Inspection on 08/12/06 for Grove Road (107-109)

This inspection was carried out on 8th December 2006.

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 13 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) 25/04/06

Grove Road (107-109) 18/10/05

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 8 December 2006 10:00 th Grove Road (107-109) DS0000007245.V317526.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 Grove Road (107-109) DS0000007245.V317526.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. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 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.V317526.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2006 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.V317526.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 8/12/06 and was unannounced. The inspector had the opportunity of speaking with service users, staff from the home and the homes manager was present throughout the course of the inspection. The inspection also included a tour of the premises and an examination of documentation and records. Service users expressed satisfaction with the care and support they receive, and there were instances of good practice found in the home. However, there are a number of issues that must be addressed, as highlighted within the report. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 6 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.V317526.R01.S.doc Version 5.2 Page 7 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): 1,3,4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that service users are provided with sufficient information about the home to be able to make an informed choice as to move in or not. This information is provided through the opportunity of visiting the home, and written documentation. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place. Both documents are written in plain English, and all service users are provided with their own copy of both documents. They have been dated and subject to review since the previous inspection. The Statement includes details of the organisational structure, the aims and objectives and the services and facilities provided by the home. The Service User Guide includes details of the homes physical environment and its complaints procedure. Each service user is provided with a written contract/ statement of terms and conditions. These have been signed by the service user and the homes manager. They include details of fees payable, what they cover and what is extra, and are in line with National Minimum Standards. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 8 Although there have been no new admissions to the home since the last inspection, the home has an admissions procedure in place. This states that pre admission assessments will be carried out on prospective service users, and that they will get a chance to visit the home before making a decision as to move in or not. Service users will initially move in for a trial period, after which a placement review meeting will be held. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the view of the inspector that service users have a large measure of control over their daily lives, and that they are involved in the day to day running of the home. EVIDENCE: Clear and comprehensive individual care plans are in place for all service users. These are drawn up with the involvement of the service user, their keyworker and the homes manager. Plans are subject to regular review, and daily logs are also maintained. Plans cover needs associated with mental health, medication, personal care and social and leisure needs. Risk assessments are in place for all service users. These were clear and comprehensive, identifying risks, and including strategies to manage and reduce these risks. Assessments included risks associated with self neglect, Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 10 smoking and accessing the community. However, not all risk assessments have been subject to regular review. For example, for one service user there was a risk assessment around them wandering at night time out of the home. This stated that it was due for review on the 29/7/06, but there was no evidence that this review had taken place. It is required that all risk assessments are subject to regular review. Through observation and discussion there was evidence that service users have a large measure of control over their daily lives. Service users are free to get up and go to bed as they choose, they are able to buy and cook their own food, and can come and go from the home independently. Service users are provided with a key to both the front door and their bedrooms. There are arrangements in place to consult service users over the day to day running of the home, for example regular service user meetings are held. These evidenced discussions on activities, menus and general house issues. The inspector was informed by the homes manager that it is planed that the home is due to be decorated in the near future, and that service users will be involved in choosing the new décor. 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.V317526.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the inspector’s judgement that the home supports service users to live valued and fulfilling lives, and that they have regular access to the community. EVIDENCE: Service users are routinely involved in the community. One service user has paid employment, working at a café in a drop-in centre. Service users have access to various educational opportunities, for example they take classes in IT skills, English, yoga and keep fit at local colleges. One service user has inhouse guitar lessons. Service users attend various day services, where they have the opportunity of developing friendships and socializing. Service users access local banks, post offices, the library, shops and markets. Service users access public transport, including buses and tubes. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 12 The inspector was impressed by the homes support for service users to meet their spiritual needs. Service users attend various places of worship, including a mosque, and Greek Orthodox, Roman Catholic and Pentecostal churches. In house a group of gospel singers visit weekly, providing bible study classes and singing sessions to those interested, service users informed the inspector that they enjoyed these singing sessions very much. Service users have access to a variety of social and leisure activities, both inhouse and in the community. In house service users have access to TV, music, videos and various games such as dominoes. The home arranges various parties, for example to celebrate birthdays. In the community service users go to cafes, restaurants, swimming and to the greyhound races. Service users are offered a weeks holiday away from the home each year as part of their basic contract price. This year service users went to Kent, and informed the inspector that they had a good time. Service users are able to maintain contact with their family, including visiting them for overnight stays. Visitors are welcome at the home at any reasonable hour, and can see service users in private if they so wish. Service users are given their own mail to open, and have access to use a telephone in private. The home maintains a record of menus, although this does not include breakfasts, and this must be included on menu records. Menus indicated that service users are offered a varied, balanced and nutritious diet, with plenty of choice. On the day of inspection some service users had a fish dish, others a meat dish and others had sandwiches for lunch, in line with their preference. Service users are involved in food preparation, including buying their food. One service user prefers a Halal diet, and this is catered for. The kitchen was clean and tidy, and food was stored appropriately. Since the last inspection the home now tests and records all fridge and freezer temperatures used for food storage. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home is able to meet the personal care needs of service users. However, much work needs to be done to ensure that medication in the home is administered and recorded appropriately. 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. Records are kept of medical appointments, including details of any follow up action required. Records indicated that service users have access to GP’s, CPN’s, opticians and the district nurse. However, as at the last inspection there was no evidence that service users have regular access to dental care, and this must be addressed. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 14 The home has a medication policy in place, and all staff are expected to undertake medication training before they are able to administer medications. However, the inspector had serious concerns about the recording and administration of medications within the home. • • Correction fluid had been used on Medication Administration Record (MAR) charts, thus making it impossible to see what the original entry had been. One service user has been prescribed CALOGEN EMULSION, MAR charts indicated that this had not been administered in the past week, and furthermore there was no evidence that the home had any of this medication in stock. Some medications are stored in a fridge; the home does not check the temperatures of this fridge. MAR charts had on occasions been signed by staff who were not on duty at the time the medication was supposed to have been administered, thus indicating that the medication was possibly not administered as appropriate, and that it was not signed for as appropriate. The home could not evidence that it had kept completed MAR charts for one service user, and old medication records must be kept in the home for a period of at least three years. • • • All of this must be addressed as a matter of priority. Continued failure to administer medications appropriately may lead the CSCI to take Enforcement action against the home. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home has taken reasonable steps to help ensure that service users are protected from the risk of abuse. EVIDENCE: The home has a complaints log in place, although the manager informed the inspector that the home had not received any complaints since the previous inspection. The home also has a complaints procedure in place. This now makes reference to the CSCI, and was on display within the home. Service users spoken to demonstrated a good understanding of whom they could complain to if they so wished. The home has a copy of the Local Authorities adult protection procedure, and also its own policy on adult protection. This appeared to be in line with current legislation. All staff at the home have undertaken training in adult protection issues, and those staff spoken to by the inspector demonstrated a good understanding of their roles and responsibilities with regard to adult protection issues. The home does not keep money on behalf of service users. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The inspector was satisfied that the home is suitable to meet its sated purpose with regard to the physical environment. Service users are provided with adequate communal and private space, and the home was generally well maintained. 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 Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 17 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. All bathrooms have working locks fitted, including an emergency override device. The communal areas of the home consists of three lounges, (one a designated smoking room), two kitchen/dining areas and a garden with appropriate garden 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.V317526.