Inspection on 18/02/08 for Gensing

This is the latest available inspection report for this service, carried out on 18th February 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gensing 09/02/06

Gensing 06/07/05

Gensing 12/01/05

Gensing 26/08/04

Similar services:

Prinsted

Elizabeth House

Kenward House

Boons Park

Winthrop Hall

Life Works Community Ltd

Turning Point

Roberta House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Gensing 76-78 London Road St Leonards-on-sea East Sussex TN37 6AS Lead Inspector Debbie Calveley Unannounced Inspection 18th February 2008 10:00 Gensing DS0000021109.V357917.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 Gensing DS0000021109.V357917.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. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gensing Address 76-78 London Road St Leonards-on-sea East Sussex TN37 6AS 01424 422579 01424 443457 antonyandrews@btinternet.com 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) Gensing Rest Home Limited Mr Anthony Andrews Care Home 19 Category(ies) of Past or present alcohol dependence (19), Mental registration, with number disorder, excluding learning disability or of places dementia (19), Physical disability (19) Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users must be aged thirty (30) years or over on admission The maximum number of service users to be accommodated is nineteen (19) 8th September 2006 Date of last inspection Brief Description of the Service: Gensing is in a residential area of St Leonard’s on Sea, within walking distance of the train station, sea front and local shops. The service spans two three storey attached houses. The service has two lounges and one dining room. The service has three double bedrooms, one of which is used as a single bedroom, and thirteen single bedrooms. The buildings have a small garden area outside which residents can use if they wish. Accommodation is only offered to men over the age of 30 with past or present alcohol dependency, mental health issues or physical disabilities. The home does not have a lift. There are flights of stairs to the entrance of the building. Currently the scale of charges for the service per week are between £385.00 and £420.00. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Gensing will be referred to as ‘residents’. The inspection process consisted of an unannounced inspection was carried out over 6 hours on the 18 February 2008. There were sixteen residents living in the home on the day, of which four were case tracked and spoken with. During the tour of the premises two other residents were also spoken with. A tour of the premises was undertaken and a range of documentation was viewed including the Service Users Guide, Statement of Purpose, care plans, medication records and recruitment files. Three members of care staff and the cook were spoken with in addition to discussion with the Manager. Telephone contact was made with visiting professionals following the visit and comments from these and from resident surveys are incorporated in the report. An Annual Quality Assurance Assessment was received from the Registered Provider/Manager completed in full prior to this key inspection. What the service does well: The atmosphere at the home was relaxed, with communication between staff, residents being positive, open and friendly. The home provides prospective residents and their families/representatives, with a good level of information about what services are provided at the home. All parts of the home were clean, comfortable and adequately maintained. All residents, visitors and visiting professionals contacted as part of the inspection process confirmed a satisfaction with the home and its services one resident saying ‘I like it here, the staff are nice it’s my home and has good food’ ‘Gensing provides a safe haven for people who find it difficult to settle’ ‘ The quality and choice of meals remain good and all residents spoken with were complimentary about the food. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 6 The training for staff is good, and all staff employed have a National Vocational Qualification. 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. Gensing DS0000021109.V357917.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 Gensing DS0000021109.V357917.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): 1, 2, 3, 4 and 5. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents and relatives with a good level of information about the home, its facilities, services and the costs involved. The admission procedures allow for the needs of prospective residents to be assessed by a competent person before admission, however this is not formally documented and therefore does not demonstrate that the home can meet the identified needs of prospective residents. EVIDENCE: The Service Users Guide and Statement of Purpose were viewed as part of the inspection process. Both documents were found informative and contain the information necessary for prospective residents to make an informed choice of whether Gensing is the right home for them to live in. As discussed there are areas that need to be updated and these include the information regarding the staff and their qualifications and the Commission For Social Care Inspection’s contact details. As this is being undertaken in the near future, a requirement has not been made. It was confirmed by talking to the deputy manager that all prospective residents are visited prior to admission to the home, however there is no Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 9 formal assessment documented and this needs to be introduced so as provide clear evidence that the home can meet the needs identified. The residents all have terms and conditions of residency between themselves, their funding authorities and the home. The management team are very aware of the specialities of the home and ensure that admissions to the home are appropriate. Trial visits are encouraged to ensure that the placement is suitable for both the resident, fellow residents and the staff. The staff study all the available information from other health professionals, friends and family to ensure that the prospective residents will fit in with the residents already living in the home. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 10 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, 8, 9 and 10. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The resident’s individual plans in place provide staff with the information they need to ensure that residents individual needs are met. Residents are supported and enabled to make decisions in all areas of their daily life. EVIDENCE: The management and staff of Gensing are very knowledgeable regarding the personalities and needs of the people they care for. The empathy shown by staff towards the residents was inclusive and positive. Three residents individual plans of care were selected and viewed in depth. It was found that the care plans detailed most of the identified needs of the residents, there was evidence of regular review for the residents and this included reviews by other health professionals. The home operates a key worker system and staff write daily on each resident. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 11 Minor shortfalls in the documentation seen were discussed and acknowledged by the management team. It was discussed with the management team that the residents would benefit from a more person centred care plan, which details strengths and weaknesses and has specific goals underpinned by a risk assessment framework. This was an area that the management team have identified and a sample care plan was seen, therefore a requirement has not been made at this time and the improvement will be assessed at the next key inspection. Where applicable supporting risk assessments were seen to be in place. It was discussed of ways to enlarge on specific individual risk assessments, detailing the action that staff take to promote the safety and well being of their residents. There are certain house rules that are set by the home and these are agreed on initial contact and included in the conditions of residency. These do not impede on residents freedom of choice, but do ensure that all residents are treated consistently and abide by the same rules and does not impact on overall outcomes for residents. Residents were observed being given opportunities to make decisions in all areas of their daily living whilst at Gensing. The daily routines in the home are flexible to meet residents needs, however the majority of residents are in and out of the home at various times. Staff were observed to treat the residents with respect as well as with kindness. Residents do not have any responsibilities for the housekeeping tasks in the home, but are encouraged to assist, and keep their own bedrooms clean and tidy. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 14, 15, 16 and 17. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are supported to take part in appropriate leisure activities, and enabled to access the local community. Meals are nutritionally balanced and varied and enjoyed by the residents. EVIDENCE: Five residents were spoken to in depth as part of the inspection process. Residents are supported and enabled to live a lifestyle that meets their expectations and needs within a risk assessment framework. However it would be beneficial for the residents if an schedule of activities/past times in their care plan is devised during their reviews to meet their specific interests e.g. a planned visit to a wild bird sanctuary, art museums and other places of interest. This is an area that has been identified by the home staff, and therefore a requirement has not been made at this time, but improvement in this area will be assessed at the next key inspection. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 13 Residents were observed interacting with each other and the staff on duty; the atmosphere was pleasant and inclusive. A new resident arrived during the site visit and both the residents and staff ensured that he was made to feel welcome. All residents have a television in their bedroom and the communal areas also have televisions and radios. All relationships that are important to residents are encouraged and constant contact supported. By talking with the management team, staff and residents it was confirmed that friends and family are welcome at any time to visit and can stay for meals if they wish too for a small fee. Residents’ wishes regarding visitors are upheld and their wishes regarding daily life are respected. Smoking is permitted in the garden area of the home and there is a policy in place to support this. The midday meal was observed and the majority of the residents ate their meal in the main dining room with one using another communal area in the home. Menus are available and were seen to be balanced and nutritious. Menus are displayed on notice boards in the home. Staff also go round every morning with the choices again to ensure residents have not changed their mind. Food diaries are kept along with a record of alternatives offered. Residents spoke well of the food provided, ‘ Lovely food’, ‘ Good food’ ‘ not bad, tastes alright’. Weights are recorded, but not all were documented regularly. It was confirmed that residents do not participate in cooking. The kitchen was well organised and clean, the contents of the fridge and freezers labelled and dated. An Environmental Health inspection was conducted in December 2007 and overall comment was ‘ Generally the kitchen is well managed and kept clean’. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 14 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 this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. All residents are offered care and support, which is flexible and sensitive to their individual needs. It was observed that positive relationships had been formed between staff and residents. The home have been proactive in accessing specialist advice and support regarding health matters and medication procedures are safe, thus protecting the residents from harm. EVIDENCE: The sample of individual care plans viewed, residents and staff spoken with, and observations during the inspection confirmed that the care and support given is sensitive to the individual needs of each of the residents. Relationships between staff and residents and the care given were observed to be good, and residents were treated with respect at all times, even when there is a difficult situation. Records referred to specialist advice and guidance, which had been sought, this was further discussed with the manager who was able to discuss the roles of the health professionals and the support systems in place for one of the Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 15 residents who has been unwell. All residents in the service are registered with their local GP; residents who are supported by the community mental health team have an allocated named community psychiatric nurse. Residents have access to and receive regular checks from the dentist and optician as required. The optician now visits the home to personally perform eye tests. The systems for the administration of medication were seen to be safe. Medication policies and procedures are in place and it was confirmed that they are reviewed regularly. A recommendation of good practice is that all policies and procedures have clear implementation dates and review dates. All staff have received training in medication ordering, storage and administration by the pharmacist. The medication administration charts were seen and were completed correctly. There are no residents in the home that take responsibility for their own medications. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 16 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 this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Practice in the home ensures that complaints are responded to, with residents and representatives being confident that they are listened to. All staff have received training in Adult Protection procedures. EVIDENCE: There is a complaint procedure written in plain English, this is contained within the Statement of Purpose and Service Users Guide. The complaint file was viewed and there have been no complaints received by the home or CSCI since the last inspection. Residents spoken with said if they had a problem or a complaint, they would speak to the manager or a member of staff. One resident said that the staff always listened It was confirmed verbally that staff have received training in Safe Guarding Vulnerable Adults. A staff member spoken with during the inspection confirmed her training and demonstrated a good understanding of the procedures and protocols in place. However the home needs to ensure that there are clear policies and procedures in place that are easily assessable to staff regarding the process to follow. A copy of the East Sussex Multi-Agency Guidelines in Safe Guarding adults should be available for staff to access. Gensing DS0000021109.V357917.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, 25, 26, 27, 28, 29 and 30. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean and safe environment for those living there and visiting. Residents are enabled and encouraged to personalise their room, and rooms are homely and reflect the resident’s personalities and interests. EVIDENCE: The home is safe, comfortable and in the main, well maintained. The tour of the home included visiting residents in their own bedroom. The bedrooms were clean and some of the residents have personalised them with their own paintings and various pieces of art and crafts and ornaments that are important to them. The rooms were a good size, comfortable with furniture suited to the residents needs. There are some areas that are in need of redecorating and repair; these were discussed during the inspection. Four bedrooms have been redecorated since the last inspection and this is on-going. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 18 There are sufficient bathing and toilets in the home to meet the needs of the residents at this time. There are no ensuite facilities. The communal areas of the home are comfortable and attractively decorated. Two residents said that the home was “just right” and they would not change a thing”. Another resident said that ‘ I am comfortable, it’s my home’. Specialist equipment in the home at this time pertains to an intercom call system, where staff can speak to residents in their room or communal areas at any time. The home employs a cleaner, and at the time of the inspection the home was clean, hygienic, and free from offensive odours. Policies and procedures are in place to control the spread of infection. Residents are not expected to clean but are encouraged to help out with dusting and cleaning their own room. It has been evidenced that the Water Supply Regulations 1999 are being met. Routine checks of the fire equipment were viewed and were satisfactory. Staff showed an awareness of the procedures to follow when evacuating the home in the event of a fire. Gensing DS0000021109.V357917.