Inspection on 21/12/05 for 2 - 4 Wraxall Road

This inspection was carried out on 21st December 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 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

2 - 4 Wraxall Road 25/10/07

2 - 4 Wraxall Road 29/11/06

2 - 4 Wraxall Road 18/05/05

2 - 4 Wraxall Road 20/10/04

2 - 4 Wraxall Road 05/04/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 2 - 4 Wraxall Road Cadbury Heath South Glos BS30 8DN Lead Inspector Melanie Edwards Announced Inspection 21st December 2005 09:45 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 2 - 4 Wraxall Road Address Cadbury Heath South Glos BS30 8DN 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) 0117 9600430 0117 9605295 The Brandon Trust Mr Ian David Cameron Care Home 14 Category(ies) of Learning disability (14), Physical disability (14) registration, with number of places 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 14 persons aged 18 years and over with physical disability and learning disability who require nursing care Manager must be a RN on parts 5 or 14 of the NMC register. Staffing Notice dated 03/03/2000 applies Date of last inspection 18th May 2005 Brief Description of the Service: Brandon Trust operates 2 - 4 Wraxall Road, which is registered to provide nursing care to 14 adults with a learning disability and a physical disability. The property is located in a quiet residential area, close to local shops and amenities. There are 14 single bedrooms of various sizes, all of which have sinks. There are parking spaces and grounds to the side and rear of the house. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Please note due to profound and multiple disabilities, residents are unable to express their views verbally. However, staff were consulted about their roles and responsibilities. Two registered nurses, six care staff, and the registered manager, were interviewed about their roles and responsibilities, their training needs, and how they assist and support residents. Staff were also observed assisting residents with their needs. A range of records relating to the day-to-day running and management of the Home were inspected. A selection of resident’s care records and care plans were also inspected. A number of completed Commission for Social Care Inspection questionnaire comments cards were returned to the office of the Commission for Social Care Inspection. These had been completed by resident’s representatives and by one of the GPs responsible for the medical care of residents, and have been used as additional inspection information. Inspection comments cards are an additional way for residents and representatives to make their views known about the Home. The majority of the environment was seen and the only areas not viewed were a small number of resident’s bedrooms. What the service does well: What has improved since the last inspection? What they could do better: The health and safety of residents, staff and visitors would be better maintained if fire alarm tests were carried out more regularly to ensure alarms are working. Further repair must be carried out to the paintwork along two of the communal corridors. There are areas of paintwork that have become `chipped’ and need repainting. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 6 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. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3 Residents’ representatives are provided with the necessary information to make an informed choice about the service that the Home provides. Also residents’ assessed needs are met and are being monitored and reviewed. EVIDENCE: A copy of the statement of purpose and service users’ guide were both inspected to see what information is provided for residents their representatives and other interested parties. Both documents contained a range of detailed, helpful information about life in the Home, the staffing structures and levels, and the service that is provided, including information about daily life, as well as how they will be supported to meet their needs while living at the Home. The documents include colour photographs of the Home to further show what type of service is provided. Since the last inspection the documents have been updated to reflect the change of registered manager. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 9 To find out how residents range of care needs are being assessed, two assessment records were inspected .The assessments included information about each resident’s range of complex care needs. However assessments had not been formally reviewed or updated for twelve months. The Home is starting to carry out assessments based on the idea of ‘person centred planning’ meaning staff will try and put the views and wishes of residents at the centre of all care provided. The staff on duty discussed how they support residents and try and understand what their needs and wishes are .All the staff conveyed an understanding of the residents range of needs. Staff also demonstrated a good understanding of how to try and support residents to meet their needs. Staff said they rely on trying to understand resident’s body language, gestures, and long-term knowledge of them to try and understand their needs. Staff and residents were observed sitting in communal lounges, and staff communicated with residents in a warm and good-humoured way. All the staff on duty were patient and sensitive when assisting residents and talked to them in a gentle manner. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Residents care needs are met and staff support them to take risks in their daily lives, and their needs are being monitored and reviewed. EVIDENCE: To find out how staff are supporting residents to meet their care needs. Two residents care plans, which included a range of risk assessments, were inspected. The care plans contained detailed information about how staff should support the residents with physical, mental and social care needs. Care plans had been written in a clear style, and were written from a resident centred perspective, which should help staff to provide care that meets residents’ individual needs. Included with the care plans were moving and handling assessments for each resident, which detailed how best to assist the residents, concerned with their mobility needs. Care plans had been formally reviewed and updated regularly by registered nurses helping to demonstrate residents’ needs are monitored and kept under review by staff. There were risk assessments in place for residents that aim to demonstrate what actions must be taken to minimise risk when supporting residents in a 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 11 range of daily activities. The risk assessments seen had been regularly reviewed and updated. Risk assessments can help to ensure actions that need to be taken are suitable to maintain the safety of residents and staff. All the staff who were interviewed were knowledgeable about residents needs and had an understanding of the plans of care and actions they need to take to assist residents. Staff also said that they work as a team to review residents care needs and to ensure care plans are relevant and up to date. This should help ensure residents care needs are understood by staff and staff remain knowledgeable about how best to support residents. