Inspection on 07/08/08 for Clarence House

This inspection was carried out on 7th August 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Clarence House 14 Cemetery Road Dewsbury West Yorkshire WF13 2RY Lead Inspector Carol Haj-Najafi Key Unannounced Inspection 7th August 2008 10:30 Clarence House DS0000070631.V362329.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 Clarence House DS0000070631.V362329.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. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clarence House Address 14 Cemetery Road Dewsbury West Yorkshire WF13 2RY 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) Care Network Solutions Ltd Mr Bashrat Hussain Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD. The maximum number of service users who can be accommodated is: 10 First Inspection 2. Date of last inspection Brief Description of the Service: The home is registered to provide personal care for 10 people with a learning disability who may also have complex behaviours. Clarence House is a large detached property near the centre of Dewsbury. The property and gardens are enclosed. There is a small car park and on road parking. The home is on a good bus route to Dewsbury, Mirfield and Huddersfield and is within easy walking distance to Dewsbury town centre and all of its shopping and leisure facilities, there is a park nearby. The property is on two floors with four single bedrooms to the ground floor and six single bedrooms to the first floor. The home is divided into two units, and will operate as two separate units. Each unit has its own lounge/dining area, bathroom and fully equipped kitchen. At the time of the inspection only one person was living at the home. When the home is fully operational, the first floor unit will accommodate six males and the ground floor unit will accommodate four females. All bedrooms have an en-suite facility. Three have been fitted with wet rooms, the others have shower cubicles and all have toilets and sinks. All bedrooms are lockable. The registered manager said the Statement of Purpose and service user guide were in the process of being printed. At the time of the inspection the weekly fee was £1389.91. Up to date information is available at the home. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The Commission for Social Care (CSCI) inspects care homes to make sure the home is operating for the benefit and well being of the people who live there. More information about the inspection process can be found on our website www.csci.org.uk This is the first key inspection. Before this unannounced visit we reviewed the information we had about the home and the registered manager completed an annual quality assurance assessment (AQAA). We used this information to help us decide what we should do during our inspection visit. We received a survey from the person who lives at the home. Comments from the survey have been included in the report. One inspector was at the home for one day from 10.30am to 3.15pm. During the visit we looked around the home and talked to the person who lives at the home, staff and the registered manager. We observed staff working alongside the person who lives at the home and looked at care plans, risk assessments, daily records and staff records. Feedback was given to the registered manager at the end of the visit. What the service does well: The home gathers a lot of information before people move in. They spend time with people to make sure they have the right information. One person said, “I looked around before I told people I want to stay.” The care plans and assessments are excellent and give the people real ownership and control over their lives. One person said, “Staff ask me what I want to do.” People have a stimulating and fulfilling lifestyle and are encouraged to achieve their goals and aspirations. One person said they have done a lot of different things since they moved into Clarence House. Staff said the home is very good at promoting independence. People live in an attractive, homely and clean environment. They are encouraged to see the home as their own. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 6 The home is well managed. One staff member said, “Communication is very good. We all do the same and focus on promoting independence. 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. Clarence House DS0000070631.V362329.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 Clarence House DS0000070631.V362329.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 People who use the service experience good quality outcomes in this area. People’s needs are properly assessed before they move into the home and they are assured their needs will be met. People are told what to expect when they move in but the production of a service user guide would make sure people have the right information. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: We talked to the person who has moved into the home. They said, “I looked around before I told people I want to stay.” They said they met the director, regional director and manager before they moved in, and talked about the type of support they wanted. They told us they are very happy living at the home. The home had gathered a lot of information before the person moved in. They completed very detailed assessments and obtained information from others who could contribute. They spent time with the person to make sure they had the right information. The assessments contained good information about the type of support the person required. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 9 The person said they did not receive a brochure or any written information about the home before they moved in. The registered manager said the service user guide is currently being printed. The person’s file had a service user charter but this was not specific to Clarence House. It contained information that did not apply to the home. For example it used the term resident but this term is not used at Clarence House; it told people they should purchase a TV licence and told people to have name labels sewn in clothing. Systems are in place to make sure placements are properly reviewed. The person said they are having a review in the next few weeks to talk about ‘how things are going’. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use the service experience excellent quality outcomes in this area. People are actively involved in the care planning process and are given control over their lives. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: We talked to the person who lives at the home. They are very happy with the care and support they receive. They were familiar with the care plans and assessments that were in their file. They said, “Staff ask me what I want to do.” We looked at the person’s file. The care plans and assessments were excellent and gave the person real ownership and control over their life. A care planning tool called ‘my plan, my life, my prospect’ had been completed with the person Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 11 and this identified what the person would like to do and what they would like to learn. Additional care plans and assessments had also been completed. The plans were well written and described very clearly how the person’s needs should be met. It was evident that staff were following the plans and understood their purpose. One staff member said, “It’s important we all do the same because the plans are what (name of person) has chosen.” The file had a section for infringement of rights. Any restrictions were very clearly identified. For example sharp knives are in a locked draw; this was recorded as a generic infringement. The person said they had not been able to have a certain item in their room but the manager had explained the reasons and had offered an alternative. They said they understood the reasons and were happy with the outcome. The infringement was well documented. The person who lives at the home and their keyworker said they have meetings to discuss the home. They said it is very limited at the moment but as people move in they will become involved. In the AQAA the manager said, “Service users have a say in making decisions with regards to activities or menus and general things about the home. We have to achieve maximum input from the service user.” Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience excellent quality outcomes in this area. People who live at the home have a stimulating and fulfilling lifestyle and are encouraged to achieve their goals and aspirations. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The person said they have done a lot of different things since they moved into Clarence House. They said the main things they have enjoyed are gardening, cycling and football. They had joined a football tournament, purchased items to make hanging baskets and serviced the bikes to make sure they were safe. They said they are looking forward to starting a work experience placement with a garden centre in the next few weeks. The person said staff help them to maintain contact with their family. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 13 Staff said they complete a weekly planner with the person, which helps them achieve their goals and aspirations. They said they are supporting the person to look at what they would like to do in the future, and are exploring college courses and the possibility of paid work. They have involved other agencies who are also providing support and advice. The person engages in activities and routines that are appropriate for their age and gender. The person said they are involved in daily living and staff provide the right amount of support. They shop for food and cook meals with staff support. They have a cookbook that identifies meals they can cook. Staff said the home is very good at promoting independence. Care plans clearly identify how the person’s independence, privacy and choice should be promoted. Daily records had good information which confirmed care plans were being followed. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 14 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 People who use the service experience excellent quality outcomes in this area. People’s health and personal care needs are well met. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The person who lives at the home said they get the right support with personal and healthcare. They said staff always treat them with respect and are ‘fair’. In the AQAA the manager said, “On arrival to the home people are registered with GP, chiropodist, dentist, optician etc and full health check is done.” The person’s file had a healthcare section. Information told us people’s health and welfare is properly monitored. Weight is monitored and healthcare appointments are clearly recorded. Records identify any changes in needs and any significant events. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 15 We looked at medication systems. Medication is well organised and good systems are in place to make sure the right medication has been administered. The administration records were completed correctly. A self administration assessment has been completed and the person’s care plan provides a step by step guide of how medication should be administered. We observed medication administration and the care plan guidance was followed. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 16 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 People who use the service experience adequate quality outcomes in this area. People are confident that they will be listened to and any concerns will be dealt with appropriately. The home does not have a robust procedure for responding to suspicion or evidence of abuse, which places people at risk. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The survey from the person who lives at the home said, “I can speak to the manager or staff if I am unhappy.” Staff also said they report any concerns to the manager and they are confident these would be dealt with effectively and promptly. The complaints procedure is displayed at the entrance of the home, and a copy is in the file of the person who lives at the home. In the AQAA the manager said the home has not received any complaints. We talked to the registered manager and staff about safeguarding. They were able to describe the different types of abuse. They said they would report any concerns if they suspected abuse or had an allegation of abuse made to them. But they were unsure of where to report concerns. The manager was unsure about his responsibility to refer any allegations of abuse to the local authority. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 17 The home did not have the contact details for the local authority so would not be able to make a safeguarding referral. The home’s safeguarding policy stated that it links to the safeguarding procedure but the manager could not find the relevant procedure. The manager agreed to contact the local authority and obtain the relevant details and locate the safeguarding procedure. Staff have completed safeguarding training as part of their induction training. The training comprises of a workbook which staff complete, and then the manager assesses the completed workbook. The manager agreed to look into the possibility of attending some external safeguarding training. The registered manager said there has been no allegations or suspicions of abuse since the home was registered. We looked at the system for supporting people with their personal allowance. Transactions are clearly recorded and the level of support is clearly recorded in the person’s care plan. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good quality outcomes in this area. People live in an attractive, homely and clean environment. Overall, the home is well-maintained but hot water temperatures put people at potential risk. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The person who lives at the home showed us around. The home is furnished and decorated to a high standard, and was clean, tidy and well organised. Lounges are fully furnished with comfortable seating and are nicely decorated in bright modern colour schemes. Both kitchens are appropriately equipped with cooker, dishwasher, fridge and freezer and all other equipment necessary to make a home. The person who lives at the home invited us to look at their bedroom. They said they are very happy with the room, and had been able to put posters and Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 19 pictures on the wall. The room was personalised and it was evident that the person had created an area that reflects their interests and preferences. Bedrooms have been painted and carpeted. Nine rooms were vacant and not all had been fitted with furniture. This will give people who move into the home an opportunity of choosing their own furniture, colour scheme and fabrics. All bedrooms are lockable. The person who lives at the home confirmed s/he has a key to his/her room and staff only enter when invited. The property and gardens are enclosed. The staff member and person who lives at the home talked about plans to improve the gardens. They said they are making changes to the patio and grassed areas and are hoping to have some borders for flowers. They have purchased materials