Inspection on 16/12/08 for Bethany House

This inspection was carried out on 16th December 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bethany House 09/01/07

Bethany House 15/12/05

Bethany House 12/04/05

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Bethany House 3 Margaret Road Harrogate North Yorkshire HG2 0JZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Irene Ward     Date: 1 6 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Bethany House 3 Margaret Road Harrogate North Yorkshire HG2 0JZ 01423501650 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Maria@franklinhomes.co.uk Franklin Homes Limited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 8 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 8 Bethany House provides personal care and accommodation for up to 8 adults who have mental health problems. The home is situated in a pleasant residential area of Harrogate and is within easy reach of the town centre its amenities and facilities. The people who live there have single bedrooms most of which are en suite. There is a variety of communal space available for their use. The accommodation is over four floors and accessed by flights of stairs. There is parking available on the road at the front of the house. The fees at the time of the site visit ranged from 334 pounds to 1,136 pounds per week and do not include costs for personal transport, toiletries, hairdressing and chiropody. Care Homes for Adults (18-65 years) Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star good. This means that people who use the service experience good quality outcomes. The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed.The inspection process has now become a cycle of activity rather than a series of one-off events.Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk. This is what was used to write this report. A review of the information held on the homes file since its registration. One visit to the home by one inspector which was unannounced that lasted for five hours.Information asked for before the inspection, this is called an Annual Quality Assurance Assessment. Comment cards had been sent but had not been returned in time before the completion of the report. Care Homes for Adults (18-65 years) Page 5 of 28 Looking at two peoples care files in detail.Some time was spent with some of people who live at Bethany House. The inspector was accompanied by an expert by experience for three hours of the visit. An expert by experience is a person who because of their shared experience and or/ ways of communicating. Visits a service with the inspector to help them get a picture of what it is like to live in or use a service. During the visit they were asked to look at peoples daily life,social activities and the environment. Their observations have been used in these outcome areas. The site visit took place on the 16th December 2008. However some people living at the home were out at various activities. The new manager was available to assist throughout the visit and available for feedback at the end of the day. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are properly assessed prior to admission, this makes sure that Bethany House is the right place for them to live. Evidence: The manager confirmed that information is made available to anyone interested in moving into the home in the form of the service user guide before they move in. There have been no new admissions for sometime. People living at Bethany House have lived together for a number of years.But if they had a vacancy and someone was considering moving into the home they would be given the opportunity to visit the home and stay for a meal, overnight or whatever they were comfortable with.The manager is aware however of the need for comprehensive pre-admission assessments and explained that any such admission would be arranged via a planned introductory programme which would include visits to the home and a trial placement prior to this being made permanent.The assessment process would involve the person moving into the home, manager or deputy from the home,care manager,relatives or advocate.This would make sure that Bethany House is the right place for them to live. Each person Care Homes for Adults (18-65 years) Page 9 of 28 Evidence: living at the home had an individual placement agreement or terms and conditions, which had been agreed between them and the home. Care Homes for Adults (18-65 years) Page 10 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care provided is of a good standard and encourages people to make their own decisions about how they wanted to live their lives. Evidence: People living at the home looked well cared for and staff were seen supporting people during the day and it was clear that they understood individuals needs. They supported people sensitively and supported people to make choices. Each person has an individual care plan detailing their individual needs and the actions that staff needs to follow to meet these. The care plan focuses on the person and contained information about every aspect of the persons life, they focus on achievement and improving opportunities for individuals. The care plans were very detailed and covered all areas of how people lived their lives and how people preferred their care to be provided. All areas of daily life such as peoples daily routines, activities were covered in the plans. The document provided the reader with very good information, was easy to understand and gave a sense of the person. The plans are reviewed regularly. One Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: person who spoke to the expert by experience said, that whilst they were comfortable at Bethany House, it is only natural that they would prefer to live with their parents, but in summary, most of the residents are happy with the support and the surroundings provided. Through discussions with the manager at the time of the visit and the contents of care plans it was clear that people are able to make choices wherever possible. Care Homes for Adults (18-65 years) Page 12 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service are able to where possible make choices about their lifestyle and are supported by staff to carry these out. Evidence: People who live at Bethany House have the opportunity to attend specialist day centres. People also have days at home to participate in personal shopping, laundry and household tasks. Some people attend Harrogate College and do various courses such as cookery and baking. Some people have paid employment whilst other people are considering in looking for voluntary work in the new year. People continue to have opportunities to pursue other interests outside of the home such as going swimming, horse riding and belonging to various clubs such as a chess club and a walking club.Some people enjoy things such as woodwork. People enjoy going shopping and go to Harrogate, Knaresborough and Leeds. People living at the home had recently been Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: out for a Christmas meal to a pub in Harrogate. The manager also said that people had the opportunity to go out on day trips. This is what the expert by experience said after