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Inspection on 30/11/05 for Charles Curran House

Also see our care home review for Charles Curran House for more information

This inspection was carried out on 30th November 2005.

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 25 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is a high level of care provided and service users are encouraged to be as independent as possible and to move on to live in small group living situations. The assessment and phased transfer of a potential service user from another home into Charles Curran House was being handled with care and attention. The home was found to be generally very clean and odour free.

What has improved since the last inspection?

Most of the Inspector`s requirements from the last inspection have been achieved. In particular, a revised Statement of Purpose, revised complaints leaflet, and new business plan have all been produced. A few new staff have been recruited although others have left. Staff have been trained in adult protection. Some improvements have been made to the building such as reflooring shower rooms and fitting non-return valves on the washing machines. Further work has been done on person-centred planning. The senior support workers reported that health action plans are now in place for all service users, and three staff had been trained in the Tizzard method of Analysis of Applied Behaviours. The seniors were justifiably proud of the home`s success in preparing a service user to move into a supported housing scheme, and for the rehabilitation undertaken with a service user who had returned from a long period in hospital.

What the care home could do better:

There is still a high use made of agency staff due to the difficulties and slowness in recruiting permanent staff. The percentage of staff who have achieved NVQ`s in care has not yet reached the Government`s target. Further work must be done on person centred planning, and the care file that was case-tracked suggests a lack of attention to detail when keeping certain records, and a lack of internal auditing of these records. It would be good if advocates were available for service users who do not have family members to represent them. The home must review its policy on restraint and the recording of any instances of restraint. The home must also introduce a policy on the use and management of service users` money as at present service users have to pay for items that are normally provided at the proprietor`s expense in other care homes. Further redecoration of the home is required, which is probably beyond the scope of the handyman. It was noted in particular that some wooden window frames are falling apart, that trees are blocking the light to some bedroom windows, and lighting levels in some parts of the home are too low.Staff must be trained to make sure the home`s refrigerators are operating at the correct temperature. Cleaning chemicals in the laundry must be locked away as service users sometimes visit the laundry.