to make some hanging baskets. Both units share one laundry room, which is fitted with an industrial washing machine and tumble dryer. Control Of Substances Hazardous to Health (COSHH) materials are also stored in this room. The registered manager said they are planning to have a separate laundry in the first floor unit so the units do not have to share facilities. When people move into the ground floor unit they will introduce a system to make sure people who use the laundry from either floor are appropriately supervised until the new laundry is ready for use. The first floor kitchen is very small and does not have an opening window. The staff member said they had identified that the extractor fan is not sufficient so they are going to install an opening window. We raised concerns that the kitchen would be too small when six people are making meals and this could prevent the home from continuing to provide the excellent level of support to people. The registered manager agreed to discuss this with the registered provider. We checked water tempertures around the home. The hot water in baths and showers well exceeded the recommended temperature. The home’s thermometer was not working on the day of the inspection but the water was too hot to keep your hand under the water flow. Staff had checked water temperatures on a regular basis and temperatures of up to 51.3 C had been recorded. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 20 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 People who use the service experience adequate quality outcomes in this area. People who live at the home are supported by a caring and competent staff team. The home does not have a robust recruitment process which puts people who live at the home at risk. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The staff team are small because they are only supporting one person. Staff said they thought the team works very well together and everyone understands their role. The staff we spoke to said they were working through their induction training which consists of seventeen modules. Staff complete each module using the training material; the manager then assesses the responses and gives each staff feedback. Staff said the induction training gave them sufficient information to carry out their duties properly. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 21 The registered manager said the organisation has recognised that they need to use some external training courses and they have started to organise these. Three staff have completed a first aid course and four staff have completed a medication course. Fire training and management of challenging behaviour training are the next training courses that staff are attending. The registered manager has a blank training plan which once completed will identify individual staff training needs. He said he has agreed with his senior managers that it should be a priority. A member of staff that has recently started working at the home talked about the recruitment process. They confirmed that they attended an interview, and had to wait for a criminal records check and satisfactory references before they could start work. We looked at staff files for three people that had recently started working at the home. Each file had interview notes that confirmed people had been asked questions that relate to the work they would be expected to do. Each file had an application form, however, one form had gaps in the employment history. Two files did not have any references. The registered manager said they had obtained two satisfactory references for one person but could not locate them. He said they had had difficulty obtaining references for the other person and they were still chasing these. One file had two references; one reference was completed by an ex employer but this employment had not been declared on the application form. One file had a (CRB) Criminal Record Bureau check that was for the position at Clarence House. One file did not have a CRB or information to confirm that a satisfactory CRB had been completed. Another file had a CRB for a position with a different employer. The registered manager said a CRB check was always carried out before an employee starts work but the information had not yet been brought to the home and was held by senior managers. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 22 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 People who use the service experience good quality outcomes in this area. The management team successfully promotes high quality person centred care. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The manager was registered with us in February 2008. He has enrolled on the Registered Managers Award and said he hopes to complete this in the next twelve months. The manager said there is a clear management structure in place and he receives good support from senior managers. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 23 People told us the home is well managed. One staff member said, “Communication is very good. We all do the same and focus on promoting independence.” In the AQAA the manager said, “Quality assurance audits are completed on a monthly basis. These are combined with service user meetings, keyworker meetings and service user questionnaires.” At least once a month the director of the company has visited the home to make sure it is being properly managed. These are called Regulation 26 visits. We looked at the reports from the visits and these confirmed that the director has talked to the person who lives at the home, staff and the manager to find out if they are happy with the service. No concerns around safe working practices were seen on the day of the inspection. In the AQAA the manager told us relevant policies and procedures are in place and equipment has been serviced or tested in line with manufacturers guidance or regulatory body. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 24 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 2 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 3 X Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA1 Regulation 5 Requirement Timescale for action 31/10/08 2 YA23 13 (6) People who move into the home must be given written information about the home. This will help them decide if they want to move in and make sure they know what to expect from the home. 30/09/08 People who work at the home must receive appropriate training so they know how to respond to suspicion or evidence of abuse. This will make sure people who live at the home are safeguarded. The home must have a robust procedure for responding to suspicion or evidence of abuse. This will make sure people who live at the home are safeguarded. Bath and shower hot water outlets that are accessed by people who live at the home must be of a safe temperature. This will make sure people are safe when they are bathing or showering. A thorough recruitment process must be carried out before any DS0000070631.V362329.R01.S.doc 3 YA24 13 (4) (a) 30/09/08 4 YA34 19 (b (1) 30/09/08 Clarence House Version 5.2 Page 26 person is employed at the home. This will help make sure the correct people are employed so people who live at the home are protected. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations Adequate cooking space should be provided in the first floor unit so people have enough opportunities to engage in cooking meals This will make sure people needs are met. Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Clarence House DS0000070631.V362329.R01.S.doc Version 5.2 Page 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. 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