Inspection on 22/11/07 for The Beeches

This inspection was carried out on 22nd 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Beeches 17/11/08

The Beeches 18/12/06

The Beeches 30/11/05

The Beeches 02/06/05

The Beeches 06/07/04

The Beeches 27/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Beeches The Frodingham Road Brandesburton Driffield East Riding Of Yorks YO25 8QY Lead Inspector Sarah Sadler Key Unannounced Inspection 22nd November 2007 09:30 Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beeches The Address Frodingham Road Brandesburton Driffield East Riding Of Yorks YO25 8QY 01964 542459 01262 424563 jekcunning@btopenworld.com 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) Mr John Charles Kunning Susan Melvin Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th December 2006 Brief Description of the Service: The Beeches is a care home providing care and accommodation for up to 11 people under the age of sixty-five who have learning difficulties. The home is located on one of the exit roads from the village of Brandesburton, close to local amenities and within easy access of public transport. The home has been registered for a number of years and is a two-storey building. It was previously part of the local hospital for people with learning difficulties. There are 11 single rooms all without en-suite facilities, although one room has a shower. There are 4 toilets and 3 bathrooms available. The home has large gardens and is surrounded by open countryside. Car parking is available to the front and rear of the property. The weekly fees for living in the home range from £296.50 to £904.98, with additional fees for toiletries, newspapers etc. The fees were provided by the registered manager. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit commenced at 09.00 and was completed at 17.00. The manager was available for the whole of the visit. The one relative visiting on the day spoke with us, and two professionals were spoken to over the telephone. The people living in the home completed questionnaires and took part in question and answer sessions. In addition to the registered manager, there was one staff member on duty and this person assisted with the inspection. A tour of the premises, including people’s rooms, was undertaken and people’s files, staff records, health and safety documents and other records were examined. The unannounced visit commenced on 22 November 2007 and forms part of this inspection, which includes a review of all information received relating to the home since the last visit or registration. As such this report reflects information from the site visit, views from people via surveys, the Annual Quality Assurance Assessment (AQAA) document provided by the registered person and referral to any other relevant letters or occurrences in the home. It also includes evidence from case tracking of people’s files and information Other information we considered included the AQAA. This is a self-assessment document which is completed by the registered person to evidence how well the home is meeting the National Minimum Standards, and what (if anything) needs to improve. Based on this information, formal surveys were sent to relatives and professionals. Comments in surveys included, ‘ Service users feel well supported in every aspect of life and they meet individual needs’, ‘ Clients are well cared for but the general appearance of the home could be better’ and ‘ Meets service users needs to a high standard’. One person told us that they are very happy that their relative’s needs are being met. During the inspection process and again in preparation for the site visit, we assessed other information received by the CSCI regarding the home which included any letters from the registered person or others and any complaints, of which there has been none. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Staff recruitment must include obtaining two written references for all new staff. This will help to make sure that only people suitable for the post are employed in the home. Staff induction and training must be undertaken to meet the requirements of Skills for Care. This will help to make sure that staff have the necessary skills and knowledge to continue to meet the needs of the people living in the home. Staffing numbers must be adequate to fully meet all the needs of the people living in the home and at no times place them at risk of harm. Where specialist support is required, staffing levels must be reviewed to be able to fully meet these needs. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 7 There must be quality assurance systems in use that supports the people in the home and their representatives in raising comments and being involved in the development of the home. The management of the home must make sure that procedures meet the requirements of the local fire officer, reducing the risks of harm to the people living in the home. 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. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 8 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 Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are assessed and provided with information before moving into the home to help make sure that the home can meet their needs. EVIDENCE: Both of the care management survey responses include that they felt people were assessed so that the right information was gathered. People who responded in surveys told us that they felt they had received enough information about the home before moving into it and the majority wanted to move in. The registered manager included in the AQAA under ‘What we do well’ that Community Care Assessments and Care plans are in place at the time of someone’s admission to the home. People’s files all included an assessment and care plan including, when necessary, additional specialist health care plans. People’s files held copies of their contract with the home. The contract described the terms for living in the home which included the fees, and was signed by the individual to record their agreement. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 10 Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported through care planning and risk management to live their lives as they choose. EVIDENCE: The registered manager included in the AQAA form that all people in the home have a detailed care plan from the placing authority and that the home also develops a care plan with the involvement of the individual. The staff surveys recorded that people felt that they were always provided with up to date information. People’s files all included a copy of their care plan and copies of review summaries. When possible, the individual had also attended to discuss their needs. Both of the professional survey responses recorded that people are supported to live the life they choose. The majority of the people responded in their Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 12 surveys to say that they are able to make decision in their everyday lives. People we spoke to confirmed that they can do what they want most of the time and that they are not told what to do. Staff told us that people decide what to eat, when to get up what they want to do and what they want to buy when they go shopping, one person commented when asked about decisions people can make ‘ everything’. People’s diary notes included examples of the decision people made which included that they chose what to do with their time and whether they wanted to spend time with others or to be alone. Staff told us that people are supported to take risks and that this included making a hot drink and the risk of people walking out of the home on their own. There is a separate risk assessment file where there are a variety of risk assessments. Some of these are communal risk assessments and the need for individual risk assessments was discussed with the registered manager. Individual risk assessments included trips out to air shows, going for a walk, going out in the bus and making a drink. Not all of these risk assessments had been updated and this must be completed to make sure that they contain the latest information regarding the risk and can identify activities to put in place to reduce these frisks. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16, &17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s social, relationship and dietary needs are met in the home. EVIDENCE: The registered manager recorded in the AQAA form that one of the things they do well is to support people with work placements college and day services. This encourages people to be more independent in their lifestyles. The registered manager told us that there are activity games in the home and an exercise bike. She stated that games are usually played in the evening. People who live in the home confirmed when asked that there is plenty to do and also that activities include going into the local town and having a walk around. Staff told us that people like to listen to music and watch television. They felt that an extra staff member on each shift would help to them to be able to take Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 14 people out more and increase their opportunities to socialise. They also told us that people attend work and educational placements. People told us that they are supported to maintain relationships and that their family can visit them in the home. Staff told us that they support people with relationships by helping them to maintain contact via phone calls and visits. Both of the care management surveys recorded that people are supported to maintain their privacy and dignity. Staff gave us good examples of how to support someone with maintaining their privacy which included not interrupting people when in the bath. If people wish to discuss personal problems they have use of the office so that the conversation is not overheard. People living in the home responded in the surveys to say that they feel they can do what they want. Lunch was observed to be relaxed and people had choices about what they could have to eat, and several people chose different things. People in the home told us that they were happy with the food. Food cupboards were well stocked and menus are completed on a weekly basis. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive support in a way that they want, to meet their health and medication needs. EVIDENCE: People living in the home told us that they are happy with the staff team and the support they receive. When asked one person said ‘ Yes, I can say who I want to help me with my personal care’. A staff member also told us that people can choose which staff member they would like to support them. Both of the care management survey responses included that it was felt that people’s health needs were met in the home. People who live in the home confirmed to us when asked that the staff support them to visit the doctors. People’s care files included details of any health needs and the support regarding this. This included records of professional visits received, letters from professionals and notes from the outcome of a visit to a professional. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 16 Both of the care management survey responses included that they felt that people’s medication needs are met in the home. People told us that they were happy with the support they receive from the staff team with their medicines. Medication is stored appropriately and there are records kept of the receipt, administration and disposal of medicines. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to be protected from harm. EVIDENCE: Both of the care management survey responses included that they felt that any concerns raised were responded to appropriately. All staff responded in the surveys that they knew what to do to support someone who wished to raise a concern. People who live in the home confirmed in their surveys that they knew who to speak to if they were not happy and how to complain. People also responded to say that staff treat them well. They told us that if they were not happy they would tell the staff and they would sort it for them. There is a copy of the complaints policy within the home and the registered manager told us in the AQAA that there had been one complaint made to the home which was upheld. There is a copy of the Local Authority’s policy ‘ The Protection of Vulnerable Adults’ held in the home to assist staff and people in the home should an allegation of harm be raised. When asked staff were positive in their responses about how they would handle a situation of potential harm. However, staff have not undertaken formal training, this would assist them to complete this process and support people in this situation. People receive good support with the managing of their monies. There are up to date records and receipts are obtained for purchases. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 18 Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a clean and comfortable home. EVIDENCE: People who live in the home responded in their survey that they felt the home was fresh and clean. The registered manager told us in the AQAA form in the ‘what they do well’ section that the home is decorated on a regular basis with new furniture being bought ‘as and when’. They recognised that this would be further improved if staff received training in infection control. A tour of the premises found that they were clean and comfortable throughout with people decorating their rooms to their own individual tastes. The kitchen doors in the service users kitchen have been replaced in the last year. There is a separate laundry area with a washer and dryer to assist people with their laundry needs. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 20 Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, & 35 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. People are supported by staff, who are not recruited correctly and who receive limited training. EVIDENCE: Information in staff surveys recorded that all staff had been recruited following the correct procedures, including the receipt of two written references. All of the staff files we examined included an application form and a CRB (Criminal Records Bureau check. One of the people had only had one written reference undertaken on them. The registered person must ensure that all staff have two written references undertaken on them prior to commencement of employment. This helps to ensure effective recruitment practices so that the correct people are employed to support people in the home. The registered manager told us that the registered person deals with the majority of staff recruitment and that if there were any issues with a person’s CRB or reference then they would deal with this. This had been the case with a previous staff member. However, no record of this had been kept. Without a Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 22 formal