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,17 Residents are provided with a healthy varied diet, and are supported to live a fulfilling life by taking part in appropriate social and leisure activities. EVIDENCE: The kitchen was inspected to see if food is stored and prepared in a safe environment. The kitchens were clean, tidy, and organised and food being stored in the fridge was being dated with the date that it had been cooked this is recommended in food safety guidelines as best practise for high risk foods stored in fridges. The residents’ menu record was inspected to find out if residents are being offered a well balanced diet. There were choices of dishes for each day and the menu was nutritionally well balanced. Staff were observed assisting residents to eat their lunch. Staff were helping residents in a sensitive manner. Due to health needs a number of residents require a puréed or soft diet, and meals were served in a reasonably presented way. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 13 Staff work hard to support residents to go out to social venues thereby helping to ensure a varied and fulfilling life. Residents attend a range of community activities such as going to the shops, or the pub or to local day care services. There are also `training and support’ staff who visit on a regular basis and work with residents o a range of therapeutic activities, including art sessions and cooking. Two residents went out with day care staff during the inspection for a drive into the community to visit a nearby garden centre. On the afternoon of the inspection, a small group of residents went into Bristol to see a production at the Bristol Hippodrome. There are risk assessments in place for residents that aim to demonstrate what actions must be taken to minimise risk when supporting residents in a range of daily activities. The risk assessments seen had been regularly reviewed and updated which should help ensure actions that need to be taken are suitable to maintain the safety of residents and staff. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Residents are well supported by staff to meet their needs, and the system in place for the handling, administration, storage and disposal of resident’s medication is safe. EVIDENCE: 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 15 The staff on duty were observed responding to residents in a sensitive, patient manner when assisting and supporting them. Residents were observed rising during the morning at their preferred times. Care plans include a range of information about residents’ complex physical needs, and how staff should assist them to meet their needs. There was also written information in residents care records that showed residents regularly see the local GP for their physical health care needs. It was reported by staff, that the GP who visits residents is supportive and knows individual residents very well. A Commission for Social Care Inspection comments card completed by medical staff from the local surgery was returned to the office of the Commission for Social Care Inspection before the inspection. The comments made were positive about the quality of care the Home provides for residents. There were five Commission for Social Care Inspection comment cards completed by resident’s relatives, which included positive comments about the care and the service that the Home is providing to residents. This helps to demonstrate that residents’ relatives feel satisfied by the care their relatives are receiving. The systems in place for the administration, storage and disposal of medication were reviewed to monitor systems in place for handling medication. The medication administration charts of four residents were inspected. There was a photograph of the resident maintained with each record, to help ensure medication is dispensed to the correct person. The medication administration charts were legible and up to date, and contained the signature of the dispensing member of staff demonstrating resident’s medication is administered safely; the reasons for any omissions had also been recorded. Records were also being kept of all medication being received into the Home, and medication being returned to the pharmacy, showing safe systems in place. The Home was advised that the temperature of rooms where medication is being stored needs to be maintained to ensure that it remains within safe guidance maximum levels. Mr Cameron stated he will purchase thermometers as a matter of priority. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The `protection of vulnerable adults from abuse’ procedures and training help to protect residents from abuse and harm, and the complaints procedure helps ensure resident’s representative’s views are listened to and acted upon promptly. EVIDENCE: A copy of the complaints procedure for resident’s representatives to make a complaint on their behalf is on display in the entrance hall, this is a wellfrequented part of the Home. The procedure includes contact details for the Trust and the area office of the Commission for Social Care Inspection, if someone is not happy with the outcome of a complaint investigated by the Home. The complaints record book was viewed to find out how staff respond to complaints. There had been no new complaints recorded since before the last inspection, the record did include the details of how the complaints were to be dealt with. There are policies and procedures in place relating to the issue of protection of vulnerable adults from abuse. The Trust does provide training to ensure staff are up to date in their understanding of the principle of the protection of vulnerable adults from abuse. In discussion, staff demonstrated a good understanding of their responsibilities when caring for particularly vulnerable adults, and also they knew what action they should take if they were ever to witness any form of abuse. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The Home is generally safe, clean, satisfactorily maintained, and suitable for the needs of residents, however the corridors are not all satisfactorily decorated. EVIDENCE: The Home is located close to private houses, a junior school, and a short distance from local shops and nearby bus stops, making the Home part of the local community. The Home is a purpose built nursing home, designed around the needs of the residents for which it is intended. There are adaptations in place throughout the Home to assist residents as well as visitors who are disabled. The entrance of the building provides very easy access for wheelchair users and there is similar access to all areas. Service records were available that showed the moving and handling equipment in the Home had been serviced within the last twelve months by external contractors. There are grab rails positioned along the corridors and manual handling lifting aids in bathrooms and toilets. The bathrooms are spacious in size to provide easy access and the baths are specially adapted to assist residents. The standard of the decoration and the quality of fixtures and fittings was satisfactory in bedrooms and most of the communal areas, however the paint 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 18 work along two corridor walls requires attention as areas of the paintwork has become chipped and worn. Rooms had been furnished and decorated to reflect resident’s different interests. There were visual stimulation aids as well as relaxation aids such as wall lights and mobiles seen in many rooms to provide additional stimulation and relaxation for residents. Bedrooms were decorated in different colours and this helped to create an individual feel to rooms. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 The staff are competent and are trained to meet residents needs and recruitment procedures help to protect residents from harm. EVIDENCE: Staff recruitment records are held at the Brandon Trust head office, but were available on request for inspection, although they were not inspected on this occasion. However the inspector did discuss with Mr Cameron the recruitment procedures that operate in the Home, to find out if required ‘safety checks’ are being carried out when new employees are recruited. Mr Cameron is sent written confirmation by Brandon Trust head office when new staff Criminal Records Bureau Checks (CRB) and ‘Protection of vulnerable adults from abuse first’ (POVA First) checks have been completed. This is to ensure the manager knows when required checks have been carried out, and is a Brandon Trust policy for all their care services. The required CRB checks and accompanying `POVA First’ checks are being carried out for new staff. These checks are to help ensure staff are suitable and `fit’ to work with vulnerable people, and to help protect vulnerable residents from potential risk of harm. There are two new staff who have only completed a `POVA First’ check. It was recommended that the Home should put in place a protocol to help ensure the level of supervision of staff who have only 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 20 completed `POVA First checks’ is `robust’ and meets legal requirements until their CRB Check has also been carried out. There are also two professional references obtained for all newly recruited staff, also helping demonstrate the Home ensures the suitably of all new employees to work in the Home. The training records of two registered nurses and one care assistant were reviewed to see if registered nurses were keeping up to date with their clinical knowledge and practice. There was evidence that demonstrated registered nurses had attended clinical training sessions, and updating over the last six months. The care assistant’s records also demonstrated staff had attended training sessions over the last six months. The staff duty record for shifts n December 2005 was inspected to review the number of staff on duty to support residents to meet their needs. There was a minimum of seven staff on duty for a morning shift, consisting of five care staff and two registered nurses, and six staff on an afternoon shift consisting of two registered nurses and four care staff, At night there are three staff consisting of one registered nurse and two care staff. The number of staff on duty for each shift met the minimum staffing numbers required by the Health Authority staffing notice under previous care homes legislation. This helps to demonstrate sufficient staff are on duty to meet residents needs. As has been referred to previously in the report staff were good humoured and courteous in manner, and residents looked relaxed and settled in their surroundings. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39,40,41,42 Generally health and safety practices and procedures help to protect residents, staff and visitors .The Home has systems in place to monitor and self assess the quality of care and delivery of service provided. Record keeping practices are in order and help protect residents’ rights and best interests. EVIDENCE: The environment looked satisfactorily maintained throughout. See also previous comments in this report concerning the service records for moving and handling equipment. There is a health and safety policy for staff to follow to try and help ensure the safety of residents is maintained. The fire logbook was checked and showed weekly tests of fire alarms being carried out. However during the previous three months there were three occasions when the fire alarm had not been tested for over two weeks. The fire fighting equipment was being checked regularly, thereby helping to maintain the safety of those inside the building. There is a record to show staff 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 22 attended fire safety update training in the last twelve months. This should help ensure they are aware of fire safety procedures in the Home. There are a range of Brandon Trust as well as, ‘in house’ policies and procedures in place that support and guide staff, in their care practices, health and safety matters, employment issues, and the general running of the Home. Since the last inspection Mr Cameron and the team have worked hard to carry out a quality-monitoring audit of the care and service that is provided to residents. Resident’s representatives are also being consulted about their views of the care and service. An action plan is to be put in place to address any issues raised. Records are kept in the office and this room is kept locked when not in use ensuring residents confidential information is held securely. Generally the records reviewed were found to be satisfactorily maintained and in order. Other records have been referenced elsewhere in this report, demonstrating organised management in the Home. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 - 4 Wraxall Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 3 3 2 X DS0000020293.V265517.R01.S.doc Version 5.0 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 YA42 Regulation 23. (4) c, (v) 23.2(b) Requirement Ensure the fire alarm tests continue to be carried out on a weekly basis and an up to date record of tests maintained. Repaint and `make good’ the areas of chipped paintwork on corridor walls. Timescale for action 21/01/06 2 YA24 21/02/06 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 YA34 Good Practice Recommendations Devise a `robust’ protocol for the supervision of new staff who have completed a `Protection of vulnerable adults from abuse first’ check, but for whom a Criminal records Bureau Check has not yet been carried out. 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 2 - 4 Wraxall Road DS0000020293.V265517.R01.S.doc Version 5.0 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!