Inspection on 25/01/07 for Seymour House

This inspection was carried out on 25th January 2007.

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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Seymour House 47 Seymour Road Slough Berkshire SL1 2NS Lead Inspector Chris Schwarz Unannounced Inspection 25 January 2007 09:45 th Seymour House DS0000067342.V317423.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 Seymour House DS0000067342.V317423.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. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seymour House Address 47 Seymour Road Slough Berkshire SL1 2NS 01753 824798 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) Committed Care Services Limited Miss Sharanjit Kaur Bajwa Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users must not be admitted over the age of 65 years. Date of last inspection New service Brief Description of the Service: 47 Seymour Road comprises a three bedroomed property in Chalvey, Berkshire. The home has spacious communal areas and all bedrooms are single and have been personalised by the occupants. The service is near to the centre of Chalvey and a short drive to Slough where there are good shopping, leisure and transport links. The home has been operational for some time but a change of provider to Complete Care Limited has meant that the service is classed as a new registration. The responsible individual for the provider and the manager and several staff are part of the same family unit. Fees for the service start from £950 per week. Information supplied in the pre-inspection questionnaire states that there are no additional charges to service users. The home has a statement of purpose and service users guide to inform prospective service users about provision and scope of the home. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over the course of a morning and early afternoon and covered all of the key standards for younger adults. Prior to the visit, a questionnaire was sent to the manager alongside comment cards for distribution to service users, relatives and visiting professionals. Any replies that were received have helped to form judgements about the service. The visit was unannounced and involved speaking with the responsible individual for the provider with input from the manager. Service users had all gone out for the day but comment cards had been completed therefore their views could be taken into account. Some of the home’s required records were examined and a tour of the premises was undertaken. A key theme of the inspection was assessment of how the home meets needs arising from equality and diversity. The provider has another registered service at 21-25 Seymour Road which was inspected in December 2006. Some elements of the inspection carried out at that time were also applicable to this service, such as policies, staff training and recruitment practice, reducing the amount of time needed to inspect on this occasion. It was clear that the provider had taken into account some of the matters raised for attention during that inspection, to ensure that practice is improved. The results were evident at this inspection. The inspection was therefore of a generally positive nature with good practice recognised in all but one of the sections within the National Minimum Standards. Feedback was given on the findings at the time of this visit. The responsible individual and manager are thanked for their co-operation and hospitality during the inspection. What the service does well: Sufficient information is available about the service, so that prospective service users can make an informed choice about moving in. The needs of prospective service users are assessed prior to admission, to ensure that the service does not offer a placement to someone whose needs it cannot meet. Contracts are in place for each service user, to ensure that they know what to expect of the service. Care plans have been produced for all service users, ensuring that needs have been identified and can be met. Service users are enabled to make decisions and be as independent as possible, providing them with choice and involvement. Service users are enabled to take responsible risks, ensuring that their independence is promoted. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 6 Service users take part in appropriate activities and make use of the local facilities, providing stimulation and variety. Service users are enabled to keep in contact with friends and family, maintaining important social links. The rights of the individual are respected, promoting fulfilment and affording service users respect. Meals and the provision of food are well managed, ensuring that service users receive the nutrients they require to keep them healthy. Personal support needs are recorded in care plans to ensure that service users receive the assistance they require. Physical and emotional health care needs are well managed to ensure that service users keep well. Medication practice is well managed, ensuring that storage, recording and administration of medicines is safe and consistent. A complaints procedure is in place to listen to the views of service users and their representatives. Adult protection is well managed, reducing the risk of harm to service users. The environment is well maintained, clean and comfortable, providing safe and homely surroundings in which to live. On the whole, competent and qualified staff work at the home, ensuring that service users are cared for by people with the skills and knowledge necessary to meet their needs. The home has that needs are that standards well managed, risk of harm. qualified persons in charge, to ensure continuity of care and met. The provider is regularly present at the home, to ensure of care meet the needs of service users. Health and safety is ensuring that staff, service users and visitors are not placed at What has improved since the last inspection? What they could do better: Recruitment practices have not been robust enough to protect service users from the risk of harm although measures have been taken to provide some of the necessary evidence of suitability to work with vulnerable adults. Further work is needed to ensure the safety of service users. Sufficient training has not been undertaken by all staff, to ensure they are equipped to meet the needs of service users. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 7 Persons left in charge of the premises need to be appropriately trained, at least in first aid and fire safety, in the event of emergency situations. Explanation of the adult protection measures in place, in simplified terms, would benefit service users and increase their personal awareness. 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. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information is available about the service, so that prospective service users can make an informed choice about moving in. The needs of prospective service users are assessed prior to admission, to ensure that the service does not offer a placement to someone whose needs it cannot meet. Contracts are in place for each service user, to ensure that they know what to expect of the service. EVIDENCE: A statement of purpose and service users guide were in place outlining the aims of the home and the scope of its provision. Contracts were in place between the provider and service users, setting out the terms and conditions by which people are placed at the home. Two of the three case files at the home were examined. There was evidence of detailed pre-admission assessments being carried out plus information from Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 10 the local authority Social Services Department which outlined care needs to a sufficient degree. The home had held review meetings at six weeks and then six months intervals and detailed notes were available recording these events. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 11 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans have been produced for all service users, ensuring that needs have been identified and can be met. Service users are enabled to make decisions and be as independent as possible, providing them with choice and involvement. Service users are enabled to take responsible risks, ensuring that their independence is promoted. EVIDENCE: A written care plan was in place for each service user, outlining background information and their care needs and how these are to be met. Information had been reviewed regularly and any changes noted. Risk assessments were in place which were dated and signed and also showed evidence of being updated. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 12 Review meetings chaired by the provider had been well documented with good summaries of the previous year’s health care needs. Files were well organised with information easy to locate. A missing person procedure was in place in the event of anyone being absent from the home. The document referred to notifying the Commission for Social Care Inspection in the event of anyone being missing from the service. Service user meetings have taken place regularly and minutes reflected discussion on a range of topics, such as the complaints procedure, respect, equality and independence and the fire procedure. Service users have accounts with high street banks/building societies and the home holds a float of money in individual wallets for each person via the Imprest account. Receipts and individual transaction records were in place to explain expenditure and the balance is checked on a regular basis and signed for. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 13 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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users take part in appropriate activities and make use of the local facilities, providing stimulation and variety. Service users are enabled to keep in contact with friends and family, maintaining important social links. The rights of the individual are respected, promoting fulfilment and affording service users respect. Meals and the provision of food are well managed, ensuring that service users receive the nutrients they require to keep them healthy. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 14 EVIDENCE: Service users have day service placements during the week where there is access to college courses, sports and recreational opportunities. Daily notes contained references to service users being in contact with their families and for one person attending temple. Service users make use of facilities locally and in Slough. The notes also provided evidence of flexible routines within the home, such as times of getting up and going to bed, meal times and going out. Menus at the home reflected a range of different meals for service users with a recipe book recently put together by the provider to give staff different ideas for meals. The kitchen was well stocked with food and dates of opening had been added to items in the fridge. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support needs are recorded in care plans to ensure that service users receive the assistance they require. Physical and emotional health care needs are well managed to ensure that service users keep well. Medication practice is well managed, ensuring that storage, recording and administration of medicines is safe and consistent. EVIDENCE: Care plans contained details of any assistance required by service users and their health care needs were documented and up-to-date. Files of health care appointments were well maintained with evidence of involvement by other agencies such as community psychiatric resources and a district nurse. Appointments for routine health screening such as opticians and dentists were up-to-date and all doctors and specialists appointments had been written up to reflect the outcomes. Service users were being weighed regularly. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 16 Two doctors commented that their patients attend the surgery rather than domiciliary visits being made and indicating that staff have a clear understanding of care needs. They were satisfied with the overall care provided at the home. A monitored dose system of medication administration is used. Training records showed that some but not all staff had attended training on the care and control of medicines. The medication cabinet was locked and securely bolted to the wall. Medication administration records were looked at and found to be in good order. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints procedure is in place to listen to the views of service users and their representatives. Adult protection is well managed, reducing the risk of harm to service users. EVIDENCE: A complaints procedure was in place with the contact details of the Commission added. The home’s complaints log did not have any complaints noted in it. The responsible individual and manager confirmed that there had not been any complaints. The Commission is not aware of any complaints by service users or their representatives regarding this service. The home had a copy of the local inter-agency adult protection guidelines and most staff had attended Protection of Vulnerable Adults training, with the responsible individual being a certificated trainer. The home’s adult protection policy was detailed and covered all necessary areas. It is recommended that a service user friendly poster style version is produced and discussed with service users, to increase their awareness. There was also a whistle blowing policy incase staff had any concerns about practice at the service. The Commission is not aware of any adult protection concerns regarding this service and none were indicated in the pre-inspection questionnaire. Seymour House DS0000067342.V317423.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is well maintained, clean and comfortable, providing safe and homely surroundings in which to live. EVIDENCE: The property is located toward the end of a no through road in Chalvey and blends in with other houses in the street. There is a paved area at the front for parking. Two of the bedrooms are upstairs with the third on the ground floor. Each room was personalised to different tastes and looked clean and well maintained. There is a bathroom with toilet upstairs and a shower room with toilet downstairs. Both were clean and had locks on the doors and were stocked with toilet roll, soap and towels. The lounge is large with plenty of seating and leads to the kitchen and dining area. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 19 There is a small laundry area adjacent to the kitchen. There is an office/quiet room which visitors can make use of. To the back there is a well-maintained enclosed garden. The home was clean throughout and tidy. Cleaning products were locked away to reduce risks to service users. Seymour House DS0000067342.V317423.