record the registered person cannot show that they have correctly dealt with and protected the people in the home. Staff responded in surveys that they felt they had always or usually received a good induction. However the staff flies contained little or no evidence of induction or that the induction would meet the Skills for Care requirements; this would assist in making sure that staff are inducted to a national standard. The registered manager told us in the AQAA that 50 of the staff have achieved a National Vocational Qualification (NVQ) level 2 in Care and certificates were seen in files. Staff survey results recorded that staff felt that they always or usually received the correct training for their role. Staff told us that they have commenced Equality and Diversity training and have completed First Aid and Food Hygiene training. Staff files contained limited evidence of staff training with the only completed course in the last year being Fire training. The training and development plan for staff was completed in 2004 and no evidence of an update was seen. Staff surveys recorded that the majority of staff felt that there were ‘usually’ enough staff to meet people’s needs. One comment in the section ‘ What could be better’ was ‘ Increasing staffing levels a little’. Staff also told us that they felt there should be more staff. The registered manager recorded in the AQAA that one of the barriers to improvement were staff changes, inexperience and training issues. However things they have tried to undertake to reduce the impact of this is recruiting staff, using staff from the sister home and by the provider working in the home. The registered manager told us that there have been no changes to the staffing numbers and that they continue to advertise for staff. Agency staff have not been used in the home. Duty rotas reflected that there are usually two staff members on duty at any one time, and on occasions there are three staff on duty. More than one of the people in the home requires 1:1 support at certain times. In addition, the staff undertake the cleaning and cooking in the home; this is managed mainly by staff being called in at times of need. A review of staffing has been a requirement since 01/05/05 and this must now be addressed. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported by an experienced manager who makes sure that overall people’s needs, including health and safety, are met. EVIDENCE: The registered manager told us in the AQAA form that service users benefit from a well run home. The registered manager has continued in post and has commenced equality and diversity training. She told us that she has not been able to send in reports regarding the home as per the requirements of Regulation 37 of the Care Home Regulations 2001 and also that all of her time is spent on rota with the people in the home, with no allocated management time. The management Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 24 of the home have not met the requirement regarding staffing and this has been a requirement since 2005. The registered manager told us in the AQAA that the evidence to show that people benefited from a well run home included quality assurance audits. However the registered manager also told us that the recommendation to complete the quality assurance assessment at the last visit has not been completed and that she is continuing to work on this. Staff and service user meetings are held regularly with records being kept that show that people are offered the opportunity to speak up and discuss issues that are important to them. Health and Safety checks are completed within the home and records are kept of this. These include portable appliance testing (PAT), electrical wiring testing and having the central heating system maintained. The fire alarm and fire extinguishers are regularly checked, with weekly fire tests being completed. Door wedges continue to be in use within the home and the registered manager told us that this had been discussed with the fire officer and it was agreed that these could be used. However, there was no evidence of this and the fire risk assessment stated that door wedges should be replaced with self closing doors ‘ as per the advice of the fire officer’. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 1 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 1 X 2 X X 2 X Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 26 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 & Schedule 3 Requirement The registered person must make sure that staff are correctly recruited and are suitable to work with vulnerable people. Two written references must be undertaken prior to employment. The registered person must ensure that staff receive an induction into the home which meets the Skills for Care requirements and that people are aware of their role. The registered person must make sure that there is a staff training and development plan which assists staff to update their skills to continue to meet the needs of the people living in the home. The registered person must make sure that staff receive appropriate training to update and improve their skills in continuing to meet people’s needs. The registered person must ensure that the home has an effective staff team, with sufficient numbers to support DS0000019735.V355417.R01.S.doc Timescale for action 22/12/07 2 YA32 18 22/12/07 3 YA35 18 30/12/07 4 YA35 18 22/02/08 5. YA33 18 (1)(a) 22/01/08 Beeches The Version 5.2 Page 27 residents’ assessed needs at all times. (Previous requirement timescale 1/05/05 - not met timescale 31/07/05 not met.). 6 YA37 37 The registered manager must make sure that they provide the CSCI with the required information regarding incidents in the home. This must be completed within an appropriate timescale and meet the requirements of Regulation 37 of the Care Homes Regulations 2001. The registered manager must make sure that there is a quality assurance system in use within the home so that people in the home and stakeholders can be involved in the development of the home. The registered person must make sure that written evidence that the current system for holding doors open meets with the requirements of the local fire officer. This evidence must be provided to the CSCI. 23/11/07 7 YA39 24 22/12/07 8 YA42 23 (4) 30/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA7 YA7 YA23 Good Practice Recommendations The registered person should make sure that people’s confidentiality is maintained and no communal records are kept in the home. The registered manager should make sure that risk assessments are kept up to date. The registered person should make sure that records are DS0000019735.V355417.R01.S.doc Version 5.2 Page 28 Beeches The 4 5 YA23 YA30 kept of the decisions made within the recruitment process. This should include reference to any issues found and the rationale which demonstrates why service users are not placed at risk by an individual appointment. The registered person should make sure that staff are trained in Safeguarding Adults policies so that they are able to sully support people should such an incident occur. The registered person should make sure that staff are trained in infection control polices so that they can continue to meet people’s health needs. Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Beeches The DS0000019735.V355417.R01.S.doc Version 5.2 Page 30 - 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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