Inspection on 18/10/05 for Grove Road (107-109)

This inspection was carried out on 18th October 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 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 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grove Road (107-109) 24/05/07

Grove Road (107-109) 08/12/06

Grove Road (107-109) 25/04/06

Grove Road (107-109) 05/05/05

Grove Road (107-109) 05/01/05

Grove Road (107-109) 04/08/04

Grove Road (107-109) 16/02/04

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

CARE HOME ADULTS 18-65 Grove Road (107-109) 107- 109 Grove Road Walthamstow London E17 9BU Lead Inspector Rob Cole Unannounced Inspection 18th October 2005 10:00 Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grove Road (107-109) Address 107- 109 Grove Road Walthamstow London E17 9BU 020 8520 6435 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) bagano98@aol.com Mrs Conchita Damaguen Pooten Mrs Conchita Damaguen Pooten Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th May 2005 Brief Description of the Service: The home is registered to provide accommodation and support to nine service users with mental health needs. It consists of three homes that have been converted into one. The home is situated in a residential area of Walthamstow in the London Borough of Waltham Forest, and is close to shops and other local amenities, including transport networks. The home is indistinguishable from other homes in the area. The home is privately run. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 18/10/05 and was unannounced. The inspector had the opportunity of speaking with service users, staff, and the homes manager was present throughout the inspection. Service users informed the inspector that they were generally satisfied with the level of care and support provided, and there have been some improvements since the last inspection. However, there are still some areas of concern, as demonstrated by the fact that twelve requirements remain unmet from the previous inspection of the home. What the service does well: What has improved since the last inspection? What they could do better: Despite some improvements, there is still a considerable amount that needs to be addressed. An area of particular concern is health and safety. Risk assessments are very basic, and the home must ensure that appropriate health and safety checks are carried out, for example on hot water temperatures and gas safety. The home must tighten up its recruitment practices to comply with current legislation, and all staff must receive regular formal supervision. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 6 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. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 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 Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 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 the following standard(s): 1,3,4 and 5 The inspector was satisfied that service users are provided with sufficient information about the home to help them make an informed choice about the home. This information is provided through written documentation and the opportunity of visiting the home. However, the home must ensure that service users are only admitted to the home in line with its admissions procedure. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place. Both documents are written in plain English, and service users have their own copies of them. The Statement includes details of the staff team and the organisation and facilities and services provided, and is in line with National Minimum Standards (NMS). The Guide includes a copy of the homes complaints procedure and the homes physical environment. However, as at the last inspection it does not include details of fees charged. Further, neither document is dated, and there was no indication of when it was due to be reviewed, all of this must be addressed. All service users are provided with a written contract/statement of terms and conditions. These have been signed by the service user and the homes manager, and are in line with NMS. The service user is issued with a copy of the contract, but the home does not retain its own copy of the contract, and it is recommended that it should do so. The home has an admissions procedure which covered both planned and emergency admissions. The procedure stated that service users would be given the opportunity to visit the home before making a decision as to move in or Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 9 not, and service users spoken to confirmed that this was indeed the case. The procedure also stated that service users would initially move into the home on a trial basis, after which a placement review meeting would be held, attended by the service user, family, house manager, social worker and consultant psychiatrist. However, for the most recent admission to the home there was no evidence that such a review had ever taken place, and it is required that service users are admitted to the home in line with its admissions procedures. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Despite a good standard of care planning, it is the inspectors judgement that more needs to be done to promote individual needs and choices. Risk assessments need to be far more comprehensive, and the home must develop systems to help ensure service users are involved in the day to day running of the home. EVIDENCE: Individual care plans are in place for all service users. Care plans are drawn up with the involvement of the service user and the homes manager, and reviewed on a six monthly basis. Plans were clear and comprehensive, and covered mobility, medication, health and mental health needs, cultural, religious, social and leisure needs. Daily logs are also maintained, and these are linked to care plans. The manager informed the inspector that all service users are on the Care Programme Approach (CPA), and that reviews are held annually involving the service user, their social worker, CPN, consultant psychiatrist and staff from the home. However, for several service users the home did not have any copies of the minutes from these meetings, and it is a repeat requirement that the home obtains all relevant minutes, and that service users have access to them as appropriate. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 11 All service users have risk assessments in place, however, these are fairly basic, for example one service user’s risk assessment only covered risks associated with carrying shopping bags. All service users recently had a weeks holiday in Hastings, yet no risk assessments were carried out around this activity. It is required that comprehensive risk assessments are in place for all service users covering all areas of potential risk to themselves and others. The home has a missing person procedure in place. Through observation and discussion their was evidence that service users have a large measure of control over their daily lives, for example when to get up and go to bed, what to have for dinner etc. The manager informed the inspector that service users are routinely consulted over the running of the home, for instance over menus and activities. However, there are no formal arrangements in place for seeking service users views or including them in the day to day running of the home, and where consultations have taken place these have not been recorded. It is required that suitable arrangements are made accordingly. At the previous inspection a recommendation was made that service users are given the opportunity of been involved in staff recruitment to the home. As there has been no recruitment since that inspection, the recommendation is repeated in this report. The home has a confidentiality policy in place. This makes clear under what circumstances a confidence may be broken in the health, safety and welfare interests of service users and others. Confidential records were stored securely, staff and service users can access them as appropriate. