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Inspection on 07/03/07 for Shrewsbury Road (267)

Also see our care home review for Shrewsbury Road (267) for more information

This inspection was carried out on 7th March 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 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home shows its capacity to meet individually assessed service users` needs. Service users have good quality care plans which include how services will meet their current and changing needs. Service users` engage in a regular programme of daily activities to maintain their social, emotional, communication and independent living skills. Family and personal contacts are encouraged. Service users live in a clean, bright and homely environment. They feel valued, well cared for and their views listened to on an ongoing basis and are satisfied with life in the home. Staff have a good understanding of service users` wishes, likes, dislikes, strengths and support needs. Service users benefit from the close relationships they have with staff who are informed about their roles and responsibilities through regular supervision and training. Service users are consulted in matters affecting them. The service is run by a competent manager who ensures that systems are in place to provide a good service.

What has improved since the last inspection?

All except one of the seven requirements were met from the last inspection. Care plans have much improved; service users` views regarding their death and dying wishes have been obtained; medication administration records have improved; staff training certificates are available; an internal system is in place to monitor the quality of service provision and to highlight where improvements are necessary. Current supervision records are available and staff training certificates are in staff files.

What the care home could do better:

There remains an outstanding requirement for service users` risk assessments to improve. The home must ensure all areas of access to service users must be safe. All staff on duty must have current first aid training. Recording of food temperatures could improve. Staff training records could improve.

