Inspection on 25/05/07 for Emmanuel Care Services Ltd

This inspection was carried out on 25th May 2007.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Emmanuel Care Services Ltd 09/04/09

Emmanuel Care Services Ltd 16/04/08

Emmanuel Care Services Ltd 02/05/06

Emmanuel Care Services Ltd 06/12/05

Emmanuel Care Services Ltd 13/06/05

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

CARE HOME ADULTS 18-65 Emmanuel Care Services Ltd 33 Disraeli Close Thamesmead SE28 8AP Lead Inspector Maria Kinson Unannounced Inspection 25th May 2007 09:30 Emmanuel Care Services Ltd DS0000042496.V338243.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 Emmanuel Care Services Ltd DS0000042496.V338243.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. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Emmanuel Care Services Ltd Address 33 Disraeli Close Thamesmead SE28 8AP 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) 0208 310 9340 0208 310 9340 careemmanuel@yahoo.co.uk Mrs Remi Konan Mrs Remi Konan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd May 2006 Brief Description of the Service: Emmanuel Care Services was registered in February 2005 to provide care for up to three adults with learning disabilities. The provider of the home is also the manager. The home is a three-storey semi-detached house situated in central Thamesmead. A bus service connects with the town centre and local facilities. There is one single bedroom on the ground floor and two further single bedrooms on the second floor. None of the bedrooms are en-suite but all of the bedrooms have a hand washbasin. There is a lounge and kitchen/diner on the first floor, a bathroom with shower and toilet on the second floor and a toilet on the ground floor. There is a small, enclosed paved garden at the rear of the property. The fees charged by the home range from £900 to £1500 per week. This does not include additional charges such as hairdressing, toiletries, activities, transport and holidays. This information was supplied to the commission on 16/07/07. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five hours and was unannounced. The inspector had a brief talk with the people living in the home and was shown one of their bedrooms before they left for college. After the service users left the inspector spoke with the manager and one member of staff, sampled care, staffing and health and safety records and completed a full tour of the home. Written feedback about the service was obtained from a health and social care professional who was in regular contact with the home and one relative. There were two people living in the home at the time of this inspection. What the service does well: What has improved since the last inspection? Some of the documents used by staff to record information about people’s needs had been reviewed and updated. References to mental health issues had been removed. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 6 The people living in the home had enrolled at a local college. This had provided more opportunities for service users to meet new people and learn new skills. Both of the people living in the home had now registered with a local GP and were supported by staff to attend regular health checks and appointments. 50 of care staff had achieved a vocational qualification in care at level two. 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. Emmanuel Care Services Ltd DS0000042496.V338243.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 Emmanuel Care Services Ltd DS0000042496.V338243.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 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Written information about the service was made available to prospective service users. Information about peoples needs was obtained from the funding authority. This enabled staff to meet people’s needs on admission to the home. EVIDENCE: The Statement of Purpose provides detailed information for prospective service users and their representatives about the aims and objectives of the service, the admission criteria and the type of support provided in the home. This document included all of the information required by legislation and had recently been reviewed and updated. The manager must ensure that the Statement of Purpose provides accurate and up to date information about the service. For instance the document stated that the home participated in the councils total quality programme and that all staff received training about mental illness, there was no evidence this was taking place. See requirement 1. The people living in the home had not changed. The current service users had moved into the home very quickly, following a family crisis and did not have an Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 9 opportunity to visit the home before they moved in. The manager obtained information about their needs from the funding authority and carried out her own assessment once they had an opportunity to settle down and get to know her. The assessment form that was used by staff to record information about people’s needs had been reviewed and updated. The form now provides specific information about issues that are relevant to people with learning disabilities. Emmanuel Care Services Ltd DS0000042496.V338243.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, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The plans developed in the home outlined how staff would support people to meet their personal needs and goals, and stay safe. Further work was required to ensure that people are supported to become more involved in the day- to- day running of the home. EVIDENCE: The care records that were maintained for one of the people living in the home were examined. Staff had assessed the person’s needs and had developed a care plan based on their personal goals and the information they received from the funding authority. Care plans were reviewed regularly and were updated following review meetings. A formal review of the placement had recently taken place and staff had acted promptly to address two issues raised by the persons Care Manager during the review. Comprehensive information about the person’s progress in meeting the goals outlined in their care plan and Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 11 details of any significant events were recorded in the notes made during key worker meetings. Staff provided some information about how they promoted choice and independence but it was apparent that most of the work in the house was undertaken by staff. Staff said that people were supported to maintain their own hygiene needs, choose their own clothing with guidance and sometimes helped out around in the house by drying the dishes after meals. Further work should be undertaken to encourage the people living in the home to participate in the running of the home and learn new skills such as doing their own laundry, handling money, changing their own bedding, keeping their personal area clean and tidy and making their own breakfast. One person had expressed an interest in vacuuming. See recommendation 1. There were no formal meetings for service users but they were consulted and asked to comment about the service during reviews and meetings. An assessment was carried out on admission to identify potential risks to the person or others. The assessment included information for staff about the action they should take to minimise the risk of the person being harmed. Assessments were reviewed regularly. Staff should ensure that new issues such as travelling to college without staff support are assessed and recorded. Emmanuel Care Services Ltd DS0000042496.V338243.