Inspection on 07/11/05 for 3 Clareville Road

This inspection was carried out on 7th 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 20 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 Clareville Road 01/10/07

3 Clareville Road 30/10/06

3 Clareville Road 25/04/06

3 Clareville Road 30/01/06

3 Clareville Road 14/07/05

3 Clareville Road 27/09/04

3 Clareville Road 04/05/04

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Southfields

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33 St John`s Church Road

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

CARE HOME ADULTS 18-65 Clareville Road (3) 3 Clareville Road Caterham Surrey CR3 6LA Lead Inspector Denise Debieux Unannounced Inspection 7th November 2005 10:00 Clareville Road (3) DS0000013483.V257607.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 Clareville Road (3) DS0000013483.V257607.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. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Clareville Road (3) Address 3 Clareville Road Caterham Surrey CR3 6LA 01883 340181 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) The Regard Partnership Limited Mrs Christine Tinson Care Home 10 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (2) of places Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age/age range of the persons to be accommodated will be: 18-65 YEARS Two named individuals may be accommodated who are 17 years of age. Of the ten service users accommodated two named service users currently in residence may also fall within the category MD Mental Disorder in addition Of the ten service users accomodated two named service users currently in residence may also fall within the category MD mental Disorder in addition to LD Learning Disability. 14th July 2005 Date of last inspection Brief Description of the Service: 3 Clareville Road, Caterham is a detached three storey house within the Regard Partnership Ltd, developed to provide accommodation for 10 service users with learning disabilities. The home is sited in a residential road with similar properties, and is within walking distance of local shops and amenities in the town centre of Caterham. Service users’ bedrooms are situated on the ground and upper floors. There is a toilet on the ground floor, and all bathing and showering facilities are situated on the upper floors. This limits the homes suitability for less mobile service users. Communal and recreational areas are situated on the ground floor. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 6.5 hours and was the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. This inspection was carried out by Denise Débieux, Lead Inspector for the service. Mrs Sue Polden (Area Manager), Mr Max De-Longe (Manager) and Miss Tariro Chivende (Deputy Manager) were present as the representatives for the establishment. The previous manager has now left the home. The new manager, Mr Max DeLonge, has been in post since the 6th September 2005 and has applied to the CSCI, Eashing office to become the registered manager. The home had an unannounced CSCI pharmacy inspection on the 3rd November. The requirements from that inspection have been carried forward to this report. A copy of the full pharmacy inspection report can be obtained by contacting the CSCI, Eashing Office. The focus of this inspection was on staff recruitment, staff induction, service users’ care plans and documentation. This means that there remain some key standards that have not yet been assessed in this inspection year and a third inspection will be carried out before the end of March 2006. The statement of purpose, service users’ guide, staff rota, staff files, complaint’s log, complaint’s procedure, service user files and staff induction records were all sampled. The inspector would like to thank the service users and staff for their time, assistance and hospitality during this inspection. What the service does well: All interactions observed between the staff and service users during this inspection were respectful and inclusive. Each service user had a weekly activity schedule which was well planned, providing them with meaningful activities and occupation. Service users were at ease with the staff on duty and were seen to turn to them for support and assistance when required. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 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. Clareville Road (3) DS0000013483.V257607.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 Clareville Road (3) DS0000013483.V257607.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 The home’s statement of purpose and service users’ guide need revising in order to provide service users and prospective service users with the information they need to make an informed decision about admission to the home. EVIDENCE: The home’s statement of purpose and service users’ guide were inspected. The statement of purpose now includes the address and contact details for the CSCI, Eashing office. However, there is still information missing and both documents need to be reviewed and updated in line with The Care Homes Regulations 2001. This was noted at the last inspection and a requirement has now been made. Clareville Road (3) DS0000013483.V257607.