Inspection on 11/01/06 for Jubilee Road (42)

This inspection was carried out on 11th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jubilee Road (42) 14/12/06

Jubilee Road (42) 13/09/04

Jubilee Road (42) 13/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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 Jubilee Road (42) 42 Jubilee Road Mytchett Surrey GU16 6BE Lead Inspector Suzanne Magnier Unannounced Inspection 11th January 2006 11.45 Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 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 Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 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. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Jubilee Road (42) Address 42 Jubilee Road Mytchett Surrey GU16 6BE 01252 540113 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) New Support Options Limited Mrs Clare Church Care Home 5 Category(ies) of Learning disability (5), Physical disability (2) registration, with number of places Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the category: Learning Disability (LD), up to 2 may have an additional physical disability (PD). The age/age range of the persons to be accommodated will be: 30 64 Years 13th September 2005 Date of last inspection Brief Description of the Service: The home is a detached bungalow located in the village of Mytchett and is owned by New Support Options. The service provides accommodation, services and facilities for up to five younger adults (male and female) who have learning and physical disabilities. Accommodation is on one floor with ample communal space including a Snoozelam room and an enclosed garden to the rear of the home. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Unannounced inspection took place over four hours. For the purpose of the report the Registered Manager advised the inspectors that the people who live in the home are referred to as ‘supported people’. The feedback following the inspection was given to the Registered Manager. The home continues to support five people who have very complex needs and do not use formal speech to communicate. The environment can be noisy with people communicating in their own way, which could be viewed as challenging, and who need specific understanding of their individual needs. Part of the focus of the inspection was to review, with the Registered Manager, requirements made under the Care Homes Regulations (as amended) 2001 at the last inspection on the 13th September 2005. A full tour of the premises was undertaken, person centred plans care plans, active support profiles, staff recruitment files and several policies were sampled. Due to the complexity of the of the lifestyles and needs for the people supported the inspectors observed staff interaction with the people being supported noting communication through tone, eye contact, support interactions and other body language. The inspector wishes to thank the people being supported, staff and Registered Manager for their cooperation during the inspection. What the service does well: What has improved since the last inspection? The home is currently implementing an Active Support system of working with supported people which links to the person centred plan for each person supported in the home. Recommendations have been made that achievements, choices and opportunities for people’s development are clearly documented. During the course of the inspection the inspector observed that the service had redecorated the activities room, which would be available for supported Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 6 people. In addition work had started making a paved barbeque area in the enclosed section of the garden for summer barbeques and planting bulbs in the garden. The home has leased a new vehicle for the supported people to use with staff support. The inspector was informed that several supported people’s needs with regard to specialised health care had been addressed with positive results, which has improved the person’s life with regard to dignity and comfort. The Registered Manager and staff have continued to improve the general environment of the home for the benefit of the supported people, which includes new flooring in the hallway and lounge area, redecoration of a supported persons bedroom and an improved laundry system. What they could do better: The Registered Person must update and review the current Statement of Purpose, a copy of which must be forwarded to CSCI local Eashing office. The Registered Person must update and review the current Service User Guide, a copy of which must be forwarded to CSCI local Eashing office. Recommendations have been made that achievements, choices and opportunities for people’s development are clearly documented. A requirement has been made that the plans for the development of meaningful activities and leisure are implemented within the agreed timescales. A further requirement has been made regarding the overhead lighting throughout the home, which must be improved for the supported people. In addition, the inspector was informed that one bathroom facility, which includes a toilet and shower, had not been in use for over a month. An immediate requirement has been made that the facility is rendered back in use within the timescales set. Requirements have been made that the current staff shortages are addressed, the recruitment and selection policy in the home is updated and the Registered Manager undertake appropriate recruitment and selection training. Several requirements have been made regarding the health and safety concerns for example disposal of clinical waste material and the storage of chemicals. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 7 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. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 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 Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. It is required that the homes Statement of Purpose and Service User Guide be developed and implemented in order that prospective people have an informed choice regarding residing at the home. Documentation related to the tenancy arrangements and agreements for the people being supported is in place to ensure that the supported person or their representatives have adequate information regarding residency in the home. EVIDENCE: There have been no admissions to the home since the last inspection. The inspector sampled a Statement of Purpose, which was in written form and was not a current document as it referred to the National Care Standards Commission and the previous Registered Manager. The Registered Manager advised the inspector that she could not locate the updated document as required from the previous inspection. A further requirement has been made that the Registered Person update the Statement of purpose in compliance with the Schedule 1 Care Homes Regulations (as amended) 2001. The homes Service User guide was sampled and was noted to be in written form which would not have been easily understood by people currently supported at the home. The inspector has required that the Registered Manager develop a Service User guide which would be more appropriate to the understanding of the people being supported and prospective people who may be interested in living at the home have an informed choice about where they live and their needs, aspirations can be met. It has been recommended that Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 10 the Registered Manager contact other New Support Options Managers in order to share good practice and seek ideas to meet the requirement. The inspector sampled that each supported person has a tenant’s agreement o their individual file in order to ensure that the people supported, or their representatives have clear information regarding their tenancy. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6. The home is currently implementing an Active Support system of working with supported people which links to the person centred plan for each person supported in the home. Recommendations have been made that achievements, choices and opportunities for people’s development are clearly documented. EVIDENCE: The Registered Manager has been in post for eight months and during this time the service has continued to concentrate on updating the care plans of the people supported in the home. The inspector sampled one supported persons care plan and also some Active Support profiles which the service had spent a concerted amount of time developing. The person centred plans continue to be effective in detailing the supported persons life, ways of communicating, including behaviour, risk assessments and their needs and aspirations. The Registered Manager advised the inspector that all the person centred plans had been developed or updated for individuals following the previous inspection. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 12 The inspector sampled some active support profiles which the home is currently implementing with the aim of assisting the supported people, with staff help, to have more choice, opportunities and building on existing skills for personalised and focussed development for each individual. The Registered Manager told the inspector that there had been a noticeable improvement in some people’s communication, which had resulted in a decrease of behaviour that challenged the service. It is recommended that individual development of people’s skills and achievements are clearly documented and available as evidence of improving people’s lives through choice and opportunity. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14,15,16. The continued complexities of the need of the people supported do not enable people to use community services fully. The Registered Manager and staff are currently committed and enthusiastic to improving the resources and looking at new ideas to meet the shortfall regarding meaningful leisure and recreational activities. EVIDENCE: The inspector sampled the daily activity plans for each supported person. The Registered Manager explained that with the full implementation of the Active Support approach each supported person would have one to one support. The inspector noted that each supported person had some involvement in community based activities with professionals or family and friends. It was acknowledged that activities, recreational and development opportunities could be improved for the supported people. During the course of the inspection the inspector observed that the service had redecorated the activities room, which would be available for supported people. In addition work had started making a paved barbeque area in the enclosed section of the garden for summer barbeques. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19. It was positive and encouraging to note that referrals had been made to specialised health care professionals regarding specific needs of some supported people. This action had resulted in improved comfort and dignity for the people being supported. EVIDENCE: The inspector sampled one supported persons person centred plan which clearly demonstrated the ways in which the person was supported by staff during their morning routine and at other times during the day. Following the previous inspection the Registered Manager has sought further advise from the continence advice manager regarding the continence needs for the people being supported. The inspector was informed that several supported people’s needs with regard to continence management had been addressed with positive results, which has improved the person’s life with regard to dignity and comfort. The Registered Manager explained that one supported person had also been referred to a specialised health care team in order to monitor and assess the person’s behaviour. As a result of the implementation of the active support approach the persons behaviour, which at times, challenged the service had improved. