Inspection on 20/06/07 for Cranmer Scheme

This inspection was carried out on 20th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cranmer Scheme 12/01/06

Cranmer Scheme 03/08/05

Cranmer Scheme 18/11/04

Cranmer Scheme 11/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Cranmer Scheme Lynda Cohen House 1 Cranmer Road Leeds West Yorkshire LS17 5PX Lead Inspector Carol Haj-Najafi Key Unannounced Inspection 20th June 2007 10:15a Cranmer Scheme DS0000001476.V329782.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 Cranmer Scheme DS0000001476.V329782.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. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cranmer Scheme Address Lynda Cohen House 1 Cranmer Road Leeds West Yorkshire LS17 5PX 0113 2371052 0113 287470 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) Leeds Jewish Welfare Board Mr Keith Robinson Care Home 16 Category(ies) of Learning disability (16), Learning disability over registration, with number 65 years of age (16) of places Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2006 Brief Description of the Service: The Cranmer Scheme is part of the Leeds Jewish Welfare boards Rainbow Project. It incorporates two houses, domestic in style, each with a small garden. Both houses are purpose built to provide a residential setting for Jewish people with a learning disability. The houses are situated on either side of a narrow access road into a housing estate. They are within easy travelling distance for the wider Jewish community and the city centre. Eight people are accommodated in each house. Both houses have ground floor accommodation suitable for people with mobility problems. Lynda Cohen House has lift access to the first floor. The scheme operates in accordance with Jewish Cultural requirements. Twenty four hour staff cover is provided, with a member of staff sleeping on the premises in each of the houses at night. Information provided in February 2007 stated the weekly cost of the placement for each person is £736. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk. The last key inspection was carried out in January 2006. A pre-inspection questionnaire was completed by the home and this information was used as part of the inspection process. Surveys were sent to people who live at the home, their relatives, health and social care professionals; fourteen surveys were returned and responses have been included in the inspection report. Five surveys were received from people who live at the home, all of which were completed with help from staff. One inspector carried out a site visit which started at 10.15am and finished at 6.15pm. Feedback was given to the area manager, registered manager and two assistant managers at the end of the visit. During the visit the inspector looked around the home, spoke to people who live at the home, staff and the manager. Interaction between staff and people who live at the home was observed. Care plans, risk assessments, healthcare records, meeting minutes, and staff recruitment and training records were looked at. What the service does well: People who live at the home, their relatives and professionals were very positive about the service. The following are a sample of comments and responses from surveys. • • • • • • • • • • Staff are very nice, Staff look after us very well Staff help me when I ask them I like going shopping with staff The home does everything well There is no way the care home could improve Staff always treat you well I admire the managers and staff for their care I could not thank all the carers enough Staff have the highest level of care and devotion DS0000001476.V329782.R01.S.doc Version 5.2 Page 6 Cranmer Scheme • The staff are wonderful Everyone works hard to make sure that people receive person centred care and are supported to achieve their personal goals, which help maintain and develop skills. People lead an active and fulfilling lifestyle. A skilled and cohesive staff team support the people who live at the home. 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. Cranmer Scheme DS0000001476.V329782.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 Cranmer Scheme DS0000001476.V329782.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): 2 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Previous inspections and procedures indicate that a thorough admission process is carried out to make sure the home can meet the needs of people who move into the home. EVIDENCE: The same people have lived at the home since the last inspection so there was very little recent evidence for many aspects of this outcome group. The admission process was looked at during previous inspections and the relevant National Minimum Standards were met. Cranmer Scheme DS0000001476.V329782.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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Everyone works hard to make sure people who live at the home receive person centred care and are supported to achieve their personal goals, which help maintain and develop skills. People are empowered to make decisions about their lifestyle and the general running of the home. EVIDENCE: Most of the inspection was spent talking to people who live at the home and staff. People said they were happy living at the home and all staff said they thought the home provided good care. Staff had good knowledge about the people who live at the home and were able to talk about how they successfully provided individualised care. For example people engage in different tasks around the home and this is dependent on the wishes and abilities of each person. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 10 The service accommodates a wide age range of people and again staff were able to talk about how they made sure they provide an appropriate service to everyone. Three people’s care records were looked at. There were several different documents that provided information about care needs. There was very good information about how their individual needs should be met and potential risks. For example one plan stated “likes to choose own clothing and jewellery, also likes to wear perfume.” Another plan gave very specific guidance on how staff should support one person with personal care. Risk assessments covered a range of areas and new assessments were completed when a potential risk was highlighted. For example, one person had had an accident in the home. A risk assessment had been completed and action to minimise the level of risk was introduced. There had been a significant change in one person’s behaviour and staff had started using a different approach. This was to try and meet the person’s needs but also the needs of other people in the house. It was not clear from the care plan, risk assessment or daily records what the approach was or when it should be used. It is important to make sure this information is recorded so everyone knows what type of support has been agreed and whether it is successful. Keyworkers had regularly reviewed the care plans and had also produced a written monthly summary of healthcare, social activities and any general issues. The assistant managers had also been auditing care records. At the feedback session, it was agreed that a lot of time had been spent reviewing care records and each file contained lots of information. The management team agreed to look if they could condense some information and make the care plan reviewing process more efficient. Each person has an annual review, where aims and objectives are agreed. As part of the reviewing process keyworkers and people who live at the home identify what they want to achieve. Several people attend the review meeting including the person who lives at the home, their family, staff from the home, day service staff and other professionals. Reviews were held in June. One person who lives at the home said she had just had a review and they had talked about what she wanted to do. Review records from June were not looked at because they were still being typed up. Cranmer Scheme DS0000001476.V329782.