Inspection on 09/08/05 for 1 Chantry Close

This inspection was carried out on 9th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Chantry Close 05/03/08

1 Chantry Close 14/02/07

1 Chantry Close 15/03/06

1 Chantry Close 15/02/05

1 Chantry Close 08/09/04

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

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

CARE HOME ADULTS 18-65 1 Chantry Close Tenbury Wells, Worcs. WR15 8QE Lead Inspector Christina Lavelle Announced Inspection 9 August 2005 14.00- 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 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 Stationary 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. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 1 Chantry Close Address 1 Chantry CLose Tenbury Wells Worcs WR15 8QE 01905 611147 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) SCOPE Mr Andrew J Deakin Care Home only 4 Category(ies) of Physical Disability - 4 registration, with number Physical Disability (over 65 years of age) - 1 of places 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: In addition to the categories of registration detailed on the previous page of this report the following condition of registration is applicable to this service:(1) The home is primarily for people under 65 years of age with a physical disability but may also accomodate people with an additional learning disability. Date of last inspection 15 February 2005 Brief Description of the Service: This care home was opened in 1994 and is part of a community project set up by SCOPE called 1st key Worcestershire. SCOPE is a national organisation which provides a range of services to people with cerebral palsy and other physical disabilities. The property is owned by a Housing Association that has responsibility for its ongoing maintenance, and is leased to SCOPE. Chantry Close offers personal care to four adults who have physical disabilities and may also have a learning disability. One current service user has lived with this group for years and is now over sixty five years of age. The stated aim of SCOPE is for disabled people to achieve equality and for the home to empower service users to lead their lives in a way they choose. The house is situated in a quiet cul-de-sac close to the centre of Tenbury Wells, which is busy market town. It has a very pleasant outlook to the parish church and the river beyond. The property has a few parking spaces out front and a small private garden with a patio area to the rear. Each service user has a single bedroom, one of which is on the ground floor. The other bedrooms can be accessed by a stair lift. There is a dining room, living room, groundfloor shower and upstairs bathroom for all the service users. The kitchen is not adapted for use by people in wheelchairs and overall the premises would not be suitable for those with more profound physical disabilties. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine inspection was carried out in four hours on a Tuesday afternoon in the summer. The main aims were to check that action had been taken to deal with issues raised in previous inspections. Also to ensure that the home was meeting it’s stated purpose and providing a good quality service. Evidence was obtained in the following ways as part of the assessment process. Comment cards had been sent for the service users and their relatives/visitors before the inspection asking for their views of the home. Time was also spent talking with service users about their life at the home during the inspection. Questionnaires had been sent for staff about their training and experience of working in the home. They could also use them to comment on what was good about the home and what they felt could be improved. All the feedback received will be referred to in this report. The service being provided was discussed with the manager and team leader. Various records were checked relating to the service users’ care; staffing and to health and safety matters. Reports made on behalf of SCOPE following the required monthly visits to the home gave further information about the home. What the service does well: Chantry Close provides ordinary housing for service users in a very pleasant and convenient location. Tenbury Well’s services and facilities are within easy reach by walking or wheelchair and the home provides a suitable vehicle for transport further afield. The house is very homely and comfortable and there are appropriate aids/equipment available to meet service users’ special needs. Service users clearly consider Chantry Close as their home and they are very much part of the local community. They confirmed they feel safe and well cared for by staff who respect their privacy. Staff enabled service users to lead full, interesting lives as independently as possible whilst attention was paid to lessen any possible risks to their safety. Each service user had a keyworker from the staff team, which makes the support given them more personal. There was a relaxed atmosphere in the home and staff and service users had an open and friendly rapport. Relatives who sent in comment cards indicated they were always made welcome in the home, kept well informed and consulted about their relative. They were all satisfied with the overall care provided. One person stated: - “My brother is extremely well cared for”. Staff ensured service users’ personal; health and social needs were met. New staff received training especially for people working in care. All staff undertake relevant training so they can do their job properly and keep service users safe. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 & 5 Suitable information is provided which should help prospective service users decide if they may like to live at Chantry Close. Assessment procedures are in place to ensure the home could appropriately meet the needs and goals of people admitted to the home. EVIDENCE: It was previously confirmed that the home provides an appropriate statement of purpose, service users’ guide and a service level agreement (contract) for current and prospective service users as is required. Whilst the guide is not in a format that may be more suitable for people with disabilities the manager said that such as an audio tape and/or more visual format could be produced if needed in future. The manager also confirmed that any costs additional to the charge are included in individuals service users’ contracts. Current service users had lived at the home for years and so there had not been any new admissions. However SCOPE have assessment and admission procedures in place so that the needs of any potential service users would be fully assessed. This process would involve visits to assess their needs by home managers at their current residence; introductory visits to and a trial stay at the home. This process should help to ensure that all their needs would be identified and could be suitably met and that they wish to live at Chantry Close 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 Thorough assessment and care planning processes were used to identify service users’ needs and help staff know better how to meet them. Service users made decisions and chose their lifestyle to the extent they were able. Risk assessments were carried out to minimise any risks to service users, whilst allowing them to take responsible risks to promote their independence. EVIDENCE: Two of the service users’ care records were checked. They included a pen picture of their personal and medical history and their preferred daily routines. Significant events in their lives were recorded individually although some personal information was recorded in a communal daily communication book. Consideration should be given to using individual ongoing record sheets, which would also ensure that any information about each person could be accessed by them, or on their behalf, if they wished. A plan of care had been drawn up for each service user including any personal goals, as had been discussed with them. The plans covered relevant areas and needs such as their physical care, communication, emotional well being, social and other activities and relationships. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 10 Care plans had been regularly reviewed and updated and keyworkers were expected to review them at least six monthly. An annual care review meeting was arranged including social workers, advocates and families as appropriate. The keyworker system, whereby staff are allocated to particular service users, made the care given more personal. One service user spoken with was very clear about the keyworker role and positive about their support. Appropriate risk assessments had been undertaken for such areas as moving and handling, the management of challenging behaviour, being at home alone for periods, going out unescorted and smoking. These were used to give staff guidance to help them keep service users safe, whilst encouraging their independence through them taking responsibility for some risks. Service users meetings were held and those able to took part in making decisions about the home and their lifestyle. This group have lived together for years (some at their previous home) and were clearly comfortable with each other within their own environment. Those able and wanting to were encouraged to help with household tasks. One service user commented: “ I enjoy living here and my independence”. Whenever possible service users managed their own financial affairs and medicines. One person talked about having their own cash tin and lockable space for cash, medicines etc. in their bedroom. They also had a savings accounts which they could access themselves. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14&15 Staff enabled service users to lead full and interesting lives and to develop their skills. Their participation in the wider community was also encouraged. Service users were supported to maintain links with their families and friends. EVIDENCE: Service users’ plans reflected their social needs and interests. The home had allocated half of one staff member’s hours as the activities co-ordinator and keyworkers spent time with their allocated service user helping them pursue social and leisure activities of their choice. There was also some one to one time to support service users’ activities from a community development worker Service users enjoyed a wide range of activities, some of which helped them develop life skills. They included attending a woodwork workshop, a skills for life course at college and one person doing voluntary work with older people. Leisure activities are facilitated by the close proximity to town, where there is a cinema, theatre and lots of pubs and other facilities. Those service users able to go out and about on their own and the group were clearly very much part of the local community and attended local events etc. One service user 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 12 discussed how she went into town to meet up with friends in cafes, to do personal shopping and go to the library. The home also has a suitable vehicle, which can accommodate one wheel chair user and the rest of the group. Some people had holidays that they had chosen and obtained support to do so. Relatives themselves, service users and records confirmed that service users’ families are welcomed by staff in the home and are involved, kept informed and consulted about their care to the extent agreed. One service user spoke about regular supported visits to their family and kept in contact with them and other friends by their own telephone, mobile and e-mails. Although Standard 17 on meal provision was not fully assessed service users all confirmed they liked the food. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 Appropriate arrangements were in place to ensure that the personal, emotional and health care needs of service users were appropriately met. This included obtaining input and support from relevant health care and other professionals. EVIDENCE: Service users’ plans reflected the assistance and support from staff that each person needed to maintain their personal care and hygiene. Care records provided evidence of annual health care checks arranged by staff and/or with staff escort if needed and details of any visits and treatment. Records of relevant ongoing physical checks were also kept when necessary. Special health related needs, such as diet, were managed appropriately. Aids and equipment including a hoist, electric bed and wheelchair, were available for those needing them. Input from health care professionals, such as an OT and Physiotherapist had been sought and staff discussed how community nurses supported one person. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 An appropriate framework of policies and procedures were in place to manage complaints and for the protection of service users from abuse or neglect. EVIDENCE: SCOPE provides a suitable complaints procedure. The organisation also has a Complaint Resolution Officer to investigate complaints if necessary. Service users and relatives indicated they were aware of this complaints procedure and would know whom to talk with if they had any concerns. The Commission had not received any complaints about the home since the last inspection. There are polices and procedures relating to safeguarding vulnerable adults and whistle blowing. SCOPE have an Adult Protection advisor and staff can access relevant policies and procedures, including the local multi-agency procedures for Protection of Vulnerable Adults. Staff had received instruction on their responsibility to report any suspicion or evidence of abuse or neglect. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, & 29 Chantry Close is a well-situated ordinary house which is appropriately adapted, furnished and equipped so providing a homely and comfortable environment for service users. Suitable arrangements were in place to maintain and upgrade the property. EVIDENCE: Chantry Close is in a lovely location, near the centre of Tenbury Wells whilst also having a view of the Church, the river and countryside. The town is within walking distance and has a good variety of shops, many pubs and cafes, a leisure centre, cinema and library. The property is in keeping with the local community and the impression obtained of the environment was homely and comfortable which was clean, tidy and had a good standard or repair and décor The house has parking spaces at the front and a fairly small, although private and pleasant garden with a patio area and shed. There is a dining room and sitting room adjacent to the kitchen, with patio doors to the garden. Whilst the kitchen is not adapted for wheelchair chairs users this does not limit the current service users. In any event the upstairs bedrooms, which are not very large, would restrict the admission of more disabled people in future. Other 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 16 communal space includes a ground floor shower room and upstairs bathroom (with rails and other aids) and a utility room with suitable laundry facilities. There is a call bell system throughout and recently a chair lift had been installed. Other aids were provided for individuals and there were rails etc. in bathrooms. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34&35 Service users benefit from living in a suitably staffed home with an appropriately trained staff team who are aware of their role and responsibilities Whilst overall there are thorough recruitment procedures in place it must be ensured that one aspect of vetting new staff required is always complied with. EVIDENCE: Staff receive job descriptions, a contract and a code of conduct and practice. The role of keyworker was well defined and the evidence showed the staff team were clear about the main aims of the home and were meeting them. Staff questionnaires reflected that staff were appropriately trained and were positive about their role and the quality of the service provided. The staffing situation was stable at this time, with no vacancies. The feedback received further supported the view that the home was suitably staffed to meet service users’ needs and maintain safety in the home. The senior for the home having recently been appointed and it was good she was allocated some hours just for administration. Also that staffing could be arranged flexibly to facilitate activities etc. and that were two relief staff available to cover leave. It was previously confirmed that SCOPE have thorough recruitment procedures in place. A new staff member and their records confirmed that the home had appropriately taken up a CRB check, and two written references (including 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 18 their last employer) and expected them to make a health declaration. However it was seen that there were gaps in this person’s employment history, the reasons for which must be explored and recorded. New staff must undertake an induction programme that is based on relevant specifications for people working in the care field. A basic checklist and shadow shifts are also used in their first week at the home and they receive instruction on complaints and adult protection procedures. They are also given copies of some essential policies and procedures e.g. health & safety, communication, confidentiality, providing intimate care and Data Protection. Several staff had already achieved an NVQ qualification and some staff had undertaken training from BILD and on topics relevant to service users’ special needs such as autism and disability awareness. Although staff supervision was not assessed the senior stated an intent to ensure all staff receive individual supervision at least two monthly, using an appropriate format. Also to arrange regular and minuted staff meetings. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 42 & 43 Systems were in place to promote the effective management of the home. Although health and safety matters are very wide ranging overall service users’ protection appeared to be given due attention by the maintenance of a safe environment and through policies, procedures and working practices. EVIDENCE: The registered manager is the Community services manager for 1st Key Worcestershire (Mr Andrew Deakin) who is based at Unit 3 Lowesmoor Whalf, Lowesmoor, Worcester WR1 2RS. Mr Deakin has many years experience working for SCOPE and has been in his present post since 2003. He is currently doing an NVQ qualification and visits the home at least once a week. The day-to-day oversight of the service is delegated to a senior team leader who is also responsible for such as staff rotas and supervision. There were clear lines of accountability with the home and provider and there was nothing to indicate that this large organisation is not financially viable. A 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 20 representative of the provider visits the home monthly as required. Following these visits a short report is made, a copy of which is sent to the Commission. Whilst not fully assessed it was confirmed that a Quality Assurance system was still being developed by SCOPE. This appropriately includes sending questionnaires to service users and also obtaining feedback about the service from reviews to inform the planned development of the service. In respect of health and safety within the home there was a designated coordinator on the staff team. Staff had completed training in mandatory areas including first aid, food hygiene, fire safety and moving & handling The following aspects relating to ensuring safety in the home were checked: • Some Portable Electrical Appliance (PAT) tests had been carried out although the home was awaiting the Housing Association to complete the remainder, which must be followed up and addressed. • Checks are made of water temperatures, with records kept. • Shower heads were descaled monthly and the water storage system had been tested in January 2005 to prevent any risk from Legionella. • Fridge and freezer temperatures were monitored and recorded. • The fire log showed that all the required tests and checks on the fire safety system and equipment were recorded as being carried out at the specified intervals. • Fire drills were arranged regularly including service users as well as staff. • COSHH risk assessments were available. • Accident records were maintained. • Equipment and other aids were inspected annually. There were no other issues identified that appeared to adversely affect the health, safety and welfare of service user and staff in the home. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score 3 3 3 1 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Chantry Close Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 3 E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 22 YES Are there any outstanding requirements from the last inspection? 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 YA34 Regulation 19 Requirement Before staff are appointed to the people their full job history must be obtained and/or any gaps in their history be fully explored and recorded. PAT electrical tests must be carried out on all electrical appliances Timescale for action Immediate & Henceforth By October 31st 2005 2. YA42 13 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. Refer to Standard YA6 & 10 Good Practice Recommendations Consideration should be given to recording all information about service users individually. This would make sure that all personal information could be accessed by them and be part of an ongoing record of their progress and life. 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Hereford Area Office, 178 Widemarsh Street, Hereford HR4 9HN 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 1 Chantry Close E52 S18483 Chantry Close V229277 090805 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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