Inspection on 14/11/05 for National Star College

This inspection was carried out on 14th November 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

National Star College 23/06/09

National Star College 08/05/07

National Star College 14/03/06

National Star College 03/03/05

National Star College 05/10/04

National Star College 26/02/04

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

CARE HOME ADULTS 18-65 National Star College Ullenwood Manor Ullenwood Cheltenham Glos GL53 9QU Lead Inspector Mrs Caroline Jones Announced Inspection 14th November 2005 11:00 National Star College DS0000016642.V250909.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 National Star College DS0000016642.V250909.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. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service National Star College Address Ullenwood Manor Ullenwood Cheltenham Glos GL53 9QU 01242 527631 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) National Star College Mrs Christine Harber Care Home 88 Category(ies) of Physical disability (88) registration, with number of places National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd March 2005 National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 5 Brief Description of the Service: The National Star College is a College of Further Education, providing residential accommodation for students with physical disabilities or acquired brain injuries. The main campus is based at Ullenwood Manor, situated in beautiful grounds, above Cheltenham town centre, and approximately five miles from the city of Gloucester. The campus is made up of various education buildings, a large sports centre with swimming pool, administrative offices and accommodation areas; all are accessible to wheelchair users. A mobility maze has been constructed to assist students to learn to negotiate difficult surfaces. The residential provision at Ullenwood comprises a number of accommodation areas; each managed to suit differing service users’ needs. These are: Wilson Court, which is home to 45 students in single bedrooms on two floors, accessed by a shaft lift. The purpose-built unit has assisted toilets, bath and shower facilities. The students also have a large lounge with kitchen facilities on the first floor. Cotswold, which opened 6 years ago, has 12 en-suite single rooms for students who have a high level of need. This accommodation includes a new dining and living room, with a purpose built kitchen. Cotswold also has additional therapy rooms, a relaxation unit, and a large lounge/dining area. The Shortwood complex is made up of a Farmhouse, which houses 19 students in single and twin rooms. There is a kitchen and communal lounge area. A garden flat at the side of the house provides shared accommodation, plus cooking and bathroom facilities for two students. An extension has been added to the bungalow formerly known as Moose; this accommodation is now called Malvern and provides an additional 5 well equipped single en-suite rooms, as well as a new lounge/diner with kitchen facilities. The medical base for the campus is in the same building as Cotswold: it has a dedicated sick room and consultation rooms. The college is currently fundraising to build replacement student accommodation for the Kennels building, which has now been demolished. Building work is already in progress to provide improved therapy rooms. Students have access to a variety of transport, including a coach, mini-buses and taxi. All are accessible to students who use wheelchairs. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three days. Whilst opportunities to meet with students were limited on this occasion, all students had an opportunity to complete a comment card about the service and 62 did. Only one inspector was involved with this inspection and visits were made to all of the residential areas. The college provided detailed pre-inspection material before the inspection. What the service does well: The College gives students a great education opportunity with plenty of other activities available at the weekends. The college is fully accessible to students with many specialist facilities such as the gym, swimming pool and performing arts centre. Students see going to the college as an opportunity to ‘makes lots of new friends’, ‘gain freedom’ and ‘independence’ and ‘to be treated as an adult’. The college is a specialist resource with therapists available to help students to identify and use equipment and learn skills of independence. It is able to meet the needs of students with complex care needs. There is a thorough assessment process in place for new and prospective students. Once at the college students are encouraged to be fully involved in setting their own goals and saying how they like to be helped. The college encourages and helps students to develop their confidence, gain independence and take responsibility for themselves in a safe and controlled way. Students have the support of staff both for personal activities and within the education programme. The buildings at The Star College are designed and adapted with the needs of students in mind. The newest accommodation has en-suites and all single rooms, swipe card locks and automatic lighting maximising student independence. In comparison some residential areas are a little cramped and facilities dated. A dedicated nursing team supports students with very complex medical needs to make sure their health needs are met. The nurses oversee a robust system for the administration and control of medication. The college has excellent training opportunities for staff. The college has its own training centre and runs courses and training at all levels for staff. Training courses are linked to nationally recognised qualifications. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 7 A highly experienced and dedicated team manages the College and residential services. Residential facilitators have a range of skills, experiences and qualifications. Good team working was seen during the inspection and students were generally very positive about the care and support available from all staff. The college seeks to continually improve and gives students many different opportunities to comment on all aspects of the college. A detailed annual Self Assessment is undertaken. 