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 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home had made new friends in the home and community and were supported to learn new skills and pursue personal interests. Service users liked the choice and quality of food provided in the home. EVIDENCE: The people living in the home attend a local college each weekday. There was a copy of the college programme in the service users file and one of the people living in the home told the inspector about the work they undertook in cooking, craft and computer classes. During their free time service users said they liked to watch television and DVD’s, play computer games, read, complete jigsaw puzzles and draw. There was evidence that all of these activities were taking place in the home. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 13 During weekends and holidays service users said they liked to go out with staff. Records indicated that in recent weeks the people living in the home had been to the zoo, a local park, went on a boat trip, attended church services and celebrated their birthday by going out to their favourite restaurant. One relative said she was pleased that staff were supporting her family member to gain new skills and that there were regular opportunities to go out. The people living in the home had some telephone contact with their relatives but did not have any regular visitors. One of the service users had recently had a birthday and had received a number of cards from staff and friends from college. Service users said that they were able to do the things they liked once they returned from college and there were no restrictions about how and where they spent their time in the home. The menu was varied and service users said they liked the food prepared in the home. The inspector was told that the people living in the home usually chose what they wanted to eat from the refrigerator or freezer and also liked eating out. Emmanuel Care Services Ltd DS0000042496.V338243.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 and 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff worked in partnership with other professionals to meet people’s health care needs. The arrangements for managing medication could place the people who use the service at risk. EVIDENCE: Support was provided with personal hygiene and service users preferences about times for getting up and going to bed were considered. Some guidance was required to ensure that the people living in the home were ready to go to college. Care was taken to ensure that people were suitably dressed. Both of the people living in the home were registered with a local GP practice and were supported to attend the surgery when they were unwell or for routine health checks. The manager had arranged for one persons relative to provide support and reassurance during appointments as they became anxious when attending appointments. The people living in the home had not attended other health checks such as dental and eye test’s as there were some difficulties Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 15 obtaining funding. The manager said that appointments would be arranged as soon as the issues highlighted above were resolved. One health and social care professional that was in regular contact with the home said people’s health care needs were always monitored and they were “supported to access primary and general health care services”. The respondent said she was always kept informed about issues affecting client’s health and wellbeing. None of the people living in the home were taking regular medication but one person was taking a course of antibiotics at the time of the inspection. There was a locked cupboard under the stairs for storing medicines but one bottle of medicine was seen on the computer desk in the lounge and some of the manager’s personal medication was kept in the medication cupboard. It was not possible to complete a full audit trail, as there were no records of receipt of medication. The medication record indicated that the person that was prescribed antibiotics had not received their medication for two days. The manager said the medication had been administered but staff had not signed the administration records. The person’s progress notes supported this. Some homely remedies were stored in the medication cupboard but it was not clear from the medication policy, which non- prescription medicines staff could administer. The manager should agree a list of homely remedies with the GP. See requirement 2. The home had a medication procedure but it was not signed or dated and there was little evidence that staff were following it. There was no evidence that staff had attended medication training or completed a competency-based assessment. See requirement 3. Emmanuel Care Services Ltd DS0000042496.V338243.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 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were systems in place to manage complaints. Some improvements had been made to the procedure for safeguarding vulnerable adults but further work was required in relation to people’s personal money. EVIDENCE: The home had not received any complaints in the period since the last inspection. The adult protection procedure had been reviewed and updated. The role of the manager was clearer and it stated that allegations would be reported to social services. Some minor changes should be made to this document such as removing references to “the agency” and clarifying what action the home would take to protect people using the service whilst the investigation was in progress. The manager should then sign and date the document and set a review date. The staff member on duty had a good understanding of abuse and was aware that allegations or concerns should be reported to the manager. The people living in the home had not received any personal money since they moved into the home. The Manager and Care Manager were attempting to resolve this issue and open individual bank accounts for each person. The manager used her own money to fund outings and had compiled a list of some Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 17 of the money she had spent. The list included expenditure for both of the people living in the home making it difficult to establish how much each individual owed. It was difficult to determine what some of the money was used for. For example one entry stated, “went to the park”- £20. Receipts were kept for some purchases but they were not in order. The manager must ensure that individual and up to date money records are maintained to protect her own interests and the people using the service. See requirement 4. Emmanuel Care Services Ltd DS0000042496.V338243.