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): 31,32, 33, 34, 35 and 36. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are sufficient suitably trained staff on duty that ensures that residents receive the level of care and support required. EVIDENCE: The atmosphere in the home was relaxed on the day of the inspection and the staffing in place was sufficient to meet the needs of the residents. It enabled staff to provide one to one support if required and other residents in the home to be supported as necessary. The staffing rota was viewed and it evidenced that staffing levels are reviewed as to the needs of the residents on a regular basis. Staff demonstrated they were committed, interested and motivated in their work role, and spoke of the training they had undertaken. One carer confirmed she receives regular supervision with the deputy manager. There are clear policies in place that inform staff of the management structure and the on call protocols. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 20 At present from the documentation received and viewed, 100 of staff have a qualification of NVQ level 2 or above. The training records were viewed, but it was found that the records are in need of updating to reflect the training undertaken. This is being attended to. It was verbally confirmed that all staff have received the necessary training. The recruitment practice and records were inspected for three staff members working in the home as part of the inspection process. This review identified some shortfalls. The employment histories had not been completed in full and only went back two years. No proof of identity was found in the file and no photographs of staff. One file was missing a second reference and when discussed it was said that a telephone reference had been taken; however this needs to be documented and kept in the file. Gensing DS0000021109.V357917.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, 38, 39, 40 and 42. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is managed in an open and friendly manner with adequate quality monitoring systems. Satisfactory arrangements were in place to demonstrate that the health, safety and welfare of service users and staff are ensured. EVIDENCE: There is a clear management structure in the home with staff having designated responsibilities. There are some systems in place to monitor the quality in the home and include the use of complaint questionnaires. However these are not yet audited. It was recommended that the use of questionnaires is expanded to staff and visiting professionals. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 22 From the information received prior to the inspection and from discussions with staff and residents during the inspection visit, there is evidence that the home is managed to ensure the residents benefit from a lifestyle suited to their needs and expectations. Health care professionals contacted said ‘ Gensing is a special home in that it provides a safe haven for its residents in a homely setting’ ‘ It caters for people who would find it difficult to settle in a more formal environment’ Resident meetings are not held, as there is one to one interaction daily, however there is an open and transparent ethos in the home that contributes to the running of the home. The homes policies and procedures ensure best practice and the health and safety of staff and residents. However as discussed it would be beneficial to have clear implementation and review dates which reflect changing legislation. The home has an accident book in place in line with current legislation. However these need to be audited regularly and care plans and risk assessments updated as necessary. Documentation and emergency equipment testing regarding the safe running of the home was seen and was up to date at this time. Gensing DS0000021109.V357917.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 2 2 2 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 2 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 X 3 X Gensing DS0000021109.V357917.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. 1 Standard YA2 Regulation 14 (1) (a) (b) (d) Requirement That the registered person ensures that all prospective service users have been assessed by a competent person prior to admission to the home. That a copy of the assessment is kept on file. That registered person confirms in writing that having regard to the assessment made on any prospective service user that the home can meet those needs. That the registered person ensures that there are written polices and procedures in place to guide staff in safeguarding vulnerable adults. That the registered person operates a thorough recruitment procedure that includes the appropriate checks being completed before any person is deployed to work in the home. That a photograph of each staff member is retained in the home along with evidence that each persons ID has been checked. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 25 Timescale for action 01/06/08 2 YA23 13 (6) 01/06/08 3 YA34 19 (1) 01/06/08 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. Refer to Standard YA24 YA39 Good Practice Recommendations That the maintenance and redecoration programme includes the areas of the home discussed. That the Quality Assurance systems are further developed. Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Gensing DS0000021109.V357917.R01.S.doc Version 5.2 Page 27 - 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. 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