Inspection on 08/12/06 for Hilltop House

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 Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Hilltop House 02/12/08

Hilltop House 17/01/06

Hilltop House 13/07/05

Hilltop House 03/03/05

Hilltop House 15/09/04

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

CARE HOME ADULTS 18-65 Hilltop House 30 Hilltop Road Twyford Berkshire RG10 9BN Lead Inspector Stewart Mynott Unannounced Inspection 8 December 2006 10:20 th Hilltop House DS0000011393.V323483.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 Hilltop House DS0000011393.V323483.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. Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hilltop House Address 30 Hilltop Road Twyford Berkshire RG10 9BN 0118 934 0053 0118 934 0659 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) Mrs Janet Clarke Mrs Janet Clarke Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (2) Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: Hilltop House is a care home for 8 people with mental health needs. It is registered for adults over 18 years of age and is able to accommodate both genders. It does not provide nursing care or provide care for people detained under the Mental Health Act 1983. The house is staffed throughout the 24-hour period, with the night staff sleeping in. The house is owned and managed by Mrs Janet Clarke. The house is within a quiet residential area of Twyford. It is close to local shops and a bus stop is directly outside the property. Twyford has a train station, which is about 15 minutes walk from the house. The fees in respect of this service are currently £657.00 per week. Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over a four-day period between the 1st and 8th December 2006, with an unannounced visit to the establishment occurring on the 8th December 2006 lasting for 6 hours. During the site visit a full tour of the premises was facilitated. Over 50 of the visit was spent with all the residents, as well as the staff on duty observing the everyday life at the home. Six residents were spoken to about their experiences and views about living at the home. Discussions also took place with all staff on duty. Discussions, including feedback about the inspection process, with the registered manager took place at the beginning and end of the inspection visit. Some of the service users and the homes records were examined to support observations made during the day. The inspection also included reference to documents completed and supplied by the home to include a pre inspection questionnaire. What the service does well: What has improved since the last inspection? The registered manager has appointed an acting manager to assist in the overall managing of the home. There have been improvements to the management systems and quality of the record keeping within the home. The management team have addressed the requirements and recommendations made at the last inspection to include improvements surrounding the recruitment of staff, the organisation of staff training and the regular formal supervision of staff’s practise. Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 6 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. Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. Prospective residents support needs are appropriately assessed during an individual tailored transition plan prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager and the staff on duty confirmed that a resident had recently moved into the home. The registered manager described that a full assessment had been completed and an individual transition plan was developed and followed to ensure both the resident and home could make an informed decision about the suitability of the placement. Records for the new resident were examined and a full Social services and health assessment were retained and a full history had been explored. The new resident confirmed that they were satisfied with the transition plan and opportunity to visit to make an informed decision about the care home. The resident confirmed that they were satisfied and the placement had met their expectations so far. Hilltop House DS0000011393.V323483.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 and 9 Quality in this outcome area is good. Resident’s current and changing needs are fully understood and recorded by the staff team and kept under six monthly review. Residents area encouraged to retain their independence and make decisions for themselves with assistance from the staff team as required. The likelihood of risk or harm to each resident is regularly assessed and monitored. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff spoken to confirmed that each resident has an individual plan of their care. Three residents care files were examined to include a diversity of support needs and to include the resident recently admitted. In all cases there was an up to date individual care plan providing a summary of needs in all relevant areas of daily living. There were further individual “care plan guidelines” for each identified specific support need, providing clear identified goals and the direction for the staff team required to promote each resident’s independence and choice. Each residents needs had been kept under regular six monthly review facilitated by the manager, homes staff, resident and their reviewing officer. Two residents spoken to were aware of their care plans and confirmed their involvement in regular reviews. Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 10 Residents spoken to confirmed that they are provided with support and information from staff to ensure they can make everyday decisions. Residents confirmed that they are able to choose the structure of their day, whether to attend for appropriate activities and when to go out (in line with any restrictions recorded in the care guidelines). During the inspection residents clearly were encouraged to make their own decisions with any negative impact of a decision discussed honestly by staff on duty with the resident. Each resident benefits from completed assessments that identify any potential hazard and associated risk with a clear strategy in place to reduce the likelihood of harm. Risk assessments for three service users indicate that strategies in place are individual to the resident’s current situation and had been kept under regular review. Risk assessments covered all areas of daily life and support needs. Staff spoken to clearly demonstrated their understanding of resident’s individual needs and any associated identified risk to the service user. Hilltop House DS0000011393.V323483.