Inspection on 14/08/07 for Blakeney House

This inspection was carried out on 14th August 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Blakeney House 01/11/06

Blakeney House 15/02/06

Blakeney House 25/09/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Blakeney House 33-35 Park Road Westcliff On Sea Essex SS0 7PQ Lead Inspector Ann Davey Unannounced Inspection 14th August 2007 09:45 Blakeney House DS0000062585.V344707.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 Blakeney House DS0000062585.V344707.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. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blakeney House Address 33-35 Park Road Westcliff On Sea Essex SS0 7PQ 01702 335724 01702 335986 blakeney@consensahealthcare.org www.concensusupport.com Caring Homes Healthcare Group Ltd 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) Mrs Amanda Jane Shelmerdine Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2006 Brief Description of the Service: Blakeney House is registered to accommodate 10 young adults with a learning disability. The home is a large detached property situated within walking distance of Southend town centre. All bedrooms are single and have ensuite facilities. There are adequate lounge, dining and communal rooms. The home has a good-sized car park and a rear garden/patio area. The current scale of charge ranges between £1331.78 - £1805.09 per week. The actual fee depends on the source of funding and assessed care needs. There are additional charges for items of a personal nature. The home has a current Statement of Purpose and Service’ User’s Guide which are available upon request. The Service User’s Guide is in a ‘user friendly’ format’. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced site visit that started at 9.45am and finished at 4.15pm. The last key inspection took place on 1st November 2006. The manager said that residents in Blakeney House would like to be referred to as ‘service users’ and this terminology is reflected throughout the report. The manager, staff and a visiting professional were spoken with during the course of the inspection. Six service users were accommodated. The Commission sent surveys to the home for service users (or a representative) to complete and return. The home arranged for staff from a sister home to assist service users in completing the surveys in order to promote independence. Six surveys were completed and returned. Comments from the surveys have been reflected within the report. Service users living in the home have limited communication skills and abilities and this influenced the manner in which the inspector was able to discuss with them the various aspects of living in the home. Some service users were able to express their personal views and these have been reflected within the report. The inspector spent time with service users normally in the presence of a member of staff. The day was pleasant and the home was co-operative and helpful. On this occasion, the inspector was accompanied by a Commission for Social Care Inspection line manager. The day coincided with a half-day ‘in-house’ training session that involved the manager. The inspector was assisted by the deputy manager in the morning and both the manager and deputy manager in the afternoon. A service user kindly agreed to show the inspector around the home. Care practices were observed and a random selection of records viewed. A notice advising any visitors to the home that an inspection was taking place was displayed in the main entrance hallway. The notice extended an invitation to anyone who may like to speak with the inspector to make themselves known. There were no visitors to the home during the inspection. All matters relating to the outcome of this inspection were discussed with the manager and notes were taken. Full opportunity was given for discussion and/or clarification both during and at the end of the inspection. What the service does well: There are a number of positive aspects with this home. The home was able to demonstrate that it can care for and manage a diverse and complex group of care needs. Effective communication means that staff know about assessed Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 6 care needs and how to manage and deal with unpredictable behavioural patterns which service users sometimes exhibit. The home was able to demonstrate that it has effective links with other care and health professionals who support the home in meeting care needs. Staff receive good training that means they have the expertise and skill to deliver good care. Staff were very supportive and caring in the way they dealt with service users. The environment is pleasant, clean and well maintained. The home supports and enables service users to lead a fulfilling and meaningful social and recreational lifestyle. The home demonstrated that it actively involves services users according to their respective ability and capability in the day-to-day running of the home. During the inspection, service users were very much part of the process and staff managed the interaction well. Staff gave the impression that they enjoyed their work and rapport with service users was natural, supportive and friendly. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users, families and interested parties can expect to receive current information about the home and be assured of a robust pre-admission assessment process. EVIDENCE: The home has a current Statement of Purpose and Service User’s Guide. The Service User’s Guide is in a ‘user friendly’ format. Documents allow prospective service users, families and all interested parties to see what the home has to offer. No new service users have been admitted to the home since the last inspection. The home has a clear admission policy demonstrating that prospective service users wishes and needs would be assessed prior to any admission being agreed. Staff explained the process that would allow and encourage any prospective service user (and their families) to visit the home before any admission is agreed. Within the service user’s surveys, four residents confirmed that they had been actively involved in the process in moving to the home. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 9 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): 6,7,8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to have a plan of care drawn up by the home that reflects their wishes and details their assessed needs. EVIDENCE: The home is currently reviewing and updating the care plan/risk assessment documentation system. Two files have been completed, one is being processed and three are still to be reviewed. The two files that have been updated reflected assessed care needs, how they are to be met by the home, evidence of review, current risk assessments and associated health care records i.e. GP visits. It was positive that the recommendation made at the last inspection for service users views and opinions to be recorded in more depth has been addressed by the home. The home advised that all care plans will be updated by the end of August 2007. The records that have been reviewed and updated met with the required standard and on the basis that the home assured us that all other care plan Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 10 documentation would be reached and maintained to the same benchmark, the Commission would assess this standard as being met. It is also important that daily records made and held on service users are more detailed. Entries such as ‘assisted in personal care’ and ‘responded well to night time prompts’ are not sufficient in detail to inform the care plan reviewing process. Conversely, there was some very good information detailing how one service was occupied during the day. The home should develop some continuity about how daily records are maintained. Service users living in the home have very complex and diverse care needs. Staff spoken with had a good understanding of individual care needs. Through observation of care practices during the day, staff demonstrated a good understanding of when and how to use appropriate behavioural management techniques. Communication between service users and staff was friendly and supportive. Feedback from information within service users’ surveys indicated that services user’s are regularly consulted about their wishes and preferences and are happy with their care. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported in participating and experiencing a variety of social and leisure activities and be provided with a balanced varied diet. EVIDENCE: The home was able to demonstrate that service users are encouraged and supported which enables them to enjoy a fulfilling and meaningful lifestyle appropriate to their age and ability. The home demonstrated that it respects cultural diversity and ethnicity. All service users have a daytime activity programme i.e. day centre(s) or community project(s) and the home has a programme of internal and external evening activities. The home has a mini bus to transport service users into the community. Staff spoke about the various holiday opportunities for residents. The inspection coincided with a summer break from outside activities i.e. day centres, but service users were actively and meaningfully occupied within the home. Some service users were Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 12 assisting staff who were carrying out light household tasks, others were receiving 1:1 support whilst others were being supervised in an appropriate manner whilst enjoying a leisure pursuit. Not all service users have active family involvement. The home explained how it ensures that all service users are ‘linked’ with an independent agency or person who can/or will represent their best interests. For example, an advocacy system, or by the way staff from a sister home assisted service users to complete surveys. The inspector observed lunch being prepared and served. Service users were helping in the preparation of lunch and choice was being offered. Staff and residents ate lunch together and it was a very sociable occasion. Records demonstrated that the home provides a balanced varied menu according to individual likes and preferences. Feedback from services users’ surveys was very positive about activities within the home and service users felt that they have control and choice in what they participate in. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to receive good health and personal care support. EVIDENCE: Care plans demonstrated that service users health and personal needs are assessed, recorded and how they to be met and who by. As previously recorded, the home is updating care plan documentation and on those records completed, information was appropriate and detailed. As records are being updated, the home is ensuring that individual service users views, wishes and opinions are recorded in more depth than before. Many residents have complex and diverse health and personal needs. The home was able to demonstrate that it liaises with appropriate social and health care professionals to ensure that assessed needs are met and managed i.e. non verbal communication systems, managing aggressive behaviour techniques and care needs associated with sensory disability. Service users were dressed in keeping with their age and gender. One service user said that they could choose what clothes they want to wear. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 14 Medication is stored in a secure place. The storage of medication was orderly and there was no evidence of overstocking. There were no anomalies within the medication recording system. PRN (as/when required) protocols were in place. The home was able to demonstrate that it has a medication policy. This was not viewed. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 15 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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to have their complaints taken seriously and be protected by the home’s ‘safeguarding adults from harm’ procedures. EVIDENCE: The home has a ‘user friendly’ pictorial complaints procedure in place. It would be more helpful to service users if the procedure was displayed in an area used by residents i.e. dining room, instead of the office. The home acknowledges that not all service users would have the ability to verbally raise a concern. The home demonstrated that systems are in place through non-verbal communication to identify when a service user may not be happy about something. The home felt that although some service users have diverse and complex needs, all would be able to express dissatisfaction in a way that staff would recognise. The home has adequate external support systems in place to support service i.e. families, advocacy, day centres and community projects. The home has a recognised complaints logbook. A discussion took place about the current system used to record complaints. Detail within the book should be more detailed and the information should be recorded in a more structured format. Feedback from service user surveys indicated that the majority knew how to make a complaint. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 16 Staff spoken with understood the concept of ‘safeguarding adults from harm’ and were competent about what they would do should a suspected incident be detected. Records demonstrated that staff have undertaken appropriate training. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to live in a clean, comfortable and safe environment. EVIDENCE: A partial tour of the home was made. The environment was warm, bright and comfortable. Good use has been made of colour schemes through the home. A member of staff and a resident accompanied the inspector around the home. With their consent, two service users showed their respective bedrooms to the inspector. Both rooms were decorated and furnished to reflect gender, age and care needs. The dining area was functional and doubles as an activity room. There was an informative ‘user friendly’ notice board on the wall. The lounge area was furnished in a sparse way and looked rather ‘unhomely’. The manager said that because some service users need the use of wheelchairs whilst others because of behavioural patterns can mistreat furniture and fitments, therefore the lounge area appears minimalist. The home recognises the difficult balance in Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 18 providing and maintaining an environment which is suitable and appropriate for such diverse needs. Utility areas such as the kitchen and laundry were clean, tidy and orderly. Cupboards containing cleaning substances and electrical equipment were locked. The home has an attractive well maintained rear garden area that is ‘user friendly’. There is a decking area and gazebo with table and chairs. During the day, service users were seen to utilise and enjoy this area. Feedback from service user surveys was unanimous in the view that the home was clean and fresh Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 19 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 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users can expect to be cared for by a team of trained staff in numbers that are adequate to meet assessed needs, but service users cannot be assured that the staff recruitment practice is robust. EVIDENCE: The home is currently staffed to provide care for the six service users accommodated. The manager said that additional staff would be employed if further service users were admitted. The staff rota demonstrates that four support care staff are on duty at all times during the day. The manager works core hours Monday – Friday. The home does not employ domestic staff. A ‘maintenance man’ undertakes maintenance duties/tasks. At night two staff are on duty. The manager said that there are currently no staff vacancies. It was noted that one member of staff is working a regular 15 hour day shift. The home acknowledges that this is not good practice and said that this will be addressed once the two newly recruited members of staff have completed their induction. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 20 The files of the two most recently recruited members of staff were viewed and anomalies were noted on both. The home’s procedure says that three references must be sought, one being from the previous employer. On both files only one reference had been taken up and the induction records had not been completed or were competed in part only. There was no evidence that qualifications had been checked out or the original documents had requested and seen at the interview stage. Details of the previous employment histories were sparse and the ‘gaps’ in the record had not been checked by the home. The home produced a detailed staff training matrix. The home provides good training opportunities which compliments the wide range of care needs. Staff spoken with demonstrated a good understanding of different needs and appreciated the training they had received. Staff demonstrated competence and expertise in their discussions about the various care needs of residents. Records demonstrated that there are regular staff supervision sessions and staff meetings. Staff members confirmed these activities. Through observation, staff undertook their duties in a caring supportive manner. One member of staff in particular was observed to be managing a small group of residents whilst undertaking other duties in a very relaxed yet competent manner. This member of staff and the group of residents were relating well to each other. Details were given to the manager. An external trainer was in the home during the inspection and was happy for their view to be recorded in this report. The trainer felt communication in the home was effective, staff had a good understanding of health and safety matters and the management of aggressive behavioural patterns exhibited by some service users was well managed. The trainer also said that staff are not only ‘trained’ but also undertake competency assessments. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to live in a home that is managed in a competent manner. EVIDENCE: The manager has the Registered Manager’s Award and the City and Guilds 325/2 in Management of Care. The manager hopes to complete the NVQ level 4 training by the end of the year. Since the last inspection the home has appointed a deputy manager and together they function well as a management team. Staff expressed confidence in the management structure and said that the manager was supportive. From observed interaction during the day, the Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 22 relationship between staff and manager is effective, supportive and friendly. The home works well as a team. It was positive to see how the views and opinions of residents are sought in a variety of ways is service users meetings, 1:1 sessions. This process underpins the manner in which the home is managed on a day-to-day basis. Communications systems work well in the home. Staff spoke of ‘handover’ sessions, team meetings and good 1:1 dialogue with their colleagues. The home uses an effective ‘daily communication sheet’ which provides information such as staff role delegation, which member of staff is to provide 1:1 care to identified service users and which member of staff is responsible for checking maintenance matters. The home has a newly revised polices and procedures document. This is well laid out and in a ‘user friendly’ format. Environmental and safe working risk assessments were in place. Some assessments need review to comply with the home’s policy of reviewing this documentation within a given timescale. The home has an established system in place to address emergency work i.e. water leaks. Other regular maintenance issues are addressed on a regular basis via a ‘maintenance record book’. The home has an accident policy and an accident record book was in place. Records were available to demonstrate that fire fighting equipment and the emergency lighting system are checked on a regular basis to ensure that they are in good working order. The manager undertakes a monthly ‘management review’ and completes a document that is sent to Head Office. The home could not demonstrate that the registered provider has undertaken a Regulation 26 visit (visit by the owner or nominated person) since May 2007. The regulatory requirement is that a visit is made at least once a month. A random selection of service and maintenance certificates were seen and found in good order. The home is currently sending out surveys to families and other health care professionals so that an internal quality assurance report can be produced. Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 23 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 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 24 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 YA34 Regulation 18 Requirement The home must ensure that staff recruitment and induction records are maintained in accordance with regulatory requirements. This is to ensure that service users are safe and cared for by staff whose personal and professional details meet with requirements. 2 YA43 26 The registered provider (or a representative) must undertake monthly visits to the home and prepare a report on the conduct and management of the home. 15/09/07 Timescale for action 15/09/07 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 Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Blakeney House DS0000062585.V344707.R01.S.doc Version 5.2 Page 26 - 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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