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 and 9 There is no clear or consistent care planning system in place to adequately provide staff with the information they need to ensure that service users’ needs are satisfactorily met. The home must ensure that all service users’ assessed and changing needs and personal goals are reflected in their individual care plan. Service users are supported to take risks as part of an independent lifestyle but the home must evidence that service users have been involved in the risk assessment process. EVIDENCE: Four individual service user plans were sampled at this inspection. The plans are made up of various different documents which are stored in different files in the downstairs office. They are made up of the following: • Essential lifestyle plan, this document is detailed and indicates likes, dislikes and ways for staff to avoid and/or deal with certain situations • Service user plan, this document covers agreed plans of needs and includes the Care Manager’s plans. • Risk assessments. These were detailed and had been recently reviewed. • Daily diary notebook. This is a hard back book where staff should document what has happened during each shift. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 10 However, in each of the files sampled the pre-admission assessment could not be found, the manager thought that these documents may have been archived. This meant that it was not possible to assess whether the care plans were based on comprehensive assessments or whether all needs had been identified and included in the plans. None of the care plans, or risk assessments had been signed by the service users or their representatives to signify their involvement or agreement. The inspector was advised that the care plans are reviewed on a six monthly basis. However, newly identified problems had not been added to the care plans inspected, actions required of staff to meet needs were not clearly documented and daily report writing did not relate to the care plans or evidence that the identified needs were being met. The fragmentation of the care planning system at the home meant that it was difficult for staff and the inspector to find important information or to establish that appropriate steps have been taken to meet the service users’ needs. It also means that staff are not routinely referring to the care plans when providing care and support to the service users, leading to inconsistency in care. One incident report was discussed where a service user had become ‘hyperactive’ following having a coke drink. The inspector was advised that it is documented in the service user’s plan that these drinks were to be avoided but that the staff member concerned had forgotten. Requirements and recommendations have been made regarding these issues. Clareville Road (3) DS0000013483.V257607.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): NONE EVIDENCE: These standards were not assessed at this inspection. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 12 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): 20 The systems for the administration of medication could be improved. EVIDENCE: A CSCI pharmacy inspection was carried out on 3rd November 2005. The judgement above and associated requirements made have been incorporated into this report. A copy of the full report can be obtained by contacting the CSCI, Eashing office. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 13 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 and 23 All required policies and procedures are in place regarding the handling of complaints and the protection of vulnerable adults but lack of staff training, awareness and staff not following corporate policies and procedures is placing service users at possible risk of harm and abuse. EVIDENCE: The complaint’s log was inspected which contained one recorded complaint. The inspector was advised of the steps that staff had taken which had resolved the complaint. However, the corporate policy clearly sets out the steps, timescales and documentation that staff are required to take and record following a complaint. The log contained no information to show that the corporate policy had been followed. A requirement was made at the last inspection that the contact details of CSCI be added to the complaints procedure. While the home have now added those details to the service users’ guide and statement of purpose, the complaint’s policy still needs to be amended and the previous requirement has been carried forward. The manager has been in post since 6th September and has received no documented induction or training in the protection of vulnerable adults and was unaware of the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults. In addition, there was no copy of the Surrey procedure at the home (this was downloaded from the internet before the end of the inspection). However, both the manager and the deputy were able to tell the inspector which local social services team they would contact and the telephone number was written on a list of important numbers in the office. Requirements were made and left at the home on the day of this inspection. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 14 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): NONE EVIDENCE: These standards were not assessed at this inspection. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 15 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 and 36 Arrangements for staff recruitment, induction and training are not satisfactory and are placing service users at possible risk of harm or abuse. EVIDENCE: The home currently employ eleven permanent and seven bank support workers. Of these eighteen staff members none are qualified to National Vocational Qualification (NVQ) level two in care. At present two are undertaking NVQ level two training and two are undertaking NVQ training at level three. The home will not be in a position to meet the target of having 50 of their care workers qualified to NVQ level 2 in care by 31st December 2005 and a requirement has been made that the home devise an action plan showing how they plan to achieve the 50 target without further delay. During the inspection three staff files were sampled. On all application forms there were unexplained gaps in employment (on one form this section had been left totally blank) and the members of staff had not given a full employment history (as required by Schedule 2 of the Care Homes Regulations 2001). Two of these staff members had references from ex-employees at the home. One file had no references at all. One file had a recent photograph of the member of staff, another had a poor copy of a passport and the third had a copy of an out of date passport issued when the person was approximately 13 yrs old. In all cases the home had obtained Criminal Records Bureau certificates. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 16 The new manager has been employed since 6th September 2005. During this inspection his induction file was seen, and apart from the manager’s name, the file had been left blank and none of the training forms had been completed or actioned. The manager confirmed to the inspector that he had received no formal induction training. In addition, there is no system in place to provide appropriate supervision for the new manager, as a new worker, as required by The Care Homes Regulations 2001 (as amended July 2004). Requirements and a recommendation have been made regarding staff recruitment, induction training and supervision during induction for immediate attention. The home has a yearly appraisal and supervision system in place. The inspector was advised that all staff receive a yearly appraisal and formal staff supervision is carried out at least six times a year. Records of formal supervision sessions were seen in the staff files inspected. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 17 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): 40 and 41 All required policies and procedures are in place but the home needs to review these with the staff and ensure their understanding and compliance. The standard of record keeping and documentation is poor, potentially placing the service users at risk. EVIDENCE: As mentioned earlier in this report, policies and procedures, whilst in place, are not always followed by the staff, for example, the complaints procedure, recruitment procedures and medication procedures. A requirement has been made that the provider review all policies and procedures with all staff. Also, and as mentioned earlier in this report, the standard of reporting, documentation and up to date maintenance of records all need prompt attention with staff training to be supplied as needed, for example care needs assessments, care planning and daily reporting. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 18 The home also needs to be aware of and fully comply with notification requirements under Regulation 37 of the Care Home Regulations 2001. The CSCI Regulation 37 guidance document was explained and left at the home to assist the staff. Requirements have been made regarding these standards. Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 19 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 X X X X Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 X X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 1 X 1 1 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clareville Road (3) Score X X 2 x Standard No 37 38 39 40 41 42 43 Score X X X 2 1 X X DS0000013483.V257607.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? YES 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(1) 5(1) Requirement Timescale for action 30/01/06 2 YA6 14(1)(a-c) 3 YA6YA9 14(2) 15(1)(2) The registered person must review the home’s statement of purpose and service users’ guide and ensure they contain all matters listed in Regulations 4, 5 and Schedule 1 of The Care Homes Regulations 2001 and Standard 1.2 of The National Minimum Standards for Care Homes for Adults (18-65). The registered person to 30/01/06 ensure that a comprehensive assessment of needs is carried out for all service users where this information is missing from their files. These assessments to be carried out by suitably qualified or suitably trained person(s). The registered person must 30/01/06 ensure that each service user has an individual plan of care and that the plan includes the following: • A comprehensive assessment of needs covering all areas of health, personal and social care needs. DS0000013483.V257607.R01.S.doc Version 5.0 Clareville Road (3) Page 21 • • 4 YA20 13(2) 5 YA20 13(2) 6 YA20 13(2) 7 YA22 22(7)(a) Risk assessments. Details of each individual need identified. • Goal/objective for each need. • Staff actions to be taken to ensure the goals are met. • Daily report writing to relate to the staff actions taken and evidence that identified needs and goals are being