Inspection on 26/11/07 for Jessie Place

This inspection was carried out on 26th November 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jessie Place 29/06/06

Jessie Place 28/01/06

Jessie Place 22/06/05

Jessie Place 04/10/04

Jessie Place 05/04/04

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

CARE HOME ADULTS 18-65 Jessie Place 39 Stanthorpe Road Streatham London SW16 2DZ Lead Inspector Lynne Field Unannounced Inspection 26 November 2007 10:00 th Jessie Place DS0000022737.V339685.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 Jessie Place DS0000022737.V339685.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. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jessie Place Address 39 Stanthorpe Road Streatham London SW16 2DZ 0208-769-3591 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) Jane`s House Limited Mr Raja Manikam Paramal Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2006 Brief Description of the Service: Jessie Place is a large semi-detached house in a residential area. It is within a few minutes walking distance from a main shopping area, which has full community facilities and public transport links. It is a privately owned home, registered since November 1999, which provides long-term residential care for people with mental health problems. The home is registered for 6 residents, who are accommodated in six single bedrooms, one with an en-suite bathroom. There are three communal areas, one of which is a large conservatory with steps leading down to a large landscaped back garden and there is a front garden area that has been converted for parking use. The staff team is small, but fairly stable and experienced with this resident group. The home is not designed to cater for people with physical disabilities, although wheelchair users would have access to the ground floor, which has one bedroom, a toilet and all the communal areas. The home aims to encourage residents to take part in daily activities and to reach their optimum level of functioning, with current residents attending a variety of regular daily activities outside the home. The registered manager said the home’s fees are from £511 to £669.50 per week. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The first day of the key inspection took place on the evening of 5th November 2007 and was facilitated by two members of staff because registered manager was not available. A return visit was made on 26th November 2007 to check records and speak to the registered manager. The inspector spoke to all six residents and three staff during the inspection. The manager returned a standard form, the Annual Quality Assurance Assessment (AQAA), to CSCI. This was taken into consideration. The inspection also involved the case tracking of four residents care, the assessment of a range of the home’s records, procedures and forms as well as observation and a tour of the premises. What the service does well: What has improved since the last inspection? The home has sent out audit forms to professionals, residents and family members and the result was positive. Risk assessments are more robust and have been reviewed with more detail included in them. The home has installed new windows through out the house and is continuing with the redecoration program. Jessie Place DS0000022737.V339685.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. Jessie Place DS0000022737.V339685.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 Jessie Place DS0000022737.V339685.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): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Residents Guide contains the required information residents need to help them make a decision about coming to live at the home. Prospective residents’ needs and aspirations are assessed, so that a service tailored to their needs could be provided. EVIDENCE: The inspector was shown the statement of purpose and the resident’s guide, which includes the complaints procedure in the resident’s guide. The registered manager told the inspector, that these are regularly checked and updated to reflect the changes in the home and the organisation that runs the service. All the residents have lived at the home for several years so there have been no recent admissions to the home. Should a vacancy arise, the manager has said the home would follow the homes admissions procedure. The prospective resident would be invited to visit the home with family members or friends to help them decide if the home could meet their needs and a trial over night stay before moving in. The registered manager explained that this would usually be Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 9 for a weekend or two days during the week. New residents would have a three-month trial period, which would be reviewed at a meeting involving the care manager, resident, residents’ family and the home before a placement is made permanent. Contracts were seen by the inspector in the resident’s files and were signed by the registered manager and resident where appropriate. Jessie Place DS0000022737.V339685.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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have individual care plans, and are involved in making decisions about their lives. Residents, relevant care professionals and their family are consulted in planning and reviewing care. Risk assessments are in place, are reviewed when appropriate. EVIDENCE: All six care plans were looked at, all had up to date care plans, and these had sections for identifying needs, objectives and actions to be taken. Care plans are reviewed and evaluated on a regular basis. Residents are supported to make decisions about their lives and the residents spoken to say that they were able to decide how they would spend their day and what they wishes to do. The home is client led with regard to care planning. Resident reviews have Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 11 been taking place annually and all the relevant people who are involved with the resident are invited to attend and the written actions agreed are on file. The inspector was told by the registered manager that these are reviewed either annually or when there has been a change in the residents life. The files viewed had risk assessments and there were risk management plans in place. These were comprehensive and there was evidence of risk assessments being reviewed annually or earlier if it was necessary. All files had up to date daily records and these outlined activities and changes of mood or signs of deterioration in resident’s mental health. They showed evidence of contact with the community mental health team and visits by other health and social work professionals. One resident sees the nurse every two weeks and one resident’s social worker comes to visit them every week and another social worker visits two residents each month. Jessie Place DS0000022737.V339685.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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to develop independent skills and interests as well as access the community with the support of staff when required. They are given opportunities for personal development and maintain links with family. Residents are able to choose what they would like to eat, but are encouraged to eat a healthy diet. EVIDENCE: The residents at the home live quite individual lives. The home supports residents to maintain links with their family, either by supporting them to visit their family or by their family visiting them at the home. Residents are free to have visitors and are able to visit their families. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 13 The first part of the inspection took place in the early evening. The inspector spoke to four residents who were relaxed and had eaten their evening meal. The residents were either in their bedrooms or watching the television. The inspector spoke to the night staff who sleeps in. They said the residents to go to bed at various times and some stay up till late. One resident said they came down to the lounge during the night for a cigarette because they could not sleep. Residents continue to attend the local college and three at present attend a mental health day centre. Residents are encouraged to access the local community and are supported as needed to do this. Residents are free to make decisions about the activities they undertake and some residents spend more time in the home than others. All the residents have keys to their rooms and to the front door. The home has an activities co-ordinator who supports residents to attend local activities such as going to the Library or leisure facilities at the leisure centre. This is done on a flexible basis depending on residents’ wishes. Two residents attend the local church, which they said they enjoyed going to. The home will escort residents who need support to attend activities or events. One resident is supported to collect their money from the local bank. Residents are encouraged to undertake some housework in the home, and undertake their own shopping and supported with this if needed. Residents told the inspector they were encouraged to help in the home. Staff told the inspector they encouraged residents to help in the home because it gave them an opportunity to develop their daily living skills. This included helping to prepare vegetables for the meal and doing their laundry with the support of staff. The home supports residents to cook meals for themselves and other residents. They keep a record of the meals residents eat. Resident’s are encouraged to eat a healthy diet, however residents are also given a choice with regard the food prepared. Records of what residents eat are kept; chips and pizzas appeared quite often on the record sheets. The deputizing manager said that it is difficult at times to support residents to access a more healthy diet without reducing their choice in this area. The home will provide fruit and vegetables and try to offer salads, which they find is more popular in the evening, particularly in the summer. Jessie Place DS0000022737.V339685.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): 18,19,20,21, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. This judgment is made using available evidence including a visit to the service. The home support residents to maintain their mental and physical health and they work effectively with other health and social care professionals. Medication handling and procures are poor. Residents could be put at risk when the procedure for the administration of medication is not followed. The home will support residents to make plans with regard to illness and death. EVIDENCE: The home supports residents around personal care as needed, this is mainly done with supervision and encouragement. There was evidence on resident files that the home works closely with other mental health professionals and Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 15 that they have alerted the mental health team with regard to deterioration in a resident’s mental health. Some residents have had quite serious physical health issues that the home has supported them with. There was evidence on file of residents attending for physical health tests. Some more detail with regard to residents’ physical health and conditions may be needed at times. With regard to one resident with challenging behaviour around eating, this had been discussed at a CPA meeting; staff are aware that this was an issue. The home has a form to complete with regard to residents wishes around illness and end of life. Some residents had completed this form, but others had not wished to and this had been recorded on the form. The inspector checked four residents medication and found many medication errors and overall the handling of medication and procedures were found to be poor. This was discussed fully with the registered the manager. The manager must reinforce the seriousness of medication errors committed. The manager was to immediately conduct a full audit of all the medication in the home and to speak to all staff responsible for dispensing medication. Weekly medication audits needs to be much more robust. Medication issues need to be discussed regularly at staff meetings and in supervision. The home have a record of all medication that comes into the home and a record of medications returned to the pharmacist. All medication is kept in a locked cupboard in the office. The home did not have any photos of residents with the mar charts. Whilst the staff and residents have all been at the home for a considerable time and all residents are well known to all the staff a photo should be on the mar chart to ensure that all residents are clearly identified. Jessie Place DS0000022737.V339685.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): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is not keeping a record of complaints being made or of actions taken to deal with the complaint. Out comes of complaints are not being recorded. The record keeping relating to residents money needs to be simpler, clear and more robust. EVIDENCE: The home has a complaints policy and a complaints book. The book had no complaints recorded in it since 2003 but the home had received a complaint from a neighbour in October 2007 about the noise coming from the home. All complaints whether verbal or written need to be recorded in the complaints book and record of the actions taken recorded along with the out come. The registered manager said he had spoken to the residents about the complaint and discussed this could be dealt with. The registered manager needs to follow up this complaint with the neighbour. Residents spoken to say that they would raise any issues they had with staff or the manager and felt that they would be listened to. The registered manager said a resident had a complaint they would speak to their social worker that would help them with the complaint. One resident’s mother would advocate for them if the need arose. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 17 Residents’ money was checked with the registered manager. One resident has as their appointee the manager in the Jane’s House home, another has a relative as their appointee, but the home holds cash for the person. All the other residents manage their own money and hold their own cash. One resident will ask for cash and signs for this. The home will get receipts for any items purchased if they go with the person. However, the resident mainly purchase small items on their own and does not get receipts for these. The home will purchase items for one resident and will escort them to the bank to withdraw money from their account. There were receipts for purchases made for the residents; these were kept in the safe with the resident money but were not entered in the book as individual purchases. All the money held in the safe tallied with the amounts recorded in the resident’s cashbooks, but the system involves two cashbooks for each resident. In the case of one resident the second book had not been up dated. The inspector discussed this with the registered manager. The registered manager must to look at how the money is accounted for and recorded and to consider a more robust system of accounting for the resident’s money that is more robust. All receipts must be properly filed and resident’s cashbooks must be kept up to date. That evidence of withdrawals from bank accounts i.e. receipts or entries in a bank passbook must be kept at the home. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of décor within the home is good providing the residents with a homely place to live. The home is comfortable with adequate private and shared space, toilets and bathrooms. Residents’ bedrooms promote their independence. EVIDENCE: The home is situated in a three-story house in a residential street off Streatham High Road. It is comfortable and homely and was clean and tidy on the day of the inspection. There is a range of communal spaces, including large lounge and conservatory leading to a pleasant garden at the rear of the house. The home communal areas are homely and pleasantly furnished. The kitchen has been replaced and re decorated and it has a large dining area with table where the residents eat their meals. The inspector noted the door between the kitchen and the living area, which is a fire door, was being propped open. The Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 19 manager said the residents like to have the door open for easy access. If this is to continue it should be fitted with a fire door guard. The windows in the home have been replaced. The inspector was given a tour of the home and noted some furniture in one residents’ bedroom was in pieces. The bedroom was in poor decorative order and generally shabby despite having just installed a shower cubical, it needs to be redecorated. The registered manager said the resident had taken the furniture apart and they were going to repair it. All residents have single bedrooms that are furnished adequately and residents had individualised them with personal items. The home installed a shower cubicles in one of the bedrooms and refurbished the bathroom and separate toilet on the first floor. Three residents on the first floor now share a bathroom and other resident’s have an en-suite or a cubical in their room. This has all been done to a good standard. The home provides care for people who have problems with their mental health but are ambulant so there are no adaptations or disability equipment in the home. The laundry facilities are located out side in a shed set up for this purpose and well away from where food is prepared and eaten. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 20 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): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team is stable and know residents needs. Staff has undertaken training and supervision that meets the needs of residents and staff needs. EVIDENCE: The rota was inspected and was accurate and fully completed. The staff group have been very stable. Staff were observed to be friendly and relaxed when interacting with residents and residents spoken to say that they found staff helpful and supportive. The inspector met and spoke to three staff and checked four staff files during the course of the inspection. One was a new member of staff. On staff files viewed there were two written references, a signed copy of their contract stating terms and conditions and Criminal Records Bureau checks as required including confirmation that induction had been provided and this was signed by Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 21 the manager and member of staff. A record of a range of training, such as food hygiene, mental health and self harm training and adult protection training had been under taken was recorded in each staff file. Of the eleven care staff employed, seven have attained NVQ level two or above. Staff told the inspector they had regular supervision and the inspector noted there were copies for the supervision notes on file that were signed by the manager and the member of staff. The inspector noted several staff had CRB checks that were more than three years old. It is good practice to up date CRBs every three years. See recommendations. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 22 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a home that is well run and managed with a relaxed and non-institutional ethos. The health, safety and welfare of service users is promoted and protected. EVIDENCE: The manager is a trained registered mental health nurse and has worked in the service since the home opened and knows the residents well. Residents are given the opportunity to give their views of the home at residents meetings, which were recorded in the minutes of the meeting that are held every two months. The inspector was shown copies of the minutes of Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 23 the meetings. The registered manager told the inspector the home had sent out audit forms to the resident’s family and had given them to residents as well. The inspector was shown copies of the completed residents surveys and they were all positive. All families who responded said they were aware of the complaints policy and would use it if they needed to. The inspector saw the fire book and that fire evacuation drills involving the staff and residents were taking place on a monthly basis and call points are tested weekly. All the records the inspector viewed indicated the homes health and safety services and equipment have been checked, serviced and maintained at the appropriate intervals. The inspector saw copies of the minutes of staff meetings that are held every two months. The registered manager said they were held staff meetings at one of the other homes in the organisation. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 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 1 3 3 X 3 X X 3 X Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement The registered person must ensure that all medication is administered and recorded correctly at all times. The registered person must keep a record of all complaints made and keep CSCI informed of all incidents that occur in the home. The registered person must inform within 28 days the person making a complaint of any action that has or is to be taken. The registered person must ensure that there are more robust systems in place for recording and managing residents money. The registered person shall take adequate precautions to protect the home from fire by keeping the kitchen door closed or fitting it with a fire door guard. Timescale for action 31/12/07 2 YA22 Sch 4 11 31/12/07 3 YA22 22(4) 31/12/07 4 YA23 13(4)(b) 31/12/07 5 YA24 23(4) 31/12/07 Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 26 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 It is good practice to up date CRBs every three years. Jessie Place DS0000022737.V339685.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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. 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