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home provides a comfortable and safe environment for the people using the service. EVIDENCE: The home was clean, tidy and well maintained. All of the private and communal areas were nicely decorated and furnished. Service users said they liked their rooms and had adequate space to store and display their personal possessions. Work was in progress to repair a leak in the vacant bedroom. The garden lacked interest and colour. The manager said that action would be taken to improve this area. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living in the home were satisfied with the support they received from staff. Staff did not have access to relevant training and did not receive adequate support. Recruitment practices had improved but further checks must be carried out to comply with legislation. EVIDENCE: Three care staff were said to have a NVQ in care but one member of staff had not provided any evidence of this qualification. The manager must ensure that proof of qualifications is obtained prior to appointing staff. One member of staff was currently undertaking this programme. It was apparent that the people living in the home liked spending time with staff and had developed a good working relationship with their key worker. One service user had become more confident since the last inspection and was starting to use different strategies to communicate with people. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 20 The staffing duty sheets indicated that there were one to two members of staff on duty, on each daytime shift and one member of staff slept on the premises overnight. There were some gaps on the duty roster where it was not clear if there were any staff on duty. For example on 16/05/07 there was one member of staff on duty between 7am and 7pm, one member of staff on duty between 12:30 and 8:30pm and one member of staff was on ‘sleep in’ duty between 11pm and 7am. The duty roster did not state who was on duty between 8:30pm and 11pm. See requirement 5. Two recruitment files were examined. There was no evidence that the manager had assessed if the applicant was physically and mentally fit for the role and one file did not include evidence of relevant qualifications. All of the other documentation required by regulation was in place. See requirement 6. A standard interview format was used and candidate’s answers were recorded. Induction training was provided for new staff about the homes procedures and health and safety issues but the training did not cover all of the common induction standards. See recommendation 2. One member of staff had completed moving and handling and basic first aid training but there was no evidence that the other staff were supported by the home to undertake relevant training sessions. The home must ensure that all staff complete first aid, food hygiene, safeguarding adults, health and safety, infection control and fire safety training. If the home intends to admit people with autism and challenging needs, as outlined in the ‘statement of purpose’, staff must receive relevant training. See requirement 7. There was no evidence that staff were receiving formal supervision. See requirement 8. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some work was in progress to monitor the quality of care provided in the home but there was little evidence that this information was used to improve the service. The building appeared safe but some safety checks were not taking place regularly. EVIDENCE: The manager was assessed by the commission to have suitable qualifications and experience to manage a home for people with learning disabilities. The manager had developed a satisfaction survey for service users and staff. The responses received from the people living in the home were very positive and some action had been taken to address areas of concern such as support Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 22 to understand the homes emergency procedures. One staff member had completed a survey. The survey indicated that staff did not have an opportunity to attend staff meetings or receive formal supervision. It was not clear what action, if any, had been taken to address these findings. See recommendation 3. The home had a fire risk assessment but it was not clear when the assessment was prepared or who completed it. The fire escape routes and exits were clear and the fire alarm was tested regularly. There was no evidence that the fire alarm system or emergency lights had been serviced. See requirement 9. Health and safety records were sampled. The electrical installation, portable electrical appliances and gas appliances were serviced regularly. There was no evidence that staff were monitoring hot water or refrigerator and freezer temperatures. See requirement 9 and 10. There were no records of any accidents occurring in the home and the commission had not received any written notification about significant events. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 2 X X 2 X Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA41 Regulation 17 Requirement The Registered Person must ensure that the Statement of Purpose provides accurate information about the service. The Registered Person must make suitable arrangements for the recording, handling, safekeeping, safe administration and disposal of medication. The Registered Person must ensure that staff that administer medication receive appropriate training and are assessed as competent before undertaking this task. The Registered Person must ensure that adequate records are maintained about service users money and valuables. The Registered Person must ensure that that there are adequate staff working in the home at all times. The Registered Person must ensure that all of the documentation listed in Schedule 2 of The Care Homes Regulations 2001 is obtained before staff commence work in the home. Restated requirement, as the DS0000042496.V338243.R01.S.doc Timescale for action 14/09/07 2. YA20 13 20/07/07 3. YA20 18 17/08/07 4. YA23 17 20/07/07 5. YA33 18 20/07/07 6. YA34 19 20/07/07 Emmanuel Care Services Ltd Version 5.2 Page 25 7. 8. 9. YA35 18 18 23 YA36 YA42 10. YA42 13 previous timescale of 22.12.06 was not met. The Registered Person must ensure that all staff receive appropriate training. The Registered Person must ensure that all staff receive formal supervision regularly. The Registered Person must ensure that the fire alarm and emergency lighting system are serviced regularly. Evidence of these checks must be supplied to the commission. The Registered Person must assess the risk of scalds from hot water and ensure that refrigerator and freezer temperatures are monitored. 17/08/07 20/07/07 20/07/07 17/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA8 YA35 YA39 Good Practice Recommendations The Registered Person should support service users to become more involved in the day-to-day running of the home. The Registered Person should ensure that induction training includes all of the common induction standards. The Registered Person should ensure that results from satisfaction surveys are collated and an action plan is prepared to address any concerns. Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Emmanuel Care Services Ltd DS0000042496.V338243.R01.S.doc Version 5.2 Page 27 - 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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