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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who live at the home have a varied and fulfilling lifestyle that is based on their wishes and individual needs. Relatives are very happy with the quality of the service. EVIDENCE: People who live at the home said they enjoyed living there. The following comments were made, ‘staff are very nice, staff look after us very well, I’m very happy here, staff help me when I ask them, staff are good at cooking, I like going shopping with staff, staff are friendly.’ When asked about times for getting up, going to bed and bathing, people said they decide. One person said ‘it is good because I can go out anytime, another person said I can do what I like and staff say it is my choice.’ Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 12 People talked about doing different things, which included going out on social outings, doing jobs around the home, spending time with staff and time in their rooms. Some people were doing craft activities. Several people were looking forward to going on holiday in July. Everyone has opportunities to attend external day services. The daily records for two people, covering a four-week period, were looked at. There was evidence that people had an active lifestyle, family contact, health appointments and involvement in daily living tasks. Recreational activities included meals out, visits to friends, bowling, shopping and trips out in the minibus. In one house, comments were made that there were tensions and bickering amongst some people that live in the house. Management were aware this was a problem and had taken steps to try and address some of the difficulties. Surveys that were returned were positive about the standard of care that is provided and the following are a sample of responses and comments: • • • • • • • The care service keeps people up to date with important issues The care service helps their relative keep in touch The home does everything well There is no way the care home could improve The care service does well because they hold regular parent meetings They welcome suggestions and support of friends and families People can do what they want during the day and on an evening People talked about visiting relatives and having visitors to the home. A relative visited on the day of the inspection. Daily records confirmed there was regular contact with families. Each Sunday staff and people who live at the home plan the weekly menu. People who live at the home said the food was good. One person explained how they plan the meals and said she put forward ideas for meals. Two people said the staff were good at cooking. Cranmer Scheme DS0000001476.V329782.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home has good systems in place to make sure health and personal care needs are met and people receive the right support from healthcare professionals. Medication procedures are not carefully followed and this could lead to medication errors, which would affect the health and well-being of the people who live at the home. EVIDENCE: The healthcare survey stated that the care service usually seeks advice and acts upon it, and always respects individuals’ privacy and dignity. One relative survey stated that any medical problems are dealt with immediately, another survey stated that the home does well because it involves other professionals. Care files had information about health appointments. Files confirmed people had recently attended healthcare appointments, including GP, chiropody, well-being clinics, dental and continence advice. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 14 Individual weight records were maintained for people who were able to stand on the scales, although there were no weight records for people who could not weight bear. Staff said sometimes people had attended a local hospital and used sitting scales. The manager agreed to look at this and introduce regular visual checks and monitor if there were changes in the fitting of clothes. The home uses a monitored dosage system although some medication is received in boxes. Medication storage was looked at and the medication was well organised. Medication records were looked at and there were several gaps noted where staff had failed to sign. Two people’s records were looked at over a twenty-three day period. There were 8 gaps in the medication records. This demonstrates that staff are not following the medication procedure, which could result in medication errors. Cranmer Scheme DS0000001476.V329782.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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Satisfactory procedures are in place and people who live at the home are very comfortable talking to staff and management and will report their concerns, therefore people who live at the home are protected. EVIDENCE: Surveys from people who live at the home stated that that they know who to speak to if they are unhappy and they know how to make a complaint. Relative surveys stated they know how to make a complaint and if they have raised concerns the response has always been appropriate. People who live at the home said they talk to the manager or staff and would tell them if they were unhappy. During the inspection people who live at the home were seen to ask staff for advice and one staff talked through how they could complete some tasks that had not been done. The pre inspection questionnaire confirmed that the home has a complaint’s and an adult protection procedure and no complaints had been received within the last twelve months. The manager and staff have attended adult protection training and they were familiar with the adult protection procedures. Staff said they thought the adult protection training was very good and had equipped them with the knowledge to make sure people at the home were safeguarded. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is pleasant, well maintained and people who live at the home are very comfortable in their surroundings. EVIDENCE: A tour of the building was carried out. Communal areas, bathrooms and bedrooms were visited. The home was clean and tidy and there were no odours. People who live at the home walked freely around the home and used all communal areas. Bedrooms were very personal, and careful consideration had been given to the décor to ensure it reflects the preferences of the people who live there. Each room had photographs, pictures and personal items. Different equipment was available to help maintain skills and promote independence. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 17 The furnishings, carpets, and furniture were good quality and the home was decorated to a reasonable standard. Staff said generally repairs and maintenance problems were dealt with within in a reasonable timescale. One person’s bedroom was very warm and it was uncomfortable after spending a few minutes in the room. A fan in the room was making a noise, even though it had only been tested a few days before. The manager found another fan for the room and said he would look at other measures to address the heat problem. Some people are smokers and they either smoke outside or in the laundry. The assistant manager said they had talked about alternative smoking areas for when the smoking ban is introduced but there appeared to be some confusion in this area. At the feedback session the area manager and registered manager agreed to explore different options. Surveys from people who live at the home stated the home is always clean and fresh. One relative survey stated the home is spotless and rooms are bright and airy. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 18 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, 33, 34, 35 & 36 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who live at the home are supported by a skilled and cohesive staff team. Staff are well supported and everyone has opportunities to develop. A more organised system for storing staff records would better demonstrate that the home operates a robust recruitment process. EVIDENCE: During the day, interaction between people who live at the home and staff was observed. People who live at the home were very relaxed with staff and were pleased to see staff when they arrived. People were chatting, laughing and joking, and enjoying the company of staff. Surveys were positive about management and staff and the following are a sample of responses and comments: • • • • Staff always treat you well Carers always listen and act on what you say I admire the managers and staff for their care I could not thank all the carers enough DS0000001476.V329782.R01.S.doc Version 5.2 Page 19 Cranmer Scheme • • Staff have the highest level of care and devotion The staff are wonderful The home generally has a low turnover of staff and many staff have worked at the home for a number of years. Staff had good knowledge of the people who live at the home and were able to provide information about individual likes and dislikes. Two recruitment files were looked at. Some information was not available at the home although the area manager brought most of it to the home towards the end of the inspection. Application forms had a full employment history, and interview assessments and criminal record checks were completed. References were only seen for one person but the area manager and registered manager said the organisation would not allow a staff member to start unless they had obtained all the information, which included two references. The Pre Inspection Questionnaire provided a list of staff training that had been provided in the past twelve months, which included mandatory and additional training. It also stated 50 of staff had a qualification in care. Staff said they thought the staff team were very well equipped to work with the people who lived at the home. Staff meetings are held every month and additional meetings are held to talk about care issues. Staff also said they received regular supervision and had opportunities for personal development. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 20 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, 38, 39, 40, 41 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is very well managed and it successfully meets the needs of the people who live there. Overall monitoring of the service will be better when the new quality assurance systems are introduced. EVIDENCE: People who live at the home, relatives and staff were very complimentary about the manager and they thought the home was very well managed. People who live at the home meet every month; the minutes from these meetings stated that different topics were discussed. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 21 There was evidence that people who live at the home are encouraged to put forward their views but the information was not consistently used as part of the home’s quality assurance. The organisation was in the process of developing their quality assurance systems and introducing surveys for people who live at the home. Draft surveys had been looked at by the people who live at the home and the management team and suggested changes were being made. Because this shortfall was being addressed it has not been necessary to make a requirement to meet the Care Homes Regulations. Once a month the area manager visits the home and looks at the general conduct, these visits are called Regulation 26 visits. The manager confirmed the visits were completed regularly. The monthly reports were looked at during the inspection. The pre inspection questionnaire stated that policies and procedures were available and regular maintenance and health and safety checks by external agencies were completed at the home. It was also stated that there had been seven occasions when people who live at the home had gone to accident and emergency for medical attention. Every time any person who lives at the home requires medical attention as a result of an accident or incident, a notification must be sent to the CSCI. No notifications had been received since the last inspection. The manager was not aware they must be reported and agreed to send notifications in future. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 22 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 4 2 3 2 3 X Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 23 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 YA6 Regulation 15 Requirement Care plans must contain sufficient information to guide staff when supporting people who have complex behavioural needs. When medication is administered to people who live at the home it must be clearly recorded. This will ensure that people get the correct medication. All areas of the home must have suitable heat and ventilation. This relates specifically to one bedroom. All relevant staff records must be held in the home and made available for inspection to evidence that the organisation has followed a robust recruitment procedure to protect people who live at the home. The Commission must be notified of events that affect the health and welfare of people who live at the home. Timescale for action 31/07/07 2 YA20 13 31/07/07 3 YA24 23 31/07/07 4 YA34 19 31/07/07 5 YA41 37 31/07/07 Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 24 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 Smoking arrangements for people who live at the home should be clarified so everyone clearly understands the smoking policy. Cranmer Scheme DS0000001476.V329782.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Cranmer Scheme DS0000001476.V329782.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. 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. 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