Inspection on 14/06/05 for Bells Piece

This inspection was carried out on 14th June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bells Piece 09/05/06

Bells Piece 01/11/05

Bells Piece 15/11/04

Bells Piece 21/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Bells Piece Hale Road Farnham Surrey GU9 9QZ Lead Inspector Pat Collins Unannounced 14 June 2005 13.15 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 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 Stationary 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. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bells Piece Address Hale Road Farnham Surrey GU9 9QZ 01252 715138 01252 718618 bellspiece@south.leonardcheshire.org.uk Leonard Cheshire 30 Millbank, London, SW1P 4QD Tracy Maxine Davies Care Home (CRH) 13 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of Learning disability over 65 years of age (LD(E)), registration, with number 1 of places Learning disability (LD) , 12 Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The age/age range of the persons to be accommodated will be: 12, 3060 years and 1 over 65 years Date of last inspection 15 November 2004 Brief Description of the Service: Bells Piece is a large detached house that has been converted to provide a care home for younger adults with learning disabilities operated by the Leonard Cheshire Foundation. The home is located in attractive grounds at the end of a private driveway on the outskirts of Farnham. There are local shops and other amenities close by. Sharing the grounds of the home is a Horticultural and Craft Centre which service users have opportunity to work in. The home is spacious and offers mostly single bedroom accommodation on both floors, one with ensuite facilities, some with small kitchen areas and others are self contained flats including one shared flat. There is a variety of communal rooms on the ground floor. The home has car parking facilities for several cars. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector conducted this unannounced inspection over a five-hour period. The process included discussions with individual residents, the registered manager and staff members. The premises were partially inspected and some records examined. The inspection report refers to the people who live at Bells Piece as ‘residents’ in accordance with the stated preferences of individual residents who spoke with the inspector. The inspector would like to take this opportunity of thanking the residents for their courtesy in showing the inspector around their home and for information contained in comment cards completed and returned after the inspection. The inspector wishes also to express appreciation to the manager and her team are for their courtesy and cooperation. What the service does well: Staff were observed to have the necessary skills and used effective techniques for interacting with residents and engaging them in activities of daily living. Staff used various methods including the use of pictures, symbols and photographs, for communicating with residents’ and promoting choice, selfdetermination and autonomy in their every day lives. The approach to personal care provision was flexible. There were minimal house rules and residents were actively involved in the day-to-day running of their home. A resident stated “ staff here are very good, they help me with my shopping for food and to cook my meals”. Care plans had been drawn up with the involvement of residents, building on individual strengths and aspirations. All residents were registered with their own general practitioner and had access to a range of health care and if necessary, specialist care services. Residents had access to a wide variety of activities that enabled development and maintenance of social, emotional and independent living skills. Individualised activity programmes had been produced in consultation with residents, affording opportunities for meaningful occupation and access to adult education services. The home had a proactive support group who offered support to residents and raised funds for additional leisure activities. Residents informed the inspector that they had enjoyed group holidays earlier this year to two European destinations, supported by staff. A resident said “ I had a lot of fun on holiday but one week was not long enough as the flight was long”. A resident had enjoyed a holiday in Cornwall and two residents were looking forward to a holiday in Devon later in the year. One resident informed the inspector of trips abroad to visit his family. Resident’s were being encouraged to suggest places of interest for group and individual visits as part of planned summer activity programme.Residents described staff as friendly and helpful. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 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. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 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 standard(s) 1,2, 3, 4 Information was made available to prospective residents, in suitable formats, enabling informed choices about admission. Prospective residents were able to visit and spend time in the home prior to admission.Whilst admission decisions were based on needs assessments further adaptations to the premises and provision of additional aids were necessary to meet the needs of individual residents. EVIDENCE: The home had a detailed and well - written Statement of Purpose that was regularly reviewed and updated. Information in the Service Users Guide was accessible to residents through appropriate use of pictures and photographs and written in plain language style. The complaint procedure and menu had also been produced in a suitable format. The manager carried out pre-admission assessments. Observations confirmed the need for improvement in risk assessments and risk management care planning for one resident. Comprehensive risk assessments were evident for other residents in the files sampled. Prospective residents were invited to spend a day at the home, then several nights before any decision to move in was made. The manager confirmed the views of existing residents were sought and listened to regarding the suitability of prospective residents. Residents had access to specialist community and hospital based health resources. Staff were trained and experienced in provision of care in Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 9 accordance with the home’s stated purpose. All residents had access to an advocacy scheme. Observations confirmed the assessed needs of two residents were not fully met following a recent needs assessment of their living environment. This issue was discussed with the manager; also the need for further review of the accommodation for one of these individuals to ensure provision of a positive and safe environment specific to this person’s sensory impairment. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9. Care plans were developed and agreed with residents. Though mostly individual risks to residents were addressed though risk assessment and care plans, improvement was required in this area of the home’s operation. Residents were afforded opportunities for involvement in the day-to-day running of their home. EVIDENCE: The care plans sampled were detailed and comprehensive and mostly addressed individual needs. Individual risk assessments had been completed for residents. The need to address the risks identified for one individual in his care plan was discussed with the manager. Residents monthly meetings afforded a supportive forum to raise issues relating to the day–to- day running of their home and other matters. Key policies were being developed using ‘widget’ symbols and pictorial formats to make these more accessible to residents. