Inspection on 27/11/07 for Sandringham Villa

This inspection was carried out on 27th November 2007.

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

The inspector found 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

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

CARE HOME ADULTS 18-65 Sandringham Villa Sandringham Villas 97-99 Locking Road Weston-Super-Mare Somerset BS23 3EW Lead Inspector Andrew Pollard Unannounced Inspection 27 November 2007 09:30 Sandringham Villa DS0000070030.V348955.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 Sandringham Villa DS0000070030.V348955.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. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandringham Villa Address Sandringham Villas 97-99 Locking Road Weston-Super-Mare Somerset BS23 3EW 01934 613998 01934 613999 Knightwood.care1@yahoo.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Knightwood Care Limited Vacant Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Mental Disorder, excluding learning disability or dementia (Code MD) The maximum number of service users who can be accommodated is 9. 2. Date of last inspection N/A Brief Description of the Service: This is a nine bedded home for adults with mental ill health who require mental health nursing care. The home is near the town centre and the seafront. The home offers three long-term beds and six beds for rehabilitation or respite and short-term care. The staff offer a structured and therapeutic programme and environment, which treats people with respect and empowers them toward a more independent life. Residents Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of the home since registration on the summer of 2007. The following methods of evidence gathering has been used In the production of this report; observation, AQAA questionnaire, discussion with residents and staff, relative and residents surveys, tour of the home and sampling policies, records, care plans, meals. The emphasis of the service is predominantly rehabilitation and some continuing care. The aim is to lead people toward a more independent lifestyle in the community. In addition staff strive to enhance the quality of life for the residents. The staff team are experienced with the needs of the resident group. The skill mix and level of Registered Nurse input is appropriate for the resident group. What the service does well: What has improved since the last inspection? N/A Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 6 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. Sandringham Villa DS0000070030.V348955.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 Sandringham Villa DS0000070030.V348955.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): 1,2,3,4,5, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Some details in the statement of purpose and user guide are out of date. Prospective residents have the information they require. Admissions are properly managed for the benefit of the residents. The staff are creating a person centred home, enhancing residents life skills and providing therapeutic support based upon their assessed needs and aspirations. EVIDENCE: Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 9 The statement of purpose and service user guide have been written in accord with the regulations and schedules and provide clear information for residents, minor revisions will be made as the service develops and the residents will be encouraged to take part in the process. The contact details for the commission need updating with the new address and the details of the new manager need to be included. The home has an equalities and diversity policy and is open to admissions from people of all backgrounds and cultures. Sandringham Villa is a person centred home is relaxed and homely and seeks to maintain residents life skills providing therapeutic support where needed. There are three residents in the home at present and a fourth in the process of admission. There has been one successful admission and discharge. All admissions are managed through the community mental health team and social services who carry out full assessments of peoples needs. The prospective residents, professionals and relatives are consulted where appropriate. The manager or other Registered Nurse (RN) meet and assesses all referrals prior to admission. Prospective residents are offered half-day visits followed by overnight stays. Admissions are tailor made for individual residents circumstances. The views of the existing residents are taken in to account regarding any admission. A report of the home admission assessment is sent to the referring/funding organisation confirming the homes ability to meet the assessed needs. Surveys completed by residents recently admitted and their family indicated that the admission process had been well managed and successful and all parties were happy with the placement. A full multidisciplinary review of the placements is carried out one month after admission. Residents have an admission agreement setting out their terms and conditions. All residents can read and have signed contracts. Sandringham Villa DS0000070030.V348955.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): 6,7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There was evidence of clearly written care plans and assessments reviews being carried out and. Residents are involved with decision-making and consulted about the running of the home within the limits of their willingness or ability to take part. The care regime is focused on maintaining and developing people’s independence. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 11 EVIDENCE: All residents have a person centred care plan, which they were encouraged to take an active part in developing. Some residents will require staff support in this process due to their mental health needs. Contracts are discussed and agreed with residents sometimes on a daily basis if need be. All of the residents who responded in the survey said, “Staff listen and act on what they say”. Each element of the care plan is written up separately and signed by the resident. Evaluations and daily records are written in the case file. Enhanced level care plans and medical information are also part of the case file. There are regular multidisciplinary reviews to which residents are invited. All residents have a named Registered Nurse (RN) key worker and Care Assistant associate worker. Any note entries made by care staff are counter signed by an RN. Individualised risk assessments have been written and are held in each person’s case file along with skills assessments and competences. Any restrictions on personal freedoms were documented in care plans. Residents meetings are both formal and informal and the staff a re empowering to ward the residents and encourage their involvement in decision-making. People indicated in the survey “they make decisions about what they do each day”. Sandringham Villa DS0000070030.V348955.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): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff strive to enhance the quality of life for the residents. Residents make use of community facilities and services. From speaking to residents and reviewing records it was evident that the food provided is to peoples liking and offers a balanced diet. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 13 EVIDENCE: The emphasis of the service is rehabilitation and some continuing care, to maintain and enhance the existing life skills that people have. Where appropriate the long-term aim is to lead people toward a more independent lifestyle in the community. Most of the residents make use of community services and facilities. However, The mental health needs of the residents may require staff support for this purpose in some circumstances. An activity organiser has been employed full time over five days engaging residents with in and out of house occupation and recreation. In the main these activities are arranged on a one to one basis based around the residents choice. People who responded to the survey said, “You can choose to do what you want in the, evenings and at weekends.” Residents are engaged in house keeping task such as room cleaning, laundry and cooking as agreed in their weekly programmes. One person has recently built window boxes and a brick barbeque. Residents will be encouraged to take up voluntary work or employment as their health allows. Adult education programmes are explored, one person has recently successfully completed a basic IT course. One person is undertaking a Duke of Edinborough award at present. At a recent meeting resident expressed interest in having a housedog to which consideration is being given. Some residents have contact with family members or friends, however in some cases residents have lost contact with family or do not wish to have contact. Family and friends are welcome to visit the home at the invitation of the resident. A relative who responded to a survey said, “They were made welcome when they visited the home.” There are three meals a day and the times are flexible. There is active involvement of the residents in choice of meals and requests for individual likes are discussed at the weekly meetings or catered for on a day-by-day basis. Residents are involved in assisting with meal preparation and preparing snacks and drinks with varying levels of support. The home employs a chef who actively teaches residents cooking skills. From consultation with residents it was evident that the food provided is to peoples liking and offers a varied diet. Records of food served are kept. There are no special cultural needs at present. There is one person who is a diet controlled diabetic. Sandringham Villa DS0000070030.V348955.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): 19,20,21 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The medication policy and records of the home needs revising. There are effective arrangements in place to meet residents mental and physical healthcare needs. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 15 EVIDENCE: Registered nurses administer all other medication. All Registered Nurses are Registered Mental Nurses. One resident has depot injections. Some residents are prescribed PRN medication. The medicine administration record is properly completed and drugs are properly stored. There are no formal records of drugs received or disposed of, which means that there is no structured audit trail. Only one resident is assessed as safe to self medicate and have custody of their drugs, which is closely monitored. There is a basic policy to support self-medication but it needs to be more detailed. The commission pharmacist is to contact the manager to give advice on all issues related to management of medication in the home. All residents remain under the care of a consultant who visits at least every four to six weeks. Regular multi disciplinary review and care reviews take place and are fully documented. All residents are registered with their own GP who makes any referrals for any paramedical services required. Dental checks and eye tests are arranged for those who wish for such. People are able to be independent in accessing medical services but sometimes require general support. Sandringham Villa DS0000070030.V348955.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 adequate. This judgement has been made using available evidence including a visit to this service. The staff are aware of the complaints and “in house” safeguarding adults policies but require further training in putting them into practice to protect residents from abuse. The residents are aware of the complaints procedure and attend meetings to give their views on the running of the home. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 17 EVIDENCE: The complaint procedure meets CSCI requirements except that the contact details for the commission are out of date. The amended procedure is to be included in the Service User Guide. All residents who responded to the survey indicated, “They were aware of whom to complain to if they were unhappy with their care”. Each resident will be given a copy of the complaint procedure. The relative who responded indicated, “They were aware of the procedure but had never had cause to complain”. There is a complaint and suggestion box in place, no complaints have been made. The residents surveyed had no complaints. The N Somerset “No Secrets” guidance was not available (The manager has since acquired an up to date copy). There was a recent allegation made by a resident, which was not directly reported to the Local Authority, however it has consequentially been reported. The safeguarding team is satisfied with the way the matter was dealt with by the home. There is a whistle blowing and an internal Adult Protection policy. All of the staff are being booked to attend alerter level Safeguarding training and regular updates will be planned. The manager and RI will be attended investigators training with the Local Authority. Copies of the General Social Care Council code of practice are being issued individually to the care staff. Residents manage their own finances within any limits agreed in care plans. Sandringham Villa DS0000070030.V348955.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): 24,25,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The house is a clean, comfortable and safe environment for the current residents. The bedrooms and communal rooms and facilities are suitable for their purpose and meet the resident’s needs. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 19 EVIDENCE: The home is suitable to meet the current needs of the residents who are all ambulant. There is the potential for two ground floor rooms to be made available should someone be admitted with limited mobility. Communal areas include a dining room, lounge and activities area. There are bathrooms and showers that are suitable for the residents needs. A new ground floor shower and toilet is being created which is assessable to people with physical disability. A therapy room is provided and various alternative therapies such as massage and aromatherapy are provided free of charge. The home was clean and in good general order. Residents take some responsibility for maintaining their own rooms. The house is a no smoking area, however garden house is provided for those who wish to smoke. The fittings and furnishings are of a domestic nature and are in good order. The heating, lighting and ventilation are satisfactory. Appropriate arrangements are in place for maintenance and servicing of plant and equipment, for which records are kept. Rooms are lockable and residents have access to keys if they wish. The kitchen is of an appropriate type and size. The Environmental Health Officer inspects kitchens and reviews the risk assessments and record keeping. The laundry is well equipped. Residents have their own linen and manage their own laundry. Department of Health guidelines on infection control are available. Proper arrangements are in place to dispose of clinical waste. Sandringham Villa DS0000070030.V348955.