Inspection on 22/11/05 for 2 Seafarer`s Walk

This inspection was carried out on 22nd November 2005.

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

Other inspections for this house

2 Seafarer`s Walk 17/06/08

2 Seafarer`s Walk 10/07/07

2 Seafarer`s Walk 15/06/06

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 2 Seafarer`s Walk Sandy Point Hayling Island Hampshire PO11 9TA Lead Inspector Ms Sue Kinch Unannounced Inspection 22nd November 2005 10:30 2 Seafarer`s Walk DS0000064967.V267211.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 Seafarer`s Walk DS0000064967.V267211.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 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 2 Seafarer`s Walk Address Sandy Point Hayling Island Hampshire PO11 9TA 0151 420 3637 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) Community Integrated Care Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of two service users requiring the use of a wheelchair can be accommodated. First inspection since Community Integrated Care registered the home. Date of last inspection Brief Description of the Service: The home is situated in a quiet residential are to the southeast of Hayling Island and within easy reach of the beach. Local shops and amenities can be accessed but to use a wider range of facilities travel is necessary to locations off the island such as Portsmouth, Southsea and Havant. The home is situated next to a similar registered home. The homes share the front car park. The home was purpose built with suitable adaptations and all of the facilities are provided on one level with the exception of the garden. This slopes away to the front and rear of the home making independent use difficult and restricting the amount of usable space. The home is suitable for people who have physical as well as learning disabilities. All of the service users have single rooms. They have use of the kitchen/diner, a lounge and a sensory room. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second visit to the home since Community Integrated Care (CIC) registered in July 2005. The previous visit took place on 12/9/05 to check staffing levels which were being maintained in line with agreed levels. This inspection started at 10.30 and finished at 18.15. A partial tour of the premises was carried out. All of the shared areas and two bedrooms were viewed. Four of the five service users were spoken with. Due to their reliance mainly on non-verbal communication few direct comments were received about the service. Observations were made of the interaction between staff and residents. Individual conversations were held with four of the staff working during the day and, the manager. What the service does well: What has improved since the last inspection? What they could do better: Work is needed to update care plans and ensure that identified needs are met regularly and work is taking place to meet residents’ goals. Further risk assessment work is needed to aid this process. Work is still needed to help communication and choice through visual aids. Adequate mental stimulation and activity needs to be provided and difficulties in achieving regular commitments still need to be fully addressed. Staff deployment and drivers for activities need to be sorted out. Some attention is needed to confidentiality. The process of implementing CIC policies has begun but more work is necessary. This includes providing a statement of purpose, service user guide and quality assurance system. Evidence of a robust staff recruitment procedure is essential. A clear plan must be provided for adequate bathroom facilities in the home to meet personal care needs. Further work is needed to ensure that all aspects of health and safety are addressed. The home needs a registered manager. 2 Seafarer`s Walk DS0000064967.V267211.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 Seafarer`s Walk DS0000064967.V267211.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 Seafarer`s Walk DS0000064967.V267211.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 A system is in place to ensure that prospective residents’ needs are assessed but adequate information for them is not yet available. EVIDENCE: The home has not recently had a change of residents. However an admissions policy is available in the home and includes a policy statement regarding pre admission assessments and sharing information prior to admission. A statement of purpose and service user guide have yet to be developed for the home. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 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 the following standard(s): 6,7,9,10 Residents would benefit from person centred planning to ensure their needs and wishes are known and plans are in place to meet them. Effective systems are needed to foster skill development and retention based on the priorities of residents. Residents would benefit from their records being held securely. EVIDENCE: Through discussion with the staff and manager and observation of records, insufficient evidence was seen of clear up to date care plans being followed through. CIC care plans have yet to be implemented. Old plans from the previous registered service were available. The manager said that re assessment of needs had taken place with the care manager but this had not yet been followed with a revision of care plans. When case tracking and looking for goals for two service users, records did not show that previously agreed goals were being followed. New Goals had not yet been established. Risk assessments were discussed with the manager who was aware of work