CARE HOME ADULTS 18-65 Charles Curran House 36 Boniface Road Ickenham Middlesex UB10 8BU Lead Inspector Robert Bond Unannounced Inspection 30th November 2005 10:00 Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 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 Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 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. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Charles Curran House Address 36 Boniface Road Ickenham Middlesex UB10 8BU 01895 674 935 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) lgarlick@hillingdon.gov.uk London Borough of Hillingdon Mrs Laraine Barbara Garlick Care Home 22 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 Brief Description of the Service: Charles Curran House is a purpose built two storey care home for adults with profound learning disabilities, operated by The London Borough of Hillingdon and opened in 1981. It is located at the end of a cul-de-sac, very close to the centre of Ickenham village and hence close to all local facilities and public transport. The home is divided into four units and can accommodate 22 permanent service users of either sex who usually have a mixture of learning and physical disability and sensory impairment. All service users attend day centres up to 4 days per week and the home has the use of three vehicles to take them out. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second unannounced inspection of the year and it concentrated upon inspecting against the key standards of the Government’s National Minimum Standards (NMS), and checking the home’s compliance with the requirements the Inspector made at the last inspection. The Inspector was on site for four hours and met various members of staff, and two service users. The Registered Manager was at a meeting but he was assisted by three senior support workers. He toured the home, examined records, policies and procedures and ‘case-tracked’ one service user’s file. The home currently has three vacancies for service users, but two potential service users are currently being assessed and are undergoing a phased introduction to the home. The home has a large number of staff vacancies, including 6 full time equivalent support workers, hence there is a high dependency on temporary agency staff, although most are regular workers in the home. The home’s performance was assessed against 16 of the NMS and the Inspector concluded that 6 of the outcomes for those standards were fully met, and 10 were only partly met. The inspector made 22 requirements, of which 2 are restated from the previous inspection, having not been achieved within the timescale previously set. The Inspector also made 4 recommendations. It was reported to the Inspector by the senior support workers he met on site, that the London Borough of Hillingdon have a modernisation plan for their Learning Disability Service that may lead to the ultimate closure of Charles Curran House, with the relocation of staff and service users into smaller sized homes. What the service does well: There is a high level of care provided and service users are encouraged to be as independent as possible and to move on to live in small group living situations. The assessment and phased transfer of a potential service user from another home into Charles Curran House was being handled with care and attention. The home was found to be generally very clean and odour free. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: There is still a high use made of agency staff due to the difficulties and slowness in recruiting permanent staff. The percentage of staff who have achieved NVQ’s in care has not yet reached the Government’s target. Further work must be done on person centred planning, and the care file that was case-tracked suggests a lack of attention to detail when keeping certain records, and a lack of internal auditing of these records. It would be good if advocates were available for service users who do not have family members to represent them. The home must review its policy on restraint and the recording of any instances of restraint. The home must also introduce a policy on the use and management of service users’ money as at present service users have to pay for items that are normally provided at the proprietor’s expense in other care homes. Further redecoration of the home is required, which is probably beyond the scope of the handyman. It was noted in particular that some wooden window frames are falling apart, that trees are blocking the light to some bedroom windows, and lighting levels in some parts of the home are too low. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 7 Staff must be trained to make sure the home’s refrigerators are operating at the correct temperature. Cleaning chemicals in the laundry must be locked away as service users sometimes visit the laundry. 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. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 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 Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4. The outcomes for these standards were all fully met EVIDENCE: NMS1: The home’s certificate of registration is now fully displayed, and is displayed in a public area. The home’s Statement of Purpose has been extended and now meets the required standard. NMS2: The Inspector examined the papers relating to a potential service user and found that a thorough assessment process was being followed. NMS4: The potential service user is currently going through the process of introductory visits. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The outcome for NMS 6 was not fully met for the reasons stated below. Requirements 1 to 4 and Recommendation 1 should be applied to all the service users’ care files. See NMS 43 on quality monitoring. EVIDENCE: NMS6; The Inspector examined in detail (case-tracked) the care plan and other documents on the care file of one service user chosen at random. Positive aspects seen were: emergency details, a photograph of the service user, a document entitled ‘what is being said’, his health action plan, his person centred planning book which although still a work in progress contained a lot of photographs, three-monthly reports, the care plan itself, notes of a review that had been attended by his sister, and a care plan relating to his day centre attendance. However there were seen to be a number of areas of concern as well. The service user’s ‘handling assessment’ had not been reviewed according to the dated record since 24/03/04. The senior support worker reported that such reviews should be undertaken 6 monthly or as necessary. See Requirement 1. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 11 The ‘risk taking action plan’ had not been signed or dated. Risk assessments had not been consistently reviewed and updated. The senior support worker reported that this should take place every 3 to 6 months. See Requirement 2. The service user’s weight chart was only periodically completed. The senior support worker reported that this should be done monthly. See Requirement 3. Although a review had been held on 7/12/04, the care plan in use still referred to that date as being the next review date, in other words the care plan had not been updated following the last review. See Requirement 4. The file also contained ‘community care plan’ that had been produced by Hillingdon’s Social Services Department. This document contained identified aims that the senior support workers considered to be unrealistic or unachievable for the service user in question, such as ‘socialising independently’. The senior support workers were unclear about the purpose and value of the community care plans they had been sent. See Recommendation 1. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS17. The other standards in this section were not inspected this time. The outcome for NMS 17 was fully met EVIDENCE: NMS17: A senior support worker reported that a cook had been appointed to fill the vacant post, but the post was vacant again. Hence meals were mostly being prepared in the units by the support staff. The Inspector observed a member of staff cooking lunch. The Inspector examined the menu, choices available and the times that meals were served. It was clear that the required degree of flexibility was present. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS20. The outcome for NMS20 was fully met. EVIDENCE: The Inspector examined the medication storage arrangements in one unit, and checked a sample of the administration records. No errors were found. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The outcome for NMS 22 is fully met. The outcome for NMS 23 is not fully met due to concern about service users’ money being spent on items that are normally paid for by the care home proprietor. EVIDENCE: NMS22: The Inspector checked the record of complaints. None had been received since before the last inspection. A revised complaints leaflet in pictorial form has been introduced for the benefit of service users that does now mention the role of the CSCI concerning complaints. NMS23: A senior support worker reported that all staff have now undertaken The London Borough of Hillingdon’s in house adult protection training. The Inspector noted that the home does now have a copy of Hillingdon’s ‘Safeguarding Adults’ booklet. See also NMS 41 and Requirement 18 regarding protection from financial abuse Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The outcome for NMS 24 is only partly met for the reasons stated below. The outcome for NMS 30 is almost met. EVIDENCE: NMS24: The Inspector toured the home, accompanied by a senior support worker. The following are the adverse aspects he noted, but there were also many positives. Some furniture and carpets should be replaced such as in the Lower Northside unit’s lounge. Requirement 5. Rotting window frames must be made good. Requirement 6. Some areas of the home must be redecorated, such as the vacant bedroom in Upper Northside, and scuffed skirting boards. Requirement 7. Trees in the garden that make the rooms excessively dark must be cut back. Requirement 8. Air well covers must be cleaned, as for example those above the dining tables in Fernside, in order for the outcome for NMS30 to be fully met. In all other respects the home is clean and hygienic. Requirement 9. The lighting level in Fernside’s bathroom must be increased. Requirement 10. Lighting levels in service users’ bedrooms must be reviewed as the lighting in a Fernside bedroom seemed to be inadequate. Requirement 11. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 33 The outcomes for both standards are not fully met for the reasons stated below. EVIDENCE: NMS32: The senior support workers reported that the home has 23 support staff, and of these 7 have to date obtained NVQ’s level 2 or 3 in care. This is equivalent to 30 . The Government target is 50 . However a further 6 staff are undertaking the awards at present. See Requirement 12. NMS33: The senior support workers reported that currently the vacant weekly hours that the home has are: team leader 16, support workers 208, night workers 86, domestics 40, and handyman 20; a total of 370 hours. 14 hours are being covered by an employee of Hillingdon’s reserve team; 300 hours by the use of temporary agency staff. Clearly this high use of agency should be avoided and reduced as a way to improve outcomes for service users. It was reported that 4 new staff have been recruited but are awaiting their preemployment checks. It may be that POVA First could be used to speed this up. A further recruitment drive is indicated, but in the meantime if there are any issues concerning specific agency staff being unsuitable in any way, action should be taken to put matters right. See Requirements 13 and 14, and Recommendations 2, 3 and 4. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 40, 41, and 42 The outcome for all these standards are not fully met for the reasons stated below. EVIDENCE: NMS39: There is now a current annual development plan for the home. However the Inspector is concerned that the continuous self-monitoring of quality standards and the internal audit that are required by NMS 39.3 are not happening, or at least not in a totally effective way. This judgement is based on the shortfalls identified in the care file that was case-tracked. See Requirement 15. NMS40: The Inspector requested to see the home’s policies on ‘restraint of service users’ and ‘management of service users’ money and financial affairs’. The Inspector was handed an incomplete version (an appendix was missing) of a restraint policy dated 1998. A complete and updated policy is required. See Requirement 16. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 18 NMS41: The Inspector asked to see the homes records of any restraint of service users that had taken place. He was told that there no records as the home’s policy was that restraint was never to be used. However one of the senior support workers recalled an incident where a service user did have to be restrained from running into the road. Records of such events are necessary, particularly as the incident referred to was in public and might have led to questions being raised by concerned members of the public. See Requirement 17. The Inspector asked to see the homes records of how service users’ money is spent and accounted for. A record chosen at random showed that a service user’s money had been spent on a new valence for his bed. The Inspector was told that all service users had to pay for provision of their bed linen. This is unusual and may be inappropriate. The home needs to have in place a satisfactory policy on ‘the management of service users money and financial affairs’ that accords with NMS 23.6 in the ‘Protection from abuse’ section of the Standards. See Requirement 18. It will also be necessary to refer to any agreed extra costs that will be incurred by the service user in their contract or terms and conditions of their placement. See Requirement 19. NMS42: The following Health and Safety concerns were identified. In Fernside the refrigerator was seen to be operating at 8 to 9 degrees Centigrade and had been for some time. No action had been taken to reduce its operating temperature to be within the 0 to 5 degrees range. Staff will need to be trained to take appropriate action when Health and Safety issues such as this arise. The same issues were found concerning the refrigerator for the storage of meat kept in the main kitchen. See Requirements 20 and 21. In the laundry, which is sometimes used by service users, washing up liquid and other detergents were not being locked away. Requirement 22. Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X 3 X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 2 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Charles Curran House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 2 2 2 2 X DS0000032472.V260601.R01.S.doc Version 5.0 Page 20 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 YA6 Regulation 13 (5) Requirement The registered person shall make suitable arrangements to provide a safe system for moving and handling service users. The registered person shall ensure that the assessment of service users is kept under review. The registered person shall ensure the care home is conducted so as to promote the health of service users (by for example regularly weighing and recording the weight of service users). The registered person shall keep the service user’s plan under review and revise the service user’s plan. Furniture and carpets must be kept in a good state of repair The premises must be kept in a good state of repair externally (window frames) All parts of the home must be reasonably decorated The premises must be kept in a good state externally (cut back trees) DS0000032472.V260601.R01.S.doc Timescale for action 01/01/06 2 YA6 14 (2) (a) 01/01/06 3 YA6 12 (1)(a) 01/01/06 4 YA6 15 (2) (b and c) 23 (2) (b) 23 (2) (b) 23 (2) (d) 23 (2) (b) 01/01/06 5 6 7 8 YA24 YA24 YA24 YA24 01/02/06 01/03/06 01/03/06 01/03/06 Charles Curran House Version 5.0 Page 21 9 10 11 12 YA24 YA24 YA24 YA32 23 (2) (d) 23 (2) (p) 23 (2) (p) 18 (C) (i) 13 YA33 18 (1) (b) 14 YA33 18 (1) (a) 15 YA39 24 16 17 18 YA40 YA41 YA23YA41 13 (7) 13 (8) 13 (6) 19 YA5YA23YA41 5 (3) All parts of the home must be kept clean (light well covers) Lighting suitable for service users must be provided (bathrooms) Lighting suitable for service users must be provided (bedrooms) Staff must receive training appropriate to the work they do (target of 50 to gain NVQ’s) THIS IS RESTATED FROM THE PREVIOUS INSPECTION REPORT. THE TIMESCALE WAS NOT MET. The registered person must ensure that the employment of temporary staff will not prevent service users from receiving such continuity of care as is reasonable to meet their needs. The home must recruit an effective staff team and have low use of agency staff. THIS IS RESTATED FROM THE PREVIOUS INSPECTION REPORT. THE TIMESCALE WAS NOT MET. The registered person shall establish and maintain a system for reviewing the quality of care (including care records). A complete and up to date policy is required on ‘restraint of service users’. Details of restraint undertaken must be recorded A policy is required on the management of service users money and financial affairs so that service users are protected from financial abuse. The registered person shall provide service users with a copy of the placement agreement specifying the DS0000032472.V260601.R01.S.doc 01/02/06 01/01/06 01/01/06 01/04/06 01/01/06 01/04/06 01/02/06 01/02/06 01/01/06 01/03/06 01/03/06 Charles Curran House Version 5.0 Page 22 arrangements made. 20 21 YA42 YA42 13 (4) (C) 13 (6) All refrigerators must be set at the correct level Staff must be trained in spotting, reporting and correcting health and safety issues. All cleaning chemicals in the laundry must be locked away. 01/12/05 01/02/06 22 YA42 13 (4) (C) 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA6 YA33 Good Practice Recommendations The content of the community care plans should be reviewed, and the purpose and value of them explained to staff in the care home. The Registered manager should contact the Human Resources section of Hillingdon Council to make sure they are taking advantage of the benefits of ‘POVA First’ which enables employees to start work pending their CRB’s coming through. A further recruitment drive is recommended. The Registered Manager should liaise with the managers of other Hillingdon care homes and with the employment agency so that only the most suitable agency staff are employed at Charles Curran House. 3 4 YA33 YA33 Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Charles Curran House DS0000032472.V260601.R01.S.doc Version 5.0 Page 24 - 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!