Inspection on 17/11/05 for London Road Neurological and Specialist Care Unit

This inspection was carried out on 17th November 2005.

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 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

London Road Neurological and... 27/06/07

London Road Neurological and... 09/08/05

London Road Neurological and... 02/02/05

London Road Neurological and... 10/08/04

London Road Neurological and... 03/03/04

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Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

Carlton Care Home

Annesley Lodge Care Home

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 London Road Neurological and Specialist Care Unit 362 London Road Leicester Leicestershire LE2 2PU Lead Inspector Mrs C A Burgess Unannounced Inspection 10:00 17 November 2005 th London Road Neurological and Specialist Care Unit DS0000001915.V256814.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 London Road Neurological and Specialist Care Unit DS0000001915.V256814.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 Older People and 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. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service London Road Neurological and Specialist Care Unit 362 London Road Leicester Leicestershire LE2 2PU 0116 2706991 0116 2707181 Address Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cheer Health Limited Mrs Judith Tart Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (33), Physical disability of places over 65 years of age (33), Terminally ill (6), Terminally ill over 65 years of age (6) London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person to be admitted to the home in categories TI or TI(E) when 6 persons in total of these categories/combined categories are already accommodated in the home. 9th August 2005 Date of last inspection Brief Description of the Service: London Road Neurological & Specialist Unit provides nursing care for up to thirty-three clients, 18 years and over with a physical disability, and has specialist facilities for clients with acquired brain injury and those people who require palliative and terminal care. The unit is housed in a large, well adapted Victorian House, which has been extensively developed and modernised by the present owners. There are mainly single rooms, with a small number of double rooms and there are sufficient, adapted bathing faclilities. There is a a large conservatory and mature garden, and a main lounge on the first floor. There are Registered Nurses on duty at all times supported by care and ancillary staff. The home has two treatment rooms and a separate physiotherapy room and employs a part time physiotherapist, an on call General Practitioner, and a Consultant responsible for clients with neurological conditions undertakes regular in house visits. The home is situated on a main road on the outskirts of Leicester, with all the attendent facilities of a large city centre, and is within half a mile of the train station . It is on a public transport route and has ample visitor parking. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five hours. An opportunity was taken to look around the home, view records, policies and care plans and to talk to staff, clients, their relatives and visitors. The primary method of inspection used was ‘case tracking’ which involved selecting three clients and tracking the care they receive through a review of their records, discussion with clients (where possible), relatives, prospective clients, the nursing and care staff, visiting healthcare professionals and the observation of care practices. Many of the clients were seen during the inspection. Two of the client’s (who was able), three relatives, the Podiatrist and the Aromatherapist gave the Inspector their impressions of the home. NB. The term ‘younger’ adult refers to those clients who fall within the age range of 18 – 65 year. ‘Older persons’ refers to clients who are 65 years or older. What the service does well: London Road Neurological & Specialist Unit provides a high standard of care for all of their clients, of all ages and needs. Staff are to be commended for their high degree of professionalism and for the high standard of care afforded to their clients. The home is well run by a knowledgeable and experienced Registered Manager. Staff are caring and supportive towards the clients and their relatives. It is well decorated and maintained and provides a safe and homely environment for the clients. Clients’ care plans are detailed to ensure that each individual’s varying and specific needs are met and the specific needs of clients with brain injury are well managed. Staff are well trained and able to meet the clients’ needs. The Registered Manager’s knowledge and enthusiasm, with the support of other healthcare professionals, ensures that the clients receive optimum care at all levels. Comments from the clients and their relatives, during the inspection, were very positive and demonstrated that they were very satisfied with the standard of care provided. Two healthcare professionals were equally complimentary regarding the care provided by the staff. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The admission process is well managed. Clients and their relatives/representatives are given clear and detailed information regarding the service; thereby ensuring that the clients’ health and welfare needs will be met. EVIDENCE: The pre-assessment process, completed by either the Registered Provider or Registered Manager, both of whom are experienced and well qualified nurses, is detailed and reflective of the health, welfare and social needs of their clients. Three visitors, on behalf of their relatives, and two clients said that their needs were fully met. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 9 All of the remaining standards were found to be satisfactory during the previous inspection in August 2005 when Standards 1 & 4 were commended. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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, 7 & 9. Clients (where possible) and their relatives are well informed and supported about the clients assessed care needs and are encouraged to participate in the decision making process. EVIDENCE: The home has comprehensive care plans, which are regularly evaluated and updated. Relatives confirmed that they had been included in the care planning process and were regularly consulted where the client was unable to make a meaningful contribution. Most of the client group at London Road are significantly physically incapacitated due to the progressive and sever nature of their illness. Clients, who are able, are encouraged to risk take where this is appropriate. Following London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 11 evaluation and risk assessments clients are enabled to develop some degree of independence, albeit in small ways, which can result in improvements in their quality of life. Clients, relatives and visiting healthcare professionals were complimentary regarding the standard of care provided at London Road. very All of the remaining standards were found to be satisfactory during the previous inspection in August 2005. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 15. Clients experience a supported life style matched to their very individual and specific personal and nursing needs. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 13 EVIDENCE: Visitors came and went throughout the day and spoke to the staff about their relatives and any concerns they had. Relatives said that they were well supported by the cheerful staff and were always made to feel welcome. Specific needs relating to personal relationships were well documented, supported and agreed to enable clients to continue to meet their individual expectations, whilst ensuring that this did not impinge on other clients or the staff. All of the remaining standards were found to be satisfactory during the previous inspection in August 2005 when Standards 11, 16 & 4 were commended. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19. Clients are looked after very well in respect of their health and personal care needs. EVIDENCE: Care plans are detailed and reflect clients’ specific and individual needs. Contact with other healthcare professional is well documented. The quality of record keeping is reflective of the high standard of nursing care observed during the inspection and ensures that the needs of the clients are fully met. All of the remaining standards were found to be satisfactory during the previous inspection in August 2005 when Standard 18 was commended. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) 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. Arrangements for receiving and responding to complaints are sound, resulting in satisfactory protection of clients’ rights. EVIDENCE: The complaints file was examined. Minor complaints, received since the last inspection, were dealt with according to company policy and in an appropriate manner. The CSCI has not received any complaints about the home. The home’s complaints process reflects the government’s adult protection guidelines, set out in the ‘No Secrets’ publication. Staff are aware of their responsibilities and have received appropriate training. Clients, relatives and healthcare professional spoken with said that they had no complaints and that they felt comfortable speaking to staff about minor concerns which were always promptly attended to. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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. A comfortable, well-equipped, homely and safe standard of accommodation is provided for the clients. EVIDENCE: The home is safe and well maintained with many adaptations to suit clients’ varying, specific and specialised needs. It is decorated and furnished to a good standard which creates a comfortable and homely environment. There is a London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 17 satisfactory system of maintenance and refurbishment. The home is currently undergoing a refurbishment programme, which includes redecoration and upgrading of some areas, and the installation of a new kitchen. This is being managed very well with minimal disruption to clients. Relatives said that staff had worked hard to ensure that this did not affect their relatives or the care they received. On the day of inspection all areas of the home were clean and maintained to a good standard. One relative said that the home was always fresh and clean and was indicative of the high standard of care which the home provides. All of the remaining standards were found to be satisfactory during the previous inspection in August 2005 when Standards 25, 29 & 30 were commended. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 & 35 Although generally sound recruitment checks should be reviewed to ensure that clients are fully protected by the home’s recruitments practices. Staff at the home are trained, supported, and employed in sufficient numbers to meet the residents’ needs. EVIDENCE: The Registered Manager maintains day-to-day responsibility for the home and is supernumerary. Training supports staff in providing for the varied needs of their clients. New staff are provided with a comprehensive induction package. The Registered Manager said that six of the care staff hold National Vocational Qualification London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 19 (NVQ) in Care Level 2/3. ‘In house’ training supports staff in meeting the clients’ health and welfare needs. All staff receive regular supervision and appraisals to assess and review their performance and training requirements thereby ensuring that the clients identified care needs are met. Three staff files were examined. All three staff had had enhanced CRB checks. One file contained one of the two required references. It was also noted that two overseas staff, who had police checks in their country of origin, did not appear to have had a PoVAFirst or CRB check to ensure that clients were, as far as is possible, fully protected from possible abuse. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37. The Registered Provider and the Registered Manager are trained nurses, and are knowledgeable, experienced and professional, and effectively supervise staff and manages the home to protect the rights and needs of their clients. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 21 EVIDENCE: The Registered Provider is in day-to-day contact with the home and is fully cognisant of all the clients and their individual requirements. The Registered Manager is a Registered Nurse and has many years of experience in care and is well supported by a professional senior care staff team. All of remaining standards were found to be satisfactory during the previous inspection in August 2005 when Standards 37, 38 & 39 were commended. London Road Neurological and Specialist Care Unit DS0000001915.V256814.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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 3 CONDUCT AND MANAGEMENT 37 4 38 X 39 X 40 X 41 X 42 X 43 X DS0000001915.V256814.R01.S.doc Version 5.0 Page 23 Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 4 4 X 4 X X X 4 X 4 X X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 4 X X London Road Neurological and Specialist Care Unit N/A 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA3434 Good Practice Recommendations The Registered Person is strongly recommended to ensure that all staff, including all overseas staff, have had a PoVAFirst and an enhanced CRB check prior to taking up employment in the home. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. London Road Neurological and Specialist Care Unit DS0000001915.V256814.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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