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None The standards in this section were not tested as part of this inspection, but will be tested during the next inspection. EVIDENCE: The standards in this section were not tested as part of this inspection, but will be tested during the next inspection. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 It is the belief of the inspector that the home is able to meet the health and personal care needs of service users. Medications are stored, recorded and administered appropriately, and service users generally have access to relevant health care professionals, although the home must ensure that they have access to regular dental care. EVIDENCE: Service users are able to manage their own personal care, although the home will give encouragement and advice on clothing appropriate for the weather. The manager informed the inspector that service users would be able to remain in the home with a terminal illness, so long as the home could meet their medical needs. Service users wishes in the event of their death have been sought and are recorded on their care plans. All service users are registered with a GP. The home keeps records of medical appointments, and since the previous inspection these now include details of the appointment along with any follow up action necessary. Records indicated that service users have access to CPN’s, opticians and district nurses. However, as at the last inspection there was no evidence that service users have had regular access to dental care, and this must be addressed. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 14 The home has a medication policy in place and all staff receive training before they are able to administer medications. Records are maintained of medications entering the home and of those that are returned to the pharmacist. Several service users currently self medicate, and checks are in place to ensure that medications are taken as appropriate. Medications are stored in locked cabinets inside individual service users bedrooms. Medication Administration Record charts are maintained, and these appeared to be accurate and up to date. Since the last inspection medications are now all appropriately labelled. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 It is the view of the inspector that the home has taken reasonable steps to protect service users. Staff have received appropriate training, and service users are aware of whom they can complain to. However, the home must ensure that the adult protection policy is in line with current legislation. EVIDENCE: The home has a clear complaints procedure. This was prominently displayed within the home, and included timescales for responding to any complaints made and contact details of the CSCI. Service users spoken to showed a good understanding of whom they could complain to if they so wished. The home also maintains a complaints log, although the manager informed the inspector that no complaints have been received in the past year. The home has a copy of the Local Authority adult protection procedures and also its own policy on adult protection. However, this was not in line with current legislation, for example it did not make clear the homes responsibility to notify the Local Authority and the CSCI of any suspected abuse, and must be amended accordingly. Of the eight staff employed at the home six have received training in adult protection issues, and the manager informed the inspector that the remaining two staff are scheduled to attend this training in January 2006. Staff spoken to demonstrated a good understanding of issues around adult protection. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28 and 30 The inspector is satisfied that the home is suitable to meet its stated purpose. Service users have their own bedrooms, and communal areas and bathrooms and toilets are adequate to meet service users needs. EVIDENCE: The home consists of three houses converted into one, and is situated in the Walthamstow area of the London Borough of Waltham Forest. The home is in keeping with other homes in the vicinity, close to shops, transport links and other local amenities. All service users have their own bedrooms, five of these are ensuite and the others all have hand basins fitted. All bedrooms had adequate natural light and ventilation, and bedding, carpets and curtains were well maintained. Service users have been able to personalise their rooms, for example with family photographs, and bedrooms meet National Minimum Standards on size requirements. In addition to the five ensuite bedrooms, the home has one toilet/shower room, one toilet bathroom and one toilet on its own. Bathrooms were clean, tidy and free from offensive odours. However, a lock with an emergency override device must be fitted to the downstairs shower room. This is a repeat requirement. The communal areas consists of three lounges, (one a designated smoking room), two kitchen/dining areas and a garden with appropriate garden Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 17 furniture. Furniture and fittings around the home were generally well maintained and domestic in character. The home has recently had new carpets fitted, which service users helped to choose. The home has suitable measures in place to help prevent the spread of infection, for example protective clothing is available to staff, and COSHH products were stored securely. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36 Although staff in the home appear to have built up good relations with service users, it is the view of the inspector that they would further benefit from regular supervision. In addition, the home must ensures that its recruitment procedures are in line with NMS and the Care Homes Regulations 2001. EVIDENCE: The home provides 24-hour support, including an emergency on-call procedure. The home had a staffing rota on display, this accurately reflected the staffing situation on the day of inspection. The manager informed the inspector that the home is supposed to have regular staffing meetings on a monthly basis, however, records indicated that there had been no staff meetings since May of this year. It is recommended that the home holds at least six staff meetings a year. The home has policies in place on equal opportunities and recruitment and selection. As there have been no new staff recruited to the home since the last inspection, requirements made around staff recruitment at previous inspections are repeated in this report. All staff receive a copy of their job description, and a staff handbook, which includes the homes policies and procedures and terms and conditions. Since the last inspection staff have now been given a copy of the General Social Care Council codes of conduct. Through observation there was evidence that staff Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 19 have built up good relations with service users, and a good ability to communicate with service users. Staff receive a structured induction programme on commencing work at the home, this covers health and safety and service user issues. Staff training is on going, and recent training has included fire safety, infection control, confidentiality and medication. The manager informed the inspector that of the seven care staff employed at the home six either have or are currently working towards a relevant NVQ Care qualification. As at the last inspection none of the staff team are currently receiving any formal supervision, and it is required that all staff receive regular supervision. However, the manager informed the inspector that they are currently taking a six week course on staff supervision, and when this is completed they intend to ensure that all staff receive supervision as appropriate. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43 It is the view of the inspector that the homes manager is suitably qualified and experienced to carry pout their duties, although greater attention needs to be paid to health and safety issues. EVIDENCE: The homes manager is a Registered Mental Health Nurse with over thirty years experience of working with adults with mental health issues, including twenty five years experience of working in a managerial capacity. The manager informed the inspector that it is her intention of embarking on the Registered Managers Award in the near future. Staff and service users informed the inspector that they found the manager to be approachable and accessible, and on the day of inspection staff were observed to interact with the manager in a relaxed manner. The home has a quality assurance system in place, and copies of previous inspection reports were available to view in the home. The home issues questionnaires to service users and relatives to gain their feedback on the running of the home. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 21 The home has various policies in place on health and safety, for instance on infection control and fire safety. Staff have received health and safety training, including on manual handling and fire safety. Fire fighting equipment was situated throughout the home and was last serviced by an engineer on the 10/3/05. Fire exits were clearly signed and free from obstruction on the day of inspection. The home has a fire risk assessment in place and regular fire drills are held. Fire alarms are checked weekly, and were last serviced on the 14/2/05. The home had in date certificates on PAT testing and electrical installation, but there was no evidence of a gas safety check been carried out in the past twelve months, and this must be addressed. COSHH products were stored securely and records are maintained of accidents and incidents. The home checks fridge and freezer temperatures, but as at the last inspection it does not check hot water temperatures. It is required that checks are made at least weekly on all hot water outlets used for personal care to ensure they are at 43 degrees centigrade. The home has in date employer’s liability insurance cover. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x 3 2 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 1 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 1 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grove Road (107-109) Score 3 2 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 DS0000007245.V259005.R01.S.doc Version 5.0 Page 23 Yes 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 YA9 Regulation 13 Requirement The registered person must ensure that comprehensive risk assessments are in place for all service users, covering all areas of potential risk to service users and others. (Timescale 31/8/05/05 not met) The registered person must ensure that all service users are registered with a dentist and offered dental care as appropriate. (Timescale 31/8/05 not met) The registered person must ensure that all staff receive satisfactory CRB checks prior to their commencing work in the home. (Timescale 31/8/05 not met) The registered person must ensure that they obtain all information listed in Schedule 2 of the Care Homes Regulations 2001 for all staff working in the home. (Timescale 31/8/05 not met) The registered person must ensure that the home follows its recruitment procedures when recruiting staff to the home. DS0000007245.V259005.R01.S.doc Timescale for action 31/01/06 2. YA19 13 31/01/06 3. YA34 19 31/01/06 4. YA34 19 31/01/06 5. YA34 18 31/01/06 Grove Road (107-109) Version 5.0 Page 24 (Timescale 31/8/05 not met) 6. YA42 13 The registered person must ensure that all water temperatures used for personal care are checked weekly, and ensure that temperatures do not exceed 43 degrees centigrade. (Timescale 31/8/05 not met) The registered person must ensure that the home has a policy in place on adult protection which is in line with current legislation. (Timescale 31/8/05 not met) The registered person must ensure that the homes Service User Guide contains all information required by National Minimum Standard 1. (Timescale 31/8/05 not met) The registered person must ensure that all service users are admitted to the home in line with the homes admission procedures. (Timescale 31/8/05 not met) The registered person must ensure that the home receives copies of the minutes of all CPA meetings, and that service users have access to these minutes. (Timescale 31/8/05 not met) The registered person must ensure that all toilets and bathrooms are fitted with a lock, with an emergency override device. (Timescale 31/8/05 not met) The registered person must ensure that all staff receive regular formal supervision at least six times a year, and that records are kept of supervisions, and staff receive a copy of the minutes. (Timescale 31/8/05 not met) The registered person must DS0000007245.V259005.R01.S.doc 31/01/06 7. YA23 13 31/01/06 8. YA1 5 31/01/06 9. YA4 14 31/01/06 10. YA6 15 31/01/06 11. YA27 23 31/01/06 12. YA36 18 31/01/06 13. YA1 6 31/01/06 Page 25 Grove Road (107-109) Version 5.0 14. YA8 12 15. YA43 13 and 23 ensure that the homes Statement of Purpose and Service User Guide are both dated and subject to periodic review. The registered person must ensure that systems are in place to seek and record the views and wishes of service users on the day-to-day running of the home. The registered person must ensure that the home undergoes a gas safety check at least once every twelve months. 31/01/06 31/01/06 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 YA5 YA38 Good Practice Recommendations It is recommended that service users are given the opportunity to participate in the recruitment of all staff to the home. It is recommended that the home keeps a copy of service users contracts/statement of terms and conditions. It is recommended that the home has regular staff meetings, at least six times a year. Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Grove Road (107-109) DS0000007245.V259005.R01.S.doc Version 5.0 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. 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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