Inspection on 13/06/06 for Sapling

This inspection was carried out on 13th June 2006.

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

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

Other inspections for this house

Sapling 14/10/08

Sapling 30/10/07

Sapling 02/11/05

Sapling 27/06/05

Sapling 25/10/04

Sapling 06/05/04

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Insight - Eastchurch

Southfields

Thorndene

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33 St John`s Church Road

Dovedale Court

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

CARE HOMES FOR OLDER PEOPLE Sapling 372 Chessington Road West Ewell Surrey KT19 9EG Lead Inspector Deavanand Ramdas Unannounced Inspection 5th June 2006 10:00 X10015.doc Version 1.40 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 Sapling DS0000038846.V300040.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 Older People. 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. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sapling Address 372 Chessington Road West Ewell Surrey KT19 9EG 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 8393 6731 Emas Ltd Ms Ligaya Holcroft Care Home 4 Category(ies) of Learning disability over 65 years of age (4) registration, with number of places Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd November 2005 Brief Description of the Service: Sapling is registered with the CSCI (commission for social care inspection) to provide accommodation and care to four service users with a learning disability. The home is a purpose built bungalow and accommodation comprises of an office, a lounge area, a dining area, a laundry room, bathroom with shower, toilets and four single bedrooms. The home has a large garden to the rear of the property which is private, secure and accessible to service users and private parking is available. The registered provider is Mr. Puah of Emas Limited. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes key inspection carried out by one inspector over a period of six hours and a full tour of the premises took place, staff and service users were spoken to and documents and care records were examined. The inspector noted some service users had communication difficulties and judgements were made about them based on their mood, behaviour and information given by staff. The inspector would like to thank the provider, acting manager, staff and service users for their contribution to the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to review and update policies and procedures, documents and care records to promote good practice and safeguard the interest and welfare Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 6 of service users. The statement of purpose and complaint policy must be reviewed and updated and care plans must be reviewed at least monthly to reflect the changing needs of service users. Staff training records must be up to date and in good order and the home needs to develop a policy on the recruitment of staff to protect service users from harm. Quality monitoring visits need to be monthly and unannounced to ensure the home is run in the best interest of service users and information on activities needs to be in a format which is accessible to service users. Medication practice at the home must be strengthened and COSHH (control of substances hazardous to health) data sheets must be available at the home to promote the health and safety of staff and service users. Policies on infection control must be developed and staff need training in infection control to prevent the spread of infection in the home and fridge temperatures must be maintained below five degrees centigrade to promote health. The management arrangements at the home must be strengthened and an application for registration as manager must be submitted to the CSCI (commission for social care inspection) to safeguard the welfare of service users. 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. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3&6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The homes statement of purpose and service guide needs strengthening to ensure prospective service users and their relatives have up to date information on which to make decisions about admission to the home. The arrangements for the assessment of needs are adequate ensuring service users’ needs are assessed before admission to the home. EVIDENCE: The home had a statement of purpose reviewed and updated in May 2006 and service user guides which were written in plain English, nicely presented and copies were available in service users individual files for information. A requirement has been made for the statement of purpose to be updated to include the homes complaint procedure. The provider stated service users are admitted to the home on the basis of an assessment of needs and the home had an assessment and admissions policy. The inspector sampled records and noted the home had a joint needs’ assessment which is used to assess service Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 9 users’ needs and covered the areas of personal care, social support and healthcare needs. The manager stated the home does not offer intermediate care and this standard was not assessed. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9&10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning at the home needs strengthening to promote the personal care of service users. The systems for accessing healthcare are adequate ensuring service users healthcare needs are assessed and met. The management of medications at the home needs strengthening to promote the health of service users. The arrangements for privacy and dignity are adequate ensuring service users privacy is upheld. EVIDENCE: The acting manager stated service users have care plans which are drawn up following an assessment of needs and the inspector noted the home had individual care plans which sets out in detail actions to be taken with regards to personal, social and health care needs. The acting manager stated service users have named key workers who are responsible for updating care plans and a requirement has been made for care plans and risk assessments to be reviewed and updated monthly to promote the personal care of service users. During discussions a staff stated ‘‘service users are well looked after, we Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 11 encourage them to do a lot of things and make choices’’ and a service user commented ‘‘staff clean my teeth and cut my nails’’. The provider stated service users have access to healthcare professionals to meet their needs and the inspector noted service users are registered with a local GP and the home have input from a behavioural specialist to support a service user with challenging needs. The acting manager stated the home had a policy on medications and the inspector noted the home had an agreement with a local chemist to supply medications. Medication record sheets had a recent photograph of service users, were dated and signed by staff and medications were stored in a metal cupboard in the office. The inspector noted a shortfall in the management of medication and a requirement has been made for the home to inform the CSCI (commission for social care inspection) of medication errors to safeguard the welfare of service users and medication in liquid form to be dated on opening to promote the health of service users. The provider stated the home had a statement on privacy and dignity reflected in the statement of purpose and the inspector noted the home had information on the GSCC (general social care council) code of conduct for care staff. Observations confirmed staff addressed service users by their preferred names and the provider and staff knocking on doors before entering service users’ bedrooms. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14&15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for activities need strengthening to ensure information about activities is in a format accessible to service users. The systems for family contact are adequate ensuring service users maintain links with family and friends as they would wish. Opportunities for exercising choice are satisfactory ensuring service users are helped to exercise choice over their lives. Meals at the home are adequate and offer variety and choice. However, menu plans need to be reviewed by a dietician to ensure they meet the nutritional needs of service users to promote health. EVIDENCE: The deputy manager stated the home had individual activity plans which reflected social contact and the inspector noted service users have the opportunity to exercise choice in relation to social activities and cultural interests recorded in service users daily notes. The inspector noted one service user attended the local church and during an interview a service user commented he had a ‘‘television in his bedroom to watch songs of praise’’ to promote his religious interests and enjoyment. It is recorded service users participated in music, relaxation, aromatherapy, trips out for meals and to the local theatre, and the home had input from US in a Bus and Day Services. A Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 13 requirement has been made for activity plans to be in a format that is accessible to service users to ensure service users understand the information and promote choice. A review of records indicated service users had contact with family and friends who visited the home and the home provided an area where service users are able to receive visitors in private. The deputy manager stated service users have opportunities to exercise choice and the inspector noted service users had personal possessions in their bedrooms and access to an advocate who will act in their interests. The provider stated the home had written menu plans and the deputy manager commented service users participated in planning the menu. Observation confirmed service users had and evening meal of steak pie with chips and yogurt and fresh fruits for dessert with a choice of hot and cold drinks available. Mealtime was relaxed and unhurried and meals were nicely presented. A review of menu plans indicated meals were varied and offered variety and choice and following discussions with the provider a requirement has been made for the homes menu to be assessed by a dietician to ensure it is adequate to meet the nutritional needs of service users to promote good health. During discussions staff stated ‘‘it is good healthy food and service users never stop eating’’ and a service user remarked ‘‘the food is nice, I like fish and chips’’. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The complaint process needs strengthening to ensure up to date information is available to staff, service users and relatives. The arrangements for protection needs improving to ensure staff have access to the local authority training on safeguarding adults to protect service users from harm and abuse. EVIDENCE: The provider stated the home had a complaints policy which is available in the policies and procedures file and the inspector noted complaints information in the service users guide. The deputy manager stated the home had a complaints log which was sampled and no complaints were recorded. During discussions a staff stated she was ‘‘aware of the complaints procedure’’ and the inspector noted the complaint policy was in need of updating to reflect a complaint could be made to the CSCI (commission for social care inspection) at any stage should the complainant wish to do so. The home had a policy on whistle blowing and safeguarding adults and the provider and deputy manager attended the local authority (surrey county council) training on safeguarding adults. Some staff working at the home have in-house training on safeguarding adults by the provider and other staff were in need of refresher training in this area. Following discussions, a requirement has been made for the provider to review training in safeguarding adults to ensure staff have access to the local authority training to protect service users Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 15 from harm or abuse. A staff commented ‘‘the manager has provided me with all the training I need’’. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24&26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for the premises are adequate ensuring service users live in a safe and comfortable environment. However access in and out of the conservatory must be improved to promote the safety of service users. Communal facilities are satisfactory ensuring service users have access to shared sitting, recreational and dining space. Bedrooms are satisfactory and promote the privacy and comfort of service users. The arrangements for hygiene are adequate ensuring the home is clean and hygienic for service users. However, the home must strengthen practice in this area. EVIDENCE: The premises is safe and well maintained and the garden is tidy, attractive and accessible to service users. Access to the home is restricted and the home has a locked front door to maintain the safety of service users. The inspector Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 17 noted the provider had made a significant investment to improve the quality of the environment by building a conservatory to provide additional space for the enjoyment of service users and a requirement has been made for a raised decking to be built by the conservatory door to promote the safety of service users. The communal areas were nicely decorated with adequate furniture, fittings and the bedrooms were well presented and personalised with family photographs, paintings, plants, ornaments and other personal effects. On the day of the inspection the home was clean and free from mal odour and the laundry room had a washing machine with an impermeable floor to make it easy to clean and prevent the spread of infection. Observations confirmed staff practiced infection control measures by washing their hands regularly and hand washing facilities were sited in the laundry and kitchen. Due to the changing needs of service users a requirement has been made for the home to develop a policy on infection control and staff to have infection control training to promote health. During discussions a staff stated ‘‘the home is very clean, it is cleaned very often, three times a day’’. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29&30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing are adequate however duty rosters must be reviewed and updated to promote good practice. NVQ (national vocational qualification) needs strengthening to ensure service users are in safe hands at all times. The systems for recruitment need strengthening and recruitment files must have a statement of employee terms and conditions, and the home needs a recruitment policy to protect service users from harm or abuse. Induction training needs to improve to ensure staff are trained and competent to do their jobs. EVIDENCE: On the day of the inspection the home was adequately staffed with a senior support worker and a support worker on duty with managerial support available from the provider. The inspector sampled duty rosters and noted they reflected the numbers of staff on duty and the provider commented the home had two staff per shift during the day and one waking night staff. A requirement has been made for the duty roster to be improved to reflect which staff are on duty at anytime during the day and night and in what capacity to promote good practice. The home has three registered nurses who work as part of the care team and three support workers have NVQ (national vocational qualification) Level 2 in Care. The provider stated three support workers need the NVQ qualification and a requirement has been made for the registered person to do an action plan outlining how the home would meet NVQ training Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 19 targets to ensure service users are in safe hands at all times. The provider described the recruitment process and stated the home had staff recruitment files. The inspector sampled recruitment files which had completed application forms, references, and CRB (criminal records disclosure) information was kept electronically. The inspector noted recruitment files did not have statement of terms and conditions and the home did not have a policy on staff recruitment and action has been required in respect of this matter to safeguard the interest of service users. The provider stated the home had induction training records which were sampled. The inspector noted training records covered the areas of food hygiene, first aid, fire safety, moving and handling, and safeguarding adults. The home had an induction checklist to induct new staff to the home which was dated and signed by the employee and supervisor. Observations confirmed staff training records were incomplete and did not reflect induction and foundation training and action has been required in respect of this matter to ensure staff are trained and competent to do their jobs. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35&38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for the day to day management need strengthening to ensure service users live in a home which is run and managed by a person fit to be in charge of the home. The systems for quality assurance need improving to ensure the home is run in the best interests of service users. Policies and procedures for managing service users’ money are satisfactory ensuring the financial interests of service users are safeguarded. The arrangements for health and safety need improving to safeguard the welfare of staff and service users. EVIDENCE: The provider stated the home is in the process of recruiting a manager and the deputy manager is currently acting as the manager of the home. The inspector noted there are clear lines of communication and accountability with Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 21 the provider overseeing the management of the home. A requirement has been made for the home to submit an application for registration as manager to safeguard the interests and welfare of service users. During discussions staff stated ‘‘the provider is supportive and the acting manager is very approachable and helpful’’. The home has a policy on quality assurance and the inspector noted the home had regular care reviews, staff meetings and service user’s meetings to obtain feedback about the home. The provider stated the home had a monitoring of quality standards tool used to monitor the overall quality of the home and a requirement has been made for monitoring visits to be monthly and unannounced to ensure the home is run in the interests of service users. The home has a policy on service users money and a ledger to record the financial transactions of service users. The inspector sampled records which were correct and up to date and audited by the provider to safeguard the financial interests of service users. The home has a policy on health and safety and staff have health and safety training. The inspector noted the kitchen appeared clean and hygienic and the home had a cleaning schedule. The home kept a record of fridge and freezer temperatures which were sampled and a requirement has been made for fridge temperatures to be maintained below five degrees centigrade to promote the health of service users. The local authority environmental officer inspected the kitchen on the 12/4/05 and no recommendations were made. The home had a fire drill on 16/5/06, a gas certificate dated 7/2/06, electrical wiring certificate dated 17/4/06 and observations confirmed COSHH (control of substances hazardous to health) was stored in a locked cupboard in the laundry room. A requirement has been made for the home to obtain COSHH data sheets to promote the safety of staff and service users. Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 3 X X X 3 X 2 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 23 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 Regulation 6(a) Requirement The registered person must ensure the statement of purpose is updated to include information on the homes complaint policy. The registered person must ensure care plans and risk assessments are reviewed and updated monthly to promote good practice and safeguard the welfare of service users. The registered person must ensure medications in liquid form is dated on opening and the CSCI is informed of medication errors to promote the safety of service users. The registered person must ensure activity plans are in a format which is accessible and understandable to service users to promote communication. The registered person must ensure the menu plans have dietician input to ensure it is adequate to meet the nutritional needs of service users. The registered person must ensure the complaint procedure is updated to reflect a complaint DS0000038846.V300040.R01.S.doc Timescale for action 01/08/06 2 15(2)(b) (c) 01/07/06 3 13(2) 37(1)(e) 01/07/06 4 16(2)(m) (n) 01/08/06 5 16(2)(i) 01/08/06 6 22(7)(b) 01/07/06 Sapling Version 5.2 Page 24 7 13(6) 8 12(1)(a) 9 13(3) 10 17(2) Schedule 4 11 18(1)(a) 12 7 Schedule 2 13 7 Schedule 2 9 14 Sapling could be made to the CSCI at any stage should the complainant wish to do so to promote transparency and openness. The registered person must ensure staff have access to the local authority (surrey county council) training on safeguarding adults to safeguard the welfare of service users. The registered person must ensure a raised decking is built to the conservatory door to promote easy access to the garden and maintain the safety of staff and service users. The registered person must ensure the home has an infection control policy and staff have infection control training to prevent the spread of infection and promote health. The registered person must ensure the duty roster is reviewed and updated to reflect which staff are on duty at anytime during the day and night and in what capacity is kept, to promote good practice. The registered person must do a plan outlining how the home will meet the NVQ target for staff training to ensure service users are in safe hands at all times. The registered person must ensure the home has a policy on the recruitment of staff to safeguard the welfare of service users and staff recruitment files have a copy of employee terms and conditions for information. The registered person must ensure staff training records are up to date and in good order for auditing by the CSCI to ensure staff fulfil the aims of the home. The registered person must DS0000038846.V300040.R01.S.doc 01/08/06 01/07/06 01/07/06 01/08/06 01/08/06 01/08/06 01/08/06 01/09/06 Page 25 Version 5.2 15 26(3) 16 12(1)(a) ensure an application for registration as manager is submitted to the CSCI to safeguard the interest and welfare of service users. The registered person must undertake monthly monitoring visits which are recorded using the quality monitoring standards tool to ensure the home is run in the best interests of service users. The registered person must ensure the temperature of the fridge is maintained below five degrees centigrade to promote the health of service users. 01/08/06 20/06/06 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 Refer to Standard Good Practice Recommendations No recommendations were made at this inspection Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Sapling DS0000038846.V300040.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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