Inspection on 13/10/05 for Robinia Care Homes Ltd (Solna Road)

This inspection was carried out on 13th October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Robinia Care Homes Ltd (Solna... 04/09/06

Robinia Care Homes Ltd (Solna... 23/01/06

Robinia Care Homes Ltd (Solna... 22/02/05

Robinia Care Homes Ltd (Solna... 07/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Robinia Care Homes Ltd (Solna Road) 35-37a Solna Road London N21 2JE Lead Inspector Jackie Izzard Unannounced Inspection 13th October 2005 09:15a Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Robinia Care Homes Ltd (Solna Road) Address 35-37a Solna Road London N21 2JE 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) 020 8360 8900 020 8360 7555 marionbaker@robinia.co.uk The Robinia Care Group Ltd Marion Lucy Baker Care Home 11 Category(ies) of Learning disability (11), Physical disability (5) registration, with number of places Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate eleven service users of either gender who have a learning disability. Five of these service users may also have a physical disability.They may only be accommodated in the rooms on the ground floor. Date of last inspection 22nd February 2005 Brief Description of the Service: 35-37a Solna Road is registered to accommodate eleven adults between the ages of 18 and 65 years who have a learning disability. Five of the eleven people may have a physical disability as well as a learning disability. The ground floor of the home is wheelchair accessible. The home is operated by Robinia Care Limited. The home has been operating for eleven years and was taken over by Robinia Care Limited in 2001. The home is situated in a quiet residential area with access to local shops and buses. The home comprises two semi-detached houses joined together, with five bedrooms on the ground floor and six on the first floor. The service users attend day services and take part in activities organised by the home. All service users have a learning disability, some have additional disabilities such as epilepsy, physical disability and a mental illness. The stated aim of the home is to provide a warm homely environment for eleven adults which respects their independence, protects their status and encourages their individuality, growth and community integration. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced so nobody at the home knew the inspector would be coming. The inspector looked around the building, met with the manager, spoke to the six service users who were at home and used written information provided by the manager a few weeks prior to the inspection. Over the last three months, the inspector has received written comments about this home from three social workers, a doctor and community nurse, two other professional visitors and six relatives of people living in the home. In addition, everybody living in the home was helped to fill out a questionnaire about the home and all this information was used as part of this inspection. What the service does well: People living at this home lead a good quality of life. They are supported to go out to places that they want to go to and they have a programme of activities that is suited to their individual needs. Daytrips are organised to various places of interest for the group as well as individual activities and trips. There is a stable staff team who care about the people living in the home and have good relationships with them. The manager is highly committed to the home and runs the home around the needs of the residents. More staff are on duty when most people are at home and to ensure everybody can go out when they wish. The manager is considered to be excellent and is highly regarded. Staff are praised by relatives and professionals for their care and for being welcoming and approachable. Healthy food is provided and the house is kept clean and safe. Bedrooms reflect the personalities and interests of the residents and there is a homely atmosphere. Relatives of the residents and professionals who visit the home are impressed with the care provided. Comments from relatives to the inspector included, “The care of Solna Road house is first class,” and “We consider ourselves very fortunate that our son is in a home where the care is so good and personcentred.” Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 6 One regular visitor to the home wrote to the inspector to say, “I go to different homes but this one is by far the best!” What has improved since the last inspection? What they could do better: Robinia Care need to ensure they are vigilant in checking references properly when new staff are recruited. Requirements have been made previously to Robina Care to check that staff references are authentic. At this inspection, it was found that Robinia had not checked one staff member’s references thoroughly and a requirement is made that they do so. The recruitment of new staff is now monitored by a different Robinia office, following the closure of their London office, and the CSCI have been assured that careful attention is being paid to checking staff references to ensure they are authentic before employing the staff member from now on. A requirement to refurbish the ground floor bathroom so that it better meets the residents’ needs is restated in this report as this has not yet been carried out. The manager has explained that this refurbishment will be completed in the next two months. Robina Care Ltd are asked to ensure that all residents receive their Christmas bonus from the DSS on time as these were paid six months late this year. Robinia is also asked to amend a policy on staff-resident relationships which is old and not appropriate. There are no requirements made in this report to improve the care offered to people living in this home as the inspector considers the care to be of a very high standard. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 7 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. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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 The home assesses the needs and aspirations of new residents and continues to assess them. EVIDENCE: No new residents have move into the home since the last inspection in February 2005. At that inspection the inspector saw that the needs of a new resident had been carefully assessed and that his family were fully involved in identifying his needs and wishes before he moved to the home. The inspector discussed this resident with the manager and looked at his weekly activity timetable. It was evident that the assessment is continual and that the manager has ensured that his needs in all areas are met. The home continues to manage to assess and meet the changing needs of individuals and this was verified by discussing specific residents with the manager and seeing how their care had changed since the last inspection. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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, 7, 9 People living at this home can be assured that their care needs are known and recorded in their plan of care. They are enabled to take risks and to make decisions for themselves wherever possible and encouraged to retain any independence skills they have. EVIDENCE: The inspector discussed care plans with the manager and two of the residents and looked at another resident’s plan. Although residents are not very involved in drawing up the care plan document and said they did not have a copy of their care plan, both were able to tell the inspector that their needs and wishes were being met. Some residents who were able had signed their plan. Both said they were very happy in the home and had everything they wanted. Their feedback is discussed in the next section of this report. One care plan seen had relevant risk assessments that were meaningful for that individual and the care plans listed goals which were signed by the resident, key worker and manager. The plan had been reviewed six monthly. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 11 One resident’s needs had changed since the last inspection and the manager was able to describe in detail how this had changed his care plan. One resident said she liked a particular member of staff to do her hair and said that staff know what she likes. She said that staff always helped her with her daily routine. A parent of another resident said that “We consider ourselves very fortunate that our son is in a home where the care is so good and person-centred.” Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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): 11, 12, 13, 14, 15, 16, 17 People living in this home lead a good quality of life with opportunities to learn new skills, follow their own interests and develop new ones, keep in touch with their families and eat food that they like and that is suited to their needs. EVIDENCE: Each resident has a weekly plan of activities. The majority of people go to a day centre during the week either on a full or part time basis. Those who don’t, follow an individual programme of activities organised by Robinia locally or by the staff at this home. There is plenty of opportunity for personal development and a chance to learn new skills and interests. There is weekly drama therapy, reflexology, cookery, community awareness activities, an art class as well as a variety of leisure activities. One person is supported to attend a place of worship and another does so occasionally as s/he wishes. Residents are supported to use community facilies such as restaurants, cafes, shopping centres and bowling. There is a weekly relaxation class in the home for those who wish to attend. The inspector spoke to three residents about their interests, saw all residents’ activity timetables and spoke with the manager. Every resident had a full Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 13 timetable of activities that they as an individual liked. These ranged from training with the special Olympics, individual dancing lesions, pottery to social clubs and drama. One person is interested in museums and is supported by staff to visit places of interest to him. In the summer there is a programme of organised outings as residents prefer these to an annual holiday. This year these outings included a trip to a Safari Park, a boat trip and a steam train journey. The residents will shortly be visiting Southend and there are plans to go Christmas shopping and to a pantomime. One resident chooses to go on outings but stay in the minibus and staff support her choice by sitting in the minibus with her. Two residents told the inspector all about their hobbies and interests and one showed various art and craft items she had made. Both said they were very happy with their lives at the home and that staff would go with them wherever they wanted to go at any time. Staff work hard at making good relationships with residents’ families. The manager said that one resident is supported to send audiotapes to her relatives to keep in touch. Those who have limited contact with friends and relatives are given extra support from staff. The inspector asked three residents for their views on the food offered. Each was able to say his/her favourite foods and confirmed that staff cook these meals for them. Some residents are encouraged to prepare some food and drinks for themselves and others are supported by staff who offer choices. The menu for one week was inspected and found to be varied, healthy and balanced. The residents said that they were happy with all the food and there was evidence that special diets were catered for by staff. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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 People living at this home are supported by staff to look after themselves and maintain a good level of personal care. They can choose who supports them with their personal care. EVIDENCE: From observation of what was happening in the home during the inspection and from discussion with the manager and two residents, it was evident that each resident is given support with their personal care in a sensitive way. Six people were at home when the inspector arrived and all were dressed appropriately for the weather and appeared to have had their personal care needs met. One resident told the inspector that she had been helped with getting washed and dressed that morning and said she chose which staff member would do her hair for her. The other resident said that he needed support with shaving and that he could decide who would help him. It was observed that one resident who does not speak or sign indicated that she wanted a particular person to help her with getting washed and dressed and staff responded immediately. Residents are allowed to take their time and get ready when they wish and with whoever they want to assist them. Two residents said all staff were very helpful. One resident said that she has a good relationship with staff and said staff were her friends and that they knew how to do her hair the way she wanted. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 15 A relative said, “The care of Solna Road house is first class,” Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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, 23 The home welcomes complaints but there have been no complaints due to the high standard of care offered. Staff have been trained in protecting residents from abuse. Robinia are improving the management of finances to lessen the risk of financial abuse and this will be inspected at the next inspection. EVIDENCE: The home has a comprehensive complaints procedure and a simpler version to help those who do not read well to understand it. There have been no complaints since the last inspection. Staff have received training in the protection of vulnerable adults. There have been no adult protection concerns about any resident of this home this year. The inspector looked at a sample of financial records and discussed residents’ finances with the manager to see if they are adequately protected against any risk of financial abuse. The manager withdraws money from one person’s bank account and others are escorted to the bank and withdraw their own money. Some residents’ families look after their finances for them and give cash to the manager for their needs. Records of money were kept. A sample of residents’ records were seen and were satisfactory. Residents did not receive their Christmas bonus from DSS from Robinia until June 2005 which was six months late. A requirement is made to ensure all residents are given their money on time. The manager said that since the week before this inspection, residents’ benefits are being paid into their own individual accounts instead of Robinia’s account which is a positive move. The inspector is aware that Robinia are in the process of improving their homes’ management of residents’ finances. The manager said Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 17 this is still in progress and that she is aware new forms will be introduced in the near future. Due to there being new safeguards introduced and this being a period of change in the management of finances, this area may be inspected further at the next inspection. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 The home is well maintained and cared for. Residents live in a homely environment which is adapted to meet their individual needs. They are supported to make their own room reflect their interests. Residents can be assured that their home will be kept clean and safe by staff. EVIDENCE: The inspector looked at the lounge, dining area, kitchen, bathrooms and three bedrooms. All rooms were well decorated and furnished, safe and clean. The standard of cleanliness was very high. Bedrooms suit the needs of the residents and are cared for by the staff. Each bedroom shows the individual resident’s personality and interests. There are two bathrooms and a separate shower room which is shared by two residents. The ground floor bathroom is to be refurbished in the near future. A requirement to refurbish this bathroom is repeated. The manager informed the inspection that the bath has been ordered and plans for the bathroom are complete. An Occupational Therapist assisted with planning the bathroom to better meet the residents’ needs. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 19 There is a well maintained garden and sufficient communal space. Those residents who have a physical disability have appropriate equipment to help them such as a ceiling hoist. The laundry facilities are not ideal but have been accepted by the regulating authorities in the past. There is no sink in the laundry, but antibacterial hand wash is provided and then staff use a nearby toilet for washing their hands after handling laundry. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Residents are looked after by a stable staff team who benefit from a comprehensive training programme to help them better meet residents’ needs. Residents also benefit from the staff being well supported and supervised in their work. Improvements need to be made in recruitment practice in order to protect residents. EVIDENCE: There is a stable staff team who benefit from a comprehensive training programme. Six staff have completed or are nearing completion of NVQ level3 training and a further six are currently undertaking this training. This is very positive. Staffing levels vary according to the needs of residents. Staff receive regular supervision by staff trained in supervision skills. The inspector looked at the recruitment process for one staff member. This was not satisfactory as Robinia had not checked the authenticity of the references or the employment history properly. A requirement was made at a previous inspection that Robinia must ensure a thorough check of the authenticity of staff references before a new person commences employment so it was of concern that there has been further unsatisfactory checks taking place. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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, 40, 42 Residents benefit from a well run home, under the direction of a manager who is qualified and experienced and committed to meeting their needs. The health and safety of residents and staff is promoted. Staff need to ensure fire doors are not blocked open. EVIDENCE: The manager has completed her Registered Managers’ Award training. She is very experienced at working with people who have a learning disability and at managing this home. There is a happy atmosphere in which staff have the opportunity to form good relationships with residents and are able to meet their needs. A recommendation made at the last inspection to review and amend the company policy on relationships between staff and residents has not been acted on and is now made a requirement in this report. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 22 Feedback on the management of this home from relatives and professional visitors was very positive. A random sample of health and safety issues were inspected. These were fire issues and cleanliness. There were no concerns other than small hole in the bathroom ceiling which was made as part of the refurbishment planning but constitutes a fire risk and two fire doors wedged open. The manager said that she would ensure the ceiling was repaired immediately and she would remind staff not to block open fire doors. A requirement is made on this. Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.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 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 X X x Standard No 37 38 39 40 41 42 43 Score 4 X x 2 X 2 x Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 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 Standard YA23 Regulation 13(6) Requirement Timescale for action 20/12/05 2 YA29 3 YA40 4 YA34 5 YA34 The registered persons must ensure there is a system in place to ensure residents receive any monies due to them on time, ie Christmas bonus payment from DSS. 23(2)(n) The registered persons must ensure the ground floor bathroom is fully refurbished and adapted to meet the needs of the service users and includes the recommendations from an Occupational Therapist. This requirement is restated (previous timescale of 31/8/05 not met). 13(6) The registered persons must amend the company policy on staff and resident relationships and provide the CSCI with a copy of the new policy. This requirement was raised as a recommendation in the previous inspection report. 19(4)(b)(c) The registered persons must investigate the recruitment process followed for a specified member of staff and inform the CSCI of the outcome. 19(4)(c) The registered persons must DS0000010657.V254988.R01.S.doc 28/02/06 31/03/06 10/11/05 30/01/06 Page 25 Robinia Care Homes Ltd (Solna Road) Version 5.0 6 YA42 23(4)(c)(i) ensure the company recruitment procedure includes verification of references and send the CSCI a copy of this procedure. The registered person must 10/11/05 ensure that fire doors are kept closed unless attached to an automatic closer and not blocked open at all times. 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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V254988.R01.S.doc Version 5.0 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!