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): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. Resident’s have a quieter and more relaxed lifestyle in line with their wishes and preferences. Resident’s have the opportunity to engage in appropriate activities and hobbies. Resident’s rights and responsibilities are recognised by the staff team. Resident’s benefit from an appropriate varied menu to suit their individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Of the five residents spoken to, they all confirmed that they are happy with the lifestyle provided at the home stating that they enjoyed a quieter and more relaxed daily routine. Residents confirmed that they chose their activity in line with their preferences and wishes on a day-to-day basis. During the visit one service user had chosen to attend the “resource” day centre in Reading, whilst another resident had chosen not to attend, preferring to stay at home. Another resident went out with their key worker on a pre-arranged outing. On their return they confirmed that they enjoyed their time out and confirmed that their key worker also supports them to attend church on a regular basis. During the afternoon a volunteer visited the home for an hour of support to the resident recently admitted. During this time the volunteer and resident played Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 12 dominoes. The resident confirmed that this was an activity that they enjoyed and looked forward to this scheduled time. The atmosphere in the home was relaxed and quiet during the inspection. Residents were clearly seen to follow their own routines, choosing when to engage with staff and when preferring to spend time on their own. Residents confirmed that staff are friendly and relaxed and during observations staff were seen to interact with residents positively when in communal areas. Staff confirmed that they have a good relationship with local neighbours and residents described the contact they have with friends and relatives. The resident’s confirmed that they take turns to choose the main meals each day. The menu seen for the last week demonstrated a varied menu was on offer and the resident responsible for the choice on that day was recorded on the menu. During the inspection two staff members had prepared a home cooked lunch that residents later confirmed that they had enjoyed. Residents confirmed that the food is usually of good quality and mealtimes are enjoyable. One resident has a different menu in line with their cultural wishes and staff were able to explain how this individuals needs are met. Hilltop House DS0000011393.V323483.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): 18, 19 and 20 Quality in this outcome area is good. Resident’s confirm that they are receiving an appropriate level of personal support in their daily lives. Resident’s physical and emotional health needs are being met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken to confirmed that they receive the necessary personal support from the staff team. Residents confirmed that staff are approachable and helpful and respect their personal choices. Residents described the variety of support they require. Residents confirmed that there is flexibility in their personal support and daily routines, for example when to go to bed and to rise, personal appearance and supervision in personal care tasks. One resident confirmed that they need assistance with aspects of their personal care and commented that this was in private the staff team were helpful. Residents also confirmed that they have two key workers each and described the additional support they receive if they wish. One resident showed the inspector a book in their room to record their views for discussion with new regular meetings with their key worker. Staff on duty confirmed that this was a recent development to further support and record resident’s support. Staff also confirmed and demonstrated that daily records for each resident are maintained and a document to list likes and dislikes was also viewed for each resident. Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 14 Residents confirmed that they have access to their GP and other local NHS facilities such as dentists and opticians. Records viewed for three service users, confirmed that their health needs are appropriately monitored and a record of attendance for all appointments had been maintained. For the three residents case tracked, each had attended an annual health check to include a review of their current medication. Comments received from the local GP practise confirmed a good working relationship with the home. One support worker explained the system for ordering, administration and disposal of resident’s medicines, following good practise. The home currently uses the NOMAD system and storage of medication was appropriate. Records viewed for four residents were completed with no gaps in recording. In addition there was a copy of the medication policy, staff signatures for recognition and guidelines for the use of homely and “as and when” medicines also following good practise. Staff confirmed that no resident currently self medicates and that there are no controlled medications currently being administered. Staff training records also indicated that all staff administering medication have received training. One staff member also confirmed that some staff are receiving further training through a distance learning college course and was finding this both informative and helpful. Hilltop House DS0000011393.V323483.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. Resident’s views are listened to and acted upon by the staff team. The homes policies and procedures protect residents from abuse and harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an up to date complaints procedure contained in the service user guide. Residents spoken to were aware of the complaints procedure and most felt comfortable to complain if dissatisfied with elements of the service and felt that staff would listen to their views. The pre inspection questionnaire indicated that there have been no complaints received since the last inspection. There have been no concerns or complaints received by the CSCI in respect of this home. The registered manager confirmed that the home now has an up to date multi agency policy and the homes policy in regards to dealing with abuse of vulnerable adults has been reviewed since the last inspection. At the last inspection it was required that staff attend training in this area to ensure their knowledge and understanding of protection issues is up to date. Training records viewed and comments from the staff team on duty indicate all staff have now attended this training. One member of staff was able to describe the main areas in recognising abuse and how to appropriately respond to such issues. There have been no allegations of abuse since the last inspection. Residents spoken to confirmed that they feel safe at the home. Hilltop House DS0000011393.V323483.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 and 30 Quality in this outcome area is good. Resident’s benefit from a clean, comfortable and homely environment that suits there overall needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A staff member facilitated a limited tour of the home with one resident showing the inspector their personal bedroom. Resident’s confirmed that they are satisfied with the décor and layout of the home and it meets their needs. During the inspection residents were seen to be enjoying the main communal open plan lounge and dining room at different times during the visit. Staff spoken to also confirm that they feel the home is comfortable and that attention is given to ensure the home is always clean and tidy. Residents also confirmed that the home is always clean and tidy and the staff team provides assistance, with housekeeping duties in their personal rooms. The laundry area is separate form the main house and was organised with appropriate equipment. Cleaning products are stored in this area for safekeeping. Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 17 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): 32, 33, 34, 35 and 36 Quality in this outcome area is good. Residents are supported by an experienced and trained staff team that are present in sufficient numbers to fully meet their needs. The homes recruitment practise has improved but the registered manager must ensure a full employment history for potential staff is obtained to fully safeguard resident’s welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken to confirmed that the staff team have the necessary skills and characteristics to provide the support they require. During the inspection visit staff were seen to work appropriately with service users demonstrating a relaxed and personal approach. Staff spoken to also demonstrated a good understanding of all residents’ individual needs. Comment cards received from healthcare professionals also confirmed that collectively the staff have the skills and experience necessary for the tasks they are expected to undertake. Many of the support workers have worked in the home for a number of years and form a stable experienced staffing group. Examination of the staff rotas for a period of four weeks indicate that there are usually two support staff during the day with a staff member providing sleep in cover during the night (the manager is in addition to this staffing level). Residents and staff spoken to feel that the current staffing level are Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 18 satisfactory. One staff member who works at night (but was present briefly during the inspection) also confirmed that the current arrangements are satisfactory. The staff spoken to felt that there was a good provision of training provided with an increase in the range and number of training courses since the last inspection. The acting manager has reviewed the staff’s individual and collective training needs and devised a training matrix to identify the training staff have completed and timings for refresher training. A further plan for training for the first period of next year was viewed and covered expected topics. This is a positive development. Each member of staff has their own training folder to evidence the training undertaken. The training files for those staff on duty were viewed and were very organised with copies of certificates and evidence of questions and answer sheets to evidence their understanding. There have been two new members of staff employed since the last inspection. The training files indicated that they have completed an appropriate induction to the home with the support of more experienced staff members. The induction books follow the common induction standards and the completed book had been retained to evidence completion. The registered manager confirmed that she has been responsible for the recruitment of new staff, with the acting manager now taking the lead in this area. Descriptions of the recruitment procedure described followed good practise. At the last inspection a requirement was made for the home to address aspects of completing pre employment checks fully to safeguard residents welfare. The registered manager advised the inspector that the recruitment records have been reviewed and rearranged by the acting manager. The recruitment records for two members of staff recruited since the last inspection were examined. These contained relevant pre employment checks to include, a completed application form, two references, identification, a medical declaration and an enhanced criminal record bureau (CRB) check. All pre employment checks had been completed before appointment to include a POVA first check, whist awaiting the full CRB. The personnel files seen were very organised. It was noted however that the application form asks only for the last three positions held and a requirement is made to ensure a full employment history is gained and explored to fully protect service users in line with the current regulation. Subsequent to the inspection evidence has been submitted to CSCI to demonstrate that the new applications forms were in place at the time of the inspection. Currently residents are not involved with the recruitment or decision making of appointing new staff to work at the home. It is recommended that residents be consulted to gauge whether they would have any interest in assisting in the recruitment process of potential staff in their home. At the last inspection a requirement was made to ensure a system is developed for all staff to receive regular formal supervision. This was further Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 19 explored and records seen demonstrate that all staff are receiving regular supervision to the desired frequency with good systems to monitor when staff supervision sessions are due. This is a positive development implemented by the acting manager. Hilltop House DS0000011393.V323483.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, 39 and 42 Quality in this outcome area is good. The registered manager and the acting manager have ensured the home is well managed with improvements to the quality of management systems and record keeping. The residents feel that they are included in the review of the quality of the care delivered in the home and feel their views are listened to. The home ensures that the health, safety and well being of the residents and members of staff are protected and promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is qualified and experienced to run the home. The registered manager identified that she wishes to appoint a new registered manager in due course. A current staff member has now been formally promoted to the acting managers position and has recently commenced the registered manager award. The acting manager has had a positive impact on the record keeping and administration of the home and it was viewed that there have improvements to the quality of record keeping in relation to the Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 21 management of the home. It was also noted that there had been a positive commitment to address the deficiencies noted at the last inspection. The current registered manager informed the inspector that the acting manager would submit their application in the near future to the CSCI to register. Residents spoken to were positive about the quality of the service and support offered by the home. There are currently no formal resident meetings however views are collected via informal meetings with staff. There have been further developments to include individual meetings with key workers and evidence of a service user questionnaire completed and retained. Residents spoken to felt that their opinions are sought and felt that there would be no need to change the current arrangements. As reported the acting manager has continued to further develop management and recording systems within the home following good practise. Information provided in the pre inspection questionnaire confirmed that the necessary systems and checks are in place to monitor the ongoing health, safety and welfare of residents and staff. During the visit records relating to the monitoring of hot water and fire safety records were examined and found to be competed and up to date. Training records for the staff team evidenced that training in relation to health and safety topics has been provided for all staff on a regular basis. Hilltop House DS0000011393.V323483.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 X 2 3 3 X 4 3 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 YA34 Good Practice Recommendations The registered manager should consider consulting residents to fully determine whether they would have any interest in assisting in any aspect of the recruitment and selection of new care workers to work within their home. Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Hilltop House DS0000011393.V323483.R01.S.doc Version 5.2 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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