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 14, 15, 16. Service provision supported residents in developing and maintaining social, emotional, communication and independent living skills; also to engage in fulfilling work and adult education opportunities. Residents had access to and choice of a range of leisure activities and were supported in maintaining family links and friendships. EVIDENCE: Residents were encouraged to be independent within individual capabilities and to maximise their potential in order to lead fulfilling lives. A wide variety of leisure, educational, employment and social activities were accessed. The home’s ‘life skills’ programme was tailored to the needs and abilities of individual residents and included areas such as cooking, shopping, money management and domestic chores. Individual residents regularly attended local places of worship. Individual residents participated in a local advocacy group that supported them in developing skills in areas such as communication, confidence and assertion. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 12 Sharing the grounds of the home was a horticultural and craft centre. This afforded work opportunities for residents and integration with people living in the community. Residents were encouraged to attend adult education classes in Farnham. Individual residents undertook voluntary work in local charity shops; one resident informed the inspector that he very much enjoyed working three days a week in the kitchen of a nearby care home for older people. There was an active support group that organised fund raising and social events for the home, all of which involve residents and staff. Care records demonstrated residents’ regular access to local community resources such as pubs and restaurants. A group of residents were looking forward to going out to the theatre on the evening of the inspection. Others had tickets for a circus performance the following evening. Staff stated that service users had some on-going contact with family and friends. This was evident through the care records sampled. Family and friends were stated to be made welcome and encouraged to visit. Residents friends who lived in the community were encouraged and enabled to visit. They were invited to stay for meals and to participate in social activities. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19. A sensitive and flexible approach was evident to the provision of personal support and care of residents. Health care needs were identified and addressed. EVIDENCE: Some residents using the service at the time of the inspection were stated to require minimal personal support. Staff assistance was provided by staff for budgeting for and purchasing food and received support in the preparation of meals. Other residents who required more assistance prepared their meals under the direction and supervision of staff and ate as a group with staff. Where needs were identified these were documented in care plans and additional guidance and support provided as part of life skills work or by key workers. Residents engaged in domestic routines and in the preparation of the evening meal with staff at the time of the inspection. The care files inspected contained core health care information including details of GP, dentist, optician and chiropodists and any specialist involvement based on assessed needs. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 23 The home’s management and operation promoted the safety of in order to protect them from abuse, neglect and self-harm. EVIDENCE: Staff files sampled confirmed staff had received training in the protection of vulnerable adults as part of their individual’s induction programme. Other staff stated they had received vulnerable adult protection training as part of the home’s core training programme and were aware of the organisations whistle blowing procedures. There was a written organisational procedure relating to adult protection and the Surrey County Council multi agency procedures were available in the home. The staff recruitment policy ensured thorough vetting procedures were followed. Enhanced disclosures were obtained for staff from the Criminal Records Bureau. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24, 26, 27, 28, 29, 30 Mostly the residents lived in a comfortable, safe environment. Provision included facilities and accommodation that promoted independence and privacy. Requirement was made for adaptation of a shower facility and provision of additional aids to meet the assessed needs and ensure the safety of two residents. Staff sleeping facilities for on-call duties were considered inadequate and required review. EVIDENCE: Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 16 The home environment was spacious, comfortable and domestic in scale, affording personal privacy and autonomy for residents within individual capabilities. The hallway, games room and library area had been redecorated and re-carpeted to a good standard last year. A recently admitted resident described choosing the colour scheme for his bedroom. Residents were issued with keys to their bedrooms accommodation. All bedrooms were fitted with internal telephones used to contact staff if necessary, for emergencies and for contact with the night staff member sleeping –in, on call. A resident with a visual impairment had a ‘panic button’ located in her flat to enable her to contact staff immediately in the event of an emergency. Bathroom and cloakroom facilities had been fitted last year with new baths and toilets. These were sufficient in number and location. The range of communal facilities was well used by residents at the time of the inspection. The large kitchen was observed to be the area where residents congregated to discuss their day over a drink and snack on their return from the day’s activities. Though generally the premises were suitable for the home’s stated purpose, further adaptations and aids were necessary to meet the assessed needs of two residents. The shower facility available for the use of these individuals was considered unsuitable and unsafe to meet their needs. Additionally a grab rail must be fitted by the back door of their accommodation leading to a terraced area, for safety. It was suggested to the manager that a specialist assessment be requested of the living environment of a resident who was registered blind/visually impaired, to ensure needs were fully met. The home was clean and tidy in communal areas. Support workers mostly undertook cleaning of these areas with limited input from residents. The residents received support from staff in maintaining hygiene standards in their personal accommodation. The standard of cleanliness in the personal accommodation of a resident was noted to require improvement. In discussion with the manager in this matter it was clarified that the team had already identified this. An action plan was evident for addressing this shortfall and for provision of additional support for this individual. The laundry had been relocated to another room within the home since the last inspection. Residents were encouraged to do their own laundry with staff support. Comment was received from a member of staff that the new laundry area was smaller than the former facility, reducing tumble dryer capacity. The impact of this was not evident as yet as residents were able to use washing lines during the summer. Staff required to carry out sleeping on call duties were not provided with separate facilities for this purpose. Staff slept on a convertible chair bed in the games room. Staff emphasised it was not the practice to insist residents vacate use of this room when they commenced their on-call shift at 23.00 hrs. Whilst this was noted comments were received about the lack of privacy for staff sleeping –in from individual staff. Another expressed concern about the adequacy of the security of windows in the games room. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34,36. Residents were protected by the home’s staff recruitment policy and practices, also arrangements for staff supervision and support. EVIDENCE: The staff files examined demonstrated a thorough recruitment process in the appointment of staff. They contained documentary evidence of applications, interview records, references, medical information, and personal identity and of Criminal Records Bureau Enhanced Disclosures being obtained and Pova/First Checks carried out. Staff had been issued with contracts and there was a three-month probationary period for new staff. Personnel documentation and policies established that new staff were subject to a formal three monthly appraisal. A formal staff supervision structure was in place and operational. A member of staff confirmed receipt of formal 1:1 supervision with a line manager every six week and stated supervision notes were recorded and maintained confidentially. The staff team was mixed gender reflecting the mixed gender of residents accommodated. They were observed to be professional in their conduct. Observation of their practice concluded an appropriate balance between guidance and encouragement to residents for making choices and learning new skills and protection from harm. Positive relationships were evident between residents and staff. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 18 Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 41, 42. The day – to – day operation and management of the home was effective and inclusive. Whilst the health, safety and welfare of residents were generally promoted action was required to meet risks and assessed needs of individual residents. The security of the premises required further review. Record keeping practices whilst overall satisfactory required further attention to personnel records. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 20 EVIDENCE: The registered manager had attained an NVQ Level 4 in Care. It was not established whether the manager had registered to study for the Manager’s Award qualification. The manager possessed relevant experience and knowledge to fulfil her role and responsibilities. The atmosphere of the home was welcoming and inclusive. Individual staff stated that they felt supported by the home manager and encouraged and enabled to put forward ideas for developing the service. Comment was received from a staff member however that consultation had not taken place with the team prior to taking the decision to alter the disposition of office and utility rooms. It was noted that the General Manager had since met with staff to discuss the rationale for these changes and this change was discussed with residents. Written policies, observation of care practice also discussions with service users and staff indicated a commitment to equal opportunities in the home’s operation. Personnel records were examined and requirement made for a record to be maintained of CRB disclosures in accordance with CRB policy. The inspector reviewed records that demonstrated safe working practices in arrangements for first aid and staff training in first aid. Portable electric appliance testing had been carried out in October 2004. The manager advised that a gas safety inspection was imminent. The manager confirmed the home had a current electrical certificate following the inspection. Observations of the new laundry room indicated the need for consultation with a fire safety consultant on fire safety in this area. Fire records confirmed staff and fire marshals had received fire safety training. Fire drills were undertaken and fire service records demonstrated regular maintenance of the detection system and of fire fighting equipment. A member of staff raised the adequacy of the security of the premises as an issue, particularly at night. Whilst acknowledging that the building was part fitted with a security system it was evident that a further review of security during the day and at night was essential. Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 21 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 4 3 2 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 4 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 3 4 2 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bells Piece Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 2 x x H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3,24,29,42 Regulation 13(4), 23(2)(n) Requirement The registered person must ensure that adaptation is made to the shower room in the shared flat to meet the assessed needs and ensure the safety of residents occupying this area. Requirement is made for submission of proposals and time-scales for carrying out this work to the Commission. The registered person must ensure a handrail is fitted beside the back door to the terrace of the shared flat. The registered person must obtain a specialist assessment of the accommodation occupied by a resident with visual impairment/registered blind to ensure individual needs are met and provision of a safe and positive environment. Consideration could be given to consultation with the Surrey Association For Visual Impairment (Website www.surreywebsight.org.uk) The registered person must ensure personal risks identified are addressed in care plans and the homes Timescale for action 14/08/05 2. 3, 24, 29, 42 3, 24, 29, 42 13(4), 23(2)(n) 13(4), 14(1)(2), 23(2)(n) 14/08/05 3. 14/09/05 4. 3, 9 13(4), 14(2), 15(1)(2) 15/06/05 Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 23 5. 28 23(3)(b) 6. 7. 38 40 13(4) 19 8. 42 23(4) For the registered person to review the suitability of arrangements for staff sleeping in/on-call. For the registered person to further review security of the premises. For the registered person to maintain records of CRB Disclosures in accordance with CRB policy. For the registered person to obtain advice from a suitably trained fire safety consultant on fire safety measures specific to the new laundry room. 14/09/05 15/06/05 14/08/05 21/06/05 9. 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 Good Practice Recommendations Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 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 Bells Piece H58-H09 S13567 Bells Piece V233067 140605 Stage 4.doc Version 1.30 Page 25 - 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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