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The home must develop appropriate complaints policies and procedures to ensure that people can express concerns and that action is taken to address any concerns. The Registered Manager and staff have had appropriate training in the Protection of Vulnerable Adults. EVIDENCE: The inspector sampled the homes complaints log and noted that no complaints had been received by the home. It was concerning to note that the Registered Manager was unable to locate the homes complaints policy and procedure and the New Support Options complaints policy and procedure within the home referred to the National Care Standards Commission (NCSC) instead of the Commission for Social Care Inspection (CSCI). In addition the complaints procedure for the supported people in the home needed to be developed in order that people or their representatives could air their views and opinions if they were unhappy or dissatisfied about the service being provided by the home. Requirements have been made that this major shortfall is addressed. The Registered Manager advised the inspector that she had undertaken the Surrey Multi Agency Protection of Vulnerable Adults training and that all staff except one person had also attended protection of vulnerable adult awareness training. One protection of vulnerable adult referral had been made since the last inspection and had been satisfactorily concluded. The Registered Manager advised the inspector that she will be undertaking the Train the Trainer training in the protection of Vulnerable Adults in order that staff can receive training and awareness of identifying and preventing abuse within their workplace. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,30. The Registered Manager and staff have made some improvements in the homes environment following the previous inspection. Requirements have been made regarding the shortfall of the home’s overhead lighting is improved and the bathroom comprising of a shower and toilet must be rendered back in use within the timescales set. EVIDENCE: There has been a continued effort by the Registered Manager and staff to improve the environment of the supported peoples home. New flooring has been laid in the lounge and hallway, as previously mentioned the activities room has been decorated and is nearly ready for use by supported people. The inspector noted that one supported persons bedroom had been redecorated and homely ornaments had been purchased including framed pictures, a night-light, and cushioning surrounds for the person’s bed. The supported person indicated to the inspector how happy they were with their room by taking the inspector by the hand to show them. It was observed that the sink unit in the room needed cleaning and a requirement has been made that this is attended. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 17 During the tour of the premises the inspector noted that one bathroom containing a bath, shower and lavatory was not in use. The Registered Manager explained that the bathroom had been out of use for over a month due to a water leak and the home was also was waiting for an Occupational Therapist assessment of the bath due to the changing needs of the people being supported. The Registered Manager advised the inspector that the lack of the bathing and toilet facilities caused inconvenience to the people being supported. An immediate requirement has been made that the bathroom is rendered back in use within the timescale set. Following several previous inspections concern has been raised regarding the overhead lighting throughout the home for example communal areas, individual bedrooms and bathrooms is poor. The Registered Manager advised that English Churches Housing are due to undertake the work but this has not yet been completed and a further requirement has been made that this is attended within the timescales set in order to ensure that the lighting meets the needs of the people supported. Requirements made during the last inspection regarding the storage of waste in the kitchen have been attended. The home has purchased a new fridge for improved storage and the inspector noted there were fresh fruit, vegetables and salads available to the supported people. The laundry area has been improved following the previous inspection. It was noted that the laundry was untidy at the time of the inspection however the staff had made efforts to improve the laundering practice by using individual containers for each supported persons clothes, and making alternative arrangements for the storage of chemicals. One staff member told the inspector that the system was much better. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34, It was noted that the staff were attentive, calm and proactive in meeting the complexity of needs of individuals during the inspection. Requirements have been made that the current staff shortages are addressed, the recruitment and selection policy in the home is updated and the Registered Manager undertake appropriate recruitment and selection training. EVIDENCE: The inspector sampled one staff member’s recruitment file that had been recently employed at the home. The file did not contain evidence that at CRB disclosure had been received or a POVA first check had been sought. A requirement has been made that the home must ensure that all staff are fully vetted prior to working with vulnerable adults. The home has a significant number of staff vacancies. Several vacancies are filled by the use of regular Agency staff. The inspector was assured that New Support Options was planning to advertise for staff. A requirement has been made that the home ensures that prompt and appropriate recruitment regarding staff shortages are pursued. The inspector sampled the homes recruitment and selection policy and procedure which was not current and referred to the National Care Standards Commission, additionally the Registered Manager advised the inspector that she would be involved in interviewing staff yet had not had any update on Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 19 recruitment and selection training for several years. Requirements have been made that these shortfalls are addressed. It was noted that one staff file contained a reference from a neighbour and friend. The applicant had a full employment history and a recommendation has been made that where possible professional references are obtained in contrast to personal references in order to assure validity of references and protection of the supported people. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 40,41,42. The home continues to be managed well. Some requirements have been made regarding health and safety issues which must be addressed within the timescales set. EVIDENCE: The Registered Manager has maintained a consultative management style within the home and continues with staff support to address the shortfalls of the service in a methodical way. It is evident that the Registered Manager and staff have concentrated on improving the environment, personal rooms and care plans for the supported people. The home has now started to improve the service management for example sorting through files, policies and procedures to ensure the smooth operation of the service. Due to the staff vacancies the Registered Manager has been unable to have sufficient time off the duty rota in order to address some of the areas needing attention. It was noted that the office area was cluttered and at times the Registered Manager was unable to locate specific policies and procedures for example some policies and procedures had been Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 21 filed for staff to read and only two staff (one of whom was the Registered Manager) had signed them to say they had read and understood the homes policy. It is recommended that the Registered Manager been afforded some time in order to continue to review the office files and system of operation. It was noted that chemicals stored in an outside shed were not stored in a locked metal container and the shed door was not locked a requirement has been made that all chemicals are stored in line with the ‘Control of Substances Hazardous to Health Regulations’ (COSHH) guidance During the course of the inspection it was observed that the clinical waste bin in a bathroom within the home contained soiled pads, which had not been appropriately disposed of resulting in malodour and lack of infection control. A requirement has been made the home is kept free from offensive odours and make suitable arrangements for maintaining satisfactory standards of hygiene in the care home by developing, documenting and implementing a clinical waste procedure for the disposal of waste. Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 2 2 3 Standard No 22 23 Score 1 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 x 1 x x 2 LIFESTYLES Standard No Score 11 x 12 2 13 x 14 2 15 3 16 2 17 Standard No 31 32 33 34 35 36 Score 3 2 2 2 x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jubilee Road (42) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x 3 3 2 x DS0000013499.V264137.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4.(1)(a-c) Sch1 Requirement The Registered Person must update and review the current Statement of Purpose, a copy of which must be forwarded to CSCI local Eashing office. The Registered Person must update and review the current Service User Guide, a copy of which must be forwarded to CSCI local Eashing office. The Registered Person ensures that plans for the development of meaningful activities and leisure are implemented within the agreed timescales. The Registered Person must ensure that complaints procedures are developed which are appropriate to the needs of the supported people and their representatives and any other person wishing to air their views and opinions of the service provided. The Registered Person must ensure that the overhead lighting throughout the home is improved to meet the needs of the supported people. Not met 13/12/05 DS0000013499.V264137.R01.S.doc Timescale for action 11/01/06 2 YA1 5.(1)(a-f) 11/01/06 3 YA12,14,16 16.(2)(n) 11/04/06 4 YA22 22.(2) 19/02/06 5 YA24 23.(2) 11/03/06 Jubilee Road (42) Version 5.0 Page 24 6 YA27 7 YA30 8 YA32 9 YA32 10 YA33 11 YA34 12 YA42 The Registered Person must ensure that the bathroom is rendered back in use and the premises provide sufficient numbers of lavatories, washbasins, baths and showers fitted with hot and cold water supply. 23 (2) (d) The Registered Person must ensure that all areas in the home are kept clean and hygienic and free from offensive odours. 19.(1)(4)(5) The Registered Person must ensure that the homes recruitment and selection policy and procedure is updated. 9.(1)(2)(i) The Registered Person must ensure that the Registered Manager undertakes such training as appropriate to ensure that they have the experience and skills necessary for example recruitment and selection training. 18.(1)(a)(b) The Registered Person must ensure that prompt and appropriate recruitment arrangements regarding staff shortages are pursued in order to ensure that suitably qualified, competent and experienced persons are working in the home in such numbers that are appropriate to the health and welfare of the supported people. 7,9,19, The Registered Person must Schedule 2 ensure that all pre employment checks are carried out prior to staff commencing employment at the home. 13.(4) The Registered Person must (a)(b)(c) ensure that made that all chemicals are stored in line with the ‘Control of Substances Hazardous to Health DS0000013499.V264137.R01.S.doc 23 (2) (j) 11/01/06 11/01/06 19/02/05 11/04/06 11/01/06 11/01/06 11/01/06 Jubilee Road (42) Version 5.0 Page 25 13 YA42 13.(3) Regulations’ (COSHH) guidance. The Registered Person must ensure that developing, documenting and implementing a clinical waste procedure for the disposal of waste home maintain satisfactory standards of hygiene in the care. 19/01/06 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 YA6 Good Practice Recommendations It is recommended that individual development of people’s skills and achievements are clearly documented and available as evidence of improving people’s lives through choice and opportunity. It is recommended that where possible professional references are obtained in contrast to personal references in order to assure validity and protection of the supported people. 2 YA34 Jubilee Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 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 Road (42) DS0000013499.V264137.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!