Inspection on 17/12/07 for Hillbeck

This inspection was carried out on 17th December 2007.

CSCI found this care home to be providing an Excellent service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hillbeck 16/04/09

Hillbeck 18/04/08

Hillbeck 31/01/07

Hillbeck 06/12/05

Hillbeck 10/08/05

Hillbeck 23/02/05

Hillbeck 08/06/04

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

CARE HOMES FOR OLDER PEOPLE Hillbeck The Roundwell Bearsted Maidstone Kent ME14 4HN Lead Inspector Mark Hemmings Key Unannounced Inspection 17th December 2007 08:45 X10015.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 Hillbeck DS0000039699.V352439.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 Older People. 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. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillbeck Address The Roundwell Bearsted Maidstone Kent ME14 4HN 01622 737847 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) ian@charinghealthcare.co.uk Charing Healthcare Post Vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (40) registration, with number of places Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Two double rooms 14 and 19 currently used as single rooms of 31 March 2002 continue to be so. Bedroom 9a is to be used as a double room for married couples, siblings or friends that it can be evidenced, wish to move into the home together. Care is restricted to one service user under the age of 65 whose date of birth is 15 November 1948. 31 January 2007 Date of last inspection Brief Description of the Service: Hillbeck (the Service) is registered to provide accommodation and personal care for 40 older people who experience difficulties managing aspects of their comprehension. The premises are a detached purpose-built property. The accommodation is provided on the ground floor and the first floor. There is a passenger lift that gives step-free access around the accommodation. When full, there is provision for four of the bedrooms to be shared. Each bedroom has a private wash hand basin. Most of them also have a private toilet and one has its own bath. There is a call bell system. This is designed to help people summon assistance when it is needed. There is a main lounge that leads onto the dining room. In addition to these areas, there are various bathrooms and toilets. Hoists and other equipment are in place to assist those people who have difficulty getting about. To the rear of the building, there is a walled garden that includes a level patio area. The Service is located in a quiet residential area that is about two miles from Maidstone. There is easy access to the M20 motorway. Shops, bus routes and a train station are nearby. There is plenty of off-street car parking. The Registered Provider is a private company. It runs other similar residential care services elsewhere in the region. The Registered Provider gives useful information to prospective people who might want to live in the Service. There is a Service Users’ Guide. This is a brochure that outlines the principal features of the facilities and services available in the Service. There is another document called the Statement of Purpose. This gives a more detailed account than does the Guide. Also, the Registered Provider ensures that a copy of the most recent Inspection Report from the Commission, is available for reference. The weekly fee for residence in the Service runs from £411.23 to £610.00. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has since 1 April 2006, developed the way it undertakes its inspection of care services. This inspection of the Service was an unannounced “Key Inspection”. The Inspector arrived at the Service at 08.45 and was in the Service for seven and a half hours. It was a thorough look at how well the Service is doing. It took into account detailed information provided by the Service’s owner or manager and any information that the Commission has received about the Service since the last inspection. There are seven Required Developments at the end of this Report. What the service does well: What has improved since the last inspection? The system used to give written information to people who might want to move in and to their families, has been strengthened. Various improvements have been made to the accommodation. Care workers have attended a variety of relevant training courses. The Registered Provider has been awarded an “excellent” rating by the local Department of Environmental Health in relation to food hygiene and food management practices. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 6 Relatives have been asked their views about the adequacy of the provision in the Service. 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. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2, 3 and 6. People who use the Service experience adequate outcomes. This judgement has been made using available evidence including a visit to the Service. People who might want to move in are informed about what the Service can offer to them. They have their needs assessed and their wishes acknowledged. EVIDENCE: People who might use the Service and their relatives are provided with useful written information about the facilities and services available in Hillbeck. In addition to this, the Manager is happy to answer any further questions. The Manager completes an assessment of each prospective person’s needs for assistance and of their preferences. This is done so that he can be sure that the Service can provide the assistance that is needed. Also, it helps to reassure the person concerned that their wishes have been expressed and acknowledged, so that if they do move in, things live up to their expectations. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 9 There was an omission in the information gathered in relation to Person A. The Manager will need to ensure that oversights such as this do not occur in the future. Most of the people in residence have decided to make the Service their longer term home. However, some people can elect to stay for shorter periods of time. For example, this might be done to enable a family carer to attend to other of their commitments. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. 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 feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. People who use the Service experience adequate outcomes. This judgement has been made using available evidence including a visit to the Service. The health and personal care that people receive, is based upon their individual needs. Sensible provision is made to help people avoid having accidents. Suitable arrangements are used to manage medicines. People are treated with respect. EVIDENCE: The people who use the Service say that the care workers offer them all the assistance they need and that this is provided in a reliable and consistent manner. There is a written plan of support for each service user. These are important documents. This is because they form one of the means by which people who use the Service can be reassured that they will be supported in the manner of their choice. Also, the plans are a source of reference information for the care workers who need to ensure that they assist people in a consistent and appropriate manner. There are various omissions in the information gathered and recorded for Person A. The Manager should address this Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 11 oversight in the manner indicated in the relevant Required Development at the end of this Report. People are helped to avoid having accidents. For example, people who experience difficulty getting about are offered assistance so that they do not take unnecessary risks. Care workers keep a tactful eye open, to make sure that people receive medical attention as and when it is needed. Since the last inspection, this has involved local doctors, district nurses and chiropodists calling to the Service. Suitable arrangements are in place to assist the people in residence to take medicines in the manner intended by their doctors. This includes there being reliable systems to support the ordering, storage and dispensing of medicines. A doctor has said that Person B can be given a particular medicine as and when it is needed rather than on the normal regular basis. More information needs to be gathered and recorded to help ensure that this medicine is consistently used in the manner intended. There is a Required Development in relation to this matter at the end of this Report. The people in residence say that care workers respect their right to privacy and their right to lead dignified lives of their own choosing. This includes all sorts of things. For example, being able to choose how they are addressed and being able to select presentable items of clothing from their own personal collections. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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 maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. The calendar of social activities needs to be developed. People are assisted to keep in touch with family and friends. Good quality meals are served. EVIDENCE: The people who use the Service are free to choose what to do each day. The pace of daily life is relaxed. There are no unnecessary rules or routines to disrupt the experience of a normal domestic setting. Some of the relatives of the people in residence think that more social activities should be provided. There is an activities coordinator who offers people the chance to do social things either in a one to one setting or as part of small groups. The activities coordinator has a good understanding of the sorts of things that are likely to engage the interest of the people in residence and she is making a valuable contribution. In addition to this, it is intended that the care workers provide the chance for people to do further things each day. This arrangement is not well organised. It is not clear which of the care workers should be doing what, there is no reliable account of what has taken Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 13 place. Indeed, there is some question about the frequency with which the events are held. The Manager is going to review and strengthen each of these aspects to ensure that the arrangement now works in the manner intended. This development is going to be completed by 1 February 2008. The people who use the Service are assisted to keep in touch with family and friends. People can receive visitors at any reasonable time. They can meet with their visitors in the privacy of their bedroom if they wish to do so. The Manager routinely consults with relatives so that they know how things are going. The relatives say that they appreciate the degree of involvement this gives them. People say that they are encouraged to think of themselves as being at home. For example, they say that they can personalise their bedrooms with ornaments and pictures. Also, they say that they can retire to their bedrooms whenever they wish to do so. The people who use the Service say that they receive good quality meals and they always have enough to eat. The menu indicates that a normally varied diet is provided. Some of the people in residence follow special diets or need to have their food prepared in a certain way. These requirements are met. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 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’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. There is an organised system for responding to complaints. The wellbeing of the people in residence is safeguarded. EVIDENCE: There is a written complaints procedure that explains how people can go about raising a concern. The Registered Provider is aware of the need to ensure that complaints about the Service are investigated thoroughly and resolved promptly. Since the last inspection, two complaints have been received by the Registered Provider. These have been resolved to the satisfaction of the people who raised the concerns. The care workers have a sound understanding of what constitutes good care practice. As part of this, they are aware of the need to be alert to instances in which the well being of people who use the Service might become jeopardised. The people who use the Service say that they feel safe living in Hillbeck. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 23, 25 and 26. People who use the Service experience adequate outcomes. This judgement has been made using available evidence including a visit to the Service. In general, the accommodation provides a comfortable and safe setting within which people can make their home. EVIDENCE: Most areas of the accommodation are homely and welcoming. There are some areas where paintwork and other decorative finishes have become rather worn. The ground floor toilet is poorly presented. The room is cramped because some of the floor space is taken up with a shower enclosure that is no longer in use. Some of the pipe-work is discoloured and the radiator guard has not been painted. There is even no light shade, just a bare light bulb. The Manager says that the Registered Provider is aware of the need to refurbish Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 16 this room. In the interim, there is a Required Development at the end of this Report that states what particular improvements now need to be made. In the ground floor bathroom, there is a lot of unpainted woodwork that has been installed to cover some of the pipes. It looks most unsightly. Again, the light fitting does not have a shade. These matters will need to be addressed in the manner described in the relevant Required Development at the end of this Report. In the first floor bathroom, there is an electrical cable draped over the top of the door-frame. This is held in place with some nails that stick out of the frame. Again, this is a most unsightly arrangement. It will need to be addressed in line with the relevant Required Development at the end of this Report. The premises are fitted with a modern automated fire detection and fire management system. When operated correctly, this should provide the people in residence with a high level of protection. The Registered Provider has completed an organised assessment of the adequacy of the fire safety practices in use in the Service. This indicates that there are no significant hazards that have yet to be addressed. The Manager has discussed the assessment with the Kent Fire and Rescue Service to clarify its sufficiency. He is going to re-contact the Service to see if it wants the assessment to be submitted for more detailed examination. This will be done by 1 February 2008. The local Department of Environmental Health has examined the kitchen and the food handling practices in use. It has awarded the Service a five star “excellent” rating. The Manager says that the people who occupy the shared bedrooms are offered the chance to have their own bedroom. Person C has expressed a wish to move into a single bedroom. The Manager says that this request will be honoured as soon as possible. The people who use the Service say that their home is kept comfortably warm. The care workers say that there is a reliable supply of hot water. Suitable steps have been taken to help reduce the risk that someone might be burnt or scalded. The laundry is well equipped. There are suitable arrangements in place to promote good standards of household hygiene. It is necessary to ensure that used water does not leak back from appliances such as washing machines into the main supply. The Manager is going to Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 17 check that the Service meets the necessary requirements. This will be done by 1 February 2008. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. People who use the Service experience adequate outcomes. This judgement has been made using available evidence including a visit to the Service. There are enough members of staff on duty. Security checks are completed for new members of staff. Care workers know what they are doing. EVIDENCE: There are at least six care workers on duty to respond to people’s needs for assistance from early in the morning until later in the evening when the night staff arrive. These care workers are supported in their work by other people, who do the catering and who complete housekeeping tasks. There are enough staff on duty to enable people’s needs for assistance to be met in a timely and reliable manner. Less that half of the care workers have acquired a National Vocational Qualification (NVQ) in health and social care. This Award has been designed to enable care workers to reflect upon and to develop their practice. The Registered Provider completes a number of security checks for new members of staff. These are designed to ensure that all members of staff are suitable people to be entrusted with access to service users who may be vulnerable. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 19 All new care workers receive introductory training. This is designed to ensure that they have the basic knowledge and skills they need in order to be able to work without direct supervision. This is important because the quality of care delivered in the Service, depends largely upon the adequacy of the competencies care workers have to hand. Parts of the arrangements used are rather muddled. The Registered Provider should review them in the light of a new national model of good training practice. This should be done by 1 February 2008. In addition to the introductory training, existing care workers undertake a number of core training courses. These are designed to further develop their skills. Some of the records of this training are not up to date. This makes it difficult to be sure who has done what courses and what additional tuition might be needed. The Manager is going to review the relevant records by 1 March 2008. This is so that any omissions can be identified and then can be resolved. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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 the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 37 and 38. People who use the Service experience adequate outcomes. This judgement has been made using available evidence including a visit to the Service. There is no registered manager in post. The quality assurance system needs to be strengthened. There are omissions in aspects of the health and safety system. EVIDENCE: The day to day operation of the Service is overseen by the Manager and by the Deputy Manager. Between them, they have a detailed knowledge of how things are going. Care workers say that they work together well as a team. They think that this is helped by having handover meetings at the beginning and end of each shift. This gives them a chance to discuss what has happened Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 21 in relation to each of the people in residence, so that important information is passed on in a timely manner. The Manager has been in post for more than one year. However, the Registered Provider has not yet submitted an application to the Commission for him to be registered in this post. It is very important that the Commission has the opportunity to satisfy itself about the suitability of the person holding this key position in the Service. The Registered Provider’s delay in attending to this matter is not satisfactory. The matter must now be addressed within the timescale listed in the relevant Required Development at the end of this Report. The Registered Provider recently has asked relatives what they think about the Service. The replies show that there is a high level of satisfaction. They say that the people in residence receive the support they need from members of staff who are attentive and kind. However, there is no organised system to consult with the people in residence. This is an important oversight, because after all they are the real experts on what it is like to live in Hillbeck. The Registered Provider needs to address this oversight by introducing a suitable internal quality assurance system. This should specifically consult with the people in residence and with other relevant stakeholders. There should be provision for the results of the exercise to be fed back to the contributors. This is so that they know what is going to be done to implement any suggested improvements. This exercise should be completed so that it can form part of the next Annual Quality Assurance Audit. This is a document that the Registered Provider has to submit each year to the Commission. It is part of the process by which the Registered Provider and the Commission assesses how well the Service is doing. Suitable arrangements are in place to assist some of the people in residence to manage their personal spending allowances. There are various written policies and procedures. These are designed to help members of staff when responding to potentially difficult or complicated situations. The continued serviceability of the fire safety equipment is being checked regularly. There should be an arrangement in place to double check that all members of staff know what to do in the event of a fire safety emergency. The present system needs to be strengthened to ensure that all members of staff are checked often enough. There is a Required Development in relation to this matter at the end of this Report. The Manager says that all items of equipment in use in the Service remain in good working order. There is service documentation to confirm this account. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 22 The Manager regularly reviews the premises and the accommodation. This is done so that any significant environmental risks to health and safety can be identified and addressed. He says that there are no such hazards waiting to be resolved. There have not been any out-of-the-ordinary accidents in the Service since the last inspection. There is a system to ensure that when accidents do occur, steps are taken to try to prevent them happening again. Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 2 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X 2 X 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 2 X 3 X 3 2 Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 12 Requirement The Registered Provider should correct the omissions in the written plan of care for Person A. The Registered Provider should address an omission in the medication profile for Person B. The Registered Provider should install light shades in the ground floor shower room and in the ground floor bathroom. The Registered Provider should ensure that the unfinished surfaces in the ground floor shower room and in the ground floor bathroom are presented to a normal domestic standard. The Registered Provider should ensure that the loose electrical cable in the first floor bathroom is removed. The Registered Provider should submit to the Commission someone to be registered in the post of manager of the Service DS0000039699.V352439.R01.S.doc Timescale for action 01/01/08 2. OP9 13 01/01/08 3. OP19 23 01/01/08 4. OP19 23 01/02/08 5. OP19 23 01/02/08 6. OP31 8 01/02/08 Hillbeck Version 5.2 Page 25 (this Required Development is outstanding from the last inspection report. It should have been completed by 07/04/07). 7. OP38 23 The Registered Provider should 01/02/08 ensure that all members of staff are included within a system that is designed to check at least once in every period of six months that they know how to reliably operate the Service’s fire safety procedure (this Required Development is outstanding from the last inspection report. It should have been completed by 14/02/07). RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hillbeck DS0000039699.V352439.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Hillbeck DS0000039699.V352439.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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