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. National Star College DS0000016642.V250909.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 National Star College DS0000016642.V250909.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): 2 Prospective students of the Star College can be confident that their needs and aspirations will be assessed prior to them starting at the college. EVIDENCE: The college has a comprehensive assessment process starting well before students reach the college. Prospective students have opportunities to visit the college, both for day visits with their families and to stay during the ‘Stars of the Future’ courses. The college seeks information from students themselves and their families, schools, social workers and other professionals prior to admission. Examination of a sample of files showed that once students arrive at the college assessments are reviewed and plans are confirmed with students. Speech and language therapists, physiotherapist nurses and Occupational Therapist all provide valuable input to students plans. Students are fully involved with the development of their plans and understand any restrictions that may be imposed. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&9 Students at the Star College work with staff to identify their own goals, which are then reflected in their individual plans and are changed as necessary. Students are supported in taking controlled risks, as they are encouraged towards independence by the college. EVIDENCE: The college has recently moved to maintaining assessments and plans electronically; this is helping to ensure that current assessments and plans are available to all. The duplication of hand written and typed copies of assessments and plans seen in the residential records is unnecessary. Records showed how students themselves are involved in recording progress towards goals, seeking witness statements from staff or writing their own progress reports. The college demonstrated significant expertise in working with students with a wide range of complex and multiple needs. Good use is made of in-house specialists, in particular developing communication formats for individuals. During the inspection students were seen to be working with key workers. Records showed that there are regular meetings involving students with their key workers and personal tutors. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 11 Records confirmed extensive use of Risk Assessments appropriate to the needs of students. Key procedures, such as manual handling procedures, are copied and put up in students bedrooms. The college demonstrated its commitment to Risk Management and involving students in recognising and taking responsibility for their own risks. The personal development and citizenship programmes provide students with information and guidance on personal safety issues. Independence programmes are developed so that students can progress in stages, being supported to take increasing responsibility for themselves. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16, & 17 The Star College is an excellent learning environment for students with access to a wide range of courses and a lively programme of evening and weekend activities. Students are able to get out into the local community, develop friendships and take responsibility for their own lives. Students have access to healthy meals. EVIDENCE: Provision of education is a core function of the college and comments from student questionnaires indicate that they are positive about courses available to them at The Star College. The college demonstrates it commitment to ongoing development of its education arrangements for students. Support is provided when students need this to access the educational activities. Outside the college day, there is an extensive programme of extra-curricular activities available to students, which include a range of sports, beauty, board games, drama, and computer activities. Students were generally positive about activities and five students included comments like ‘lots of evening activities’. A quarter of students who completed the questionnaires did indicate that there was sometimes not enough to do and there were some comments such as ‘need to be able to do more at the week ends’. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 13 The college works hard to support student integration into the community. The number of college students undertaking some or all of their studies at local colleges is increasing. Student personal development programmes include opportunities to access services in Cheltenham and Gloucester. Transport and staff support is arranged for some evening and weekend trips into Cheltenham and sometimes further a field. Students commented positively in their questionnaires about being able to make friends whilst at college. ‘I have made loads of friends’ and ‘Friends are never far away’ are typical of many of the comments. Inevitably there were a few students who also commented that they ‘miss families’ but staff were sensitive to such issues and there is helpful guidance from the college Clinical psychologist for staff on this. The college is sensitive in its support for students who develop intimate personal relationships and this is another area covered by the personal development programme. Wilson Court and Shortwood have separate wings of their building for male and female students rooms, this is primarily in place to protect individual privacy and dignity in areas without en-suite rooms. It is clear from comments by students that they ‘enjoy being independent’ and that this is encouraged and promoted by the college. Students are encouraged to do as much as they can for themselves or to take responsibility for directing the