Inspection on 26/04/07 for 182 Bromham Road

This inspection was carried out on 26th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

182 Bromham Road 08/10/08

182 Bromham Road 04/10/07

182 Bromham Road 25/10/05

182 Bromham Road 14/06/05

182 Bromham Road 25/10/04

182 Bromham Road 12/05/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 182 Bromham Road Bedford Bedfordshire MK40 4BP Lead Inspector Leonorah Milton Unannounced Inspection 26 April 2007 and 5th May 2007 14.30 th 182 Bromham Road DS0000014886.V334811.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 182 Bromham Road DS0000014886.V334811.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. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 182 Bromham Road Address Bedford Bedfordshire MK40 4BP 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) 01234 357238 F/T 01234 357238 Lansdowne Care Services Mrs M Hoath Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: 182 Bromham Road is a large Victorian House situated on the west side of Bedford. It was registered in 1996 to provide residential care for 6 adults with learning disabilities. There are six single bedrooms on two floors and toilet and bathing facilities on both floors. The communal space, comprising of a lounge, dining room and activity room are on the ground floor as is the domestic style kitchen and utility room. There is a spacious garden to the rear. The home is conveniently situated for access to Bedford with all its amenities and bus and rail services. Weekly fees for accommodation were between £928.91 and £1228.52 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report sets out the significant evidence that has been collated by the Commission for Social Care (CSCI) since the last visit to and public report on, the home’s service provision in October 2005. Reports from the home, other statutory agencies, and information gathered at the site visit to the home, which was carried out on 26th April 2007 and 4th May 2007 were taken into account. The visit to the home included a review of the case files for two people living in the home, conversations with three people living in the home, two members of staff, a student on carrying out work experience in the home and the deputy. The manager was absent on leave at both visits. Much of the time was spent with people in the home’s dining room and lounge where the daily lifestyle was observed. A partial tour of the building was carried out and other records were reviewed. A questionnaire was circulated at the inspection to people living in the home. Two people responded. Their opinions were taken into account and are reflected in this report. What the service does well: People living in the home had received skilled care in comfortable surroundings that were suitable to their needs. Documents that set how people were to be cared for were detailed and reflected each individual’s needs and preferences for their lifestyle. Observation of practice and conversations with members of staff on duty showed they were aware of peoples’ needs and how these were to be met. They demonstrated insight into the best way to care for people and were seen to treat people with courtesy and consideration. People had been supported to go out of the home for shopping and to use leisure facilities in the local community. Routines in the home were relaxed and informal during the inspection. People had been supported to carry out food preparation and similar activities according to their abilities. Records indicated that the team had received a good level of training, which had enabled them to properly care for those living in the home. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 182 Bromham Road DS0000014886.V334811.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 182 Bromham Road DS0000014886.V334811.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): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had obtained information about peoples’ needs before they were admitted to determine that the home would be able to meet their needs. EVIDENCE: Previous inspections had shown that the home’s admission procedures were sensitively handled to avoid, wherever possible, a stressful experience for people moving into the home. Pre-admission visits to the home were encouraged, including overnight stays so that people might use this experience to influence their decision about moving in and the home could carry out further assessment of need. Two case files were seen at this inspection. Each contained detailed evaluations of need that covered personal, sensory, social and healthcare needs. Other professionals had contributed to these assessments. Records indicated that people had been consulted about their needs and wishes. People living in the home were reluctant or unable to comment about their experience of moving into the home. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home were encouraged to make decisions about their lifestyles and to participate in activities designed to promote self-caring skills. EVIDENCE: Two care plans were reviewed. These had been completed to a high standard and showed consultation with people living in the home at regular care reviews. Documents provided clear and detailed guidance to need that had resulted from thorough assessments in relation to personal, health, sensory, emotional, social and spiritual needs. The plans noted abilities as well as needs and had taken account of assessments of risk within the home such as unsupervised access to the kitchen, participation in laundry tasks, behaviours that challenge and could place others at risk of harm. Risks when accessing the community had also been evaluated. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 10 Conversations with members of staff showed that they were fully aware of individuals’ need and their role in supporting residents to achieve the gaols detailed in their care plans. Members of staff were observed to afford choice to people living in the home about day-to-day routines and to encourage people to make such choices. The inspector was informed that group meetings with the people living in the home had recently started up again, as there had been a period when residents had not wanted to take part in such meetings. It was explained that all but one of the people living in the home had relatives to advocate on their behalf. One person had an advocate who was also a member of the congregation at the Church where the resident worshiped on a regular basis. The two responses to the survey indicated that people living in the home felt they had been involved in making decisions in the home. In conversation one person said they “liked living in the home” and could, “do as l like.” 