met. • Newly identified needs or problems to be promptly added to the care plan. • Signature of service user/representative to signify their agreement with the care plan and risk assessments. (Timescale of 14.10.05 not met on the last point) Clear care plans must be produced for all service users who are prescribed medication to be given only when needed, in line with the corporate medication handling procedures. All medication must be administered directly from the original labelled container to the service user and not placed into any secondary container for later administration by another carer. Service users must not be left without access to medication prescribed to them by their GP. The registered person must ensure that the complaints procedure is updated to include the name, address and telephone number of the CSCI, Eashing office. (Timescale of 14.09.05 not met) 18/11/05 18/11/05 18/11/05 07/12/05 Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 22 8 YA23 13(6) 9 YA23 13(6) 10 YA23 13(6) 11 YA32 18(1)(c) 12 YA34 19(1)(b) 13 YA34 19(1)(b) The registered person must ensure that the home manager is aware of, understands and follows the Surrey Multiagency Procedure for the Protection of Vulnerable Adults. The registered person must ensure that the manager is enrolled to attend the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults training course at the earliest available date. The registered person must ensure that all staff working at the home are aware of and have access to the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults. The registered person to provide CSCI, Eashing office, with an action plan, with timescales, setting out how the home is to achieve 50 of care workers qualified to NVQ level 2 in care. The registered person must not employ a person to work at the care home unless he has obtained the information and documents specified in paragraphs 1-9 of Schedule 2 of The Care Homes Regulations 2001 (as amended by The Care Standards Act 2000 (Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004). The registered person must ensure that staff files for all persons employed since 26th July 2004 contain all information and documents specified in paragraphs 1-9 of Schedule 2 of The Care Homes DS0000013483.V257607.R01.S.doc 14/11/05 07/12/05 30/01/06 07/12/05 07/11/05 19/12/05 Clareville Road (3) Version 5.0 Page 23 14 YA35 15 YA35 16 YA35 17 YA40 18 YA41 Regulations 2001 (as amended by The Care Standards Act 2000 (Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004) and be satisfied as to the appropriateness of the references obtained. 18(1)(a)(c)(i) The registered person must ensure that the manager of the home receives training appropriate to the work he is to perform including structured induction. 18(1)(a)(c)(i) The registered person to send an action plan to CSCI Eashing Office showing how the manager’s induction is to be achieved. 18(2)(a)(b) The registered person must ensure that persons working at the care home are appropriately supervised and, for the duration of a new worker’s induction training, a member of staff (‘the staff member’), who is appropriately qualified and experienced, is appointed to supervise the new worker; as far as practicable, ‘the staff member’ is on duty at the same time as the new worker; and the new worker does not escort any service user away from the premises unless accompanied by ‘the staff member’. 12(1) The registered person must 13(6) review the policies and the 18(1) procedures of the home with all staff and assess and monitor their understanding and compliance. 12(1) The registered person must 13(6) ensure, by training staff or 18(1) other methods, that all 17 information, documents and DS0000013483.V257607.R01.S.doc 23/12/05 14/11/05 07/11/05 30/01/06 30/01/06 Clareville Road (3) Version 5.0 Page 24 19 YA41 37(1)(a-g) other records specified in Schedules 3 and 4 of The Care Homes Regulations 2001 are maintained at the care home and are kept up to date and are at all times available for inspection by any person authorised by the CSCI. The registered person must 07/11/05 give notice to the CSCI, Eashing office, without delay, of the occurrence of any event as specified in Regulation 37 of the Care Homes Regulations 2001. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations It is strongly recommended that the home review their system for care planning and documentation and establish a system where all relevant information is in one file and readily available to ensure that staff are referring to and following the care plans on a daily basis. It is recommended that Regard Partnership Ltd review their employment application form to encompass the new requirements of Schedule 2 of the Care Homes Regulations 2001 (as amended by The Care Standards Act 2000 (Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004). E.G. request a full employment history instead of the past 10 years only; ask for reasons for leaving previous jobs; ask for gaps in employment to be explained; etc.. It is recommended that the home’s manager be registered on an NVQ level 4 course in management/Registered Manager’s Award or equivalent. 2 YA34 3 YA37 Clareville Road (3) DS0000013483.V257607.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Clareville Road (3) DS0000013483.V257607.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. 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