeing of people using the service. This situation was previously mentioned in the report dated 10 August 2007. Some health and safety issues such as attenting to the ventilation in a bathroom and the repairing or replacement of a fire door that was not closing on the inspection day, needs to be vigorously addressed. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 24 13 (4)(a),(b),(c) 23(2)(a) (b)(c)(p), 16 (2) (f)(h) The registered provider must 04/08/2009 ensure that the ventilation systems together with other items listed for repair and improvements i.e. decoration in the previous reports. They must also carry out the repairs and maintenance outlined on a schedule held in the home dated 05/07/07. Repeated 04/04/2008. This outstanding requirement inhibits the autonomy of clients. Care Homes for Adults (18-65 years) Page 25 of 28 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 1 1 4 The registered person must 30/07/2009 review the statement of purpose with information that is accurate, clear and up to date. The document must demonstrate the name of the registered provider responsible for for day to day management of the service. The statement of purpose must have clear, accurate and up to date information for people using the service, potential people who use services and Commissioners 2 22 22 The registered person must ensure that the complaints protocol is revised with clear, accurrate and up to date information and reasonable timescale to meet compliance. This would ensure that people using the service, potential service users and 30/07/2009 Care Homes for Adults (18-65 years) Page 26 of 28 commissioners to know the name of the registered person responsible for managing complaints. 3 34 19 The registered person must ensure that each staff file has the photograph of the person employed to work as part of the individuals identity check and that the recruitment protocol meet compliance at all times This is to ensure that people living at the service are ensured protection of their health and wellbeing 4 42 23 The registered person must attend to the fire door that was not properly closing at the time of this inspection and to address the issues outlined under environmental standards in this report Thi would ensure the protection of people using the service and staff 30/07/2009 30/07/2009 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 19 The registered person should ensure that records relating to routine health screening of individuals where necessary are kept up to date at all times. The registered person should ensure that the policy and procedure in respect to medication management are appropriately revised. 2 20 Care Homes for Adults (18-65 years) Page 27 of 28 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 28 of 28 - 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!