help and care they need. The door locks fitted in the new extension at Malvern offer all students privacy and security in their rooms, and are a standard to aim for throughout the college. Records seen confirm recording of students preferred form of address. Discussions with catering managers, copies of menus and food available to students during the course of the inspection indicate that students have a wide range of options at meal times and care is taken to provide a number of healthy options. Whilst there were inevitably a few (eight) negative comments about food and choices, it appears that the kitchen staff are working hard to provide a variety of healthy meals. It was noted that at peak times the main dining room is noisy, hectic and sometimes congested; an increased number of students who have very large wheelchairs is seen as a contributing factor. However there are options for students to eat in other areas, including their residential units, a small dining room and the student bar. Catering staff are provided with information so that they can meet special dietary requirements. There is a range of eating aids available for students to access independently and support staff are on duty in the dining room at meal times. National Star College DS0000016642.V250909.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, 20 The Star College students are encouraged to direct staff to support them in the way they prefer. Students have access to nursing and therapists to meet their health care needs. The college nursing staff operate safe administration systems for giving students’ medicines. EVIDENCE: Records and student comments confirm that students receive the help and support they need, and maintain control over their lives. Students were observed to lead full and active lives maintaining responsibility for their choices of clothing, hairstyles and appearance to reflect their personalities. Students have access to a wide range of specialist equipment and technical support to assist with choosing and using it. The teams of staff working in each residential area and the key working system provide students with consistency and continuity in the support they receive. Many students have health care needs and the college nursing team have specific care plans for these and record their intervention with students. The college nursing and psychology services work to meet the physical and emotional health care needs of students. All students have a medical assessment at the beginning of their time at college and have ready access to National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 15 the college nursing staff who work at the college medical centre. Students may access other medical specialists either in their home area or from local services. The medical centre has a wide range of health promotion information available for students. Students are able to see the doctor alone if they choose and a female doctor provides some surgery sessions, or students may visit the local surgery to see a doctor. The college generally takes responsibility for administering and ordering of new students’ medicines when they first arrive at college. A risk management process then operates for students to take on responsibility for managing their own medicines (if they choose and are assessed as safe). The College nursing team abide by the Nursing and Midwifery Councils guidance on the administration of medicines. Working stocks of medication are kept in mobile drug cabinets that can be taken to the houses or into the college, in order that medication can be administered safely in accordance with the regulations and standards. Safe practises are in place where controlled drugs are required. Accurate records are maintained of all medications received, stored, administered and destroyed. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Students and their advocates can be confident that their views will be listened to and the college will investigate any concerns they raise. EVIDENCE: The college complaints procedure is set out clearly in the ‘Complaints and concerns leaflet’ and ‘Dealing with Compliments and Complaints a guide for staff’. Student responses in their questionnaires indicated that they would be able to talk to somebody if they were unhappy. Copies of complaints received by the college were available for inspection. These had been well documented and addressed appropriately within the designated time frames. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 17 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 Students live in a comfortable environment at Star College with equipment to meet their needs. The newest accommodation exceeds national minimum standards. EVIDENCE: All buildings on the college campus, with the exception of the upper floors of the Manor House and Shortwood, are accessible to students in wheelchairs. The college has plans for ongoing improvements to the facilities, which include improvements to some of the residential facilities. The newer facilities, particularly the extension at Malvern and Cotswold, provide students with a high standard of facilities fully meeting all standards. It was noted that Shortwood still has some shared rooms where mobile screens are provided, but students agree to being in a shared room. However the size of wheelchairs and other specialist equipment often significantly limited the useable space in these rooms. The two shared rooms on the first floor are only available to students who can safely manage the stairs; this would appear to limit options available to ambulant students. The bathroom for these students is in need of improvement. Wilson Court, whilst purpose built in its time, is now cramped: passing in corridors can be difficult, whilst staircases are little used but take up large areas. Malvern lacks an office for safe National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 18 storage of records and private conversation; plans to remedy this situation were raised during the inspection. The newer accommodation is more flexible and can be more easily adapted for the varying needs of students. Rooms visited had been personalised by students and were comfortable and pleasant. Communal areas around the college are varied again: in the newer accommodation they were particularly bright and spacious. The college has a maintenance department who deal with day-to-day issues as they are highlighted by residential facilitators and students. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 19 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): 32, 34 & 35 The Star College is committed to achieving a qualified and competent work force to work with students in its care. With some small shortcomings, the college operates generally safe procedures when recruiting new staff. EVIDENCE: The college is a registered centre for the delivery and assessment of National Vocational Qualifications. The ‘Continuing Professional Development Manager’ reported that all staff complete an induction and foundation course, which meets ‘Skills for Care’ (formerly TOPSS) specifications. Staff are then registered to undertake a NVQ. Whilst the percentage of staff to have a NVQ level 2 or above has fallen this year to 43 across the residential units, it was evident that the college has a strong commitment to training staff. Members of staff spoken to demonstrated a good knowledge and understanding of the needs of the students. Questionnaires from students included comments like ‘staff are helpful’ and ‘I am treated as an adult’. A sample of recruitment records for staff recruited for the main campus and the two off-site residential units was examined. Overall the college has very efficient recruitment systems and procedures, although some of the records examined did not have two references on file obtained before an appointment is made. The college report that three references are taken up on preferred National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 20 candidates, as well as checks made with previous employers involving children or vulnerable people. Where there were gaps in employment records there was no evidence that these had been satisfactorily explored. Whilst it was noted that students might not be involved in the recruitment of all staff, they do participate in the selection of senior positions. The College has excellent systems in place for the training of staff co-ordinated by the ‘Continuing Professional Development Manager’. Both new and existing staff are provided with induction, refresher and ongoing training. There are regular training events for all staff, for core subjects such as manual handling, first aid and fire safety, as well as specialist training including new information about new medicines for nursing staff or sessions on specific disabilities. Individual training needs are regularly reviewed and training and development plans drawn up. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 21 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): 37, 39, & 42 The Star College is an efficient, well run organisation with an effective means of self-monitoring. Students can be confident that the college will seek feedback from them and take their comments into account when making plans and setting goals. The Star College takes health and safety matters seriously and operates procedures to safeguard both students and staff. EVIDENCE: There is a clear management structure at the Star College with three designated managers for the residential units; currently only one of these is a registered manager with CSCI, although the college and CSCI have considered seeking registration for the others. The registered manager is a very experienced trained nurse who holds a certificate in Health Service Management. Each year the National Star College undertakes a self-assessment that identifies targets for the forthcoming year. Students’ views are sought for this National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 22 and regularly throughout the college year and are incorporated into the selfassessment report. All areas of the college have aims and targets identified within this report. Questionnaires from students indicate that they are able to participate in meetings and effect change within the college. The college has systems in place to provide a safe and secure environment for students. All visitors report to reception and a caretaker is employed on evenings and at the weekend. Staff training records confirmed that they receive training in fire, moving and handling, basic food hygiene and infection control. Records maintained confirmed: Fire drills take place each term Fire systems and equipment are checked regularly Fire risk assessments are in place for each area Environmental risk assessments are in place and reviewed annually Water temperatures are tested every three months and the water is analysed • Assisted baths and hoists are serviced regularly • COSHH data sheets are kept for all products used • PAT testing is completed. It was recommended that once a year fire drills take place at night. • • • • • National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 23 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 x 4 x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 4 x 2 4 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 National Star College Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 4 x x 3 x DS0000016642.V250909.R01.S.doc Version 5.0 Page 24 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 2 Refer to Standard 42 34 Good Practice Recommendations That the college should carry out occasional night time fire drills with students. It is recommended that recruitment system is tightened to ensure that references are on file prior to a person’s appointment being confirmed and there is evidence that any gaps in employment have been explored. National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 National Star College DS0000016642.V250909.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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