CARE HOME ADULTS 18-65 Shrewsbury Road (267) 267 Shrewsbury Road East Ham London E7 8QU Lead Inspector Nurcan Culleton Unannounced Inspection 7th March 2007 10:00 Shrewsbury Road (267) DS0000022850.V331763.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 Shrewsbury Road (267) DS0000022850.V331763.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. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shrewsbury Road (267) Address 267 Shrewsbury Road East Ham London E7 8QU 020 8586 7781 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) Sahara Homes (UK) Limited Ms Lorraine White Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate one named service user over the age of 65. Date of last inspection 30th January 2006 Brief Description of the Service: 267 Shrewsbury Rd is a residential home run by Sahara Homes (UK) Limited, which also runs similar homes in the area, and provides long term care and support on a 24 hour basis for four people with learning disabilities. The home states that its purpose is to support, encourage and enable each resident to realise their full capacity in choice, dignity, respect, privacy, independence, civil rights and individuality. The home is a large terraced house situated in a residential street in Forest Gate. Service users have single bedrooms with hand-basins. There is a kitchen/dining room, bathroom and shower room and a paved garden at the rear of the house. The home is within close proximity to East Ham and Green Street shopping areas and served by a range of bus routes, Upton Park and East Ham underground stations. Off-street and on-street parking is available. Current fees are in the range of £900-£1,200 per week. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 7th March 2007. The Registered Manager was present and assisted with the inspection. Four service users have resided in the home on a long -term basis and there has been no change in staffing. One service user was in the home on the day of inspection. The other service users were participating in their day- time activities in the community. The inspector spoke with the manager, deputy manager and the service user in the home. The inspector toured the premises; examined all four service user files; a sample of staff files and a range of records and documentation to ensure that the home met expected standards. The inspector reviewed seven requirements made at the previous inspection to assess whether improvements had been made to the shortfalls in service provision. What the service does well: What has improved since the last inspection? All except one of the seven requirements were met from the last inspection. Care plans have much improved; service users’ views regarding their death and dying wishes have been obtained; medication administration records have improved; staff training certificates are available; an internal system is in place to monitor the quality of service provision and to highlight where improvements are necessary. Current supervision records are available and staff training certificates are in staff files. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is aware of service users’ assessed needs and continues to demonstrate its capacity to meet their needs. Appropriate information for service users concerning the home’s services and facilities is available to each person. Each service user has been made aware of the home’s terms and conditions. EVIDENCE: The Statement of Purpose was satisfactory when seen at the last inspection. It was not seen during this inspection and the manager informed that that it had been updated by the organisations’ consultant. The Service Users’ Guide was seen and needs to have the new CSCI details updated. The inspector also saw a ‘Handbook’ guide containing information for service users in a more easily accessible picture format. Social work assessments have been previously seen and were archived separately in the basement due to the lack of storage space in the small office. One assessment was again seen at this inspection. Signed contracts were available for all service users in their files containing all information required by regulation. Service users have informed the inspector at previous inspections that they had visited the home prior to their admission Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 9 and the admission procedure includes trial visits. The inspector remained confident that the home continues to show its capacity to meet assessed needs through records kept in service users’ files, the knowledge, skills and commitment shown by staff and in the ongoing development of service users in the home. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are of good quality and identify service users’ support needs and individual support services. Service users’ ongoing and changing needs are effectively monitored and responded to by the home. An improved risk assessment to identify risks to service users remains outstanding. EVIDENCE: Service users’ files contained comprehensive and improved care plans, all recently reviewed in January 2007 by the manager. They also contained personal information including whether the person has an advocate. None of the service users’ have advocates though an application for an advocate for one person has been made to Mencap, which has been accepted and is now awaited. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 11 The care plans covered a range of areas including communication, community living skills, cultural/spiritual needs and specialist/complex behaviour issues. The inspector particularly thought it positive that service users’ abilities as well as their support needs were identified, for example, in the area of ‘Domestic Skills’ “…is able to prepare a hot drink”….is identified, and the support need “..to encourage to be independent…”. All care plans had been signed by the service users or their representatives. One care plan had not however been signed by the manager who had completed it. All the service users had been reviewed by their Local Authority care managers. Their changing needs are identified and acted on. The manager informed that the needs of one service user had changed due to her increasing confusion and the onset of incontinence and professional were involved in her assessment and care. (See Standard 19). Risk assessments had also been reviewed, however required further improvement. The format was confusing and required turning over various pages to understand the areas of risk and actions required. The content too still needs improvement. A standard approach is necessary, using one clear format which identifies, for example, the area of risk, the level of risk (high, medium, low), interventions to minimise the risk, action by whom, by when and review date. This requirement is restated from the previous inspection. Service users have learning difficulties and some have verbal communication difficulties. Care plans show the emphasis on service users’ developing or maintaining their independent living skills. Staff are able to assist service users to engage in their individual or group activities both inside and outside of the house through their closely built relationships with service users. Staff have a good understanding of service users’ wishes, likes, dislikes, strengths and support needs. Service users are consulted about any matters affecting them and minutes were seen of weekly house meetings. All service user files are kept in lockable cabinets. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ continue to engage in a regular programme of daily activities to maintain their social, emotional, communication and independent living skills. Family and personal contacts are encouraged and healthy meals are encouraged. EVIDENCE: Service users’ care plans and files evidenced that individual assessed needs are considered and responded to and that service users’ mental, physical and emotional needs are met. All three service users have varying levels of support needs regarding their personal care however individual support is provided to ensure that service users’ independent living skills are encouraged and maintained. Service users’ independence and personal development are also Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 13 promoted through their participation in a variety of day and leisure activities inside and outside of the home. These include the Gateway Club for people with learning disabilities, day trips in a shared mini bus, other social activities within the community such as having pub lunches and bowling. Pictures were seen on the lounge wall of a successful holiday in the U.K during the summer which the service users’ enjoyed. Personal friendships and family contact are encouraged. Two of the service users have contact with their siblings. The service users used to go to church but have more recently chosen not to go. However a friendly woman from the church has befriended the service users and visits the home regularly. A minister also visits the home. A menu for the week was displayed on the notice board in the kitchen. Service users make their own choices when they wish to about the food they eat. Records of foods consumed were seen and the foods eaten were varied and nutritious. Fresh fruit was seen in a bowl in the kitchen. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensure that the healthcare needs of service users are met and reviewed and that procedures are in place to address their changing needs. EVIDENCE: Service users are registered with the Newham Community Health Team and service users’ files contained correspondence from multi-disciplinary professionals related to the physical and mental health needs of service users. Reviews have recently been held or are in the process of being arranged for each service user together with family members and other health professionals. One service user’s needs had recently changed and developed symptoms including increasing confusion and incontinence. She had been referred to her G.P for a cognitive assessment for possible dementia and had seen her social worker and a psychologist. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 15 Medication records were examined and adequately recorded at the time of inspection. One service user is assisted to self-administer medication. Staff have received medication training and in the case of one service user are given guidance on the administration of insulin from the diabetic clinic, District Nurse and G.P. Signed statements from each service user concerning their views and arrangements in the events of ageing, illness or death were available in their files. The home also has a policy which states that where possible and following a multi-disciplinary review, the home aims to support each person to continue to live at the home if diagnosed with a terminal illness. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel valued, well cared for and their views listened to on an ongoing basis. Service users are satisfied with life in the home. Service users benefit from being supported by staff who are informed about how to protect them from abuse. EVIDENCE: There have been no recorded complaints since the last inspection. The lack of complaints is reflected in the minutes of residents meetings and the satisfaction expressed by service users with their activities and the home. The manager and deputy manager of the home also expressed that service users had not made any complaints and were generally satisfied with their service. On several inspections, including this inspection, service users have also been observed to have close relationships with staff and are freely able to express themselves and assert their needs. A satisfactory complaints policy and procedure was available in the home and also available in pictorial form for service users. The deputy manager spoken to confirmed that she had received training on adult protection. Staff training records showed that adult protection training Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 17 had been provided. A satisfactory policy on Adult Protection was available in the home. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, bright and homely environment which is home is suitable to meet their needs. The home must ensure that all areas accessible to service users are safe. EVIDENCE: Service users live in a comfortable, clean, homely and safe environment, which is suitable to meet their needs. Bedrooms contained personal effects to suit individual tastes. There are shared rooms such as the kitchen/diner, lounge, the first floor bathroom and ground floor shower room, all of which are bright, clean, tidy and decorated to provide a homely appearance. Service users have suitable furniture and storage space for their personal items. The recently completed Regulation 26 quality monitoring report from the home’s consultant identified that the steep slope outside the kitchen should be risk assessed, in particular, in relation to the service user whose health had recently deteriorated. The inspector agreed that a risk assessment should be Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 19 undertaken to ensure that the home meets its health and safety responsibilities. Shrewsbury Road (267) DS0000022850.V331763.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): 31, 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from the support they receive from staff who are informed about their roles and responsibilities through their regular supervision and training. The home must ensure that all staff are able to assist service users at all times with first aid procedures if necessary. EVIDENCE: The manager informed that the staff group were stable and there had been no changes in staffing from the last inspection. There are five permanent members of staff employed some of whom work part-time. The inspector viewed the rota and was satisfied that there is always a member of staff available to supervise the service users. The inspector reviewed the level of staffing and was satisfied that staffing levels are sufficient to meet service users’ needs. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 21 Within the staff team, a new deputy managers’ post had been created and there were now two senior support worker posts. The inspector spoke with the deputy manager on duty who had been in post approximately for a year. It was evident that she was clear about her role and responsibilities in carrying out her tasks. She informed that she regularly received training and supervision to assist her. She is also on a supervisory course with Redbridge Learning Collaborative, a two day management training course. She is currently on a waiting list to undertake the NVQ Level 4 course. The manager advised that she will be supervising the more experienced staff in due course. All other staff have received NVQ Level 2 or 3 training. The manager informed that she was still putting staff training certificates together into single staff files as they had previously been placed in different files. Staff training records could however be improved without relying on staff training certificates alone as evidence of training, for example, separate logs could be kept on individual staff training received and planned. However the inspector was concerned that one staff member had completed her first aid training in 1995 and that she required an urgent refresher. All staff must have up to date training in first aid. Staff files contained Schedule 2 forms which contained all the necessary personnel information required by regulations. Recent supervision notes were seen. Staff training records had improved. Two staff had received appraisals and the other staff were due to have them. Minutes of monthly team meetings were seen. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from receiving assistance from staff who are well supported by a competent manager to perform their duties. The manager ensures that effective policies and procedures are followed to provide a good service and to safeguard the health and safety of service users. A system to regularly monitor the quality of service provision is in place to help improve the service. EVIDENCE: The Registered Manager of the home has changed since the last inspection, however all the service users are familiar with this manager, who managed another of the Sahara Homes, and has given regular management support to the home and also visited regularly. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 23 The manager showed good knowledge of all the service users’ needs, has developed close relationships with each of them and is personally involved to assist them on a daily basis. The manager has demonstrated her competence and suitable management experience in running a home of this type. A folder containing a range of policies and procedures relevant to the service user group were seen in the home. General records seen in service users’ files were to a good standard. Valid health and safety certificates, such as gas, water, electrical wiring and Portable Appliance Test safety certificates were available and checked at this inspection. Records of regular fire drills and monthly fire test records were seen. A current insurance liability certificate was available and a business plan was seen at the last inspection. However gaps in the recording of food temperatures were noted. The home has employed a consultant to undertake regular inspection visits to produce reports on the quality of service. The recommendations highlighted in the recent report seen by the inspector were up for discussion and action as one of the agenda items at the next staff team meeting. Internal questionnaires for the service users to obtain their views about the quality of service provision were completed in October 2006 and visitor questionnaires, aimed also at family members, have also been sent off with one returned. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 1 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 2 3 Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 25 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. 2. Standard YA6 YA9 Regulation 15 13(4) Timescale for action All service users’ care plans must 25/04/07 be signed by the persons completing them. The Registered Manager must 25/04/07 ensure that service users’ risk assessments are improved. The timescale of 05/05/06 was not met for this requirement. The slop in the hallway outside the kitchen must be risk assessed. All staff on duty must have up to date training in first aid. The manager must ensure that there are no gaps in the recording of food temperatures. Requirement 3. 4. 5. YA24 YA32 YA42 13(4) 18(a) 13(4) 25/04/07 25/04/07 25/04/07 Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 26 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 YA1 YA32 Good Practice Recommendations The Service Users’ Guide must contain the current CSCI contact details. Staff training records could improve further by keeping separate logs of individual staff training received and planned rather than to rely on staff training certificates alone. Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Shrewsbury Road (267) DS0000022850.V331763.R01.S.doc Version 5.2 Page 28 - 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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