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, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. On the whole, competent and qualified staff work at the home, ensuring that service users are cared for by people with the skills and knowledge necessary to meet their needs. Recruitment practices have not been robust enough to protect service users from the risk of harm but measures have been taken to provide some of the necessary evidence of suitability to work with vulnerable adults. Sufficient training has not been undertaken by all staff, to ensure they are equipped to meet the needs of service users. EVIDENCE: The home has a flexible rota with staff working across this service and the properties at 21-25 Seymour Road. No agency staff were being used to supplement gaps on the rota. There were no current nighttime care needs identified and the provision of a member of staff sleeping in seemed Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 21 appropriate and daytime care needs were being met with current levels of cover. Staff interaction had been observed in December 2006 as friendly and gentle with good understanding of care needs. This has been backed up by comments from doctors who completed comment cards. Uptake of National Vocational Qualification was good at the home with several staff already possessing level 2 and further staff undertaking it, two doing level 4 and both the manager and responsible individual with level 4. Records showed that staff meetings are held on a regular basis with reminders about confidentiality, adult protection, healthy eating, promoting health and safety and personal presentation of service users amongst matters noted in the minutes. Staff had been asked to sign the minutes to show that they have read them. Recruitment practice was examined in December 2006 when some gaps to thorough vetting was evident. In the first file, a gap of just over a year was evident on the work history, which had not been explored. A Criminal Records Bureau disclosure had been applied for but there was no Protection of Vulnerable Adults first check as a minimum safeguard whilst the disclosure was awaited. There was also no copy of a work permit on the file. This member of staff had been working alone on shifts without the full range of checks being in place. The Criminal Records Bureau check had recently been returned; the responsible individual was advised to ensure that remaining checks are in place and gaps explained before the person returns to work from sick leave. In two of the files, all required checks were in place, demonstrating good practice. In a third file, evidence of a student visa had recently been obtained although it is recommended that a copy be taken of the Home Office letter accompanying this, which will verify the number of hours which may be worked. Training records presented a mixed picture but not one of the files examined showed the full range of mandatory courses had been undertaken and was upto-date. One file showed a good range of courses attended and mandatory training up-to-date for all areas other than manual handling. In another, the person had attended Protection of Vulnerable Adults training and fire safety and was working alone in the home. As a very minimum, staff should have completed first aid (in case of emergency situations) and fire safety (in case of fire and the need to evacuate the premises) before being left in charge of the building. A requirement is made to this effect to ensure the safety of service users. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 22 A third person needed updating in manual handling and some input on Protection of Vulnerable Adults although some elements of this had been covered as part of National Vocational Qualification level 2. The manager and responsible individual need to ensure that all staff are kept updated on mandatory courses and that staff have the necessary training before being left alone in the home. A requirement is made to attend to this. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has qualified persons in charge, to ensure continuity of care and that needs are met. The provider is regularly present at the home, to ensure that standards of care meet the needs of service users. Health and safety is well managed, ensuring that staff, service users and visitors are not placed at risk of harm. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 24 EVIDENCE: The manager and responsible individual both have the Registered Managers Award and are registered with the Commission. Both work at the home regularly and have contact with service users, relatives and staff and have a good understanding of care needs. A quality assurance exercise had been carried out in the summer with questionnaires sent to service users, families and outside agencies. Positive comments were expressed from some of the relatives, a representative from Mencap and the Skills for Care assessor at the home. Service users were generally happy with care and some of the things they raised were outside of the control of the home, such as wishing to see relatives more often. A range of health and safety checks is undertaken at the home. Portable electrical appliances had been checked in August 2006. A gas safety certificate was in place and there was a certificate of satisfactory electrical installation. The fire log showed that smoke detectors are checked weekly and drills conducted on a regular basis. Hot water temperatures and fridge and freezer temperatures are checked regularly and records did not reveal any concerns. A senior environmental health officer visited the premises in August 2006 and stated, “good health and safety practices and procedures were in place. Although you need to produce a generic risk assessment for the whole premises. Satisfactory specific risk assessments were in place and being implemented.” The generic risk assessment had been written and a fire-based assessment was in place. Accident records were completed where injuries had been sustained, with remedial action taken where necessary. There were no readily identifiable hazards around the premises. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 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 3 X 3 X 3 X X 3 X Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 26 No 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 YA34 Regulation 13(6) 19(1) Requirement Timescale for action 15/02/07 2 3 4 YA35 YA35 YA35 13(4) 18(1) c (1) 18(1) c (1)_ The full range of recruitment checks is to be undertaken in all instances before staffs starts work. Evidence of work permits is to be provided, where applicable, and gaps to work history explored and documented. No staff are to commence work without a POVAfirst check in place, then only under the supervision at all times of a person who has a satisfactory Criminal Records Bureau disclosure until the full disclosure is returned. There is to be a qualified first 01/03/07 aider on duty at all times. Mandatory training is to be 01/04/07 brought up-to-date or attended for the first time. Staff left in charge of the 01/03/07 premises are to have completed at least first aid and fire safety training. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 27 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 YA23 YA34 Good Practice Recommendations A service user-friendly version of the adult protection policy is to be produced and discussed with service users to increase awareness. Where evidence of permission to work in this country is needed for overseas staff, a copy is to be taken of the letter from the Home Office as well as the passport stamp. Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Seymour House DS0000067342.V317423.R01.S.doc Version 5.2 Page 29 - 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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