needed to ensure that all risks were assessed. Those completed by the previous registered person were in use and had been updated. However there were areas of care that had been identified as still needing to be risk assessed. Examples include behaviour leading to consideration of breakaway techniques, 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 10 use of bedsides and not taking medication. Plans were being made to include other professionals in the review of some of these risk assessments. It is necessary to increase opportunities to consult residents. Staff gave several examples of their interpretation of residents’ body language and signs. All of the residents rely mainly on non-verbal communication. Two residents use some Makaton signs but the inspector did not observe use of other visual aids during the inspection. The manager agreed that work was still needed to increase their use in the home. This could enable service users to take more initiative. Some attention is needed to security of information. Some records about residents are held in locked filing cabinets. However, risk assessments and handover files are not. All information about residents should be held securely and separately for each person. Nutritional guidance for one resident was posted on the fridge door in the kitchen. This information should be held securely. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 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 the following standard(s): 12,15,16,17 Service users would benefit from an increase in opportunities to join in with a range of activities in the home and local community taking account of personal preferences and needs. EVIDENCE: Activities, exercise and recreation have been disrupted in recent months. However staff members and the manager were optimistic that improvements were about to take place. Factors influencing the ability of staff to ensure that residents preferred activities took place were discussed with the manager and staff. One factor included not having a vehicle until three weeks before the inspection. This has made external movement more limited, particularly for wheelchair users. Having few drivers among the staff team has also affected this. An increase in use of agency staff not initially knowing the residents and loss of the day service worker has meant that no resident has been able to have regular weekly swimming sessions. Staff agreed that things have been fitted in when the skill mix of staff was appropriate rather based on agreed plans. Problems with the petty cash also increased the frequency of house shopping taking staff from meeting resident’s needs. Staff are aware of the types of in house activities that residents enjoy but in the records viewed there 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 12 was little evidence of these taking place or of how skills are maintained and developed. Contact with family members is encouraged and during the inspection examples were spoken about positively. Residents are able to make choices about use of rooms in the house. One person prefers to spend more time in the bedroom than elsewhere in the house. Staff spoke of monitoring this and of the signs and behaviours that show the resident’s preferences. Food is now supplied in adequate quantities and is recorded daily. There had been problems with petty cash in the summer. This had a detrimental affect on food provision with supplies being low and less varied. Adequate stocks were seen in the kitchen. Staff felt that the residents ate well and were able to make choices at mealtimes. At lunchtime one resident was not keen to eat the meal provided and an alternative was given. A menu is provided but is not necessarily kept to. However records did show that a variety of foods are provided. Staff said that they were aware of what residents liked and disliked. Some pictorial menus could be used in the home to increase opportunities for residents to make choices about food. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 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 the following standard(s): 18,19,20 Personal care systems are affected by inadequate bathroom facilities. Residents benefit from adequate support in health matters, accessing other professionals when necessary. EVIDENCE: Personal care needs are documented in care plans. There was evidence that residents had been supported on the morning of the inspection and further support was provided on an individual basis during the day as needed. Bathroom facilities are inadequate and affect the ability of personal care to be provided at appropriate times. Staff are aware of the health needs of the residents and regular support is given to attend appointments. There was evidence of consultation with of community health professionals for a range of issues such as epilepsy, behaviour, wheelchairs and dental treatment. Needs are recorded and monitored as agreed with these professionals. It was advised to initiate reviews of moving and handling assessments to ensure that they are still relevant and appropriate techniques are used for one person. Attention is needed to ensure that all residents have adequate opportunities to maintain mobility. Staff commented on the lack of swimming being a concern for two people who spend much of their time in wheelchairs. This was addressed in the previous section. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 14 Medication storage was discussed. The individual locked storage containers had been moved from the office to the kitchen. This is not advised in the Royal Pharmaceutical guidance and so further consideration was advised. The individual containers were not securely fitted and this is needed when the final location is decided. Elements of medication procedures were discussed with staff. They were aware of their role. Medication was checked against the administration records and was accurate. Guidance for ‘as required medication’ is available. The sample of stocks viewed and checked against records for ‘as required medication’ were inaccurate. The manager agreed that this needed to be sorted out. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 A complaints procedure is available in the home but service users use on nonverbal communication and rely on staff to identify dissatisfaction. Residents’ protection would be enhanced by all strategies for behaviour being recorded in care plans. EVIDENCE: The manager agreed that the new complaints procedure needed to be re issued to the families of residents. The home has not had any formal complaints about the services provided. A record book is in place for this. Residents are consulted on a day-to-day basis and rely on staff observation and understanding of behaviours for their needs and wishes to be known. The home has a policy and procedure for the protection of vulnerable adults. Staff were able to describe their responsibility to report any incident of abuse and to identify the policy that underpins this. Training was discussed with three staff together. They have had recent training in adult protection. The manager had a list of three people still needing training and was planning for them to attend courses. Records are kept of any money held on residents’ behalf. The manager regularly checks finances to make sure the amount held is recorded accurately. Action was being taken by the manager to ensure that residents receive their personal finances regularly. The inspector was informed that staff have been provided with some training in dealing with physical interventions. There was a record of this. The manager said that restrictive physical interventions for two people discussed were not necessary as other methods were available for use. However as with other care plan information this still needed to be documented. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 16 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): 27,30 Residents would benefit from improvements in bathroom facilities and completion of planned improvements to the general condition of the home. EVIDENCE: Staff keep the home clean. Overall the environment at the home is showing signs of wear and tear particularly in the shared areas. The manager has audited the home to highlight the changes needed to make improvements. Action required has been listed and forwarded to CIC. Some of the work has started. For example, some of the cracks in the walls have been filled and the windowsill in the kitchen has been repainted. Paint colours have been chosen for the whole house except for three bedrooms recently painted. New carpets have been planned for the lounge and sensory room. Day to day maintenance is being reported and CIC has a maintenance employee shared across the homes to complete these tasks. The garden is being attended to. Attention is needed to the bathroom which needs refurbishment. Floor sealants are dirty, breaking off and need replacing. The floor is stained. A bath side panel is missing and the area needs redecoration. A decision needs to be made about the future of bathroom provision and funding. This needs to be resolved and a plan formed to improve facilities and control the risk of infection. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 17 Attention is also needed to the laundry, kitchen and bathroom where unattended chipped paint or, permeable surfaces increase the risk of infection. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 18 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): 32,34,35,36 Service users benefit from a well established staff team. Staff are increasingly supported to develop their skills through training so they can provide care that meets residents’ needs but this would be enhanced with more regular supervision. Action is needed to ensure that residents are protected by a robust recruitment practice. EVIDENCE: Previously agreed staffing levels are being maintained and this provides a minimum of three staff for each shift. Staff members spoken with were interested in the service users and were caring and friendly in their approaches to them. There are some staff vacancies and there has been an increase in the use of agency staff. As the needs of service users are quite specific, staff changes at times, has affected the ability of the team to meet needs. However, in the last two months, two agency staff members have been used regularly improving consistency. Staff comments were that morale was improving. At the start of the inspection there were only two staff on duty until the manager arrived at 10.30. The shortage was due to staff sickness. Staff had been unable to obtain a third person. They said that this was a rare occasion and rotas corresponded to this. Action is needed however to avoid this situation at all times. There was evidence from the staff and records that training has been received in recent months. The manager has assessed the training needs for staff and 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 19 was making provision for this. Two sets of records were seen and these showed that one person had received four days of training and the other five since July 2005. Training had been received in, managing behaviour; protection of vulnerable