Inspection on 22/09/05 for Hesslewood Care Centre

This inspection was carried out on 22nd September 2005.

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 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

Hesslewood Care Centre 01/11/07

Hesslewood Care Centre 22/09/06

Hesslewood Care Centre 17/01/06

Hesslewood Care Centre 04/03/05

Hesslewood Care Centre 04/08/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Hesslewood Care Centre Ferriby Road Hessle East Yorkshire HU13 OJB Lead Inspector Mrs Rosalind Sanderson Unannounced Inspection 09.30a. 22 September 2005 nd X10029.doc Version 1.40 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 Hesslewood Care Centre DS0000000936.V251577.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 Older People and 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. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hesslewood Care Centre Address Ferriby Road Hessle East Yorkshire HU13 OJB 01482 648543 01482 640990 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) Exceler Healthcare Services Limited Mrs Anne M Devaney Care Home 86 Category(ies) of Dementia - over 65 years of age (64), Old age, registration, with number not falling within any other category (64), of places Physical disability (22) Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th March 2005 Brief Description of the Service: Hesslewood Care centre is a large Victorian House with a modern purpose built extension. It is situated approximately a mile from the town of Hessle and close to the City of Hull. The original house is now a unit for younger physically disabled people whilst the large modern extension is the home for older people some of whom may require nursing care. The home is managed as three separate units and each has their own staff compliment. Accommodation is provided on two floors and both parts of the building are served by passenger lifts. The home stands in extensive, pleasantly landscaped grounds overlooking the Humber Estuary and the Humber Bridge. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over one day and by two inspectors, Ros Sanderson and Sarah Sadler. The inspection lasted for nine hours including preparation time. During the inspection service users, relatives and staff were spoken with. The manager was available to assist throughout the inspection. Records looked at included service user records, staff files and health and safety documentation. What the service does well: Service users like living at Hesslewood. Initial needs assessments ensure that service users can be assured their needs will be met. People feel they have enough information before they come to live here. One relative said, ‘We were very happy when ……came here. A member of staff from the home visited her in hospital and details about her care were recorded. When we looked around we were given information about the home.’ Comments received from service users include, ‘This is a lovely place, you make friends with each other and the staff and the best thing is you can have a laugh’ The food provided at the home is good and the cook has knowledge about each service users dietary needs. Vegetarian and diabetic diets are catered for. One service user said, ‘The only complaint about the food is that you get too much!’ The care plans that are developed are very good with all areas of care addressed. Comments in the care plans reflect the way in which dignity and choice are promoted. These include, ‘Assistance given as requested by….’ ‘Wished to stay in her room today.’ Staff at the home are well trained and the staff feel supported by the manager and by each other. A comment in a letter from a member of staff read, ‘On a professional basis the standards of care are very high and the support and encouragement given by the nursing unit manager and other staff have surpassed my expectations’ Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: At the inspection medication was left unattended on the residential unit. The manager was required to make sure that this does not happen again. Staff records showed that references for all members of that service users are cared made that two references are the manager had not obtained two written staff before their employment started. To ensure for by safe, appropriate staff a requirement is obtained for all staff before they are employed. The manager was unable to show evidence at the inspection that the gas and electric installations at the home had been checked and were safe. A certificate was also required to confirm the home meets the requirements of the Water Supply (water fittings) Regulations 1999. A requirement was made that these be forwarded to the Commission for Social Care Inspection within one month. The manager carries out a weekly audit of pressure sores and this is recorded collectively for all service users that are suffering from one. It was recommended that, to ensure privacy and to meet the requirements of the Data Protection Act that these records are recorded on an individual basis. 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. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and standard 2 (adults 18-65) Service users can be confident that their assessed needs will be met at Hesslewood. EVIDENCE: The records showed that all people expressing a wish to use this service are visited at home or in hospital in order that their health and social needs may be assessed. The assessments include all health care needs, activities of daily living, and social and recreational needs of each service user. This assessment is carried out with the co-operation and agreement of the service users and/or their relatives. The assessments were signed by service users to show that the assessment was correct. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 9 One relative said, ‘We were very happy when ……came here. A member of staff from the home visited her in hospital and details about her care were recorded. When we looked around we were given information about the home.’ Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 6,18,19,20 (Adults 18-65) Service users care is well planned and delivered in a way that ensures all assessed needs are met and the privacy and dignity of service users is promoted. Medication is administered correctly but practices in relation to handling have the potential to put service users at risk. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 11 EVIDENCE: The care plan records looked at gave information about the service users physical, personal care and health care needs. There was information about the type of specialised equipment necessary for the prevention of pressure sores and for moving and handling. The qualified nurses and the care staff record on a daily basis the care and treatments delivered to the service user. Service users receive the care they require in a way in which they choose to do so and that promotes their dignity, respect and privacy. Quotes taken from the care plans include, ’Assistance given as requested by….’ ‘Wished to stay in her room today.’ Comments received from service users included, ‘I am having a late breakfast as I fancied a lie in this morning’ ‘This is a lovely place, you make friends with each other and the staff and the best thing is you can have a laugh’ Specific care plans were in place for service users who are at risk from and/or who have pressure ulcers. The record of the treatments and interventions were recorded consistently on the evaluation sheet. A weekly audit of service users with pressure sores is carried out and all service users names and details are recorded on one sheet. A recommendation was made that these are kept as individual records to promote dignity and meet the requirements of the Data Protection Act. There is a monitored dosage medication system in operation and all medication is safely stored. Risk assessments are in place for service users who wish to self medicate. All recording on the medicine administration sheets was correct and complete. Medication is disposed of correctly. At the inspection some medication packs were left unattended on the residential unit. A requirement was made that this practice was not acceptable and should stop Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14,15, and 7&17 (younger adults) Service users are able to make choices and decisions about their lives and are assisted with this if needed. The home provides service users with a nutritious and varied diet to meet individual and collective needs. EVIDENCE: Service users are able to look after their own finances where they wish and are able. If the manager takes care of personal allowances the service users can have access to this at any time. All monies held are kept individually. There Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 13 are details in the home about advocacy services and on admission service users are asked if they would like contact with advocacy service. One care plan recorded, ‘I do not require advocacy as I am able to speak for myself.’ Service users room were all individual and they are encouraged to personalise their rooms. On the younger disabled unit some rooms are set out as ‘bed-sits’ to promote and encourage independence. One service user commented that they were appreciative of the fact that they could bring their own furniture and that they loved their bedroom. All service users have their nutritional needs assessed and a service user dietary preference sheet is provided to the cook in respect of each service user so that the cook is aware of all needs. One recording said, ‘this service user has a poor appetite and so needs an enriched diet.’ Special diets such as vegetarian and diabetic diets are catered for. The kitchens are clean and well stocked. The dining rooms on each unit are pleasant and tables set nicely with linen tablecloths. Assistance was given to service users needing this in an appropriate way that promotes dignity. One service user said, ‘The only complaint about the food is that you get too much!’ Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 and 22&23(Younger adults 18-65) Service users are protected and can feel confident that they will be listened to and any complaints acted upon. EVIDENCE: There is a complaints procedure in place that contains the contact details of the Commission for Social Care Inspection following a recommendation from the last inspection. The procedure is available to all service users and visitors to the home. Since the last inspection there had been three complaints to the home that had been dealt with in accordance with the procedure and within agreed timescales. All the complainants had been satisfied with the outcomes. The adult abuse policy reflects the recommendations in the Department of Health ‘No Secrets’ document. The manager holds a copy of the local authority multi agency policy that clearly states reporting procedures should an allegation of abuse occur. Staff receive training during their induction in relation to protection of vulnerable adults and there are regular updates available for care assistants and trained staff. Trained nurses and carers spoken with were very clear about the types of abuse that could occur and what actions they should take if a disclosure is made. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 &26 and standards 24&30 (Adults 18-65) Service users live in a home that is safe and secure and offers a clean and hygienic environment. EVIDENCE: The location and layout of the home meets the needs of the service users. The grounds that the home is set in are well maintained. One service user said, ‘I love it here. The pre conceived idea that I had about homes was totally wrong. I love spending time in the gardens’ Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 16 The home is very pleasant and clean. There are no unpleasant odours and there is plenty of natural ventilation. Hand washing facilities are sited around the home and personal protective equipment is provided for all staff and service users. Infection control is paramount to the manager and there are ‘hand washing’ signs in evidence throughout the home. Training has been provided in this area. The laundry is situated away from food preparation areas and the equipment provided ensures that soiled laundry is washed appropriately. Walls and floors in the laundry are readily cleanable. The sluice room on each unit is kept locked to ensure service users do not have access to COSHH materials. There is a sluice disinfector provided in each unit. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27&29 and 33&34 Younger adults(18-65) Service users are cared for by sufficient numbers of staff, however some recruitment procedures have the potential to put service users at risk. EVIDENCE: There are adequate staff on duty on each shift and this was the case on the day of the inspection. Staff rotas show that there is a good skills mix on each shift. It was observed at lunchtime that there were adequate numbers of staff to enable service users requiring help to receive this. Staff are well supported. One member of staff who was leaving the home had written a letter to the manager and in this she had said, ‘On a professional basis the standards of care are very high and the support and encouragement given by the nursing unit manager and other staff have surpassed my expectations’ The recruitment records of five staff were looked at and out of these only two had two written references. One staff had been employed by an agency who Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 18 had carried out pre employment checks. A requirement is made that all prospective staff should provide the names of two people able to give a reference, one of whom should be the last employer, and the manager must make sure that two written references are obtained before the person is employed. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 and 42(adults 18-65) Service users and staff have their health and welfare promoted. To ensure this continues and they are safe the requirements within this report must be addressed. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 20 EVIDENCE: The manager is experienced and competent to manage the home. Mandatory training for staff is current ensuring residents are cared for by safe staff. Specific and generic risk assessments are in place and reviewed to promote safety within the home. There are systems in place for equipment checks to be made regularly to ensure that service users are safe. Checks relating to fire equipment are carried out regularly and there is evidence that staff receive fire training at the required intervals. Staff spoken with confirmed this. Maintenance certificates were seen for the fire systems and portable appliance testing has been carried out. The safety certificates not available at the inspection included the electrical wiring certificate, the gas appliance safety certificate and the certificate for water supply regulations. The manager was required to forward these certificates to the Commission for Social Care Inspection within one month. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X 37 X 38 3 Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 22 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 YA20OP9 Regulation 13(2) Requirement Timescale for action 22/09/05 2 YA34OP29 19(4(b(i)) sch 2: 5 3 YA42OP38 13(4(a)) The registered manager must ensure that medication is not left unattended in the home at anytime The registered manager must 22/09/05 ensure that two written references are obtained for each prospective member of staff prior to commencement of employment The registered manager must: 22/10/05 • Provide documentary evidence to the Commission for Social Care Inspection that the electric and gas installations at the home are safe. • Provide evidence to the Commission for Social Care Inspection that the home meets the requirements of the Water supply (water fittings) regulations 1999 Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 23 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 YA19OP8 Good Practice Recommendations It is recommended that the weekly audit of pressure sores is recorded individually for each service user to promote privacy and meet the requirements of the Data Protection Act. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. Hesslewood Care Centre DS0000000936.V251577.R01.S.doc Version 5.0 Page 25 - 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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