Inspection on 21/09/07 for Bethany

This inspection was carried out on 21st September 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bethany 11/12/06

Bethany 01/02/06

Bethany 10/08/05

Bethany 24/02/05

Bethany 04/10/04

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Insight - Eastchurch

Southfields

Thorndene

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

CARE HOME ADULTS 18-65 Bethany 190 Hawthorn Road Bognor Regis West Sussex PO21 2UX Lead Inspector Ms A Campbell-Currie Unannounced Inspection 21 and 24th September 2007 02:00 st Bethany DS0000014397.V338803.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 Bethany DS0000014397.V338803.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. Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bethany Address 190 Hawthorn Road Bognor Regis West Sussex PO21 2UX 01243 866260 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) larchebethany@ukonline.co.uk L`Arche Benjamin Stockdale Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 persons in the category LD (persons aged 18-65) and one person in the LD/E category (person over the age of 65) with a learning disability 11th December 2006 Date of last inspection Brief Description of the Service: Bethany is registered as a care home providing personal care for a maximum of five adults with learning disabilities. The property is a detached house situated in a residential area on the outskirts of Bognor Regis. The accommodation for service users is arranged on two floors and includes five single bedrooms two on the ground floor and three on the first floor. The lounge, kitchen, quiet area, conservatory and laundry are located on the ground floor. The third floor of the house is used for living-in staff. Bethany is one of three homes operated locally by LArche, a voluntary organisation. The Responsible Individual is Mr. Chris Bemrose and there is a newly appointed manager in post. Current fees are from £648.67 to £703.55 per week. Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection was carried out over two afternoons, as there is not usually a member of staff on duty during the day. The deputy manager assisted on the first afternoon and the newly appointed manager assisted on the second afternoon. They were both very helpful and made available all the information and documents required for the inspection. The previous manager had completed an Annual Quality Assurance Assessment form before the inspection; this included information about the quality of the service in the home and the developments that have been made and those that are planned. Surveys forms were sent to the home for service users to fill in with assistance if necessary, surveys were also sent to relatives, GPs, care managers and health care professionals. Three relatives, one GP, three care managers and three health care professionals returned surveys and one relative telephoned to give his views. All the feedback was very positive and comments have been taken into account in making an assessment of the outcomes for people living in the home. The communal areas, bedrooms, bathrooms and kitchen were seen. The five people who live at Bethany were seen and two people were spoken with. Samples of records for the running of the home were seen including service user and recruitment records, medication, financial records, development plans, training records and health and safety documents. The outcomes for people living in the home have been assessed against the key National Minimum Standards for Younger Adults. Two requirements were made following the previous inspection; these have now been met. Three requirements have been made following this inspection. Judgements have been made from evidence gathered during the inspection, which included a site visit to the service and takes into account the views and experiences of people using the service, as well as evidence gathered from a range of sources since the last inspection of the home. What the service does well: Bethany is a homely and comfortable place for people to live. People are supported to take part in a range of social and educational activities. The comments made by relatives and social and health care professionals were Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 6 very positive about the home. Records are kept up to date and in good order to make sure the service runs well. People who returned surveys were very positive about the care provided at Bethany. Comments made included: “ L’Arche is a very happy environment…and very good for her to have encouragement in what she can do and always cheerful company”; “ a mature and experienced foundation, based on a Christian ethos, which treats all members of the community on an equal basis”; “person-centred care; involves the client in review meeting (using appropriate material); key worker and manager know the client really well…very pleasant environment in the home; clients look very happy and relaxed; staff friendly and helpful”; “staff are involved with the service user, know her needs and preferences very well; risks monitored well and sensitively; good work with other professionals; person-centred; work hard to ensure the service user has a voice in meetings”; “the care is about the individual person’s needs and is not prescriptive” and “there is always a feeling of mutual love and care”. What has improved since the last inspection? What they could do better: The surface temperature of radiators must be kept at a safe level to prevent the risk of burns. A requirement has been made about this matter. The required Criminal Records Bureau (CRB) or POVA first checks and two written references must be obtained before staff begin work. A requirement has been made about this matter. Newly appointed staff must have training on health and safety issues including moving and handling, fire safety and adult abuse when they first start work. A requirement has been made about this matter. Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 7 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. Bethany DS0000014397.V338803.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 Bethany DS0000014397.V338803.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): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need before making a decision to move to the home and their needs are thoroughly assessed before they move in. EVIDENCE: There is a Statement or Purpose and Service User Guide; the information provided about the home is under review and is due to be updated to make sure people have the information they need about the home. Some information about the home is available in symbol format to make it more accessible to the people who live there. There have been no new admissions since the previous inspection. All of the people living in the home had thorough assessments carried out before they moved in. The four family members who provided feedback about the home all said that their relative’s needs are catered for. Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 10 Bethany DS0000014397.V338803.