adults, person centred planning, food hygiene, first aid, and principles of care. A plan is in place for staff to have NVQ assessments. Five staff members were reported to be working towards NVQ level 3. A further two were planned to start in January. An assessment of recruitment practices focussed on the use of agency and relief staff. Insufficient information was available for the manager to demonstrate that adequate checks had taken place. A sample of four records was required for observation. None of the four were available. Staff are having opportunities to discuss issues at the monthly staff meetings. Although all staff spoken with find the manager approachable and supportive there is not enough formal supervision. None had taken place since the end of August. Attention is needed to this to ensure that staff have adequate opportunities for individual support. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 20 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): 37,39,42 Residents would benefit from continued consistent management and from their needs influencing service provision more effectively. The health and safety of residents is improving but they would benefit from a full risk assessment being completed and all systems being fully operational. EVIDENCE: The manager was appointed when CIC was registered although had worked in the home previously as the deputy. An application has yet to be submitted to Commission for Social Care Inspection to register her as a manager. The manager is focussing on assessing work necessary to be undertaken to ensure that minimum standards are met. The manager completes some monitoring of service development but more is needed about the outcomes of service provision. Feedback from service users is mostly non-verbal and obtained through staff and relatives. Therefore work is needed to demonstrate that service users needs and wishes are being taken into account and met. Up to date care plans are needed with evidence that 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 21 goals from person centred planning and identified support needs are being met. There is not enough evidence of this at the home. Discussion and observation of records took place regarding health and safety of residents. The new manager is assessing the systems in place and taking steps to ensure that these are robust. The sample of records viewed showed that some systems are operational. Sufficient action is being taken for fire checks including use of external specialists. Portable appliance testing had recently taken place. The fire risk assessment was reported by the manager to be under review. Fire training is planned for staff members who last received it in March 05. Training is being provided for staff in moving and handling, first aid, and food hygiene. The manager was planning further training and was planning to include risk assessments. The system in place to ensure that hazardous substances are locked away was not working. A lubricant and ant killing powder were not locked away in the laundry. A household risk assessment and action plans were not in place. The manager agreed that these needed attention. 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 22 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 2 3 x x x Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 x 2 2 Standard No 24 25 26 27 28 29 30 STAFFING Score x x x 2 x x 2 LIFESTYLES Standard No Score 11 x 12 2 13 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 Seafarer`s Walk Score 2 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 2 x DS0000064967.V267211.R01.S.doc Version 5.0 Page 23 N/A 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 YA1 Regulation 4,5 Requirement Timescale for action 01/01/06 2 YA23YA6 3 YA7YA8 4 YA9 5 6 7 YA10 YA12 YA27YA18 The registered person must ensure that an up to date service user guide and statement of purpose is available in the home. 15 The registered person must ensure that service users needs and wishes are met, skills are maintained and developed and up to date care plans are provided. 12(2) The registered person must ensure that the use of visual aids is increased to aid consultation and decision making of service users. 13(4) The registered person must ensure that all individual risks to residents are fully assessed and consultation recorded. 17(1)(b) The registered person must ensure that residents’ information is held securely. 16(2)(n)(m) The registered person must ensure that residents’ activities reflect needs and wishes. 16(2)(f) The registered person must ensure that adequate bathroom facilities are in place to meet personal care needs. DS0000064967.V267211.R01.S.doc 22/01/06 22/02/06 22/01/06 22/12/05 22/01/06 22/03/06 2 Seafarer`s Walk Version 5.0 Page 24 8 9 10 YA30 YA34 YA37 13(3) 19 8 11 YA39 24 (3) 12 YA4242 13(4) Areas of the home need redecoration and attention improve infection control. The registered person must ensure that adequate staff records are held in the home. The registered person must ensure an application is submitted for a registered manager The registered person must ensure a system is in place to monitor the outcomes of service provision for residents. The registered person must ensure that a household risk assessment is completed and monitored. 22/02/06 22/12/05 22/12/05 22/03/06 22/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 2 Seafarer`s Walk DS0000064967.V267211.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Seafarer`s Walk DS0000064967.V267211.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. 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