speaking to people living at the home. One person who lives at Bethany House is a regular attendee at the local chess club and another explained,I go to a workshop three days a week. We assemble things there and it is a good place to go to, have been going there for ten years now so it must be a okay! Other residents said they like to read and watch television and over the coming weeks there are plans to attend the pantomime although take up is low and to bake mince pies and there was a trip to a pub for a meal last week. A walking group has been instigated and whilst take up of this is also low, there are plans to keep up the impetus to encourage others to go along. One resident who is usually reluctant to go out at all had on the day of the visit been to a hospital appointment followed by a Christmas shopping trip,a significant event for them.Menus were looked at and those seen were varied giving people plenty of choices. Menus are on a two week rotation and most of the meals are cooked by the staff. The expert by experience spoke with people living at the home about food and this is what people said, Food is an issue that receives mixed opinions, one resident said,the food here is marvellous - you get nice meals and you can choose something else if you dont like what is on offer. Others said,sometimes the food is okay but not always, the mince last night wasnt nice at all, I had scrambled eggs instead so at least you can have a choice. Another resident said, I think the food is very good, they do us proud here altogether. The manager explained that the food budget has been increased and it is now possible to buy better quality meat and vegetables. There was a bowl of fruit in the dining area. Care Homes for Adults (18-65 years) Page 14 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare is provided appropriately and sensitively according to individual needs. Evidence: Each person living at the home is registered with a General Practitioner. People receive support from staff in attending dental and other health care service appointments. Peoples health needs were recorded in their individual care plans with additional stepby-step instruction as to how they wished to be supported. Care plans also detailed of any other health care support people recieve such as, dentist, chiropodist, CPN (community psyciatric nurse) psyciatrist and psychologist visits and care manager visits were recorded in peoples care plans. Harrogate District Hospital is used for Accident and Emergency service and most out patients appointments. This was confirmed as one person had an appointment at the hospital on the day of the site visit. The home operates a monitored dosage system. There is a policy in place for the storage and administration of medication for all staff working in the home to follow. The Medication Administration Records show that everyone receives their medication as prescribed. Records were up to date and well maintained. Medication seen in the Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: home was securely stored in a locked drugs cabinet. All unused medication is returned to the pharmacy. No controlled drugs are currently held. All staff that administers medication in the home have been provided with the neccessary medication training. Care Homes for Adults (18-65 years) Page 16 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have access to an effective complaints procedure and are protected from harm. Evidence: A comprehensive complaints procedure is followed and is made available to people and any other interested parties.People living at the home have regular meetings in which they can express any concerns.There have been three complaints since the last inspection, which have been investigated by the home with satisfactory outcomes. No complaints have been received by the home or the Commision since the new manager came into post in August of this year. People when asked were clear as to whom they would speak to if they had any concerns or worries. All said they would speak to either the manager or the staff. The expert by experience said in her report,Three residents said that if they had a problem or complaint, they would go direct to Anne, the manager with it, all the staff are very good but Anne is in charge so I would go to her. And, I might tell Anne the colour of the paint in here is not very nice. There is a policy and procedure with regard to safeguarding adults and the procedure to take if there is a suspicion of abuse and staff demonstrated a good awareness of this. Staff receive training in adult protection and safeguarding issues during induction training and further training when required. There have been no allegations regarding safeguarding made to the home or to the Commission for Social Care Inspection. Peoples finances were not checked at this site visit. Historical evidence from previous Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: reports gives evidence that their financial interests are safeguarded. Care Homes for Adults (18-65 years) Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable and safe home, however some parts of the environment require attention. Evidence: The home is a large Victorian property and provides spacious accommodation for people. This includes a dinning kitchen and lounge on the ground floor and a further lounge/games room in the basement. The home has two offices which are both in the basement as is the laundry facilities. There is one bedroom with en-suite facilities on the ground floor. On the first floor there are three bedrooms all of which have en-suite facilities.There is also a sleep in room for staff on the first floor. On the second floor there are a further three bedrooms one of which has an en-suite and there is a shared bathroom and a small kitchenette.There is also a second staff sleep in room. People who use the service all have single bedrooms.The home has a small garden to the front and a patio area to the rear of the property and there is on street parking to the front of the home. Peoples bedrooms seen had been personalised with posters and their various possessions such as CD players, television and items they had collected and made. Rooms have been decorated and furnished appropriate for their age. People spoke about the home to the expert by experience and this what the expert by experience findings were. The ground floor lounge is clean and well decorated and the Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: furnishings are comfortable although two residents expressed the opinion that they did not like the colour of the decor,I would like a warmer colour and I dont like yellows, I think it needs a change.Two bedrooms that were viewed were both very different in style, both residents stated that they are happy with their rooms. The first is large with en-suite facilities was clean and tidy and personalised. The second was less homely with cobwebs on the ceiling and in a corner of the room. When asked about cleaning, the second resident said, staff help me, they tell me what needs to be done and they watch me whilst I do it. I have a lot of tapes and DVDs and I keep some of them in black bags because there are so many.There has been a continous problem with infection control in an area of the home, however the home has been managing the situation and is working closely with the relevant agency to tackle the problem. There were three doors where the locks had been removed which left large holes in the doors. These need attention and the locks need to be replaced or the doors need to be repaired. The bedroom where there were cobwebs needs to be cleaned thoroughly. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staffing levels are in place in meeting peoples needs. However the lack of proper recruitment procedures and good staff training meant that people living at the home maybe put at risk. Evidence: Staffing levels were sufficient for meeting the needs of people. Duty rotas showed that there are usually three members of staff on duty in a morning and two staff in an afternoon. However due to staff sickness and annual leave the current rota showed that staffing went down to two staff on duty in a morning. At the weekend staffing levels decrease to two staff both morning and afternoon. This includes the managers hours.The manager said that staffing hours were increased and were dependent on what actvities people who live at the home were doing.This makes sure that peoples social activities are not compromised. At night there are two staff sleeping in on the premises.The organisation does not operates an official on-call system in case there is an emergency.The manager said that if there was an emergency then she would be contacted out of hours. An on call system was discussed with the manager and suggested that on call arrangements between the two homes the organisation owns in Harrogate maybe beneficial. The manager said the current arrangements for support out of hours would be looked at.The staff records of two staff one which was recently Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: appointed were looked at.These showed that not all the necessary pre- employment checks had been carried out prior to the new workers starting in post. All records showed completed application forms,but on one new staff file, two written references and the CRB (Criminal Record Bureau) checks had not been obtained. A POVA (Protection of Vulnerable Adults) first had been obtained and the manager said that a verbal reference had been obtained by telephone from their previous employer.The second staff file showed that their CRB check had been obtained by their previous employer and was dated 2003 with no further check being carried out by the home. This was discussed with the manager who said that she had questioned this practice and was told that things had changed and that they were to just get a verbal reference and a POVA first, for new staff before they commenced working in the home.There was evidence on the staff file that two written references had been requested, but no references had been returned.The recruitment of staff was discussed at the time of the site visit. The manager was told that the home was not following appropriate recruitment procedures and may be putting the people living at the home at risk, as they maybe employing unsuitable people, because they were not following the correct procedures as required by the regulations. The home provides mandatory training that is required. However, the manager said that some staff members training needs to be updated such as fire,health and safety and first aid.She said that this would be arranged in the new year. A range of other training has been completed by staff such as food hygiene,POVA,moving and handling, first aid and challeging behaviour and equality and diversity are just some of the training staff have attended. Five staff hold either NVQ (National Vocational Qualification) level 2 or 3 the deputy manager is completing NVQ level 4 and two staff are completing NVQ level 2 .The home does not currently have a registered manager, the acting manager has completed an application and was not aware if this has been forwarded onto the Commission for processing. Staff meetings are held regularly and minutes of meetings were seen at the site visit. People who live at the home who spoke to the expert by experience on the day spoke positively and this what the expert by experience said in their report, A third resident talked about living at Bethany House generally and said, it is lovely here, they (staff) really look after you, I like being here, and added, staff dont get paid very well, they need a pay rise. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well managed home in which their needs and wishes are put first. Evidence: The manager of the home has worked at the home since August of this year.She has a lot of experience in the care sector.The manager has completed an application form to be registered with the Commission, although she was not aware if her application to become registered has been submitted by the organisation.The home has a good and effective management team in place.The ethos of the home is open and positive.People who use the service and staff all commented highly about the home.The expert by experience said in their report. Residents all said they attend regular residents meetings but no-one was able to give an example of what might have changed or improved as a result of the meetings. All said, however, that they felt able to contribute to the process. There are some Quality Assurance systems in place, such as regular monthly visits are carried out by a representative from the organisation on behalf of the owner. Regular Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: house and staff meetings are held and minutes are taken. However the home does not currently collect this information together to see if any improvements can be made to the home.The manager should put into place a system that will help to identify any patterns and make any changes to the serviced provided. All accidents are recorded as required and an accident book is maintained in line with the requirements of Data Protection. Peoples finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded.The AQAA (Annual Quality Assurance Assessment) was sent out by us but however,the manager told us that this was not received before the inspection date. The examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 34 19 Appropriate recruitment procedures must be followed. This includes obtaining two written references and a CRB(Criminal Record Bureau) check before new staff commence working in the home. This makes sure that unsuitable people are not employed and people living at the home are not put at risk. 19/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 The registered person should make sure that all of the doors that have had the locks removed are either replaced with new locks or repaired. All staff at the home including new staff, should have all the relevant training they need especially fire training, health and safety and first aid.This makes sure that people Page 26 of 28 2 35 Care Homes for Adults (18-65 years) living at the home are protected from harm. 3 37 The registered provider is advised that an application to register the new manager is submitted to the Commission for processing. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!