Inspection on 14/03/07 for Pinfold Home

This inspection was carried out on 14th March 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pinfold Home 07/01/08

Pinfold Home 12/12/05

Pinfold Home 11/08/05

Pinfold Home 10/11/04

Pinfold Home 27/07/04

Pinfold Home 25/03/04

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

CARE HOME ADULTS 18-65 Pinfold Home 35-37 Pinfold Road Streatham London SW16 2SL Lead Inspector Lynne Field Unannounced Inspection 14th March 2007 10:00 Pinfold Home DS0000022748.V326426.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 Pinfold Home DS0000022748.V326426.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. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pinfold Home Address 35-37 Pinfold Road Streatham London SW16 2SL 020 8769 7869 020 8677 9529 info@astrahomes.co.uk www.astrahomes.co.uk Mrs C Freeman 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) Marie Veronica Stuart Agwunobi Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21) of places Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 Brief Description of the Service: Pinfold is a care home set in a large Edwardian building converted from two houses. They have been specially adapted and are connected internally to form spacious accommodation. The home is laid out over three floors. It is located in a residential street within a short walking distance of full community facilities in Streatham and very close to public transport. There is limited parking space available in the area. It is a privately owned home first registered in 1989 to provide long-term residential care for people with mental health problems. The home is registered for 21 residents, but now accommodates 18 service users because rooms that were double rooms have been converted to single bedrooms. There are four communal areas, several toilets and bathrooms/showers, a large dining room/conservatory with wide terrace, and a well maintained secluded back garden that includes a patio, lawn and flowerbeds and an abundance of mature trees. The home has it’s own transport. The home is not designed to cater for people with physical disabilities and does not include a passenger lift. The ground floor is wheelchair accessible. The registered manager said the current fees payable for each service user is in the range of £350-00 to £750-00 per week according to the assessment of needs of the service user. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on the 14th March 2007. The registered manager was present and took part in the inspection process. The inspector spoke to the registered manager about how the home was developing. Increased staffing levels have been put in place to ensure service users are able to access the community activities with support when necessary. During a tour of the home the inspector met eight service users, who said they liked living at the home. All the communal areas and bedrooms had recently been redecorated and are now no smoking areas. The registered manager told the inspector and service users that this had been discussed at service user and staff meetings before a decision was made to go ahead with this. The inspection included a tour of the home and examination of records on care plans, medication records and the complaints book. Service users came and went during the inspection and the inspector was able to observe that the interaction between staff and service users was friendly and respectful. . What the service does well: What has improved since the last inspection? Staffing levels have been reassessed and are at appropriate levels to meet the needs of the service users. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 6 Medication record keeping has improved and staff are having certificated medication training. 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. The summary of this inspection report can be made available in other formats on request. Pinfold Home DS0000022748.V326426.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 Pinfold Home DS0000022748.V326426.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): 1,2,3,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users’ needs and aspirations are assessed in such a way that a service tailored to their needs is provided. EVIDENCE: The home has a statement of purpose and a service users’ guide, which includes the complaints procedure in the service users’ guide. Each service user is given a copy before they are admitted to the home and there is a copy in their room. The home’s admissions procedure states: “care management assessments are required for all prospective service users including personal and medical histories before service users are considered”. The registered manager told the inspector she had visited the service user who had recently been admitted to the home to carry out a full assessment before they decided to live at the home. The home has a meeting to discuss whether they can meet the service users needs. The registered manager spoke about one service user she needed to visit several times to make sure the home could meet their needs before agreeing to admit them to the home. The registered manager said she “would not agree to a block booking contract because she would not take anyone just because they were sent”. Copies of Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 9 the assessments were seen on each service users file. The service users are invited to visit the home with family members or friends to help them decide if the home could meet their needs. The service user’s file had copies of the assessment based on personal history and a full needs assessment. The home holds assessments by health and social services professionals which it uses to demonstrate how needs can be met, and plan for the care of service users. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 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. 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. Care plans are thorough and reflect service users’ needs and goals. Potential risks are identified and service users are supported to take risks within a risk management framework. EVIDENCE: The files of three service users were inspected. One was of a service user who has been admitted since the last inspection in December 2005. Care plans give a thorough description of service users’ behaviours, reactions and preferences and how the service user was to be treated. Another was of a service user who had been readmitted from the rehabilitation unit in a local hospital. The specialist rehabilitation team had been involved in setting up the care plans. There are copies of the social history on file, the service users psychological state and triggers of identified behaviour problems. There were copies of risk management on files of the service users inspected. The registered manager Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 11 told the inspector the service users’ assessment had identified they needed one to one support to meet their needs during certain activities and a member of staff was allocated to do this. One other care plan was inspected which gave a thorough description of service users’ behaviours, reactions and preferences and how the service user was to be treated. One service user had a written agreement that staff could monitor their money and medication. The service user and the registered manager had signed this. All care plans seen had been reviewed and signed by the registered manager and the service user. The registered manager said staffing levels had improved since the last inspection and this had lead to more service users taking part in outside activities in the community. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in age, peer and culturally appropriate activities, leisure activities and are part of their local community. They are actively encouraged to develop daily living and social skills by the registered manager and staff of the home. EVIDENCE: The home employs an activities coordinator to help service users plan their day. The inspector was told by staff that, “this does not mean other staff do not get involved with planning or taking part in activities but the activities coordinator oversees the activities and makes sure they take place and are appropriate for each service user”. The home has an art room and a manual therapist who comes in to do art therapy and exercises with the service users. Service users have individual activities programmes and take part in the Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 13 running of the home, which includes household chores and responsibilities. The service users are encouraged to develop daily living skills and social skills in an enjoyable way. They clean their bedrooms, change their bed linen, do their laundry and sometimes cook themselves a meal with the support of the staff team. One service user has an eating disorder and has a psychologist working with them. There is a programme in place to try to minimise their food intake and the agreement is recorded and signed by the service user and manager. The inspector met twelve service users on the day of the inspection. Some were sitting in the garden, two were relaxing in their rooms and other service users were in the lounge. All said they liked living at the home and felt comfortable there. The home had a lively feel to it and there was lots of coming and going. The registered manager said other service users were out following their activities programmes either on their own or with the support of staff. One service user was going to stay with relatives who lived abroad and was going to the airport accompanied by a member of staff. They said they had visited their relative at Christmas time. Passport and money was checked and signed for by the service user and the member of staff. The inspector was told arrangements had been made with the airline and the member of staff said they would stay with the service user until the flight was called. Risk assessments were on file for this and it was agreed with the relevant professionals. The inspector was told there had been a lot of discussion about the implementation of the no smoking rule in July 2007 and restricting smoking to designated areas in the home. The registered manager said the discussions at service user meetings have revealed service users on the whole have a positive attitude about this and it is on the agenda for the next service users meeting. The inspector was invited to join the service users for lunch. The inspector spoke to eight service users during the course of the inspection. Service users said they were able to choose what they wanted to eat. One service user commented, “ it’s not so bad here, you can have a cup of tea and a cigarette when you want”. Each week the service users are asked to make suggestions for next week’s menu. The inspector was shown the copy of the menu suggestions that service users wanted to be included on next week’s menu. The inspector noted the meals are nutritious and well balanced with lots of choice to suit the diverse range of service users living at the home. The inspector noted that several service users were part of the healthy living group that promotes healthy eating. Menus are discussed at the service users meetings and at team meetings and all service users get a chance to comment on the food. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 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. 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. Service users receive personal support, in the way they prefer and their physical and emotional needs are met. Service users administer and control their own medication where appropriate and are protected by the homes policies and procedures for dealing with medicines. Medication administration was found to be properly documented and is handled safely. EVIDENCE: Three service users care files were inspected. These contained all the information staff need to support the service users in their preferred personal care routines and there are details of how much help an individual requires with different personal care tasks. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 15 Each service user has a copy of their medical history, a health assessment done by the home and health action plan on file. The record of health appointments attended indicated that each service user is supported by staff, if this is what the service user requires, to attend an appropriate range of healthcare appointments in line with their individual healthcare needs. This included the outcome of the appointment. All three service users files checked had placement reviews on file by the placement and monitoring service team. They deal with assessing and reviewing the home and service users then follow through any needs that are highlighted at the reviews. The inspector was told the local optician comes into the home to test service users eyes. On the day of the inspection the optician arrived with the prescribed glasses for service users. Service users told the inspector they were pleased with their new glasses. Service user medication is stored securely in a locked medication cabinet in the staff office. One service user gets his own medication prescriptions from his GP and fills his own dosset box. Another service user has a weekly blood test and gets a weekly supply of medication, which he collects. The GP and the supplying pharmacist monitor this. The inspector checked two service users’ medication with the registered manager and all were found to be correct. All medication coming into the home is recorded. The registered manager audits PRN medication, general medication stock records and disposal of medication on a weekly basis. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ views are listened to and acted upon and there are safeguards in place to protect them from abuse, neglect and self-harm. EVIDENCE: The home has a complaints policy, a copy of which is in the service users’ guide. The inspector saw the complaints book and one complaint had been recorded. This was made by one service user about another service user’s behaviour. The registered manager described how she dealt with it by speaking to the service user the complaint was made against. A copy of the outcome was recorded in the complaints book and in the service user’s file. The inspector was told the home’s administrator is the appointee for two service users. Two other service users have independent trustees. Each service user has a separate account and a record of their money is kept. The inspector observed how staff and service users recorded financial transactions and noted the financial records and money are locked away. All receipts are kept. Service users are able to access their money at any time should they wish to do so. One service has a financial agreement on in their care plan that was agreed and signed by the service user and appropriate professionals as well as at the service users review. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 17 There is an adult protection policy and procedure in the home as well as a copy of the local authorities POVA policy and procedure. All staff has been trained in adult protection in the past and the home put refresher training in adult protection on the training programme. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 18 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): 24,25,26,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is bright, clean, comfortable and safe. Service users’ rooms are comfortable and are decorated to reflect their personalities. The ground floor communal areas and bedroom are accessible to people with mobility needs. EVIDENCE: The home consists of two large adjoining Edwardian houses that have a style and ambience of their own and that reflect the purpose of the home. The home is clean and bright. There is a rolling programme of maintenance and re-decoration of the premises. The home had arranged for a more powerful kitchen hood extractor Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 19 fan to be installed. This will improve the heat and smoke extraction from the kitchen and cut down the false fire detection incidents. The inspector noted that attention is paid to maintaining a safe and comfortable environment. All the bedrooms have been redecorated in the last year and the layout of one bedroom has been changed to make a small sitting area. Another bedroom has had a shower room installed. All the toilets and bathrooms have been redecorated in the last year. All the bedrooms seen during the tour of the house were individual and homely. The home is laid out over three floors. All the stairs and landings have been decorated and carpets have been replaced making the home look warm and homely. The home is unsuitable for individuals with impaired mobility, except the ground floor. One service user with restricted mobility has been allocated a bedroom on the ground floor. Suitable adaptations in the form of handrails have been provided to ensure and enable service users to mobilise independently. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 20 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users individual and joint needs are met by appropriately trained staff. Staffing levels have been reviewed to ensure there is enough staff on duty to meet the assessed needs of the service users. Recruitment practices are good but need to be more robust as some CRB checks were incomplete. EVIDENCE: The home staff team are continuing to make good progress in attaining the required percentage of NVQ qualified staff. The home has made excellent progress with 90 of the staff having achieved an NVQ in Care at level 2 or 3, as set out by the National Minimum Standards. The registered manager said the home had reviewed the staffing levels since the last inspection in December 2005. They had three staff on each shift and this reflected the assessed needs of the service users. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 21 The inspector met four staff during the course of the inspection. The inspector looked at the rota and noted there is always three staff on duty at the home in the daytime. Throughout the inspection the inspector observed staff interacting with service users and the qualities seen included good listening skills, a calm and confident manner, and a good grasp of the basic areas of need they needed to meet, including communication. Four staff files were examined including two new members of staff. These included copies of the application forms, two written references, a signed copy of their contract stating terms and conditions and identification. All files were checked for CRBs and all had CRB checks but the inspector noted one member of staffs CRB was from their previous company. The inspector pointed out CRB’s were not portable and the member of staff must have a current CRB before starting work at the home or have a POVAFirst check and not work unsupervised. Staff records showed staff induction was not robust. The manager needs to ensure all staff complete their induction training that covers health and safety, manual handling, food hygiene, first aid and fire safety although other areas of training were good. Copies of certificates and confirmation of training, such as NVQ level 2 and 3 that has been undertaken and this was held on individual staff files. Staff had regular signed supervision every month and there were copies appraisals on file. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 22 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): 37,38,39,42,43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a home that is well run and managed. The registered manager is qualified and experienced and runs the home well. The calibre of the manager has ensured that the aims and objectives of the home have been achieved and she is open and supportive in her management approach. EVIDENCE: As at the previous inspection in December 2005 both staff and service users said the registered manager is approachable and well respected by staff and service users. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 23 The registered manager has strong leadership skills and this combined with her commitment and drive has ensured that policies and procedures of the home are adhered to and that the terms and conditions of the contracts issued to service users are fulfilled. Staff and service users said they have confidence in the registered manager. The inspector observed during the course of the inspection she was always professional and conscientious in her approach to her work. The registered manager has prioritised her workload because of her commitment to the service users to ensure their needs are met. Senior staff have taken on more responsibilities within the home and this has eased the burden on the registered manager. The inspector noted that service user and staff meeting are held every six weeks and these are recorded. The inspector viewed the records of the home’s health and safety and equipment checks. The records the inspector viewed indicated the home’s health and safety services and equipment have been checked, serviced and maintained at the appropriate intervals apart from checking water temperatures. Each room has a risk assessment and this is reviewed every three months. The inspector checked the fire records and precautions. There was a copy of the fire certificate floor plan and risk assessment on file. The inspector noted the break alarms are being tested weekly and fire-fighting equipment has been checked regularly. Fire drills have been carried out with all the service users at various times of day on different days, ensuring all staff have taken part in fire drills over the course of six months and there is a record of the date and time drills have been carried out. The records of monthly visits by the registered provider have been submitted to the CSCI. The registered provider is doing these inspections and sending copies of the reports of monthly visits made to the home. Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 24 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 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 4 3 x x 2 3 Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 25 No 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 YA32 Regulation 13 (6) 19 Requirement The registered person must ensure the specific checks that are required from prospective staff prior to being employed such as CRB checks are in place before staff start to work at the home. The registered person must ensure that checks relating to water temperatures are kept up to date. Timescale for action 31/05/07 2. YA42 13(4)(a) & 23(4) (a) 31/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH 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 Pinfold Home DS0000022748.V326426.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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