Inspection on 22/01/07 for Lowena Hostel

This inspection was carried out on 22nd January 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lowena Hostel 23/01/09

Lowena Hostel 28/02/06

Lowena Hostel 29/06/05

Lowena Hostel 01/12/04

Lowena Hostel 15/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Lowena Hostel Mitchell Hill Truro Cornwall TR1 1JX Lead Inspector Ian Wright Key Unannounced Inspection 22nd January 2007 16:00 Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lowena Hostel Address Mitchell Hill Truro Cornwall TR1 1JX 01872 270013 01872 241992 jjackson@cornwall.gov.uk 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) Cornwall County Council Ms Julia Jackson Care Home 25 Category(ies) of Learning disability (25) registration, with number of places Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: Lowena is a care home for adults with learning disabilities providing respite care. Over 100 families are currently supported by the service. The home is located within the City of Truro. The home is purpose built, divided into four residential units, linked together by a central entertainments and activities room. One unit accommodates children, which is inspected separately. There is a sensory garden and brightly decorated courtyard for service users to enjoy. Each part of the home has its own kitchen, dining room and lounge. There is sufficient car parking to the front of the property. A copy of the inspection report is available in the reception area, and it is suggested a copy is requested from management or CSCI if required. The level of government benefits received by the service user determines the fees payable by service users, and there is no fixed fee per night of stay. There are additional charges e.g. for hairdressing, chiropody, and newspapers etc. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key Inspection took place in twelve and half hours over three days. All of the Key Standards were inspected. The methodology used for this inspection was: • To case track four service users. This included, where possible, meeting, observing and, where possible, discussing with the service users their experiences. • Discussing with staff their experiences working in the home. • Discussion with other service users and their representatives. • Observing care practices. • Discussing care practices with management. • Inspecting records and the care environment. • Completing a survey of staff, service user / their representatives views. Other evidence gathered since the previous inspection, such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. What the service does well: What has improved since the last inspection? What they could do better: Although there has been some improvement in staff training provision, training received by staff does not meet the national minimum standards and subsequently needs improvement. For some staff this includes training in fire prevention, first aid, food hygiene, infection control and moving and handling. The requirement from the inspection report dated 28th February 2006 is therefore renotified. All new staff need to have a Protection of Vulnerable Adults ‘First’ check before they commence employment. This ensures staff are fit to work with vulnerable people. The current registered manager Julia Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 6 Jackson is currently off on long term sick, and Ms Jackie Barr is currently managing the home. Cornwall County Council need to submit an application to register Ms Barr to temporarily manage the home. 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. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable statement of purpose and service user guide. This enables service users and their relatives to have suitable information regarding services provided. Service users have a suitable contract of care or statement of terms of conditions of residency. This enables service users to be aware of their rights and responsibilities. The pre admission assessment procedure is good, and enables the registered provider to ascertain it can meet the needs of service users, before admission is arranged. EVIDENCE: Copies of the statement of purpose, service user guide and contract of care / statement of terms of conditions of residency, were inspected. The manager said this information was provided to service users and /or their representatives before or on admission. It is suggested a copy of the service user guide and current CSCI report is also placed in the flat Copies of pre admission assessments were also inspected and these were comprehensive. There is a regular placement panel to assist in the assessment process. The manager and relevant professionals attend this. The manager said a home visit also takes place for each service user as part of the assessment process. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have a care plan and these are reviewed. This ensures staff have suitable information to provide care. Care plans are amended when changes in service users’ needs occur. Where possible, service users are encouraged to make decisions about their lives with suitable assistance as required. The registered providers’ approach to handling service users monies is satisfactory, so service users can be assured their financial interests are safeguarded, where the registered provider is involved in this area of their lives. The registered provider has a suitable approach to risk, so service users can be assured they will be supported to take risks where this is appropriate. EVIDENCE: There is a copy of a care plan in each service user file. Staff said care plans were accessible to them. The care plan format is satisfactory and gives guidance to staff regarding service user needs. The manager said care plans are due to be rewritten using a ‘person centred planning’ approach. Care plans Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 10 however still need to give clear description of what care is required, and how this should be given. Care plans are reviewed every 6 months and a formal review meeting is held every 12 months. Service users and staff said service users are encouraged to make decisions regarding their lives. However many service users have limited or no verbal or written communication skills. The manager said staff try to overcome communication difficulties, by, for example using pictures and building up good relationships with families to ascertain service users’ needs. Suitable risk assessments are in place to assess any risks or actions to promote independence. The registered persons look after most service user monies, for which suitable records are maintained. The inspector said monies could be banked rather than stored in the safe to minimise the risk to staff. It was agreed that any interest payable could be paid into the service user amenities fund for the use of service users. However consultation should take place with service users and their representatives, and if any object to this, any interest should be paid to the individual concerned. A policy should be written regarding this issue. The registered provider has a satisfactory policy regarding diversity and equality. For example there are suitable aids and adaptations for service users with a physical disability. There is a sensory room for service users with profound learning disabilities. There are currently only a few service users from ethnic minorities, although the manager stated the home is more than happy to accommodate service users from other cultures. The local population is predominantly Cornish, and from ‘White-UK’ background. Issues regarding sexuality and gender seem to be suitably addressed. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can participate in a suitable range of activities, and are able to mix with the wider community. Service users can keep in contact with friends and relatives. Service users rights are respected, and service users are enabled to take a suitable amount of responsibility in their daily lives. Suitable arrangements are in place so service users enjoy a healthy and varied diet. EVIDENCE: A suitable range of activities are available to service users during their respite stay. Service users are able to go into town, go for meals out, bowling etc. Parties are held for various anniversaries and festive events at the home. On the first day of the inspection there was a party to celebrate the 21st anniversary of the opening of the home. Some other activities are available in the home. For example there is a pool table, TV’s DVD’s etc. During weekdays service users receive support to maintain their usual structured day activities, which they would pursue when they are at home. For example service users Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 12 attend day centres, sheltered work placements etc. The county council provides transport to assist service users to get to and from home, to various activity placements and for social outings. One service user said he would visit a friend regularly during his stay. Other service users are encouraged to maintain contact via the telephone or post. Visiting arrangements are flexible, and there is suitable space for service users to receive visitors privately. Staff said service users could get up and go to bed when they wish if they are not going to a day placement. Staff were observed working with service users in a way, which respected their privacy and dignity. For example, where appropriate, staff knock on doors, and mail is not opened without service users’ agreement. Service users are encouraged to be involved in domestic chores if they wish. One service user said staff provided him with a lot of choice when he stayed at Lowena. Staff felt the service focussed on individual needs and wishes rather than service users having to fit in with prearranged routines. Food provided seems to be to a good standard. Special diets are catered forfor example if service users are diabetic, or if food needs to be pureed. Suitable records are maintained regarding food provided. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care is delivered to a good standard, and there are suitable links with medical professionals. Service users medicines are managed appropriately. Some improvement is required to staff training regarding the handling of medication. Service users can therefore be assured there personal and health care needs are suitably met. EVIDENCE: Service users said and were observed as receiving suitable care and support from staff. Any personal care needs are documented in care plans, and staff seemed clear regarding what assistance service users need. The manager said the home has access to GP’s, dentists, chiropodists and other professionals while service users are staying at the home. Other staff reported no problems with links with medical professionals. Medication is stored securely. Service users bring their own medication with them when they come to stay at the home. Medication is dispensed appropriately, and suitable medication records are kept. Some staff still need to receive medication training as outlined in the ‘Staffing’ section of this report. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is generally good, although some improvement is required to staff checks. This judgement has been made using available evidence including a visit to this service. The registered persons have suitable procedures regarding complaints and adult protection. However all staff must have a satisfactory protection of vulnerable adults check / criminal records bureau check before working unsupervised. This will ensure further improvement is made to prevent abuse. EVIDENCE: The registered provider has satisfactory procedures regarding complaints and adult protection. Staff have satisfactory awareness of the procedures, and were able to say whom they would approach if they had a complaint or were concerned about abuse. Some staff have attended training regarding the prevention of abuse. The manager said one of the senior staff has been trained as a trainer in the local authority adult protection procedures, and will deliver prevention of abuse training to all staff shortly. Staff and service users all said they had not witnessed any bad or abusive practices. All staff have Criminal Record Bureau check, and a Protection of Vulnerable Adults check (where applicable). However no system of completing POVA First checks is in place (ensuring staff are fit to work with vulnerable people), and this must be introduced for all new staff. Satisfactory supervision arrangements must be in place until a full CRB /POVA disclosure is received. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Lowena provides a pleasant, clean and well-maintained environment for service users to live and feel relaxed in. EVIDENCE: The building was inspected. The building appears to be well maintained, clean, pleasantly decorated and homely. There is a sensory room, and a sensory garden, which service users can use. All communal rooms are clean and comfortable with suitable space for relaxing and dining. Bedrooms are suitably furnished and decorated, and single accommodation is provided for all service users. Bathrooms are suitably adapted for people with physical disabilities. The building appears to be well maintained and decorations throughout the home are maintained to a good standard. Staff said there are suitable adaptations for people with physical disabilities. Suitable kitchen and laundry facilities are provided. The home was clean and hygienic at the time of inspection. There is a separate flat for service users who are more independent e.g. with a separate kitchen and lounge. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 Quality in this outcome area is generally good. This judgement has been made using available evidence including a visit to this service. Staffing levels appear suitable so service users can be assured they will get appropriate levels of staff support. Recruitment records are good so service users can be assured there are suitable recruitment procedures in place. However the registered provider must introduce a system of ensuring all new staff have a Protection of Vulnerable Adults check (POVA First) before they commence employment. Staff training provision is adequate, but needs improvement so staff receive appropriate training required by regulation. Equal opportunities issues regarding recruitment and work practices seem satisfactory. EVIDENCE: The registered manager said suitable staffing is provided to meet service user needs. There are always four staff on duty on each wing, and one in the training flat during the waking day. Night staffing is suitable (i.e. two waking night staff). Staff rotas are maintained and demonstrate this level of staffing is met. Day to day supervision is satisfactory (i.e. a manager is always on duty). The registered persons have a suitable approach to providing National Vocational Qualifications for care staff. The pre inspection questionnaire stated Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 17 that 62 of staff have an NVQ 2 or 3. Copies of staff NVQ certificates were contained in staff files. Suitable induction records were available for all staff. Induction includes shadowing more experienced staff; formal instruction from management and viewing videos/ DVD’s regarding various issues. New staff also attend the formal ‘common induction standards’ training which is delivered by Cornwall County Council. Some induction checklists, for new staff, were not present in staff files. The manager said this was because they were in the possession of line managers who were still completing these with the staff concerned. Training required by regulation is only adequate. Some staff still need to receive training in first aid (i.e. there must always be one first aider on duty), food hygiene (for those who handle any food), moving and handling (for all staff), infection control (all) and fire prevention (all). Staff also need to receive training in epilepsy and managing difficult / challenging behaviours where this has not occurred. The manager said there is now a plan to ensure all staff receive this training, which will be implemented shortly. However the statutory requirement is renotified. Recruitment records were inspected. These were to a satisfactory standard. Files generally contain a CV, two references, supervision records and a record of staff induction. However there should be a photograph on each staff member’s file. Although a copy of a CV is kept on each staff file, it is recommended that a copy of each staff members’ application form be kept on personnel files rather than at the personnel department. This will give a clearer record of work history. All staff have a Criminal Records Bureau (CRB) check and Protection of Vulnerable Adults (POVA) check (where applicable). However there is currently no system to ensure staff receive a POVA First check before they commence employment and this must be implemented. A POVA First check ensures that staff are fit to work with vulnerable people. The registered persons’ approach to equal opportunities and anti discrimination is appropriate. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is generally good, although some improvements are required. This judgement has been made using available evidence including a visit to this service. The registered provider is suitably experienced, and skilled to manage the home. However an application for the current locum manager is required. There is a suitable quality assurance system in place so service users can be assured there is a suitable system to measure and maintain a good quality of service. The management of health and safety issues is good so service users can be assured they live in a safe environment. EVIDENCE: Cornwall County Council provides a suitable respite service for learning disabilities staying at Lowena. The current registered manager is currently off sick, but the commission understands the manager will return to manage the home in the foreseeable future. In the interim Ms Jackie Barr is managing the home, and the commission is awaiting an application for her to temporarily be registered to manage the home. Service users and staff appear to be positive about the registered provider’s approach. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 19 The registered persons have a suitable approach to quality assurance. The manager has developed an ‘Improvement Plan’ for the next year outlining improvements, which will be made to the service. There are also regular ‘Carers Meetings’, which service user representatives can attend to discuss any issues of concern. There have been residents meetings in the past, but these have lapsed because of the management changes, but the manager said she would reintroduce these. The registered provider completes monthly visits to the home as required by regulation. Copies of reports must be forwarded to the commission. The registered persons have a suitable health and safety policy. Regular health and safety checks are completed. Records kept of checks required by regulation are satisfactory. For example there are suitable records of the testing of fire equipment, portable electrical appliances and the electrical hardwire circuit. Accident records are suitably maintained. The boiler has been serviced in the last year. The manager said the home’s insurance had been renewed but a current certificate was not displayed. This must be rectified. Health and safety risk assessments are satisfactory. Suitable testing is completed regarding the prevention of Legionella. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 21 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA35 Regulation 18 Requirement The registered persons must provide appropriate training for staff: • As required by law (i.e. manual handling, infection control, food hygiene, first aid, fire safety) • To meet the needs of individual service users (e.g. epilepsy) • All staff who handle medication must receive external training by a suitably qualified person (e.g. pharmacist) • Suitable records of training must be maintained (e.g. certificates of attendance of training courses) Previous timescale of 01/09/2006 not met Second Notification 2. YA34 YA23 12, 13, 19 All staff must have a POVA First check before they commence employment. Until staff receive a satisfactory CRB disclosure they must be appropriately supervised. DS0000043186.V328091.R01.S.doc Timescale for action 01/05/07 01/03/07 Lowena Hostel Version 5.2 Page 22 3. YA37 9 The registered provider must submit an application for the temporary manager due to the long-term sickness of the registered manager. 01/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA7 YA34 Good Practice Recommendations A policy regarding the handling of service user monies at Lowena should be developed / amended. Keep a copy of each member of staffs’ application form in staff files in the home. Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Lowena Hostel DS0000043186.V328091.R01.S.doc Version 5.2 Page 24 - 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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