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): 32,33,34,35,36 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. An appropriate and robust recruitment procedure is in place. The staff are experienced and trained to meet the individual and joint needs of the residents. The staff skill mix and staffing levels are conducive to maintaining and enhancing the resident’s quality of life. The manager demonstrated a commitment to training. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 21 EVIDENCE: Staffing levels are in accordance with the number and needs of the residents. Resident dependency is quite variable depending upon people’s mental state. The skill mix and level of Registered Nurse input are appropriate for the resident group. The manager works supernumerary several days per week. Ms Phillips the RI who is a registered nurse is also on the premises very frequently. A full time activities co-ordinator works with the residents. There is a part time administrator supporting the manager. The staff team are experienced with the needs of the resident group and are client centred. The residents who responded to the survey said, “That the staff treat them well”. There is a robust recruitment policy in place. An equality and diversity policy underpins the employment practices. The home has created an appropriate CRB log and the original disclosures confidentially disposed of. NMC checks and health checks are carried out and professional references sought. The manager and or RI conduct interviews and written records are kept. All the required staff records are held in the home. All staff have written terms and conditions of employment. The manager demonstrated a clear commitment and focus on training to enhance the quality of life and standards of care for residents. All new staff complete a detailed induction and orientation process. There is evidence from records and staff comments about positive learning and updating in areas relevant to residents care needs. Staff benefit from a proactive mental health and stress reduction policy and support offered by the home. A number of care staff have National Vocational Qualification (NVQ) level 2 or 3 and other are to commence programmes through local collages and providers. Programmes. A rolling programme of updates in Health & Safet, 1st aid, food hygine and load handling takes place. All staff receive appraisal and supervision by a cascade system of which written notes are made and personal development plans developed. One of the Registered nurses is a senior clinical nurse specialist and offers a range of peer support and clinical updating and perceptorship for newly qualified nurses. A relative said” I am satisfied that the staff have the skills and experience to look after the people in their care”. Sandringham Villa DS0000070030.V348955.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): 37,39,40,42,43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear management structure in place. The staff are motivated to bring about improvements in residents quality of life. Health and safety arrangements are in place to protect residents and staff. There are arrangements in place to maintain the house, services and facilities. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 23 EVIDENCE: The previous manager was dimissed for gross misconduct and has been refered to the Nursing Midwifery Council. The manager Ms Newbry is new in post as of September and is quickly becoming aquainted with the standards and regulations. Ms Newbry is arranging to undertake Level 4 care managers award. Ms Phillips is undertaking a Mental health administratiors qualification in the new year. The manager and nursing staff are experienced in the care for people with mental health needs. There is a committed group of staff and the consistency of staff presence is important to the wellbeing of the residents and maintaining the strategies of care that prevent incidents and tensions arising in the home. Whole team meetings and clinical team meetings are held regularly to review practice and standards of care. Regular house meetings are held to access the views of the residents on the quality of life and services in the home. All the residents stated that, “The staff treat them well” one person saying, “ I feel confident” and another saying, “I am very impressed. A relative who responded said, “That they were delighted with the overall care provided” and “Thankyou for looking after him so well”. There is a comprehensive Health and Safety policy and the manager/RI has delegated responsibility for such matters. Generic risk assessmentsare in place and safety audits take place. All residents have individual risk assessments which are regulary reviewed by the named nurse or multidisciplinary team. All staff have received appropriate breakaway and control and restraint training. All people on duty carry personal alarms on duty. The electrical installation safety inspection is taking place and all required works are being arranged. The fire log book, records and alarm/detector maintenance arrangements were up to date and in order. Staff have attended recent fire safety training. The gas safety certificates were not in place, however an inspection has been arranged and continuing service arrangements put in place. Risk assessments will be carried out individualy on residents with regard to risk from hot water. A log of hot water temperatures is to be commenced and maintained. Up to date public and employee liability insurance certificates were on display. The home is applying for accreditation in Investors in people ISO9007 and as part of the process is carrying out monthly internal auditson management and performance. Part of the review will include surveying residents, staff and relatives for levels of satisfaction with the home. Sandringham Villa DS0000070030.V348955.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 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 3 X 2 3 Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 25 N/A 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 YA1 Regulation 4&5 Requirement In the statement of purpose contact details for the commission need updating with the new address and the details of the new manager need to be included. Put in place appropriate documentation to record drug receipts and disposals and review the self-medicating policy in accord with the Pharmacists advice. Timescale for action 01/01/08 2 YA20 13 Sched 3 10/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA42 YA23 Good Practice Recommendations A copy of the gas safety certificate should be submitted following completion of the safety inspection. Conduct hot water risk assessments. Ensure all staff receive alerter level safeguarding adults training and are inducted into the home and Local authorities policies in this regard. Sandringham Villa DS0000070030.V348955.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office 4th Floor, Colton 33 33 Colston Avenue Bristol BS1 4UA 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 Sandringham Villa DS0000070030.V348955.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. 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!