Inspection on 19/01/07 for Hollyhead

This inspection was carried out on 19th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hollyhead 18/10/07

Hollyhead 19/09/05

Hollyhead 06/05/05

Hollyhead 13/12/04

Hollyhead 05/07/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Hollyhead Hollyhead 224 Shawfield Road Ash Aldershot Hampshire GU12 6SQ Lead Inspector Christine Bowman Unannounced Inspection 19th January 2007 10:30 Hollyhead DS0000013677.V325404.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 Hollyhead DS0000013677.V325404.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. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollyhead Address 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) Hollyhead 224 Shawfield Road Ash Aldershot Hampshire GU12 6SQ 01252 345161 Atlas Project Team Limited Mrs Helen Mary Jones Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be 30 - 55 years 19th September 2005 Date of last inspection Brief Description of the Service: Hollyhead is a large detached bungalow situated in the village of Ash and is close to local amenities and transport links. The registered home provides care, accommodation and facilities for up to three service users with learning disabilities. All service users take up single occupancy and have access to communal facilities, which comprises of a large lounge/dining area, domestic style kitchen, laundry and bathroom. To the rear and side of the building is a large secluded garden. There is parking for several vehicles to the front of the building. The home benefits from its own vehicle. Weekly fees range from £1,7708:29 to £1,841:57. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a Key inspection process and took five and a half hours to complete. There were two support workers on duty with the three service users when the visit commenced. A tour of the premises was completed and the management team were called because the senior support worker did not have access to the staff files. Four senior staff arrived, the regional manager, the area manager, the registered manager and the administrator, whose role included the quality assurance checks of the Atlas Project Team Limited Homes in the area. The management team were passionate about the work of enabling clients with learning disabilities and challenging behaviour to live as normal a life as possible. It was not possible to obtain the views of the service users verbally as they required support with their communication. The clients were observed throughout the day making their wishes known by the use of picture boards, by taking the staff by the hand and leading them and by facial expressions. Assessment documentation was viewed and two client files were inspected, including care plans, risk assessments, activity planners, medication and daily records. Two staff personnel files were also inspected including recruitment documentation, induction and training certificates and supervision notes. The rolling maintenance programme was viewed. The inspector would like to thank the management team, service users and staff of Hollyhead, for their assistance and hospitality throughout the site visit and their contributions to the report. What the service does well: The staff were very good at teaching the clients to care for themselves as far as they were able and at teaching them the skills of everyday life to build selfconfidence and encourage independence. The home was very much the clients’ home. Observations confirmed they were relaxed, as they made themselves comfortable on the large sofa and smiles of one client confirmed they enjoyed the vibrating chair. Another client had access to a touch screen computer on which they could play games. Around the room clay objects were displayed, which had been made in pottery classes by the clients. The clients’ self-esteem was enhanced by the valuing of their creative work and their inclusion in decision making with respect to improvements to the home. Recruitment processes showed that the organisation was highly selective when choosing new staff, with an emphasis of finding the right person for the job being of more importance than filling a vacancy. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 6 The support staff were knowledgeable about the clients and instinctively understood them. They were very careful when explaining how the picture boards were used not to give signals to the client about what might be about to take place. Continuous improvement has been sustained in this home with respect to creating a homely, comfortable and safe place in which the clients can enjoy their lives. What has improved since the last inspection? What they could do better: The registered persons must ensure that a full employment history is obtained in respect of all newly recruited staff to protect the clients. Advice should be sought from the Environmental Health Officer with respect to the location of the freezer to ensure there is no risk to the health of the clients. Please contact the provider for advice of actions taken in response to this Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 7 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. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 8 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 Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 9 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): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A process is in place to ensure the individual needs and aspirations of potential clients are assessed prior to the offer of a placement, so the home can ascertain if it can meet the individual’s needs. EVIDENCE: All the clients had been living in the home for many years and the home had a process of continuous assessment in place. Assessment forms in place to be used for potential clients included the recording of their ethnicity and religious belief in the personal information section to enable the home to be aware of any special needs arising from this information. The detailed assessment covered forty-one areas of behaviours in the residential setting and in the community, which were rated according to the level of independence of the potential client. Areas included independent functioning with respect to selfcare and choice, sensory and motor development, money handling and shopping, language development, domestic activity, leisure interests and socialisation. The socialisation section highlighted areas of risk in interpersonal interaction. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The changing needs and personal goals of the clients are kept under review and recorded in the care plan. Support from understanding and caring staff, and the use of symbols, enables the clients to make decisions. Their participation in an independent lifestyle is risk assessed to ensure involvement is according to the ability of the client and that they are protected from harm. EVIDENCE: The clients did not have an allocated care manager, but a community support worker confirmed they had recently visited the home to conduct reviews of the client’s care plans, check the facilities and the client’s finances. They commented that the home provided good care, which was quite structured to offer security to the clients whose behaviour was challenging. The two client files inspected contained detailed care plans, which were individual and included self-help programmes with respect to personal hygiene, cooking, shopping, housework, budgeting, planning leisure time, using public transport and social skills. Levels of achievement were recorded, goals set and support Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 11 was given to enable clients to reach their full potential. Each client had an activity plan, which included scheduled time for completing the self-help programme. Communication support was in the form of a communication board for each client designed at their level of understanding. One client used a picture board with magnetic pictures, which they could select to communicate with the staff and vice versa. Another client required objects of reference, so when it was time to take a trip in the car, the car keys and a picture of the car were shown to the client and they went to put on their coat. The staff observed were very patient and kind in their interactions with the clients and expressed pleasure with respect to the achievements of the clients. A member of staff stated that ‘it may take a long time for a client to achieve a small task, but it is cause for celebration when they do.’ Risk assessments recorded the positive outcome of the risk, such as train travel, cooking cakes, enjoyment and social interaction and balanced them against the negative outcomes of the risk to ascertain the value of the risk. The balance of outcome to likelihood was explored in a decision for the risk to be taken. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Access to the local community, and opportunities to participate in a variety of activities within the home and outside, family involvement and the recognition of their rights and responsibilities ensures the clients live fulfilling lives. EVIDENCE: The client’s activity planners showed that they accessed appropriate activities. One client, whose plan was viewed, attended a local college once each week to take part in a cookery class. They also had the opportunity to take two trips each week on the bus or on the train to shop for toiletries or to have lunch out in town, as well as attending the aromatherapy suite on a separate day. Clay artefacts, which had been created by the clients at pottery classes, were displayed in the sitting room, confirming the client’s creative efforts were valued. ‘Recreational activities such as rambling were arranged with some spontaneity’, a member of staff stated. ‘One client, in particular enjoyed this one-to one activity when they were going through a bad time’, the staff member added, ‘and swimming, going to the cinema, theatre and local public houses were the favourite activities of another client.’ Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 13 Activities within the home included social evenings, foot spa and massage, choose and prepare lunch as well as participation in all the day-to–day tasks, such as laundry, setting the table and changing bedding. Housekeeping tasks were as specified in their individual care plans. ‘One client likes to sweep up the leaves on the terrace’, a member of staff stated. Photographs were displayed in client’s bedrooms of relatives, celebrations and trips abroad and a member of staff confirmed that visitors were welcomed and that their relatives take out some clients. Clients had access to the kitchen and were able to varying degrees assist with preparing food. A member of staff stated, ‘Clients can choose food when planning the shopping list or out shopping by using the picture cards.’ One client had, ‘make breakfast’, on their activity planner each day and staff commented that, ‘despite a very short attention span and a great deal of perseverance, this client was able to prepare their own breakfast each day, making appropriate choices and with the minimum of staff intervention.’ The dining room was furnished with heavy, durable yet domestic furniture. A member of staff stated, ‘that the reason for the need for the table to be so solid was to discourage one client from turning it over when feeling angry.’ On the terrace were a bar-be-cue, a swing seat and a table and chairs for dining outside in the summer months. One client was observed eating the lunch they had helped to prepare; their facial expression indicated they were enjoying it. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 14 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): Standards 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual clients have their personal support and health care needs fulfilled according to their assessed changing needs and wishes EVIDENCE: Client files contained records of visits to the General Practitioner, the dentist, the optician and the chiropodist and forms had been completed for each visit to inform other staff. One client had more frequent visits to the optician, who specialised in treating people with learning disabilities. A record in the compliments folder stated that a dentist had commented when a client was taken for a check-up, ‘This is a very good example of good care,’ as she inspected the client’s teeth. A dietician was involved with one client. The regional manager stated, ‘that due to experiences in the past some clients were fearful of doctors wearing white coats. The home had built up good relationships with local professionals and one consultant had made a home visit to a client, who had been upset by a visit to the hospital.’ A variety of professionals attended the client’s care plan reviews, the manager stated, including health care professional such as General Practitioners, the dietician and psychiatrists. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 15 The medication system had been changed to a blister pack system since the previous inspection and an accredited trainer had retrained all the staff. Certificates to confirm this training were viewed on staff files. Signatures of the staff, who were responsible for the administration of medication, were recorded and the medication administration charts had been completed appropriately. No client was able to self-administer medication. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 16 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): Standards 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients are protected from harm by the homes policies and procedures and by well-informed and understanding staff who are able to interpret their needs and wishes. EVIDENCE: The clients were able to make their feelings known to the staff, who responded to gestures, facial expressions, objects of reference and picture boards. A clear complaints procedure was included in the statement of purpose. The complaints and compliments records were viewed and there had been one formal complaint, which had been investigated as financial abuse through the Surrey Multi-Agency Adult Protection Procedures and had been unsubstantiated. There was evidence that the home had conducted two meetings with the relatives afterwards to discuss the issues. Compliments received included comments from a professional at the local hospital, ‘Two of the carers were supporting the client and they were absolutely excellent’. There were also comments from relatives, thanking the staff and showing appreciation for, ‘the care and concern shown to the clients’. Staff records confirmed that the staff had completed training in the protection of vulnerable adults. Clients’ monies were securely stored and records had been kept of transactions undertaken. Receipts had been retained to confirm the information recorded. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 17 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): Standards 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients live in a homely, comfortable, clean and safe environment, which meets their needs. EVIDENCE: The home was in keeping with the local community and offered good access to local amenities and public transport. The wall along the driveway, which had been identified as a hazard in the previous inspection report, had been rebuilt and was safe. On the day of the site visit the home was clean, bright, cheerful, airy and free from offensive odours. The temperature in the home was pleasant and, ‘the radiators had been fitted with covers since the previous inspection’, the area manager stated, ‘ to protect the clients from the hot surfaces.’ The lounge and dining area had been re-decorated and carpeted to a high standard and comfortable new furniture had been purchased including a vibrating chair. The home was very much the clients’ home. Observations confirmed they were relaxed, as they made themselves comfortable on the Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 18 large sofa and smiles confirmed they enjoyed the vibrating chair. One client had access to a touch screen computer on which they could play games such as ‘tidy up’, which involved touching the screen to make objects move. Around the room clay objects were displayed, which had been made in pottery classes by the clients. They had been painted in bright colours and fired. The sitting and dining area were adjoining and both were pleasantly homely, with domestic lighting and pictures displayed on the walls. The rolling programme of maintenance was viewed, confirming that there were annual inspections to prioritise improvements. No specific date was scheduled for the redecoration of the hallway, but the area manager confirmed this was planned. The utility room had been refurbished with suitable floor covering, a basin for hand washing with a paper towel dispenser and a new washing machine. There was an outside entrance to this room to provide an alternative route for soiled linen and prevent it from being carried through the kitchen. However, the freezer was also located in this room and the manager should seek guidance from environmental health with respect to this. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 19 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): Standards 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Safe and selective recruitment processes and appropriate training prepare the staff to meet the needs of the clients. EVIDENCE: Observations of the support workers engaging with the clients, confirmed they had a comprehensive understanding of their needs and ‘read’ the body language and facial expressions of the clients and responded to them. They showed respect in their interactions with the clients, gave them reassurance and empowered them to do things for themselves. One client was observed making a hot drink with the minimum of support. The area manager described the recruitment process, stating that the policy was to first identify the need and advertise locally. Job descriptions and person specifications were sent out with the application form, which included an equal opportunities monitoring form. Applicants were short listed, but if there were insufficient applicants of the quality required, the process would recommence. Interviews were held with two/three senior staff and records of these were held on the staff personnel files and were viewed. Two staff personnel files were inspected. The application form required a review to ensure a full Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 20 employment history was included. All the necessary safety checks had been completed to protect the clients. The staff personnel files included personal development plans for individual members of staff and their training needs had been identified. There was evidence that the staff, whose files were inspected, had undergone induction and mandatory training. There were also certificates for training in the administration of medication, the protection of vulnerable adults, communication and learning disability. The Learning Disability Award Framework training had been followed and National Vocational Qualifications at level two and three had been achieved. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 21 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): Standards 37,39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Continuous improvement and safe working practices ensure this home is run in the best interests of the clients. EVIDENCE: The regional manager explained the support system for the home, which ensured that a senior member of staff was always available to be contacted directly by telephone. ‘This system builds confidence in the staff’, they stated, ‘knowing that a manager would be on the premises within fifteen minutes.’ The area manager stated that the organisation actively promoted the acquisition of appropriate qualifications to enhance career development for the staff. She stated that senior managers had accessed courses in ‘Applied Psychology in Challenging Behaviour and Learning Disabilities.’ The manager stated that she had achieved the National Vocational Award at level four, had qualified as an assessor and completed the Registered Manager’s Award. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 22 Although a development plan for the home was not available to be viewed there was evidence of maintenance and health and safety checks carried out in a timely manner and actions recorded. Client’s care plans were kept under review and, ‘relatives views were sought at these meetings’, the manager stated. The staff had individual development plans. Staff meetings took place monthly and the minutes of the most recent meeting were viewed. Planning for Christmas, refurbishment plans; the recent care plan reviews, and menu planning were amongst the items discussed. A quality assurance visit was carried out monthly and required actions had been recorded. The staff induction and foundation training included safe working practices and a poster, displayed in the office, informed of the individual and the organisation’s responsibilities with respect to health and safety. Hollyhead DS0000013677.V325404.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 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 X 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 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 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 Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 24 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 YA34 Regulation 19 (Schedule 2) Requirement The registered persons must ensure that a full employment history is obtained in respect of all staff. Timescale for action 23/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA30 Good Practice Recommendations Advice should be sought from the Environmental Health Officer with respect to the location of the freezer. Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Hollyhead DS0000013677.V325404.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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