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had been supported to achieve a fulfilling lifestyle that involved use of community leisure facilities. EVIDENCE: Discussions with staff and the limited conversations that were possible with people living in the home showed that they had been supported to take part in activities in the house and within the community that were of interest to them. A record for activities planned for April 2007 showed the following: trips to shops, for a walk, to the Priory museum for a picnic, a concert and more shopping. Arrangements for March had included breakfast out, pub lunches and a concert. Records and conversations with staff indicated that people living in the home attended day care facilities where activities were provided to retain and develop self-caring and independent living skills. The inspector was told that 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 12 the day care services were provided by the Local Authority and also by the organisation at another site. Case files contained frequent reports from the day care service provided by the organisation that were incorporated into the review of overall care and progress. A weekly free day was spent in structured activities within the home to promote self-help and independent living skills Records seen for two individuals showed that arrangements for daily activities in the home had been designed to engage peoples’ interest and to promote independent living skills. One person was able to go out of the home without escort and prepare snacks with minimal support. Conversation with one person showed that they had some interest in drawing, and talked about the pencils in their room. It was noted that pictures drawn by this person were displayed in the dining room alongside the pictures drawn by others. Information about events and places of leisure were posted in the home. Members of staff confirmed that people were taken out on a one-to-one basis so that the activity could be tailored to resident’s interest. It was noted that people living in the home were not able to access the home’s stores of food and beverages. Food cupboards and the fridge and freezer in the hallway leading to the dining room were locked, as was the kitchen. The inspector was informed that unlimited access to food would not be in people’s best interests. One person was able to keep a small store of snacks in their room. Menus indicated a nutritious choice of foods, which reflected assessed needs and preferences displayed on a notice in the kitchen. Three people living in the home said that they liked the food. One indicated they liked fish. Menus indicated this choice was provided often. Records also indicated that people living in the home had retained contact with their families and relatives had been invited to the home for review meetings. The two people living in the home who had responded to the questionnaire had replied, “yes” to the question, “Are there good activities”. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19, 20, 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements to provide for the personal and healthcare needs of people living in the home had been well met and ensured that they had been referred to appropriate healthcare professionals as the need had arisen. EVIDENCE: Observation of the daily lifestyle in the home showed that members of staff on duty treated people living in the home with respect. Friendly dialogue between the staff and the people living in the home was observed. People were addressed by their preferred name and spoken to on a manner that was sensitive to their abilities and needs. One person had significant hearing loss. A member of staff employed a variety of methods of communication that included pictorial and hand signs and the use of audio equipment. One person was upset on returning home from a day centre. Members of staff were seen to be supportive and sympathetic. The person was offered discrete advice about their personal hygiene and assisted to return to their bedroom for further assistance in privacy. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 14 Records seen in relation to health care needs showed that this aspect of care had been carried out with diligence. Records indicated that people had been supported to access services for routine appointments such as chiropody and dental care. Other professionals had been consulted with regard to continence, mobility problems, and behavioural issues. Care plans provided clear and detailed guidance to people’s needs. Conversations with staff showed they were well versed in these needs and were aware of symptoms or changes in behaviour that could indicate a sudden change in health. The home used a monthly monitored dosage system for the administration of medicines. Medicines were stored in a locked metal wall cupboard within a locked office. Records indicated that staff had received training in the safe handling of medicines. The member of staff who explained the home’s procedures to the inspector was knowledgeable about medicines in use in the home and safe administration procedures. Systems were in a place for the reordering and disposal of medicines. However the medicine cupboard contained two medicine pots that were labelled with the resident’s name but which contained unnamed tablets. The member of staff said these were unwanted and for return to the pharmacist. There were no entries in the returns book for these medicines. Records seen, showed that all medicines had been given as prescribed for the last 2 weeks. The inspector was not able to establish when this medicine had been removed from the monitored dosage system but accepted that these tablets were unwanted and advised that they should be placed with other tablets that were to be returned to the pharmacist. Care notes indicated that the changes in needs as people aged had been taken into account. Conversation with staff showed that health and social care professionals were in the process of reassessing a person whose needs had increased significantly with age. The two responses to the questionnaires indicated that those people felt their privacy was respected. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 15 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): Standards 22, 23. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home had failed to carry out robust recruitment procedures that are required to protect people living in the home from the risk of abuse. EVIDENCE: Previous inspections had established that the home had robust written complaints and protection procedures. There was only one recorded complaint. This was a concern raised by a member of staff in relation to the care of a service user at night. Records indicated that this issue was resolved. The responses to the questionnaires indicated that people living in the home felt safe. One responded “yes” to the question, “Do you know who speak to if you are unhappy?” One person had responded “sometimes” to this question. Members of staff were aware of procedures for the protection of vulnerable people and their responsibility to report such issues. One stated that they felt confident that any issues raised would be acted upon promptly. Training records indicated personnel had received training in these procedures. Records were seen in relation to personal monies held on behalf of two people. Records of income and expenditure for day-to-day expenses had been well maintained. Purchases were substantiated by receipt. Records of cash balances tallied with the actual amounts held in a locked filing cabinet. The proprietor held the savings accounts for people. These were seen to be registered in their name. These accounts showed appropriate receipt of income and expenditures. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 16 Recruitment records showed employees had commenced employment before disclosures had been obtained from the Criminal Records Bureau. One personnel record showed that the employee had commenced duties on 19th April 2006. The date for the receipt of the disclosure was recorded as 2nd August 2006. Another file showed the employee had commenced employment on 3rd July 2006. The date for the receipt of the POVA First check was recorded as 24th July 2006 and for the criminal records disclosure as 10th August 2006. 182 Bromham Road DS0000014886.V334811.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): Standards 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had been provided with a safe, comfortable, homely environment that was suitable to meet their needs. EVIDENCE: Areas of the building seen at this inspection were clean, orderly and well decorated and furnished. Bedrooms seen were well decorated and comfortably furnished. Items of a personal nature were seen on display in bedrooms. One person living in the home said they liked their room. Others spoken to did not respond to questions about the home or their bedroom. Systems were in place to monitor equipment and the environment as a whole to maintain a safe place to live and work in. Individual risk assessments were in place for the access of people living in the home to areas or equipment that 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 18 could result in injury. Similarly, risk assessments for safe working practice within the building were also in place. Visual checks confirmed that electrical goods, a hoist and fire extinguishers had been regularly maintained. 182 Bromham Road DS0000014886.V334811.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): Standards 32,33,34,35,36. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home had not ensured through its recruitment procedures that new employees were of the right calibre before they commenced work in the home. This meant that people living in the home were not fully protected from harm. EVIDENCE: Discussions with members of staff on duty and observation of their interaction with people living in the home showed that they were skilled in the care of residents and knowledgeable about best practice. Their commitment to supporting people in their care to achieve fulfilling lives was commendable. It was noted that people were encouraged to make decisions about every day matters and that where prompts from staff were needed these were delivered ways that were constructive and sensitive to peoples’ dignity and self esteem. Two people living in the home said they liked living here. One, when asked if he liked the staff, responded, “Yes.” 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 20 Two people who responded to the questionnaire replied “Yes” to the following questions, “Do you like living here? ”, “Do you feel well cared for?” “Do staff treat you well?” Rotas seen showed that sufficient personnel had been rostered on duty to care for people at home and also during a prolonged hospital appointment on the first day of the inspection. One of the members of staff on duty usually worked at another home operated by the organisation. Staff shortages were mentioned by members of staff who explained that these had been covered by bank staff and personnel from the other care home. Training records indicated that staff had received comprehensive training in the care of people and in relation to health and safety issues. This training provision was confirmed in discussion with staff. A schedule was seen and showed that staff had been provided with regular supervision. Discussions with staff confirmed these arrangements. Staff stated that they felt supported through supervision and frequent staff meetings. Recruitment records for two members of staff were assessed and showed as detailed in section 5 of this report that the home had carried out robust recruitment procedures before employment in the home had commenced. 182 Bromham Road DS0000014886.V334811.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): Standards 37,39,41, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst the home had been well managed in most aspects the failure to ensure that people living in the home were protected by the home’s recruitment procedures had undermined the other good practice. EVIDENCE: Members of staff spoke highly of the manager, her commitment to the welfare of people living in the home and her support for the team. The manager had evident systems in place to communicate with staff. Memos were seen that reminded staff to read updates to risk assessments and policy and procedures on a monthly basis. 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 22 Minutes of staff meetings were comprehensive and showed that discussions took place about various topics including health and safety, record keeping, privacy matters, infection control, activities and motivation strategies for people living in the home. Personnel records were incomplete. The file for one person contained only a schedule of supervision meetings. Two other files did not contain an application for employment, sufficient evidence for identity checks, interview records or correspondence in relation to employment. As stated previously in this report, personnel had commenced work in the home before the necessary clearances had been obtained. Safety matters had been well managed. Staff had received sufficient guidance/training about health and safety matters. Records showed training so far this year in manual handling, food hygiene, breakaway techniques, and food hazard analysis. A checklist to monitor safe systems of work was seen. Information about the home’s quality assurance systems involving people living in the home was not available at this inspection. 182 Bromham Road DS0000014886.V334811.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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 1 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 4 14 3 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 2 x x x 1 3 x 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 24 No 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 13(6),19 Requirement The registered person must protect people living in the home by ensuring that new employees do not commence work until satisfactory reports have been received from the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (POVA) register. The registered person must maintain detailed personnel records on the premises. This must include the written application for employment and proof of identity. Timescale for action 31/05/07 2 YA41 17(2) Schedule 4.6 31/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 182 Bromham Road DS0000014886.V334811.R01.S.doc Version 5.2 Page 26 - 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!