Inspection on 30/01/06 for 25 Old Mill Park

This inspection was carried out on 30th January 2006.

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

The inspector found 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

25 Old Mill Park 15/01/08

25 Old Mill Park 22/05/06

25 Old Mill Park 28/07/05

25 Old Mill Park 19/03/05

25 Old Mill Park 18/10/04

25 Old Mill Park 22/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 25 Old Mill Park Louth Lincolnshire LN11 ONY Lead Inspector Sue Hayward Unannounced Inspection 30th January 2006 15:00 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 25 Old Mill Park Address Louth Lincolnshire LN11 ONY 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) 01507 608052 www.sense.org.uk Sense East Mr Andrew Kennedy Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Sensory Impairment (SI) 6 Learning Disability (LD) 6 The maximum number of service users to be accommodated is 6. 2. Date of last inspection 28th July 2005 Brief Description of the Service: 25 Old Mill park is one of a number of homes within the county that is operated by SENSE East. It is registered to provide care and accommodation for up to six service users between the ages of eighteen to sixty-four years who have been affected by a dual sensory impairment (deaf/blindness) caused by rubella and who also have a moderate or severe learning disability. The home is located in the market town of Louth, which has a range of services and facilities. It is a domestic style house providing six single bedrooms, one on the ground floor. There are stairs but no lift facility so service users at this home who are accommodated on the first floor need to be able to manage stairs. There is a lounge, dining room, kitchen and sensory/activity room on the ground floor. The home is fully occupied and there have been no new admissions since the last inspection. Transport for service users is provided in the form of a minibus. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection required by law for April 2005 to March 2006. It took place over 5 ½ hours. It consisted of “case tracking” two service users. This involves tracking their care and support through the checking of records, discussion with staff and the manager who was present for part of the inspection. As service users have specific communication needs the inspector was not able to have discussions with them and relied on observations of staff carrying out their work to help assist with the inspection process. A sample of regulatory records and policies and procedures was also seen and communal areas of the home were inspected. In addition three comment cards had been completed prior to the inspection by relatives/visitors to the home giving their opinions about the service. What the service does well: What has improved since the last inspection? Since the last inspection there has been progress made to address some of the requirements made from the last inspection such as the floor of the entrance hall has been repaired and new cushion flooring has been laid. Some staff have had training in relation to the administration of medication however some still need to do this. There is a new mini-bus on order due at the end of the month, which will be more appropriate for the needs of residents. There have been discussions with the housing association that owns the property and it has been agreed that the home will be extended to include a conservatory. This will provide service users with additional facilities. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 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. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 5 There is information available to inform service users if able or their representatives about the service and terms and conditions of occupancy at the home. EVIDENCE: There have been no admissions to the home since the last inspection and most service users have been at the home for a number of years. The key standard was inspected during the previous inspection of 25/07/05 and was being met satisfactorily therefore it was not inspected on this occasion. Requirements had been made in relation to the service user guide in symbol form being updated with the homes name. This matter has now been addressed. A requirement was also made in relation to the terms and conditions of residency document. Both files checked on this occasion contained this information. Both care plans checked contained a detailed personal support plan for service users and individual risk assessments. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 9 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 and 7 Care plans contain sufficient information about the needs of service users and how they must be met. Service users care is regularly reviewed and they are supported as far as possible to make choices and decisions about their lives. EVIDENCE: Both service users records inspected contained a personal support plan and individual plan detailing actions needed to meet identified needs. For example one plan highlighted that a service user had difficulty chewing food and risk assessments had been completed relating to this need. Information kept on service users files demonstrated that residents’ care is reviewed formally at least twice a year and more often if required. Reviews include other professionals, including health professionals such as doctors. Relatives are also invited to attend. Discussion with the manager confirmed that one such review had occurred on the day of the inspection. Information about residents is also included in photographic form. For example both records checked had a life skills book which contained 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 10 photographs and information of significant events occurring such as sailing trips and holidays. Staff spoken to had a good knowledge of the needs of residents asked about and confirmed that information about any changes to residents needs would be passed to them through reading records or from discussion with staff at shift change over times. Staff spoken to gave examples of ways in which service users are supported to make decisions and choices about their lives. For example staff support service users to make their packed lunches according to individual preferences. Staff were aware of service users individual preferences for particular activities and records and observations made indicated that staff support service users to participate in these. For example a service user liked horse riding and it and returned from doing this on the day of the visit. Staff were also seen to communicate with service users using different communication techniques such as sign language, verbally and through the use of touch. Residents were observed to be able to move about the home as they wished. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 15 Staff support service users to participate in a range of activities and leisure interests both within the home and community, which are based on individual preferences. However, the homes own transport does not fully meet service users needs. Visitors are welcomed at the home. EVIDENCE: From records checked, discussion with staff and observations made on the day of the visit service users have opportunities to participate in the local community. For example on the day of the inspection a service user had been horse riding locally and another went with a staff member shopping. Service users also attend a resource centre operated by SENSE East, which has links with local colleges. The home has a minibus for service users. Discussions with the staff and manager confirmed that some service users require the use of a wheelchair on occasions however the current minibus does not have facilities to secure them when travelling. This is a potential health and safety risk. The manager 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 12 confirmed that a new minibus is on order, which is due to be delivered by 31/01/06. Records and discussion with staff confirmed that the home welcomes visitors and that there is good communication between staff and relatives. All three comment cards received prior to the inspection giving feedback on the service provided indicated that relatives/representatives of service users felt staff kept them informed of important matters, they were consulted about the care of their relative/friend, all felt welcome in the home at any time and they could have visits in private. A staff member spoken to gave a good account of the homes visiting procedure, which included checking visitors identity and taking note of service users responses to ensure that the service user was happy to receive visitors. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 Service users independence is encouraged and supported and there are systems in place to ensure residents’ health is monitored. Service users are not being fully protected by the medication procedures in place. EVIDENCE: Discussion with the staff and manager and records checked all demonstrated that residents’ health care is promoted. Other professionals are consulted as needed such as G.P’s and psychiatrists, chiropodists and dentists. In view of the needs of service users staff accompany service users to appointments and assist with communication. The organisation also employs a behavioural therapist who is involved in developing behaviour management guidelines for staff to follow should service users require this. Records demonstrated that service users are referred to other healthcare professionals as needed and this includes an annual healthcare check. Four medication errors have been notified to the CSCI since the last inspection, whilst it is acknowledged that most staff have had further training and assessments to reduce the possibilities of errors occurring some staff still need this. It is acknowledged that the manager confirmed this was to have taken place on 26/01/06 however was cancelled. Policies in relation to medication 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 14 administration have been reviewed. Service users are not currently able to self-medicate. Storage arrangements were not checked on this occasion. They were checked at the previous inspection and found to be satisfactory. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The procedures in place for handling complaints are satisfactory however the lack of training for some staff in relation to adult protection procedures and aspects of the financial procedures in place do not fully protect service users from potential risks. EVIDENCE: There has been one matter reported under adult protection procedures since the last inspection and recommendations were made in respect of this matter which included staff having further training in relation to “Whistle blowing procedures” and the provision of some specific equipment such as a call bell system and power shower. The organisation has forwarded an action plan to address the issues raised and discussion with the manager and observations made during the inspection indicated that most of the recommendations had been implemented or were in the process of being so. The manager confirmed that a power shower is to be fitted to the downstairs shower room by the housing association that the property is leased from and a call bell system is in place should staff require additional support from other staff. A staff member was not fully aware of the adult protection procedure. The organisation provides training in relation to adult abuse but records checked at the time of the inspection did not demonstrate that all staff members had participated in this training. There are written procedures in place about how to raise concerns as well as copies of Lincolnshire County Council’s Adult Protection procedures and the General Social Care Council Code of Conduct available in the home. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 16 The procedures in place for the storage of money held in safekeeping, does not fully protect service users from potential risks. A record of complaints/concerns raised is kept. It was noted that this showed that two complaints had been received since the last inspection although in one instance the outcome of this had not been recorded. The complaints procedure is also available in symbol form. The staff records checked did demonstrate that staff had had training relating to dealing with challenging behaviour and staff confirmed that this was updated on an annual basis. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 30 The home is clean, tidy and generally well maintained ensuring service users live in a safe environment. EVIDENCE: The areas of the home seen on this occasion included the lounges, dining room, kitchen, both bathrooms and laundry. A previous requirement relating to the repair of the hallway floor has received attention and new flooring has been laid. Generally the home is being well maintained although the toilet seat in an upstairs bathroom was loose and the flooring in the downstairs bathroom needs attention. Protective clothing is available for staff to use in bathrooms and doors are lockable to ensure privacy. Symbols were also available to use on doors denoting whether bathrooms were in use. The property is of a domestic style. There are two lounges one which is used as an activities room and has some sensory equipment. Service users were observed to be able to move around the home, as they wished supported by staff. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 18 It is planned to increase the communal space by the building of a conservatory from the dining room. This will enable service users to have further privacy if they wish. Any extension to the property must meet National Minimum Standards and the requirements of other regulating bodies such as the fire brigade, environmental health and planning department to ensure the safety and welfare of residents. Laundry facilities were clean and contained an industrial washing machine and tumble dryer. There is equipment provided for staff to ensure good hygiene practices such as gloves and aprons. The fire brigade visits the home periodically. The last visit occurred on 24/02/05 and fire precautions were considered to be satisfactory at that time. The organisation has its own health and safety officer and records checked indicated that a health and safety inspection was carried out on 28/09/05, which included a fire risk assessment of the premises. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 34 Staffing levels in the home are not consistently meeting the needs of service users. The lack of records to demonstrate that all necessary checks have been made on staff prior to employment has the potential to put residents at risk. EVIDENCE: Staff rotas checked demonstrated that there is a minimum of three staff on duty during the day when all service users are at home. On alternate weekends from 10:00 – 18:00 and during the evenings between 16:00 – 21:00 there are four staff on the duty. Staff were of the opinion that current staffing levels were not meeting the needs of all service users when there was only three staff on duty. There have been a number of notifications received in relation to challenging behaviour occurring between service users and towards staff. Staff said that on such occasions two staff were needed to support the service user showing the challenging behaviour and when there were only three staff on duty this had the potential to affect other residents welfare. It is acknowledged that work is being actively undertaken to review this matter. Strategies must be in place to ensure that all service users are adequately protected from any risk of harm and where identified additional staff rostered on duty to ensure the needs of all residents are met. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 20 As well as care responsibilities staff also have catering and house keeping duties, which they involve residents with to increase their independence and skills. Two staff records of recruitment were checked on this occasion. Whilst both contained a recent photo and demonstrated that a criminals record bureau check had been undertaken, in one instance there was no recorded evidence to demonstrate that two satisfactory written references had been obtained prior to employment and on one there was no evidence that an application form had been completed. Records must be available to demonstrate that a thorough recruitment procedure is in operation to safeguard residents. Staff comments and records demonstrated that staff have regular training opportunities, which includes updates in some matters and more specialised training to meet the needs of residents. A staff member spoken to confirmed that she had participated in the organisations induction-training programme. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 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, 39 and 41 The systems in place ensure that residents if able, relatives and staff can make their views known in order to contribute to the development of the service. There are satisfactory procedures in place to help ensure the safety and welfare of residents. The home is well managed but the manager does not have sufficient supernumerary time to ensure consistent staff support, which has the potential to affect residents’ welfare. EVIDENCE: Since the last inspection the manger has become registered by the CSCI. He is currently undertaking a registered managers award. Due to the manager’s additional responsibilities, such as being a trainer for a specific field within the organisation his time spent in the home is reduced. A rota checked prior to the week of the inspection confirmed this. The deputy manager of the home is currently on a period of sick leave and whilst an acting deputy has been appointed she is undergoing her induction into the role. Records checked 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 22 demonstrated that some matters such as staff supervision were not being held on a regular basis although staff described the manager as being approachable and supportive. The organisation has a quality assurance system in place, which includes regular audits of the service. For example records checked demonstrated that there had been a health and safety audit carried out since the last inspection. A management representative also visits the home at least monthly. This includes discussion with staff, involvement with residents and checks on record keeping and the environment. The CSCI have been receiving copies of the reports which comments about the quality of the service. In addition regular reviews are held in relation to residents at which relatives/representatives are invited to attend as well as other professionals giving an opportunity for any views about the service to be raised. Whilst residents have communication difficulties comments from staff indicated that observation of behaviour provides information as to whether they are satisfied with the service. This is discussed at handover sessions and staff meetings. The home has a range of organisational policies, procedures and record keeping systems in place, which help to ensure the safety and welfare of residents. Comment cards giving feedback about the service were received from three relatives/visitors. All made positive comments about the care and accommodation provided indicating that they felt welcome at the home, were kept well informed and consulted about any decisions affecting their relative and were aware of the complaints procedure although had never had to make any. In addition a comment was made “Old Mill Park is an extension to our home and the staff and residents are part of our family” and “staff treat all residents with total respect and genuine care. I have absolute praise and respect for them, they have the residents needs as top priority”. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 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 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 2 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 2 X 3 X 3 X 3 X X 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA13 Regulation 16(m) & 12 (1a) Requirement Suitable arrangements must be made for transporting service users. Previous timescale of 25/09/05 not met. Arrangements must be made to ensure that all staff that administers medication has had adequate training in order that service users health and safety is promoted. It is acknowledge that some staff have received training and more is to be planned. To ensure that service users are not placed at risk of harm or abuse staff must have suitable training. There must be adequate facilities provided for the secure storage of any monies held on behalf of service users in safekeeping. Staffing levels must be reviewed to ensure that they are in sufficient numbers to fully meet service users needs at all times. Previous timescale of 25/09/05 not met. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 25 Timescale for action 28/02/06 2. YA20 13 (2) 28/02/06 3. YA23 13(6) 28/02/06 4. YA23 13 (6) & 16 (2)(l) 18 (1) 28/02/06 5. YA33 28/02/06 6. YA34 19(1) & Schedule 4 Records must be in the home to demonstrate that a satisfactory recruitment procedure has been undertaken which includes obtaining two satisfactory references and a completed application form. 28/02/06 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 YA37 Good Practice Recommendations It is recommended that the manager be allocated sufficient time in the home to ensure staff are appropriately supported. 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 25 Old Mill Park DS0000002310.V279663.R01.S.doc Version 5.1 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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