Inspection on 04/05/05 for Gombards

This inspection was carried out on 4th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Gombards 14/09/07

Gombards 30/01/07

Gombards 24/05/06

Gombards 27/02/06

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Gombards 6 London Road Welwyn Hertfordshire AL6 9EL Lead Inspector Jan Sheppard Unannounced 4 May and 15 April 2005 10:00 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 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 Stationary 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. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Gombards Address 6 London Road Welwyn Hertfordshire AL6 9EL 01438712921 01438 712893 gombards.service@unitedresponse.org.uk United Response 01438 721892 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Sheena Bagnall CRH 8 Category(ies) of LD Learning Disability 8 registration, with number PD Physical Disability 8 of places Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection N/A Brief Description of the Service: Gombards is a new home first registered in 2005 . It was purpose designed with full wheelchair accessibility and was built as two self contained units each catering for four service users with learning and physical disabilities. The home which is jointly owned by Health, Social Services and by Aldwyck Housing Association is managed and run by United Response (a voluntary organisation). The residents and staff who had lived together for many years, moved from another home in St. Albans which did not meet the new environmental standards and had to close. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection of the inspection year and took place over two days during which residents were observed and consulted in the best manner possible, as none have any speech, and visitors and staff were spoken with. Discussions were held with the homes manager, with the deputy managers and with all the staff who were on duty on those days. Time was spent looking at the Care Plans and other records maintained by the home. A tour was made of the building and of its gardens. This was a very positive inspection. The residents although only having been in occupation for a few weeks seemed very settled in their new home, which they clearly recognised as their own. The staff had clearly worked very hard in establishing and organising their new environment and various aspects where further work is planned were discussed with the inspector. What the service does well: What has improved since the last inspection? Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 6 This is the first inspection of this home at this new address. Improvements since the last inspection at the previous address relate to the provision of an environment that meet the requirements of the Care Standards Act 2000 and better meets the needs of the residents. The new home is designed to be fully wheelchair accessible and has over- tracking hoist fittings in bedrooms and bathrooms. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2, 4 and 5 Appropriate information in the form of the Statement of Purpose and Service Users Guide is available for the service users and their families concerning how the home operates and what procedures are in place to meet their care needs. EVIDENCE: The atmosphere in the home on the days of this inspection was relaxed with the service users care needs being met in a caring and understanding manner by staff who clearly knew them very well. The inspector was welcomed into the home by both residents and staff. The home has a pre- admissions policy and assessment procedure that meets the requirements of this standard. Of the six service users who transferred from the old home most had been resident there for many years some since they were children when they lived together in a long stay hospital more than fifteen years ago. Two prospective new residents are currently being introduced into the home to fill the current vacancies. The homes records evidenced that a very through introductory procedure was being followed over a period of some months. So as to be able to get to know them and to gain an understanding of their care needs from their present carers the staff had initially made visits to them in their present places of occupation, for one in a nursing home and for the other in his parental home. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 9 This was followed by the prospective residents, and their families, visiting Gombards meeting the other residents and seeing their rooms. Regular visits of increasing duration have been arranged these to include an overnight staying visit. The frequency and pattern of these visits being determined to meet individual needs of the prospective resident and of their relatives. The parents who presently care for one of the prospective new residents are assisting the home with compiling his care plan and the thoroughness of this document is to be commended. The parents are also assisting the home in arranging the facilities in his room and one parent is currently redecorating the room in a colour chosen by the resident. All the residents have an individual contract a statement of terms and conditions that sets out details of the care that they will receive, the room they will occupy and the fees payable. Information concerning liability in the event of any breach in contract on either side is also given. The Statement of Purpose and Service Users Guide is also prepared in a visual format, which the service users may more easily be able to understand. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 ,8, 9 and 10 Personal care and assistance offered to the service users is of a high standard and is given in a manner that maintains their dignity and respect. Care staff are sensitive in their approach to the service users and give close attention to their wishes and read the various non verbal ways in which they express these wishes with skill and understanding. Care plans are comprehensive and are subject to review so that changes to health and social care needs are recognised and met. EVIDENCE: Care plans examined were comprehensive with in-sight-full details as to how each individual resident expressed their wants and wishes and with instructions as to how these care needs should best be met. The plans were seen to contain a great deal of information as well as detailed personal goals and objectives with comments as to how and when these were to be met. However this detail was filed in such a way that it was often very hard to locate and the manager discussed with the inspector plans that she has to streamline the recording and filing of all this information so that it will be more easily accessible. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 11 The care plans were seen to be frequently reviewed but the recording of these reviews was often difficult to find and in some cases clearly did not fully evidence all the work that had clearly been undertaken. Detailed risk assessments are kept for all the service users and these were also seen to be regularly reviewed. During this inspection it was observed by the inspector that the staff were constantly talking with the residents about their wishes and requests and were watching carefully for their non verbal replies. The records maintained by the home were seen to be kept with due regard to their confidential nature in appropriate locked cupboards in the office. The manager discussed with the inspector some of the measures and facilities, extra shelving and lockable cupboards, that she had had installed in the home and she commented that as this is a new home United Response have offered assistance with setting up the office and with training for the staff concerning the administration tasks that they are expected to undertake. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,16 and 17. The residents day centre activity programmes offer them the opportunity for personal development alongside peers of a similar age and ability. The home has a well developed leisure activities programme. There is a nutritious and varied menu on offer. EVIDENCE: The records demonstrated that all the service users have their individual day centre activity programmes covering either three or four days each week. The home has been particularly fortunate in being able to retain these day centre arrangements despite the relocation of the home thus ensuring good continuity and least disruption for the residents. During this inspection several of the service users were seen to be returning home from their day care activities and all appeared to be happy and relaxed if not a little tired through all the activity. Staff were observed to meet the residents individually as they arrived home in the bus and to consult with them as to their wishes “ would you like a cup of tea”, or “a rest in your room?” Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 13 Staff spoke to the inspector about new activities within the vicinity of the new home which were also being explored, including the possibility of Riding for the Disabled for one resident who has a particular interest in this and eating out in local restaurants. This includes individual visits to the facilities in the local village as well as group visits using the homes transport to attractions further a field. For the service users with relatives good liaison with the home is maintained including a regular visiting pattern, which, the manager reported, has increased since the home moved to its new location. The records also demonstrated that staying away holidays for all the residents were again being planned for this summer these often with liaison with the residents friends or families. For one resident who now has very poor sight a location in the snow, she can still see white, is being considered and for another whose family now live in Wales a holiday location close to their home is being sought so that they can have a period of closer contact with him. Another resident who has enjoyed previous trips to the continent is considering either Holland or Belgium as his next location. During this inspection evidence of the homes growing involvement with the local community was observed. The district nurse who was visiting one resident also bought messages from the local doctor and a church visitor who came with village literature also bought the home an invitation to a plant sale the following day and asked on behalf of the vicar if there were any ways that the church community could assist the home with its settling in process into the village? A variety of cooked meals were individually prepared for the residents during the days of this inspection these timed to fit in with the needs of the residents as they arrived home from their various activities at different times. The staff discussed with the inspector the recent assistance from the dietician and training that they had had concerning the use of the special thickening products which are required by some of the residents whose diet is mainly a liquid one. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 , 20 and 21. Personal care and health care offered to the service users is of a high standard thus meeting their individual needs. Many of the staff who have worked with these service users for many years have an in depth understanding of their care needs and of their varying moods and can interpret their wishes as to how these needs should best be met on any particular day. The home is to be congratulated in so very quickly established a close working relationship with the local doctors and community nurses there by ensuring that the residents changing health needs are properly met. EVIDENCE: Individual personal care practice observed was commendable. The needs of the residents were seen to be being individually met by staff who clearly knew them and understood their needs very thoroughly. During the inspection on several occasions the inspector witnessed the residents having a good laugh with their peers and the staff and their relaxed and happy appearance was noticeable. The home is continuing to use the same MDS, monitored dosage medication system which is still supplied by the same branch of Boots and the manager commented on their good fortune in being able to have continuity with this arrangement. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 15 The MAR sheets were seen to be accurately maintained and these continue to be regularly checked by the manager. All the staff who administer medication have been trained to do so. The manager discussed with the inspector the proposed new location of the storage facilities for the medicines. The home needs to acquire a controlled drugs cupboard and controlled drugs register so as to be prepared for this eventuality. The benefits of a small medication fridge were also discussed. The residents care plans were seen to contain records noting the residents families wishes concerning death and funeral arrangements. A recent bereavement suffered by a resident was noted as were the efforts that staff made to try to ensure that the resident understood what had happened and could grieve about this. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home has a complaints policy and procedure that meets the requirements of this standard a copy of which has been given to all service users and to their families. The home has Policies and Procedures concerning Adult Protection and Whistle Blowing, which follow the guidelines given in the Hertfordshire adult protection procedures. EVIDENCE: There have been no Complaints nor any incidents concerning Adult Abuse since the last inspection. The home has prepared a copy of their Complaints procedure in a pictorial format, which has been shown to all the service users although it is unclear how much of this would be understood by them. Staff have received training in Adult Abuse and in Whistle blowing. Staff spoken with showed a good awareness of this subject and some spoke of the need for particular vigilance when caring for this group of residents who have no speech and limited understanding Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 and 30 Gombards Home, Old Welwyn, first registered as a care home in January 2005 is purpose built well designed and very well appointed to meet the needs of its service users for whom it provides a safe, comfortable, homely and a very attractive environment. EVIDENCE: On the days of this inspection the home was found to be clean and hygienic. Each resident has a spacious bedroom supplied with specialist furnishings and equipment that have been provided to meet their particular needs following an Occupational Therapy assessment. These items include special rise and fall beds, mobility and toilet aids and specially designed chairs. Although wardrobes and other storage furnishings were bought from the previous home in several rooms where extra storage capacity is clearly needed new furnishings have been ordered and in one residents room his father is fitting a run of fitted cupboards for him. All the bedrooms were found to be very well personalised with attractive colourings and soft furnishings chosen by the residents and with a number of personal items, soft toys and pictures as well as TVs, music and light systems. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 18 The service users were seen to have a good range of age appropriate casual clothing chosen to reflect their individual tastes and personalities and to meet the requirements of their lifestyles. All the bath and shower rooms are fully assisted and are equipped with overhead tracking, as are most of the bedrooms. This tracking enables the residents to maximise their independence and being a new feature was spoken of very appreciatively by the staff. Each unit of the home has a large kitchen dining room and a separate lounge, which is also fitted with overhead tracking. A snoozelum room is being set up on the first floor to be used by the residents in both units. The office on the ground floor is easily accessible by the residents and this fact is most appreciated as in their previous home the office on the third floor was inaccessible to them. The staff have considered the residents needs when furnishing and arranging this office, a separate area has been designated for the residents with appropriate furnishings, which allow for full wheelchair accessibility to a resident dedicated computer. When the inspector arrived for this inspection two residents were found in the office where staff were heard to be talking with them about the administrative tasks that they were undertaking in a very inclusive manner. The home which is surrounded by a small garden which has been attractively landscaped also has the benefit of patio areas and a hard paved walkway that runs around most of the building to enable the residents to have full access to the whole area. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35and 36 The home is staffed by experienced carers who are appropriately trained to meet the needs of the service users. Each worker has a job description and their particular roles and responsibilities within the home are clearly defined. EVIDENCE: All the staff on duty were spoken with and positively about their work, appreciatively of setting and also of the management support records demonstrated that formal supervision planned for all staff for the future year. without exception spoke they their new and improved work that they receive. The homes meetings and an appraisal are Gombards was very fortunate in being able to retain over 95 of their established staff group of 15 carers and 2 deputy managers, when the home moved to its new location at the end of January. Several staff commented that although they now had further to travel to work the new and improved working environment which enabled them to give better care to the service users more than compensated for this. The current staff vacancies (two) have been advertised and interview dates have been set. At present these vacant hours are mostly covered by members of the existing team working an extra shift but where agency staff are used they come from one agency only and spend time just visiting the home to get to know the routine and the residents needs Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 20 before actually commencing their duties formally. The manager was reminded of the need to keep records of CRBs, references and training undertaken by all staff employed, including agency staff, in the home for reference; also for the need to have a CRB check undertaken for the part time handyman who is currently working in the home assisting with building the residents new furniture and is working in close proximity with the service users most of whom he has known very well for many years. Despite the disruption that the move had caused and the on going extra work involved in properly equipping and arranging the new building to meet all their needs, the staff training programme had continued with courses including Person Centred Care Planning, POVA, Sexual Awareness training, Mental Health, Food Hygiene, Medication, Manual Handling with Hoists, First Aid and Assertiveness training being attended. One of the Deputy Managers has responsibility for logging all training needs and the plans for how these training needs could be met over the next year were shown to the inspector. The manager is to lead a Team Building Day for all staff on 15th May. The manager and the two deputy managers are all studying for the registered managers award due for completion early in 2006.Five of the existing carers have NVQ 2 or 3 and three more staff are to commence this course (2) in September. All new staff complete the LLADF course as part of their induction training. The Manager attends the companies Management Development programme monthly meetings, and she and one of the deputy managers are also completing a Distance Learning course on Conflict Management. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38 and 42 The home is well run by a competent and experienced Manager who leads an experienced and dedicated staff group who work well together as a team. Health and safety issues are given the highest priority by all staff and this provides a warm caring environment where the service users seemed relaxed and happy. EVIDENCE: The Manager communicates a clear sense of leadership within the home. Staff and Unit meetings are pre-planned and appropriately recorded and these records showed evidence of good staff participation with lively discussions concerning developmental and quality improvement issues. The manager explained to the inspector that she planned to send more appropriate quality questionnaires to all relatives and stakeholders in the home in the Autumn. Risk assessments were seen to have been compiled for the new building and these were seen to be kept under regular review to accommodate the new and changing situations in the home. Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 22 The manager discussed with the inspector the particularly detailed risk assessment that is being compiled for one resident whose pattern of putting all objects into his mouth is causing increasing concern for his safety. The manager is just completing her NVQ 4 and the Registered Managers Award studies. 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Gombards Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Score Version 1.20 Page 23 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score x 3 3 x 3 3 3 31 32 33 34 35 36 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 6 Regulation 19 (4) (b) Requirement It is a requirement that CRB checks are made for one longestablished staff member and that training and CRB records are kept in the home for all agency staff. It is a requirement that all care plan reviews are formally recorded. Timescale for action by 31st May 2005 2. 34 17 (3) (a) by 31st June 2005. 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 Good Practice Recommendations Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Mercury House 1 Broadwater Road Welwyn Garden City Herts AL7 3BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Gombards I52 S63291 Gombards v221497 Gombards 150405 Stage 4.doc Version 1.20 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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