Inspection on 14/08/06 for Sisserou

This inspection was carried out on 14th August 2006.

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

The inspector 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 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sisserou 28/08/07

Sisserou 29/09/05

Sisserou 01/04/05

Sisserou 20/07/04

Sisserou 19/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Sisserou Sisserou 196 South Esk Road Forest Gate London E7 8HD Lead Inspector Seka Graovac Unannounced Inspection 14 and 16 August 2006 10:10 th th Sisserou DS0000030770.V308253.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 Sisserou DS0000030770.V308253.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. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sisserou Address Sisserou 196 South Esk Road Forest Gate London E7 8HD 020 8586 7812 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) Sisserou Mrs Theresa John Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accommodate one (1) named service user over the age of 65 years. 29/09/06 Date of last inspection Brief Description of the Service: The Sisserou is a small residential care home for three people with learning disabilities. It is situated in a quiet residential street but close to public transport and other amenities in Forest Gate area of East London. There is a garden at the back of the house and unrestricted parking is available on the street. The home’s statement of purpose lists a range of care and support needs that the home aims to meet. It is stated that that the Sisserou is suitable for people who have failed to develop in larger residential settings, have low self-esteem and confidence and have difficulties in forming and sustaining relationships. The home is owned and managed by Mrs Theresa John. She also owns and manages another home for three people with mental disorder that is located next door to the Sisserou. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. It lasted approximately five hours. As the Registered Person was not available on the first day of the inspection, in order to gain access to all the required records, the inspector returned to the care home two days later. The main aim of the inspection was to assess the care service provided at the Sisserou in relation to the key National Minimum Standards for the Care Homes for Young Adults and related legislation. On the first day of the inspection, the inspector spoke to all three service users and two staff members who were on duty at the time. She also checked medication, food available and related records, service users’ individual files, duty roster and fire-safety records. On the second day of the inspection, the inspector met with the Registered Person as agreed and viewed individual staff files, complaints log, business plan, health and safety and other records. She also spoke to all three service users, a staff member who was on duty on that day and a trainee. The inspector also saw all areas of the home on both days. What the service does well: Each service user had an individual care plan that was based on their individual care and support needs assessments as well as written individual risk assessments. The care plans and the risk assessments were regularly reviewed and were in date at the time of the inspection. Service users were encouraged to lead active lifestyles. The service users’ files contained individual activities plans that indicated that the service users led active lives. One service user was engaged in a work-training scheme with one of the local stores. She also attended training in gardening, office skills, money and personal hygiene. Another service user attended training in communication using different media, while the other one followed up her interest in textiles and needlework through the local college. One service user told the inspector about her holiday in Norfolk that she enjoyed very much. Other two service users were due to go to the same place later this year. The inspector viewed the complaints-log that indicated that the home dealt with five complaints since the previous inspection. Two of them were raised by the staff members regarding the service user’s behaviour and these were Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 6 found by the Registered Person to be upheld. Three complaints were raised by the service user and these were found by the Registered Person not to be upheld. The inspector was told that out of six, four staff (67 ) have achieved National Vocational Qualification (NVQ) in Health and Care, level 2, but were still awaiting their certificates. Another staff was due to commence her NVQ level 3 in the Autumn. A staff member told the inspector that she found her work interesting and was happy to see how service users progressed: ”It is lovely to see them develop”. The environment was clean and well maintained. What has improved since the last inspection? What they could do better: One requirement was restated. The Registered Person conducted a service satisfaction survey that included service users, their visitors and families and professionals who were involved in their care. The pictorial one page summary was available and was displayed in the hallway of the home. However, the inspector required that a more comprehensive report that encompassed the collated information is also made available to interested parties (including the Commission). In addition to the restated requirement, further eight requirements were made, totalling nine requirements in this report. The new requirements related to food and lack of or inappropriate records in the areas of protection, medication, health monitoring, Criminal Records Bureau disclosures, staff supervision and health and safety records. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 7 The Registered Person must ensure the following actions in order to ensure that the care service provided at Sisserou is complaint with the National Minimum Standards: • • • • All items of perishable food are dated when opened. Appropriate records are kept of all protection issues in the home and the identified protection issues are monitored. Appropriate disclosures for all the staff are obtained prior to the commencement of their work at Sisserou. All the staff have regular, recorded one-to-one supervision meetings at least six times a year in addition to regular contact on day to day practice. The Health and Safety poster is filled in with the appropriate information. The Gas-appliances are tested on an annual basis and the appropriate certificates are available. The sugar level in the blood of the diabetic service user is monitored in accordance with district nurses instructions. The appropriate medication procedure is implemented at the home at all times. • • • • The inspector also made three recommendations at this inspection. Those were: • • that the home develops the ways to encourage service users to have more nutritious, varied diet. that the negative relationship that two service users have formed is further discussed with Safeguarding Adults Officers and the service users’ Social Workers at the forthcoming reviews. that the Registered Person obtains professional references for the applicants as priority and be more mindful when obtaining references. • Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 8 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. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 9 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 Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 10 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): 2. Quality in this outcome is good. This judgement has been made using available evidence including a visit to the service. Service users care and support needs were assessed by the home. EVIDENCE: There have been no admissions to the home since 2003. The individual service users files contained evidence that care and support needs assessments were carried out at the time of the admissions. Sisserou DS0000030770.V308253.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome is good. This judgement has been made using available evidence including a visit to the service. Service users had care plans that reflected their individual needs and choices. EVIDENCE: Each service user had an individual care plan that was based on their individual care and support needs assessments as well as written individual risk assessments. The care plans and the risk assessments were regularly reviewed and were in date at the time of the inspection. Sisserou DS0000030770.V308253.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to the service. Service users were encouraged to lead active lifestyles. Some issues were identified in relation to food provision. EVIDENCE: The service users’ files contained individual activities plans that indicated that they led active lives. One service user was engaged in a work-training scheme with one of the local stores. She also attended training in gardening, office skills, money and personal hygiene. Another service user attended training in communication using different media, while the other one followed up her interest in textiles and needlework through the local college. One service user told the inspector about her holiday in Norfolk that she enjoyed very much. Other two service users were due to go to the same place later this year. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 13 The home encouraged and supported the service users to develop and maintain their relationships with families and friends. The inspector was informed that one person talked with her mum on a daily basis, another one visited her sister every three weeks and from time to time, other family members. One service user’s mother came to visit her in the home every month. The inspector checked fresh vegetable supplies on both days of the inspection. She noted on the first day of the inspection that not much of fresh vegetables was available (only four small potatoes and six carrots). No frozen vegetables were available either. When the inspector returned to the home, the supply was ample. The inspector asked what the service users had for lunch on that day. She was informed that one service user got up really late and had corn flakes and milk midday. The other service user had biscuits with cheese. When the inspector commented that that did not sound as a healthy lunch, the staff member replied that that was what the service users wanted. The third service user was out. The inspector also observed the same staff member asking the service users what they wanted to eat for their supper. She wasn’t giving any suggestions or showing any ingredients available, did not maintain the eye-contact with the people she was talking with and used a monotone, flat colour of her voice. The inspector felt that the service users would benefit from more encouraging approach. After viewing the menu records and discussion with the Registered Person, the inspector recommended that the home developed the ways to encourage service users to have more nutritious, varied diet. The inspector also noted on the first day of the inspection that an opened jar of mayonnaise that was stored in the fridge was not dated. The Registered Person must ensure that all items of perishable food are dated when opened. Sisserou DS0000030770.V308253.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to the service. Service users’ physical and emotional needs were met, but the home failed to keep the appropriate medication and blood-sugar monitoring records. EVIDENCE: The service users were well groomed on both days of the inspection. Their individual care plans identified the assistance and support that the home provided in relation to personal care. Their health needs were also noted and the correspondence with other social and health care professionals indicated that the service users were supported to maintain their health and wellbeing. One service user was diabetic and district nurses visited her to administer insulin on a daily basis. The inspector was told that district nurses would indicate (again on a daily basis) when the sugar level in the blood should be measured. The nurses have trained the staff how to do that. The records seen indicated that this was not always done. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 15 The Registered Person must ensure that the sugar level in the blood of the diabetic service user is monitored in accordance with district nurses instructions. The inspector also checked the medication records. She found that the service user’s individual medication profiles haven’t always been updated as required and also that on the day of the inspection, the staff member signed for medicine as given to the service user, in advance. Although the inspector viewed the records in the morning, they indicated that the service user had already taken their night-time medicine for that day. The Registered Person must ensure that the appropriate medication procedure is implemented at the home at all times. Sisserou DS0000030770.V308253.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to the service. The home maintained the complaints-log, but the protection-log could not be found for inspection. EVIDENCE: The inspector viewed the complaints-log that indicated that the home dealt with five complaints since the previous inspection. Two of them were raised by the staff members regarding the service user’s behaviour and these were found by the Registered Person to be upheld. Three complaints were raised by the service user and these were found by the Registered Person not to be upheld. The inspector also asked to see the home’s Protection-log, as the inspector was aware that a referral concerning one service user has been made since the previous inspection. The Registered Person stated that the Protection-log was maintained. However, she was unable to locate it, despite being made aware via the telephone conversation a day before the visit that the inspector would like to see it. The Registered Person must ensure that appropriate records are kept of all protection issues in the home and that the protection issues are monitored. The inspector also noted that one service user was unkind to another more vulnerable service user and used derogative words to describe her in her presence. This was identified in her care plan as well as how to deal with it. The Registered Person stated that she arranged for the input from a Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 17 Psychologist in order to try to resolve this negative behavioural pattern, but without success. The inspector recommended that this was further discussed with Safeguarding Adults Officers and the service users’ Social Workers at the forthcoming reviews. The service users seemed to have formed good relationship despite the noted tensions. Staff had adult protection related training. Sisserou DS0000030770.V308253.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome is good. This judgement has been made using available evidence including a visit to the service. The environment was clean and well maintained. EVIDENCE: The inspector saw all areas of the home. They were well maintained and clean. One service user’s bedroom needed to be tided and this was identified in her notes. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 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): 32, 33, 34, 35 and 36. Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to the service. The home had a stable staff team. However, the staff was not always appropriately vetted or supervised. EVIDENCE: The Registered Person stated that the staff team consisted of one senior care assistants and five care assistants. Since the previous inspection, one staff has left and one staff has been recruited. The inspector was told that out of six, four staff (67 ) have achieved National Vocational Qualification (NVQ) in Health and Care, level 2, but were still awaiting their certificates. Another staff was due to commence her NVQ level 3 in the Autumn. There were two staff members on duty on the first day of the inspection and one staff and one trainee on the second day. The duty roster was displayed in the office and the staffing levels were appropriate. A staff member told the inspector that she found her work interesting and was happy to see how service users progressed: ”It is lovely to see them develop”. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 20 The inspector viewed the staff files for three staff members. All of them contained two references. The inspector discussed with the Registered Person the suitability of some references. For example: character rather then professional references being obtained by the home despite the workexperience declared in the application forms. Or in one case, it was not clear in what capacity the referee knew the applicant. The inspector recommended that the Registered Person should obtain professional references for the applicants as priority and be more mindful when obtaining references. All examined files also contained Criminal Records Bureau disclosures. However, two of them have not been obtained for working for this home/ company. The inspector was told that the staff have already applied for new, more appropriate disclosures. The Registered Person must ensure that appropriate disclosures for all the staff are obtained prior to them starting to work at Sisserou. The examined minutes of one-to-one supervision sessions indicated that these were not happening in the required frequency. The Registered Person must ensure that all the staff has regular, recorded oneto-one supervision meetings at least six times a year in addition to regular contact on day to day practice. The inspector was told that staff meetings were held on a quarterly basis. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 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, 42 and 43. Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to the service. The Registered Person monitored the care provision and developed a Business Plan. Some Health and Safety issues were identified at the inspection. EVIDENCE: The Registered Manager was also the owner of Sisserou as well as the next door care home called Maefin Lodge. She had many years of experience in care field. She had a degree in Psychology and a Management in Care qualification of advanced level. At the previous inspection, three requirements were made regarding conduct and management of the home. The Registered Person successfully dealt with two of them and was working towards achieving full compliance with one of the previously made requirements. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 22 The inspector was shown evidence of weekly monitoring of the service provision. The inspector was told that in the Registered Person’s Absence, the senior worker fulfilled that role. The business and development plan was made available in the home. The Registered Person also conducted a service satisfaction survey that included service users, their visitors and families and professionals who were involved in their care. The pictorial one page summary was available and was displayed in the hallway of the home. However, the inspector required that a more comprehensive report that encompassed the collated information is also made available to interested parties (including the Commission). The inspector noted that the Health and Safety poster that was displayed in the office was left blanked and required that it was filled in with the appropriate information. The inspector also checked some of the health and safety records that the home is required to keep. She was shown the environment related risk assessments that were regularly reviewed. The Gas-certificate was out of date and the related requirement was made. The Registered Person must ensure that the Gas-appliances are tested on an annual basis and that the appropriate certificates are available. The viewed fire-safety records indicated that the fire-tests were conducted on a weekly basis as required. The home also conducted two fire-drills since the previous inspection. Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 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 X 2 3 3 X 4 X 5 X 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 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 2 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 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 X 2 X X 2 3 Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes, one. 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 YA17 Regulation 16 Requirement The Registered Person must ensure that all items of perishable food are dated when opened. The Registered Person must ensure that the sugar level in the blood of the diabetic service user is monitored in accordance with district nurses instructions. The Registered Person must ensure that the appropriate medication procedure is implemented at the home at all times. The Registered Person must ensure that appropriate records are kept of all protection issues in the home and that the protection issues are monitored. The Registered Person must ensure that appropriate Criminal Records Bureau disclosures for all the staff are obtained prior to them starting to work at Sisserou. The Registered Person must ensure that all the staff has regular, recorded one-to-one supervision meetings at least six times a year in addition to DS0000030770.V308253.R01.S.doc Timescale for action 31/08/06 2. YA19 13 31/08/06 3. YA20 13 31/08/06 4. YA23 13 31/08/06 5. YA34 19 17/08/06 6. YA36 18 31/08/06 Sisserou Version 5.2 Page 25 7. YA39 24 8. 9 YA42 YA42 23 23 regular contact on day to day practice. The Registered Person must ensure that the results of service users’ and their representatives’ satisfaction surveys are published and made available to them and other interested parties, including the Commission. The previous target expired on 31/12/05. The Registered Person must fill in the Health and Safety poster with the appropriate information. The Registered Person must ensure that the Gas-appliances are tested on an annual basis and that the appropriate certificate is available. 30/11/06 30/09/06 30/09/06 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. 2. Refer to Standard YA17 YA23 Good Practice Recommendations The inspector recommended that the home developed the ways to encourage service users to have more nutritious, varied diet. The inspector recommended that the negative relationship between two service users was further discussed with Safeguarding Adults Officers and the service users’ Social Workers at the forthcoming reviews. The inspector recommended that the Registered Person obtained professional references for the applicants as priority and be more mindful when obtaining references. 3. YA34 Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Sisserou DS0000030770.V308253.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!