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ assessed and changing needs and personal goals are reflected in their care plan. People are supported to make decisions about their lives and to take risks as part of an independent lifestyle. EVIDENCE: The case records of three service users were looked at in detail and showed that care plans had been drawn up from the assessments carried out. The information was detailed and included clear guidance to staff about people’s needs and wishes regarding their preferred daily routines. The care plans included information about people’s social care needs and agreed goals. Detailed daily records are kept to monitor individual achievement and wellBethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 12 being. There is a key worker system in place to make sure that individual needs are being monitored by one member of staff who knows the person well. Two of the care managers who responded to surveys said that the care provided in the home is very person-centred and that risks are monitored well and sensitively. One of the care plans seen was in picture format and was person-centred. The manager said that there are plans for everyone to have a care plan in this format. There was evidence to show that reviews are held at least annually and that service users are fully involved in this process. Relatives, care managers and people from the daytime activities are involved in the reviews. The deputy manager said that staff review the care plans monthly to ensure there have been no changes. It was clear that people’s changing needs are monitored and care plans adjusted to include changes of need. The family members who provided feedback all said that they are involved in the care of their relative and that staff in the home keep them informed of changes and progress. The case records that were seen showed that people are encouraged to make decisions about their day-to-day lives and that they are encouraged to develop their independence. Two of the care managers made comments about the need to help people improve their independence skills to help them to move on if appropriate. The risk assessments that were seen were detailed and included guidance to staff to help minimise the identified risk. There was an example of an updated risk assessment for one person to reflect their changing need and to help them maintain their independence safely. Bethany DS0000014397.V338803.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have access to a range of educational and social activities and are involved in their local community. People are supported in their social relationships and their rights are respected and responsibilities recognised. People are offered a healthy diet and enjoy their mealtimes. EVIDENCE: A range of day time activities are provided including work in the gardens, a local garden centre, local workshops run by L’Arche and two people are attending college courses. The deputy said that there is a range of activities at the workshop including computers and candle making. All five people who live in the home are out all day until 4.30 in the afternoon. People’s interests were noted in their care plans. The three people who returned home on the first afternoon said they had enjoyed their day. Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 14 There are a range of Christian activities available for people to attend if they wish including prayer meetings held locally in people’s homes. The deputy manager said that people are supported to use local facilities including bowling and Christmas concerts. In the evenings people watch television in the lounge or spend time in their rooms. People have decided that two evenings a week there will be no television so that people can listen to music or talk about their day. One person was going to have dinner and spend the evening with a friend who lives in the home next door. Everyone living in the home has the opportunity to go on holiday each year; trips included a visit to Belgium and one to Liverpool. Holidays are planned depending on people’s needs and then each group meets to decide what activities they would like to do while they are away. The deputy manager said that people have access to an advocacy service if they wish and one person living in the home has a regular visit from an independent advocate. It is clear from the feedback provided that people are encouraged to maintain contact with their family and friends. Care plans included comments about people’s wishes regarding relationships and the deputy manager said that people would be supported to have an intimate relationship if the situation arose. The home is shared with staff or assistants who live in. Everyone has a key to their room and can choose to spend time in the communal areas or in their own rooms if they wish to. People also have access to the garden. Staff were observed communicating effectively with service users and their privacy was being respected. The deputy manager said that the weekly menu is discussed at the house meeting every Monday evening. There is book of meals in picture format to help people decide what they would like to eat during the week. One person makes their own sandwiches each day; this was noted on the care plan. The deputy manager said that staff make the evening meal, which is the main meal of the day and sometimes people help although people are tired at the end of a day of activities. People sit together at mealtimes and the dining room provides very pleasant surroundings. People are provided with a balanced and nutritious diet. Bethany DS0000014397.V338803.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive the personal and health care that they need. The medication policies and procedures protect the health and well-being of people who live in the home. EVIDENCE: People’s preferences regarding personal care are noted in the care plans. Staff are provided with guidance about the way to provide personal care. The case records that were seen showed that people’s health care needs are assessed and changes of need monitored and responded to. The three healthcare professionals who returned surveys indicated that the home responds well to people’s health care needs. “The care is about the individual person’s needs and is not prescriptive.” The deputy manager and healthcare professionals said that the home has a good relationship with the GPs and staff in the local surgery to ensure that people get the health care support that they need. Some people have a Health Action Plan that identifies every aspect of Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 16 their health needs and helps people to understand and to be more active in promoting their own health. There was a discussion with the deputy manager about the need for occupational therapy assessments for some service users whose mobility is changing. It has been assessed that none of the people living in the home are able to safely administer their own medication. The storage facilities and medication records were seen to be up to date and in order. All staff who administer medication have attended training. Staff who administer insulin have attended specialist training; there was documentary evidence to show that this is the case. The person who requires insulin has given permission for those staff to administer insulin. The deputy manager said that the specialist diabetic nurse is also involved in monitoring this person’s health. Bethany DS0000014397.V338803.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): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People feel their views are listened to and acted on. People are not fully protected from abuse because staff training does not begin until several months after they begin work. EVIDENCE: There is a complaints policy that is provided in symbol and picture format to help people to understand the procedure for making complaints. All those who returned surveys said they know how to make a complaint if necessary. There is a communication group every week where people are encouraged to bring any concerns or to talk to the manager on a one-to-one basis if they prefer. There is a book for recording complaints; the service has not received any complaints in the past twelve months. Staff have formal adult training in adult protection as part of their induction programme, however this does not begin for several months after they start work. Newly appointed staff work alongside more experienced staff before they attend the induction training so that they would follow their guidance in the event of a concern that abuse may have occurred. The deputy manager said the adult protection procedures are available to staff. Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 18 The manager does not act as financial appointee for any of the people living in the home. Money is held for people in a secure facility. Financial transactions are recorded and receipts are kept. There is a procedure to protect people’s money however there needs to be a clear policy about the use of pin numbers in order to provide clear guidance for staff. Bethany DS0000014397.V338803.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, 26, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are provided with a clean and homely environment. The health and safety of people living in the home is not fully protected. EVIDENCE: The home and grounds are well maintained so that people have a comfortable environment. The hall way and stairs have been redecorated and the rooms that were seen were clean. The concerns about hygiene raised at the previous inspection have now been addressed. The staff and people who live in the home are responsible for keeping their home clean and tidy. The radiators were not kept at a low surface temperature and those that were on were very hot to the touch and could present a risk of burning, especially to people who have poor mobility. First floor windows have restrictors to prevent the risk of people falling out. Hot water taps are fitted with safety valves to Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 20 ensure that people are protected from the risk of scalding; temperatures are checked, recorded and monitored by the manager. There are some adaptations in the home to assist people who have increasing mobility needs. It is recommended that people whose needs are changing should be referred to an occupational therapist to ensure that they have the adaptations that they need in the home. The laundry facilities are suitable for the people living at Bethany. People are supported on different days to do their laundry depending on their level of ability. The home was clean and tidy with no unpleasant odours. Bethany DS0000014397.V338803.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, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are supported by sufficient numbers of staff. The recruitment and induction process does not fully protect service users. EVIDENCE: A sample of staffing rotas were seen and showed that there are sufficient numbers of staff on duty. All the service users are out during the day and there is no need for staff cover in the home. It was clear that in emergencies arrangements are made to ensure that there is a member of staff in the house during the day if necessary. The recruitment records for two recently appointed members of staff were seen. The manager explained that she would not be involved in the recruitment of new staff; an Assistant’s Coordinator carries out this task. The people who live in the home are not involved in the recruitment of staff. The manager said that they would have an opportunity to express their views about the appointment at the end of the three-month probationary period. The Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 22 records that were seen did not include all the required information. The people recently appointed began work before the results of the POVA First or Criminal Records Bureau (CRB) checks had been received. There was no evidence to show that checks had been carried out in the country of origin. There was only one written reference on one of the case files, although telephone references had been followed up. The deputy manager said that newly appointed staff work alongside more experienced staff when they begin work. A requirement has been made regarding this matter. There is an induction programme that begins in September and covers all mandatory training and is in line with the Learning Disabilities Award Framework. It was of concern that the two people who started work in July had not attended any formal training on health and safety, fire training, moving and handling or the protection of vulnerable adults. Newly appointed staff work alongside more experienced staff when they begin work and the manager and deputy manager provide guidance regarding health and safety matters on a day-to-day basis. A requirement has been made regarding this matter. Two of the four permanent care staff have achieved the National Vocational Qualification (NVQ) at level two. Bethany DS0000014397.V338803.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 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate arrangements have been made for the management of the home. People can be confident that their views underpin the development of the home. The health, safety and welfare of service users is not fully protected. EVIDENCE: The manager has been in post for a month and is due to apply to the Commission to become the registered manager. She has worked in the house for a year and understands the needs of the people who live there. The manager also has experience as deputy manager in another home. Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 24 There is a strong commitment to involving people in the running of their home. Records are kept of weekly house meetings that highlight the issues that concern people. Individual reviews provide another opportunity for people to give feedback about their care. One of the care manager said that staff go out of their way to help people have the opportunity to express their views. The views and wishes of people living in the home are used to produce a development plan for the home and this is displayed on the notice board in symbol format. The home is well-maintained and monthly health and safety audits are carried out. Equipment is serviced as required and risk assessments were seen. Hazardous substances are kept in a lockable cupboard. Newly appointed staff should be provided with formal training in mandatory health and safety matters as soon as they begin work. Radiators should be kept at a safe surface temperature to prevent the risk of burns. Requirements have been made regarding the last two matters. Bethany DS0000014397.V338803.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 3 2 3 3 X 4 X 5 X 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 2 25 X 26 3 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 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 2 X 3 X X 2 X Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 26 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 YA24 Regulation Reg 13 (4)(c) Requirement Service users must be protected from the risk of burns by ensuring that all radiators or heaters have low surface temperatures. No care staff should commence work without a Criminal Records Bureau check unless a satisfactory POVA first check has been obtained. The required guidelines must be followed to protect service users until a full CRB check has been received. Newly appointed staff must receive induction training as soon as the begin work. This training must include, health and safety, moving and handling, fire safety and safeguarding adults. Timescale for action 31/10/07 2. YA34 Reg 19 31/10/07 3. YA35 Reg 19 (5)(b) 31/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 27 Bethany DS0000014397.V338803.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Bethany DS0000014397.V338803.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. 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