Inspection on 06/11/07 for Abbeyfield Edward Moore House

This inspection was carried out on 6th November 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Abbeyfield Edward Moore House 07/11/06

Abbeyfield Edward Moore House 27/02/06

Abbeyfield Edward Moore House 20/10/05

Abbeyfield Edward Moore House 10/01/05

Abbeyfield Edward Moore House 16/06/04

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

CARE HOMES FOR OLDER PEOPLE Abbeyfield Edward Moore House Trinity Road Gravesend Kent DA12 1LX Lead Inspector Mark Hemmings Key Unannounced Inspection 6th November 2007 08:30 X10015.doc Version 1.40 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 Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeyfield Edward Moore House Address Trinity Road Gravesend Kent DA12 1LX 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) 01474 321360 01474 533712 The Abbeyfield Kent Society Miss Karen Patricia Cooper Care Home 39 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Dementia (DE) maximum number of service users 29; service users within this category to reside in Rumcroft and Punchcroft and Brandycroft units (two units on the first floor and one at ground floor level). Old age, not falling within any other category maximum number of service users 10; service users within this category to reside in Sherrycroft unit. The maximum number of service users to be accommodated is 39. 2. Date of last inspection 16th May 2007 Brief Description of the Service: Edward Moore Residential House (the Service) is registered to provide accommodation and personal care for 39 older people. Of this number, up to 29 people may experience difficulties with aspects of their comprehension. The property is detached and it has been purpose built. The accommodation is divided into four self-contained wings or “units”. These are called Punchcroft, Brandycroft, Rumcroft and Sherrycroft. The bedrooms are attached to each of the units. There is a total of 36 bedrooms. This means that when full, some of the bedrooms have to be shared. Each of the bedrooms has a private wash hand basin. One of them also has a private toilet. This latter provision is new and it reduces the total number of people who can actually live in the Service to thirty eight. There is step-free access around the floors and there is a passenger lift between the floors. All of the bedrooms and bathrooms are fitted with a call bell system. The Service is located in a residential area. It is about half a mile away from Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 5 the nearest shops and from public transport. There is a small amount of offstreet parking. The Registered Provider is a national charitable organisation. The Registered Provider gives useful information to prospective people who might want to live in the Service. There is a Service Users’ Guide. This is a brochure that outlines the principal features of the facilities and services available in the Service. There is another document called the Statement of Purpose. This gives a more detailed account than does the Guide. Also, the Registered Provider ensures that a copy of the most recent Inspection Report from the Commission, is available for reference. The weekly fee for residence in the Service runs from £353.63 to £461.25. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This Report is based upon a number of sources of evidence. These include a review of the correspondence in relation to the Service received by the Commission since the last inspection. Another source of evidence involves any written information received from the people who use the Service, from their relatives and from social workers (care managers). Also, the Inspector completed an unannounced site visit to the Service. This took about seven hours to complete. During this time, the Inspector spoke in some with three of the people in residence. Some of these discussions were in private. The Inspector spoke with the Acting Manager, one of the senior care workers, three care workers, one of the housekeepers, the cook, the laundry assistant and the administrative assistant. The Inspector examined various parts of the accommodation and he reviewed a selection of the key records and documents. There are 10 Required Developments at the end of this Report. What the service does well: The people who live in the Service say that it provides them with a relaxed and comfortable setting within which to make their home. They say that they receive all the assistance they need and they praise the staff for their kindness and hard work. The people in residence say that they are served with good quality meals. More that one half of the care workers has acquired a National Vocational Qualification in health and personal care. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the Service. Prospective people who might want to move into the Service, have their needs assessed and their wishes acknowledged. EVIDENCE: Prospective people who might use the Service are provided with useful written information about the facilities and services available in Edward Moore House. In addition to this, the Acting Manager is happy to answer any further questions. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 10 The Acting Manager completes an assessment of each prospective person’s needs for assistance and of their preferences. This is done so that she can be sure that the Service can provide the assistance that is needed and that this can be done in a way that lives up to the person’s expectations. There is provision for some people to live in the Service for shorter periods of time. This is so that they can rest and prepare before returning to their own homes. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the Service. The health and personal care that people receive, is based upon their individual needs. Sensible provision is made to help people avoid having accidents. Suitable arrangements are used to manage medicines. People are treated with respect. EVIDENCE: The people who use the Service say that the care workers offer them all the assistance they need and that this is provided in a reliable and consistent manner. There is a written plan of support for each service user. These are important documents. This is because they form one of the means by which people who use the Service can be informed about and can agree to the Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 12 assistance they will receive. Also, the plans are a source of reference information for the care workers. People are helped to avoid having accidents. For example, people who experience difficulty getting about are offered assistance so that they do not take unnecessary risks. Care workers keep a tactful eye open, to make sure that people receive medical attention as and when it is needed. Suitable arrangements are in place to assist the people in residence to take medicines in the manner intended by their doctors. The people in residence say that care workers respect their right to lead dignified lives of their own choosing. The Acting Manager is going to strengthen the arrangements used to make sure that people always receive their own clothes back from the laundry. This development will be completed by 1 January 2008. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the Service. The calendar of social activities needs to be developed. People are assisted to keep in touch with family and friends. Good quality meals are served. EVIDENCE: The people who use the Service are free to choose what to do each day. The pace of daily life is relaxed. There are no unnecessary rules or routines to disrupt the experience of a normal domestic setting. There is only a limited calendar of social activities taking place in the Service. Some of the people in residence think that more activities should be held. One person said, “it’s boring to watch the television all day”. The Acting Manager said that she is going to address this matter within the timescale established in the relevant Required Development at the end of this Report. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 14 The people who use the Service are assisted to keep in touch with family and friends. People can receive visitors at any reasonable time. They can meet with their visitors in the privacy of their bedroom if they wish to do so. The Acting Manager routinely consults with relatives so that they know how things are going. People say that they are encouraged to think of themselves as being at home. For example, they say that they can personalise their bedrooms with ornaments and pictures. Also, they say that they can retire to their bedrooms whenever they wish to do so. The people who use the Service say that they receive good quality meals and they always have enough to eat. The menu indicates that a normally varied diet is provided. The cook regularly chats with the people who use the Service. Plainly, she has a good idea of which meals are likely to be popular and she arranges for these to be served regularly. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Service. There is an organised system for dealing with complaints. The wellbeing of the people who use the Service is safeguarded. EVIDENCE: The Registered Provider is aware of the need to ensure that complaints about the Service are investigated thoroughly and resolved promptly. It is not clear that all of the people in residence and their representatives have been given a copy of the procedure that outlines how they can go about registering a complaint. The Acting Manager is going to address this matter by 1 January 2008. The care workers have a sound understanding of what constitutes good care practice. As part of this, they are aware of the need to be alert to instances in which the well being of people who use the Service might become jeopardised. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 16 The people who use the Service say that they feel safe living in Edward Moore House. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 24, 25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Service. Improvements need to be made in a number of the areas of the accommodation. EVIDENCE: Most areas of the accommodation are homely and welcoming. However, there is quite a significant problem in that some parts of the accommodation do not have a fresh fragrance. This is particularly so on the landing between the units on the first floor, in the lounge on Rumcroft and in four of the bedrooms. The need to address this problem has been raised previously with the Registered Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 18 Provider. Therefore, it is particularly unsatisfactory to have to raise the subject again. The matter will now need to receive focused attention so that it can be resolved within the timescale established in the relevant Required Development at the end of this Report. The Registered Provider has not completed any significant redecoration of the accommodation in recent years. The evidence for this is plain to see. Some of the painted plaster wall finishes are marked and some of the paintwork on the doors is scored and dull. All in all, quite a lot of work will be needed in the near future to prevent the accommodation from having a rather tired and basic feeling to it. The Registered Provider has completed an organised assessment of the adequacy of the fire safety measures in use in the Service. This indicates that there are no significant hazards that have yet to be addressed. The Acting Manager is going to check that the assessment has been submitted to the Kent Fire and Rescue Service. If it has not, she will make sure that this is done by 1 December 2007. This will be done so that the agency can confirm the adequacy of the assessment in question. The Registered Provider has identified that a number of minor improvements need to be made to some of the facilities in the kitchen and to some of the arrangements used by the catering staff. The Acting Manager says that these developments will be completed by 1 December 2007. In the interim, the kitchen was clean and organised on the day of the inspection visit. One of the bedrooms does not have an extension lead for the call point. This means that the person might not be able to readily summon assistance should it be needed. There is a Required Development in relation to this matter at the end of this Report. The people who use the Service say that their home is kept comfortably warm. The care workers say that there is a reliable supply of hot water. Suitable steps have been taken to help reduce the risk that someone might be burnt or scalded. The laundry is well equipped. There are suitable arrangements in place to promote good standards of household hygiene. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Service. There are enough members of staff on duty. The arrangements used to complete security checks in relation to care workers need to be strengthened. The training arrangements need to be developed. EVIDENCE: There are at least five care workers on duty to respond to people’s needs for assistance from early in the morning until later in the evening when the night staff arrive. These care workers are supported in their work by other people, who do the catering and who complete housekeeping tasks. There is enough staff on duty to enable people’s needs for assistance to be met in a timely and reliable manner. More than one half of the care workers employed in the Service have acquired a National Vocational Qualification (NVQ) in health and social care. This Award has been designed to enable care workers to reflect upon and to develop their practice. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 20 The Registered Provider completes a number of security checks for new members of staff. These are designed to ensure that all members of staff are suitable people to be entrusted with access to service users who may be vulnerable. There is an omission in relation to Care Worker A. The Registered Provider is going to address this matter within the timescale established in the relevant Required Development listed at the end of this Report. All new care workers receive introductory training. This is designed to ensure that they have the basic knowledge and skills they need in order to be able to work without direct supervision. This is important because the quality of care delivered in the Service, depends largely upon the adequacy of the competencies care workers have to hand. Parts of the arrangements used are rather muddled. The Acting Manager says that she is going to review them in the light of a new national model of good training practice. She says that this will be done by 1 February 2008. In addition to the introductory training, existing care workers undertake a number of core training courses. These are designed to further develop their skills. Some of the records of this training are not up to date. The Acting Manager is going to review these by 1 February 2008. This is being done so that any omissions can be identified and resolved. The Registered Provider has arranged for a number of the care workers to complete some additional courses in 2008. These extended courses include how to work effectively with people who have a measure of reduced comprehension, how to safely administer medication and how to promote good standards of personal and household hygiene. The Acting Manager says that she wants all of the care workers eventually to complete these courses. She recognises that this will take some time to achieve. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Service. There is no registered manager in post. The quality assurance system needs to be strengthened. There are omissions in aspects of the health and safety system. EVIDENCE: The previous Registered Manager has left her post. There is not a clear timescale for her replacement to be found. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 22 The day-to-day operation of the Service is overseen by the Acting Manager and by a team of senior care workers. Between them, they have a detailed knowledge of how things are going. Care workers say that they work together well as a team. They think that this is helped by having handover meetings at the beginning and end of each shift. This gives them a chance to discuss what has happened in relation to each of the people in residence, so that important information is passed on in a timely manner. The Registered Provider does not operate an organised quality assurance system. This is an important oversight because there should be a reliable means by which to consult with the people who use the Service, in order to find out what they think about their home. After all, they are the experts on what it is like to live there. The Acting Manager says that she will now address this matter within the timescale established in the relevant Required Development at the end of this Report. The Registered Provider should be calling to the Service at least once a month to check out first-hand how things are going. The completion of these visits is now significantly overdue. There is a Required Development in relation to this matter at the end of this Report. Suitable arrangements are in place to assist some of the people in residence to manage their personal spending allowances. The Registered Provider expects each of the care workers to meet regularly with someone senior to review their work and to resolve any problems. The arrangement is rather overdue now. The Acting Manager says that she is going to correct this oversight. This development will be completed by 1 January 2008. The senior care workers are checking that the fire safety equipment remains in good working order. However, some of the required checks have not been completed. There is a Required Development in relation to this matter at the end of this Report. There should be an arrangement in place to double check that all members of staff know what to do in the event of a fire safety emergency. The necessary system is not working in a reliable manner. There is a Required Development in relation to this matter at the end of this Report. The Acting Manager says that all items of equipment in use in the Service remain in good working order. However, there is no documentation in place to confirm the continued serviceability of gas-fired appliances and of the electrical wiring installation. There are Required Developments in relation to these matters at the end of this Report. The Acting Manager regularly reviews the premises and the accommodation so that any significant environmental risks to health and safety can be identified Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 23 and resolved. She says that there are no such hazards waiting to be addressed. Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X 2 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 1 X 3 2 X 2 Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 25 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 OP12 Regulation 16 Requirement The Registered Provider should ensure that a suitable programme of activities is offered to the people in residence (this matter is outstanding from the last inspection report. It should have been addressed by 05/06/07). The Registered Provider should ensure that all parts of the accommodation occupied by the people in residence are fragranced normally (this matter is outstanding from the last inspection report. It should have been addressed by 16/05/07). The Registered Provider should ensure that an extension lead is fitted to the call point in the bedroom identified to the Acting Manager by the Inspector. The Registered Provider should suitably evidence within the Service that a Criminal Records Bureau disclosure in relation to Care Worker A has been DS0000023928.V354216.R01.S.doc Timescale for action 01/02/08 2. OP19 16 01/02/08 3. OP24 23 12/11/07 4. OP29 19 01/12/07 Abbeyfield Edward Moore House Version 5.2 Page 26 obtained. 5. OP33 12 The Registered Provider should ensure that suitable arrangements are in place to enable the people in residence and other stakeholders to comment upon the adequacy of the facilities and services available. The Registered Provider should ensure that its representative inspects the Service at least once in each month and that a report of these visits is forwarded to the Commission. 01/08/08 6. OP33 26 01/12/07 7. OP38 23 The Registered Provider should 06/11/07 ensure that the periodic checks of the operability of the fire detection and fire alarm system, of the emergency lights and of the fire extinguishers are completed sufficiently frequently. The Registered Provider should ensure that all members of staff are included within a system of competency appraisal that is designed to ensure that they know how to operate the Service’s fire safety procedure. The Registered Provider should submit to the Commission suitable certification to confirm the continued serviceability of the gas fired appliances used in the Service. The Registered Provider should submit to the Commission suitable certification to confirm the continued serviceability of the electrical wiring installation in the Service. DS0000023928.V354216.R01.S.doc 8. OP38 23 01/01/08 9. OP38 23 01/01/08 10. OP38 23 01/01/08 Abbeyfield Edward Moore House Version 5.2 Page 27 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 Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Abbeyfield Edward Moore House DS0000023928.V354216.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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