Inspection on 13/06/07 for Jubilee House

This inspection was carried out on 13th June 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 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

Jubilee House 14/08/06

Jubilee House 20/09/05

Jubilee House 20/04/05

Jubilee House 21/07/04

Jubilee House 27/04/04

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

CARE HOMES FOR OLDER PEOPLE Jubilee House Pound Lane Godalming Surrey GU7 1BX Lead Inspector Cathy Clarke Unannounced Inspection 13th June 2007 13:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee House Address Pound Lane Godalming Surrey GU7 1BX 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) 01483 420400 manager.burroughs@careuk.com Care UK Community Partnerships Limited Nigel Chorley Jopson Care Home 48 Category(ies) of Dementia - over 65 years of age (45), Mental registration, with number disorder, excluding learning disability or of places dementia (3) Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may accommodate one (1) named person over 65 years of age with a mental disorder, excluding Learning Disability or Dementia. 14th August 2006 Date of last inspection Brief Description of the Service: Jubilee House is a large care home providing nursing for 48 service users with dementia. Care UK Partnerships Ltd, a Corporate organisation is the Registered Provider. The home is divided into two units, one on each floor, both of which have access to enclosed gardens. The home is situated in a quiet road in the centre of Godalming town, with the high street shops and amenities immediately accessible. All bedrooms have an en-suite facility. The fees at this service range from £656.00 to £989.90. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place over four and three quarter hours. Cathy Clarke, Regulation Inspector, carried out the inspection. The deputy manager represented the establishment. A full tour of the premises took place. Discussions were held with most residents whilst undertaking a tour of the premises, and with two residents family members individually. The deputy manager and six staff members were also spoken to during the site visit. Returned ‘comment cards’ from residents, relatives involved with the home were also used to write this report. Four resident’s care plans and a number of other documents and files, including six staff files, were examined during the day. The Commission for Social Care Inspection would like to thank the residents, relatives, manager and staff for their hospitality, assistance and co-operation with this inspection. What the service does well: Staff working in the home are very approachable and were seen to be assisting people in a caring and sensitive way. The home encourages relatives and representatives of people living in the home to visit and take an active part in life within the home. The staff listen and act upon suggestions made to make improvements to the lives of people living at Jubilee House. A Dementia training course has been arranged for relatives/representatives in response to comments made in the home’s satisfaction survey. The following are some of the comments received from residents, relatives and health care professionals: • My husband and Son made the decision for me to move to Jubilee House after visiting several residential and nursing homes in the area. “I am so thankful for their choice”. Generally we feel that my father is well looked after and the staff do a good job in the circumstances. The home communicates well, there is always a senior member of staff to confer with and I can see patients in private. DS0000017619.V339484.R01.S.doc Version 5.2 Page 6 • • Jubilee House • • Staff demonstrate a clear understanding of the care needs of service users and specialist advice is incorporated into the care plan. The home has been particularly helpful with mum’s diet. At one stage she would only eat fish and chips which they gave her every day. If the question was would I like the meals, I would say yes to lunch and no to tea/supper but this is not a problem. What has improved since the last inspection? What they could do better: It is recommended that furniture within the home is updated and arranged in a less institutional fashion to give a more homely feel to the service. The maintenance plan for the home must include the replacement of the small occasional tables that are chipped and the replacement of the kitchen flooring. Bathrooms must not be used as storage rooms for equipment. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 7 The service must review the cleaning programme to ensure that adequate cleaning staff are on duty ensuring that all parts of the home are clean at all times. All staff must have an enhanced Criminal Records Bureau clearance in place, which must include a check against the Protection of Vulnerable Adults list. It is recommended that recruitment records record the full date of any previous employment including the month and year in order for any gaps in employment history to be explored and the reasons recorded. It is recommended that a copy of the Basic Food Hygiene certificates for all staff working in the kitchen is held in the relevant person’s training file. 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. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 was assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are assessed prior to admission to the home to ensure that their needs can be met and information on the aims and objectives of the home is provided to ensure an informed choice. EVIDENCE: Prior to admission all service users are assesed for suitability. Relatives are made aware of the specialist nature of the care provided and are invited to visit and look around the home as well as talking to staff and managers. Relatives spoken to during the inspection confirmed that they have been assisted with the assessment process and received information on the home prior to their relatives moving in. They also stated that they had made several visits to homes before making their decision to move their family into Jubilee house. One person particularly liked the location of the home and felt that it was like having a home in a seaside town with lots to see and do. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 10 One relative has stated in their returned survey that due to funding pressures they were not able to make their preferred choice of home, however their relative is now settled in the home and they would not want to move her. Assessment data is held on each service user. Records sampled included a health needs assessment undertaken by the NHS Funded Health Care Team for a person moving into the home. A single assessment form was also received for this person from the local authority. There are respite beds in the home and at the time of the inspection there were two vacancies within the home. The home does not offer intermediate care. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9, and 10 were assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and welfare of people living in the home are planned to meet with their individual and collective needs. EVIDENCE: All care plans are developed according to assessed needs using all available information, encompassing health, personal and social needs. They are reviewed and updated monthly or more frequently if changes occur. Relatives are invited to discuss the contents of care plans. Care plans are signed by the residents relatives/representatives. A risk assessment is in place for all service users with a separate manual handling assessment. A three monthly review of the persons mental status is undertaken, and a nutritional assessment. Daily records of all care provided is recorded on the computerised system used in all Care UK homes. This separates all of the assessment areas and allows the key worker to record in detail the care needs and provision provided. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 12 In order to ensure continuity of care a single practice provides GP services to the home. A consultant psychiatrist also visits weekly and there is good access to other specialist services. The consultant psychiatrist has stated that the home communicates well, there is always a senior member of staff to confer with, he is able to see residents in private and staff demonstrate a clear understading of the health needs of residents within the home. Health assessments are carried out by qualified nursing staff who are experienced in assessing the needs of service users in this client group. One person in the home has a pressure sore that is being treated by the district nurse visiting the home. There is a policy and procedure in place for the administration, storage and recording of medication. The nurse in charge was undertaking the six oclock medications and the trolley was checked and a random sample of medications were inspected as correct. Each service user has a photo on file and whenever medication is received from the pharmacy the medication administration record is highlighted. Medication practices are audited on a weekly basis. Medicines are kept in the trolley in the clinical room when not in use. There is a controlled drugs cupboard in the clinical room and the medicines were counted as correct and the controlled drugs register was completed satisfactorially. The culture of the home is around person centred care, which looks at the individuals existing abilities rather than their loss of abilities. Residents all have individual rooms. Staff and visitors are encouraged to gain permission before entering the rooms. Staff were seen to knock on residents doors prior to entering and were observed ensuring that residents clothes covered them appropriately ensuring their privacy and dignity. One relative has stated that another resident has entered her mother’s room inappropriately. During a discussion the registered manager stated that 15 minute observations of residents are in place for those more likely to walk into another person’s room. Staff are aware of the need to ensure that residents do not enter rooms uninvited. Please see recommendations section of this report. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards12, 13, 14 and 15 were assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are provided with a variety of choices, which aim to satisfy their cultural, social, dietary and recreational interests. EVIDENCE: Several residents are taken out of the home to go shopping, have meals, attend social occasions and at times go to visit family. Staff support families in doing this. One relative stated that staff provide a wheelchair so that he can take his father out in the local community. Family have confirmed that they are always made to feel welcome in the home and can visit at any time. The activities co-ordinator is employed for 32 hours per week and on the day of the inspection had been assisting service users to eat their meals in the garden as it was a lovely warm afternoon. Those residents spoken to during the inspection preferred to stay in their rooms watching a video or reading the paper. A number of people like to have a rest after lunch. One person was sitting in the activities room following lunch and likes to watch tv. There is a snoozelam room for people to relax in with their family if they so wish. Two residents were having a conversation in one of the service user’s rooms. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 14 Each person has a record of the pattern of activities of living including their personal safety and comfort, communication and eating and drinking. This details the assistance required with the physical, psychological and social aspect of their care needs. One service user who only speaks German or Polish can communicate with the staff from Poland. Staff are aware of the likes and dislikes of service users and those who express more challenging behaviours. Staff have received Dementia training and the Manager and Deputy manager have received a more advanced Dementia training programme. Meals can be taken in the area that the resident wishes. Many choose to eat in the dining rooms but some choose to eat in their rooms or other areas, including the gardens in good weather. There is a varied menu and residents are given a choice of food. Staff were seen assisting residents with eating and drinking during the site visit. Each unit has a kitchen area and hot and cold drinks are available. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responds appropriately to any complaints made, listens to the complainant and takes any actions necessary to ensure a positive outcome. Staff understand the process for reporting any incidence of suspected or actual abuse. EVIDENCE: There is a complaints procedure in place and those complaints made since the last inspection have been responded to within the time allocated. A log of complaints and any correspondence is kept by the home. There are no current safeguarding adults investigations within this home. The deputy manager confirmed that all staff have received protection of vulnerable adult training. When checking staff recruitment records there was an issue, which could potentially have affected the safety of service users, this is explained under Standard 29 of this report. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 were assessed during this inspection. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Furnishings within the home are in need of updating and arranging in a noninstitutional fashion in order to provide a more homely, comfortable environment for people to live in. EVIDENCE: The premises were generally clean and free from mal odours. However the furniture within the building is not homely and arranged in an institutional way. Cleaners were still cleaning the home at 2pm and floors in the bathrooms were sticky in places and in need of cleaning. One relative has stated that he likes the colours in the home and finds them fairly neutral. Another relative has commented that the home should refrain from using red and blue. Staff have stated that the communal areas had been redecorated in order to try and help orientation and make them more interesting for the residents and was in response to suggestions made by some of the relatives. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 17 Some of the small occasional tables used in the gardens and in the activity room were chipped and in need of replacement. The deputy manager informed the inspector that the home had just been awarded some funding for new furnishings. The bathrooms were cluttered and must not be used as storage areas for linen trolleys and equipment. External contractors had checked the assisted baths. The kitchen was clean and tidy although the floor was in need of replacement. The cook stated that the flooring had been inspected and was due to be replaced shortly. The cook works Monday to Friday and two ancillary staff work in the kitchens at the weekend. The cook confirmed that both of these staff had received the appropriate food hygiene training. The cook has updated her training via an elearning programme. The meat probe is used to ensure that the meat cooked meets the required temperatures. The temperature of foods arriving from suppliers is recorded. The fridge and freezer temperatures are recorded. The kitchen is deep cleaned once per year and the air vents are cleaned regularly. Food is prepared on the premises unlike most Care UK homes. The cook’s uniform was very clean and pressed. An environmental health inspection of the kitchen has recently been undertaken and the home is awaiting the report. One of the garden areas is in need of maintenance and the maintenance person from the home stated that this is to be done and is part of the plan to ensure that all of the garden areas provide a haven for people to be able to enjoy. The registered manager confirmed that funding has been secured to carry out the improvements to the garden areas. One of the relatives informed the inspector that a lot of work had been done to improve the garden areas and that he had purchased a water feature for the upstairs garden that staff had installed. There were garden chairs and umbrellas in one of the garden areas. The maintenance person informed the inspector that the courtyard garden was to be improved with a raised pond and flowerbed. He also stated that residents had assisted with making up the flowerpots and hanging baskets in the home. The plan for the home includes a selection of doorknockers being put onto bedroom doors and the improvements to the garden areas. Please see requirements and recommendations section of this report. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 were assessed during this inspection. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff who work in the home are sufficient in number and skills to meet the needs of people who live there. Improvements to recruitment checks prior to employment will ensure the protection of people living in the home. EVIDENCE: The staff rota was checked and confirmed that there were sufficient staff on duty to meet the needs of residents. Visitors to the home confirmed that there are enough staff working in the home to meet the needs of people living there. The night duty rota was checked and showed that there is one Registered General Nurse and two care staff on duty on each floor. Cover had been arranged for one staff member who was going to be absent from duty. The deputy manager confirmed that there is a full compliment of staff and they are not using any agency staff at the present time. Supervision is undertaken every three months. The registered manager is responsible for supervising one of the nurses. Recruitment records were sampled and contained an application form, two references, an enhanced Criminal Records Bureau check, and a photocopy of the person’s passport and confirmation of the employee’s right to work in the UK. The recruitment files for the registered nurses employed were sampled and these contained a current Nursing and Midwifery Council PIN number. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 19 A small number of Criminal Records Bureau checks sampled did not contain checks against the Protection of Vulnerable Adult list. After discussion with the registered manager it was agreed that a new enhanced Criminal Records Bureau check would be undertaken immediately. The staff application forms need to contain the months and years of the applicants employment history in order for those undertaking the recruitment of staff to be able to identify any gaps in employment, explore the reasons for the gaps and record the explanation given. Five staff have achieved NVQ level 2, two of these also have NVQ level 3. The remainder of staff are commencing NVQ Training this year. Please see requirements section of this report. Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 and 38 were assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for the day-to-day management of the home ensure service users live in a home, which is run in their best interests. EVIDENCE: The registered manager was attending a Dementia Conference on the day of the site visit and the deputy manager was open to the inspection process and assisted throughout. Staff spoken to during the site visit have stated that the manager is a strong leader and fair in his approach. The following are some of the comments received from residents, relatives and health care professionals: Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 21 • My husband and Son made the decision for me to move to Jubilee House after visiting several residential and nursing homes in the area. “I am so thankful for their choice”. Generally we feel that my father is well looked after and the staff do a good job in the circumstances. The home communicates well, there is always a senior member of staff to confer with and I can see patients in private. Staff demonstrate a clear understanding of the care needs of service users and specialist advice is incorporated into the care plan. The home has been particularly helpful with mum’s diet. At one stage she would only eat fish and chips which they gave her every day. If the question was would I like the meals, I would say yes to lunch and no to tea/supper but this is not a problem. • • • • Discussion was held with two relatives visiting the home and they both praised the work that is undertaken by the manager and staff and were happy with the care provided. They both visit regularly and take an active part in the lives of their relatives. One of the service users has his own bank account opened in his name under the auspices of Care UK. Each person has an envelope containing their personal allowance for expenditure and receipts are kept and financial transaction sheets are recorded with the expenditure and income. Health and safety and fire checks are undertaken and recorded at the required intervals and are also undertaken by both external contractors and company representatives. A recent environmental health inspection of the home has been undertaken and the service is awaiting the report. Accidents are recorded and in addition to Registered Nurses on duty there are also trained first aiders. The premises are secure with access to the building being through a number locked door so that all visitors can be identified. Jubilee House DS0000017619.V339484.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Jubilee House DS0000017619.V339484.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. 1. Standard OP19 Regulation 23 (2) (b) Requirement The maintenance plan for the home must include the replacement of the small occasional tables that are chipped and the replacement of the kitchen flooring. Bathrooms must not be used as storage rooms for equipment not in use. The cleaning rota for the home must be reviewed to ensure that all areas of the home are clean at all times. All staff must have an enhanced Criminal Records Bureau clearance in place, which must include a check against the Protection of Vulnerable Adults list. Timescale for action 31/10/07 2. 3. OP19 23 (2) (l) 23 (2) (d) 31/07/07 31/07/07 OP26 4. OP29 19 (1) (b) 31/07/07 Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 24 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. 2. 3. Refer to Standard OP10 OP24 OP29 Good Practice Recommendations It is recommended that staff ensure that measures in place to prevent residents from entering other resident’s rooms uninvited are effective. It is recommended that the home arrange furnishings in a more homely fashion. It is recommended that staff application forms include the month and year of any previous employment so that these can be explored for any gaps in employment and record the reasons for this. It is recommended that a copy of the Basic Food Hygiene certificates for all staff working in the kitchen is held in the relevant person’s training file. 4. OP30 Jubilee House DS0000017619.V339484.R01.S.doc Version 5.2 Page 25 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 Jubilee House DS0000017619.V339484.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. 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