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Whilst the inspector was satisfied that staff have built up good relations with service users, the home must ensure that all appropriate employment checks are carried out on staff, and that they receive regular formal supervision. EVIDENCE: The home provides 24-hour support, including an emergency on-call procedure. There was a staff rota on display, this accurately reflected the actual staffing situation on the day of inspection. Through observation and discussion there was evidence that staff have built up good relations with service users, and demonstrated a good understanding of service users collective and individual needs. Service users spoken to informed the inspector that they were very happy with the staff in the home. Staff were observed to interact with service users in a respectful and friendly manner. Staff are provided with a copy of their job description, and were able to Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 19 demonstrate a good understanding of their roles and responsibilities. Regular staff meetings are held. All staff undertake a structured induction on commencing work in the home, this includes service user issues and policies and procedures. Recent staff training has included first aid and adult protection. However, not all staff have undertaken any food hygiene training, and it is required that all staff involved in food preparation undertake appropriate food hygiene training. Of the nine care staff employed at the home, five have obtained a relevant care qualification. The home has policies in place on recruitment and selection and equal opportunities. Staff employment files were checked. Several of these were found to be lacking required documentation, for example, not all files contained proof of ID, two employment references, and some did not have a current CRB check in place. This issue must be addressed as a matter of priority. Records are kept of supervision, and staff have access to their records. These indicated that supervision includes discussion on performance, service user issues and training needs. However, supervision has been infrequent, for example, two staff have had only one supervision since the beginning of 2006, and it is required that all staff receive regular formal supervision, at least six times a year. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is the view of the inspector that the homes manager is suitably qualified and experienced to carry out their duties, and that appropriate quality assurance systems are in place. 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 they are now working towards the Registered Managers Award. Staff and service users informed the inspector that they found the manager to be approachable and accessible, and on the day of Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 21 inspection staff were observed to interact with the manager in a relaxed manner. With the exception of medication records, record keeping was generally of a satisfactory standard. Records are stored securely, staff and service users can access their records as appropriate. The home had all required policies and procedures in place in line with National Minimum Standards, those checked by the inspector appeared satisfactory. Care plan reviews, staff meetings and service user meetings all contribute to quality assurance within the home. Copies of previous inspection reports were available in the home. The home issues questionnaires to service users and relatives to seek their feedback on the running of the home. Completed questionnaires seen by the inspector contained generally positive feedback. Fire extinguishers were situated around the home, these were last serviced on the 28/2/06. Fire alarms were last serviced on the 6/3/06 and are tested weekly. However, the home has not had any fire drills since the 6/5/06, and it is required that fire drills are held at least once every three months. Hot water temperatures are tested, and COSHH products were stored securely. The home had in date certificates for gas safety, electrical installation and PAT testing. The home had in date employer’s liability insurance cover. Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 1 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 1 3 3 3 3 3 3 2 3 Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 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 YA19 Regulation 13 Requirement The registered person must ensure that all service users are registered with a dentist and offered dental care as appropriate. (Timescale 31/8/06 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 31/8/06 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 31/8/06 not met) The registered person must ensure that all medications are appropriately administered and recorded. (Timescale 31/8/06 not met) The registered person must ensure that the home holds regular fire drills, at least once every three months. (Timescale DS0000007245.V317526.R01.S.doc Timescale for action 28/02/07 2. YA34 19 28/02/07 3. YA36 18 28/02/07 4. YA20 13 31/01/07 5. YA42 13 and 23 31/01/07 Grove Road (107-109) Version 5.2 Page 24 31/8/06 not met) 6. 7. YA9 YA17 13 17 The registered person must ensure that all risk assessments are subject to regular review. The registered person must ensure that the home maintains a record of all meals provided in the home, including breakfasts. The registered person must ensure that correction fluid is not used on any medication records. The registered person must ensure that the home has adequate supplies in stock of all medications service users have been prescribed. The registered person must ensure that the temperature is tested and recorded daily of any fridges used to store medications. The registered person must ensure that any completed medication charts are kept in the home for a period of at least three years, and that they are available for inspection by persons so authorised to do so. The registered person must ensure that satisfactory CRB checks are carried out on all staff working at the home. The registered person must ensure that all staff involved in food preparation receive appropriate food hygiene training. 31/01/07 31/01/07 8. 9. YA20 YA20 13 13 31/01/07 31/01/07 10. YA20 13 31/01/07 11. YA20 13 31/01/07 12. YA34 19 31/03/07 13. YA35 13 and 18 31/03/07 Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Grove Road (107-109) DS0000007245.V317526.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Grove Road (107-109) DS0000007245.V317526.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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