CARE HOME ADULTS 18-65
Proctor Residential Home Ltd 40 Filton Avenue Horfield Bristol BS7 0AG Lead Inspector
Sam Fox Unannounced Inspection 20 & 25 January 2006 09:30
th th Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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 Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Proctor Residential Home Ltd Address 40 Filton Avenue Horfield Bristol BS7 0AG 0117 935443 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) Proctor Residential Home Ltd Mr Michael Edward Kendall Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. May accommodate up to 5 persons aged 18 - 64 years requiring personal care 27th September 2005 Date of last inspection Brief Description of the Service: Proctor House is a care home providing personal care for five service users aged between eighteen and sixty four years. The home is situated in a suburban area, and located on a bus route that gives access to local shops, leisure and other amenities. The home is in keeping with the local neighbourhood. The home has undergone re-registration with the Commission for Social Care Inspection as the business has moved from a sole trader to a limited company. In addition the manager of the home has changed from Mrs Kendall to Mr Kendall (the son). Mrs Kendall remains the registered provider. The home primarily provides personal care to service users with a mental disorder. It is a quiet home that would best be suited to those who prefer a quieter lifestyle. The home have recently submitted an application to increase their age range to accommodate someone over 64 years. This has been approved and an amended certificate will be sent to the home. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the home’s second inspection this year. The main focus was to check on progress made to previous requirements and to ensure the home was following the appropriate admissions procedure, particularly in relation to the newest resident who has recently moved there. Evidence was gathered through discussion with the manager, staff and four residents. Key records were also inspected, including care plans. A full tour of the premises also took place. A number of recommendations made at the last visit were not discussed and as such will be carried forward in this report for the home’s consideration. Not all standards were assessed and this report should be read in conjunction with others so a fuller picture of the home can be gained. What the service does well: What has improved since the last inspection?
Several communal areas have been re-decorated which has brightened up the house and made it more homely. In addition to this the kitchen has been refurbished. The manager has updated the Statement of Purpose so it more accurately reflects the services on offer. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 6 There is a planned programme of formal activities and a planned holiday in Devon for the near future – this meets with a requirement made at the last inspection. The manager has obtained his Registered Managers Award and has nearly completed his National Vocational Qualification, Level 4. 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. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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 Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 There is an effective admissions procedure in place, which means that new residents can be assured the home will have the resources and specialist contacts to meet their need. EVIDENCE: The home has a Statement of Purpose which is also used as a residents guide. This includes the ethos of the home, the facilities and service provided and the complaints procedure. Amendments have been made to this since the last inspection to ensure it meets with requirements of the legislation. The manager must ensure that all new residents receive a copy of this as it contains a number of house rules that they should be aware of prior to moving there. The home has been working with the Community Outreach Team since last October to prepare for a new resident who has just moved in. It was apparent that there have been a number of meetings with specialists to try and ensure that the home has the resources and abilities to meet with their assessed need. A full copy of their care plan, which includes arrangements in case of emergency, has been received by the home. In addition to this they have secured an agreement to have additional staff during the transition phase. The home has followed the appropriate admissions procedure. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 9 The manager confirmed that the new resident visited the home on several occasions before moving there. Each resident has a contract, the format of which has recently been reviewed. This includes the facilities and services available and a number of house rules. The later includes times that residents should be in in the evening, restrictions on the use of the kitchen and the fact that no alcohol or drugs are allowed on the premises. In addition to this the home do not like residents to go into each other’s rooms. It is important that all prospective residents are aware of these, as this would not suit all. Those residents currently accommodated, however, have complex needs and these boundaries enable them to remain well. It was noted that that there are signed contracts on file. The newest resident has not received one yet as they are too unwell for this to be a meaningful process. Once he has settled in the manager intends to go through this with him. The manager was advised that contracts should be updated annually to reflect any increase in fees. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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): 6,10 Care plans provide guidance to staff so they can provide a consistent service. Residents can be re-assured that information about them will be kept in confidence. EVIDENCE: Opportunity was taken to look at one personal file in detail. This contained numerous information, including some care plans, personal profiles and assessments by consultants and other specialists. These contained some good detail including one strategy for the management of potentially challenging situations and the use of prn medications. Some of the information, however, was not dated or signed so it wasn’t clear whether it was still relevant. In addition the quality of records varied considerably, some were written in much more depth than others. This was discussed with the manager and it was recommended he review the content of all personal files. A risk assessment was in place for the newest resident that had been compiled by the placing authority. The home has a confidentiality policy which is located on the notice board. All files are kept in an office on the top floor which is not accessible to residents.
Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14,15,17 Residents are enabled to determine their own daily routines and are supported to have a positive community presence. A record of food must be maintained. EVIDENCE: All residents accommodated are relatively independent and can access community facilities alone. Throughout the day there are no restrictions on this and residents were observed going out at will. They are, however, required to be home by a certain time in the evening. This is included in the home’s contract. The level of activities provided by the home is limited although staff do try and encourage residents to go on outings. To this end there is a chart in the lounge in which specific dates and events have been organised. One resident said he was looking forward to going to the museum in the near future and was pleased the home has organised a holiday to Devon. This meets with a requirement made at the last inspection. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 12 Proctor House is a quiet home that would suit residents who can dictate their own routines during the day. All four residents consulted with were content with their lifestyles. The home does not provide rehabilitation, their focus is more to provide boundaries and a framework in which residents with complex mental health, or who have been unwell, can settle and begin to live actively within a community setting. All new residents should be aware of this. The manager explained that some residents in the last year have moved on to more supported living. Some residents maintain strong links with their families and this was confirmed through discussion with them. Three resident said they were pleased with the quality and quantity of food on offer and said that the manager was a good cook. The home must ensure that they record what residents have eaten in a diary so they can more clearly evidence that residents are benefiting from a wide variety of nutritious food. This repeats a requirement made at the last inspection. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Residents are supported with their physical and emotional health needs. There are safe systems in place for the administration of medication. This, however, should be improved with the development of guidelines for the administration of insulin. EVIDENCE: All those residents currently accommodated are relatively independent with their personal care needs. The main issue is to prompt residents to maintain their personal hygiene and to give them additional support if they become unwell. Records provided evidence that residents are supported to see the relevant health care professionals, including opticians and dentists. One resident said they are able to see the GP on request. Records also indicated that specialist advice is sought on a regular basis. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 14 The home has admitted a new resident who has particularly complex health care needs. This includes the need for the administration of insulin on a daily basis. A letter was seen from the local health centre confirming that both the manager and proprietor have received training from the district nurse administer this and that they can seek advice at any time. The manager also confirmed that no other staff could administer this. The manager was advised that he needs to write guidelines in relation to the administration of the insulin which should include storage, arrangements for administration and the testing of blood sugar levels. There are procedures in place if residents refuse medication, this is particularly important for one resident who is likely to do this and for whom this may represent a significant risk. This has been acknowledged by a number of specialists who have procedures in place to address this situation and who are available in an emergency. Proctor House operates a monitored dosage system for the administration of medication, which is supplied at regular intervals by the local pharmacist. Records held in relation to the administration and disposal of these were found to meet with the requirements of the legislation. In addition to this each resident has a medication profile which highlights the specific uses and side effects. This is good practice. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Residents can be re-assured that they will be listened to and protected from abuse. EVIDENCE: Proctor House have a complaints policy and this is in both the Statement of Purpose and contract of residence. The manager has received one complaint from a neighbour about noise levels in the last year. This was responded to promptly and appropriately. There have been no complaints received by the CSCI. Four residents were consulted with and said they thought staff were respectful and that they would speak to the manager if they had any concerns. The home has obtained an updated policy from Bristol City Council about the protection of vulnerable adults. This includes indicators of abuse and actions that should be taken by homes, including emergency contact numbers. This meets with a requirement made at the last inspection. In addition to this certificates evidenced that staff have received abuse awareness training. The proprietor confirmed that the home has a no restraint policy and she was aware that it would be illegal to practice restraint. They are aware of the need to inform the CSCI promptly if a significant incident happens that could affect the welfare of residents. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 16 The proprietor is financial appointee for each resident and the manager explained that this is not done as a matter of course but that they have encountered problems with some residents who have been unwell and not paid their fees. Records held in this respect were clear and stated what personal allowances and disability allowances residents were entitled to. Residents then sign for any monies received. Three residents said they were satisfied with these arrangements and that there were never any delays in getting their money. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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): 24,25,26,27,28,30 Residents’ benefit from living in a comfortable, well maintained environment which is cleaned to a good standard. EVIDENCE: Proctor House is residential in style and blends in well with the local surrounds. It is close to local amenities and facilities, which are regularly used by residents. Since the last inspection the kitchen has been refurbished and the communal hallways have been repainted. This has significantly improved the environment and made it more light and homely. The majority of the carpets have also been replaced. These are posive developments. It was noted that the carpet tiles in the dining room appeared jaded and it is recommended that these be replaced. Opportunity was taken to view a number of bedrooms – it was observed that these all have locks, which are used by some residents to maintain their privacy and keep their possessions secure whilst they are out. Bedrooms are spacious and reflect the personalities of their occupants. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 18 There is a bathroom on the first floor and a shower on the ground floor. These are adequate to meet the needs of residents. The kitchen continues to be locked and residents are denied access to this area. This has been the subject of frequent discussion with the proprietor and manager. They said that this was because there were knives available and because of hygiene reasons. This is made clear in the home’s contract and the home must ensure that prospective new residents are aware of this restriction before they make a decision to move to the home. Residents continue to smoke in the garden in a small covered area. The gazebo is in a poor state of repair. The manager, however, said that he intends to replace this with a conservatory this year. This would be a positive devlopepment and considerably improve conditions for residents who smoke. All areas of the house were found to be cleaned to a good standard. There is a domestic style washing machine which a member of staff said was sufficient to meet the needs of residents. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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): 33,34,35,36 Urgent action needs to be taken to ensure that recruitment procedures are more robust so that it protects vulnerable adults. The manager and proprietor should undertake re-fresher statutory training to improve safety within the home and staff should receive formal supervision more regularly. EVIDENCE: Proctor House employ minimum staffing levels throughout the week. There is always one person on duty within the home but throughout the week additional staffing hours are employed flexibly. In addition to this the home employ a housekeeper. One person sleeps on the premises at night. This was confirmed through examination of staff rotas. Additional funding has been secured for agency staffing whilst a new resident settles within the home. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 20 Staffing levels are adequate to meet with the needs of those residents currently accommodated – they do not, however, provide time for extensive rehabilitation or one to one time. The home would need to adjust numbers if levels of dependence were to increase or residents were to become unwell and need additional support. The proprietor and manager work many hours within the home. The manager said, however, that their long-term plan this year is to employ a more senior member of staff and reduce their hours. This would be a positive development as there is little flexibility available if the proprietor or manager were to become unwell or unable to be at the home for such long periods. Opportunity was taken to view staff files. For the latest employee there is a CRB check, completed application form and two references. For other staff, however, checks and records vary. The manager was advised that for anyone she employs from now on they must have: • Completed application form (with all gaps in work history explained) • Two references (one of which must be from the most recent employer • CRB check prior to employing them. Three members of staff have not had their CRB checks. This is a matter of serious concern and urgent action must now be taken by the manager to ensure that these are obtained. He was directed to seek an immediate povafirst check. This will be the subject of an additional visit. If the home does not act swiftly to meet this shortfall then consideration will be given to further enforcement action. In addition to the above the manager must ensure that CRB checks come back with a criminal record then staff must be interviewed about this and a record made of the conversation and conclusions, these should staff clearly state whether the manager is going to take further action. Opportunity was taken to speak with one member of staff. She said she enjoyed working at the home and was pleased with the support she received from the manager. She said she had attended a number of training courses and confirmed that she had her statutory training of first aid, basic food hygiene and fire. This was evidenced through certificates and it was apparent that the manager has made proactive efforts to utilise training opportunities provided by Bristol City Council. It was noted that the proprietor and manager have not had re-fresher training in first aid and food hygiene for a number of years. The manager explained that this was because he has been doing his registered managers award and Level 4 National Vocational Qualification. He was advised that because both he and the proprietor work considerable amounts of time within the home, they should focus on getting this training within the next six months. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 21 Records indicated that the manager set up a formal supervision system with staff last year. It was noted, however, that, after a positive start, the regularity of these sessions has been inconsistent. The manager was advised to ensure that these take place every six to eight weeks. It should be noted, however, that Proctor House has a small staff team who work regularly with each other on a daily basis so there are plenty of opportunities for informal supervision. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 The manager has continued to undertake training. EVIDENCE: The manager has achieved his Registered Managers Awards and is near to completing his NVQ Level 4 in care. He displayed an awareness of his responsibilities under the Care Standards Act and associated regulations. He has initiated a number of positive developments within the home – the application of these, however, could benefit from more consistency. The home maintains an accident book. A requirement was made at the last inspection about developing health and safety risk assessments. This was not looked at in detail during this visit and will therefore be carried forward. The manager, however, has obtained information in the kitchen, about food hazard Analysis. There were up to date records of fridge and freezer temperatures. Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 X 4 3 5 2 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 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 1 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X X X X X X Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 24 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. 2. 3. Standard YA5 YA20 YA34 Regulation 5 2 19 Requirement Ensure all contracts are updated annually Develop guidelines for the administration of insulin and send a copy of this to the CSCI For the home to ensure that all staff have had a CRB check and references before working unsupervised with the residents, repeated requirement To complete risk assessments for the residents use of the kitchen, manual handling, food hygiene (food hazardous analysis) and other matters relating to health and safety This requirement was not inspected in detail; and therefore is carried forward The Home to record the food eaten by the residents and ensure menus are available, repeated requirement Ensure staff receive formal supervision. The manager and proprietor to ensure they have refresher statutory training of first aid, manual handling and food hygiene
DS0000062466.V274085.R01.S.doc Timescale for action 30/03/06 28/02/06 30/01/06 4. YA42 13 30/01/06 5. YA17 16 30/01/06 6. 7. YA36 YA35 18(1)(a) 18(1)(a) 30/01/06 30/07/06 Proctor Residential Home Ltd Version 5.1 Page 25 8. YA6 15 Ensure all care plan documentation is signed and dated 30/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard YA6 YA28 YA33 YA8 Good Practice Recommendations Review and consolidate information on personal files Replace carpet tiles in dining room The manager and proprietor to reduce their working hours The frequency of residents meetings is increased and there is evidence that the home has complied with the residents requests made at these meetings. (Carried forward) For the Home to review the application to ensure that it details all previous employment including dates and enable the manager to assess the skills and qualities of the applicant (carried forward) For the Home to ensure that residents have access to the kitchen for part of the day. (Carried forward) The staff team to read the National Minimum Standards and be able to demonstrate their understanding and application. (Carried forward) 5. YA34 6. YA24 7. YA32 Proctor Residential Home Ltd DS0000062466.V274085.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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