Inspection on 10/10/05 for Tang Hall

This inspection was carried out on 10th October 2005.

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

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

Other inspections for this house

Tang Hall 30/04/07

Tang Hall 11/05/06

Tang Hall 10/05/05

Tang Hall 07/12/04

Tang Hall 15/06/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOMES FOR OLDER PEOPLE Tang Hall 18 Cottage Grove Bockings Elm Clacton On Sea Essex CO16 8DH Lead Inspector Andrea Carter Unannounced Inspection 10th October 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tang Hall Address 18 Cottage Grove Bockings Elm Clacton On Sea Essex CO16 8DH 01255 421304 01255 423079 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) Mr Raju Ramasamy Mr Inayet Patel Manager post vacant Care Home 20 Category(ies) of Dementia (20), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (20) Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, aged 65 years and over, who require care by reason of a mental disorder (not to exceed 20 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 20 persons) The total number of service users accommodated must not exceed 20 persons Future admissions to the shared room must be as a result of active choice of service users to share a room 10th May 2005 Date of last inspection Brief Description of the Service: Tang Hall is a detached two-storey Care Home, situated in a quiet residential road on the outskirts of Clacton on Sea. The home is within walking distance of a range of local shops and a few minutes drive to the town centre. The premises have been extended several times but remain in keeping with the appearance of those in the surrounding area. Accommodation is provided on two floors, the first floor being accessible by means of a passenger lift. The home offers 18 single bedrooms with one double room, with many benefiting from en-suite facilities. Communal areas include a large lounge, dining room, small lobby and a quiet room set aside for meetings or private visits. There is a small accessible and secure garden to the rear of the property, with access via patio doors from the dining room. Parking is available at the front of the premises. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 10 October between the hours of 9:30am and 5:00pm, and involved sampling of service user files, polices, procedures and discussions with the acting manager, senior staff, service users and one partner of a service user. During the inspection there were eighteen service users in residence, one senior carer, three carers and a cook The inspection commenced with a tour of the building and an introduction to service users and staff on duty. The service users had just finished breakfast and were relaxing in the main lounge, or within their individual rooms. Two individuals choose to have breakfast in bed and were in the process of getting up. The partner of one service user reported his partner had been in residence for two years, and he felt the service was well run, with a good standard of care. The individual’s bedroom was personalized through consultation prior to admission and both staff and management were approachable in relation to any issues raised. The inspection focused on seventeen national minimum standards; nine standards were met, seven standards had minor shortfalls and one a major short fall with an immediate action notice being left at completion of the inspection. However the inspection was not considered concluded until the 10 November, due to awaiting additional documentation for review. What the service does well: The home ensures that all relatives and friends of service users, are made welcome at any time and communication is open between the relevant parties. support to maintain these links is evident through letters, phone calls and visits. The monthly visits by the local church are a positive experience for all those that attend. The opportunity to worship, sing hymns and listen to readings from the bible enables individual’s spiritual and religious needs to be met. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The home should review current working practices around assessment of risk for both service users and staff. Then in conjunction with this devise and implement a policy specifically around safe working practices. The appointment of a registered manager is considered imperative to help ensure the smooth and efficient running of the service. The Statement of Purpose and Service User Guide should also be reviewed to help ensure they contain all relevant information for both current and prospective service users. Copies of both should be forwarded to the Commission for Social Care Inspection. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 7 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. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 Prospective service users have the information they need to make an informed choice about where to live. The service users and their representatives know that the home will meet their needs EVIDENCE: The Statement of Purpose and Service Users Guide were provided to the inspector during the inspection. Both of these documents required updating due to the changes in the current management structure of the home. The files of three service users were sampled and each one contained a needs assessment of the individual prior to admission to the establishment, the acting manager undertook to progress this. During the pre admission assessment, not all areas are completed to provide a full overview of the individuals needs. Risk assessments were not undertaken for all service users, that would help ensure their safety and protection within the new environment. The care plan for each individual had been compiled from the pre admission document, and reflected the needs of the individual. There was evidence of a Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 10 review of individual need and activities and an activities assessment was in place. The risks around personal care had been identified for one service user. This should be made consistent practice across the service. The acting manager had undertaken the most recent assessments, including referral and access to outside specialist resources if required by individual service users. The completion of a training course around the needs of individuals with dementia, enabled the acting manager to train the staff team in this specific area, currently two staff members have completed the course. There are plans to implement this training across the whole staff group. This was a requirement form the previous inspection. The service does not currently provide intermediate care. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 9 and 10 Service users are supported to make decisions about their lives, with assistance as needed. Service users are protected by the homes policies and procedures for dealing with medication. Service users are treated with respect and their right to privacy upheld. EVIDENCE: The individual files sampled indicated that access to the following services took place; opticians, dentist, chiropody and the general practitioner. The individual assessments around health needs, only outlined the minimum needs of the individual, and there was no supporting information to confirm the level of input staff should provide. The district nurses provide support to those suffering from pressure sores, regular reviews of condition take place and there is full liaison with staff regarding treatment. Risk assessments are in place for nutritional screening, current practice indicates they are reviewed monthly. The service had recently enabled all Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 12 service users to be assessed by the Osteoporosis Society, to identify the risks of falls and fractures to individuals. The purchase of a weight chair enables all individuals weight to be monitored on a regular basis. Currently monthly reviews are undertaken and documentary evidence confirmed this. This was a requirement from the previous inspection. The establishment has a robust medication policy and procedures that help ensure the health and safety of service users in this area. At present no individuals self administer their medication. No controlled drugs are used. Service users files sampled indicated the use of a monitored dosage system .All medication was stored within an identified room, and locked securely. Staff files indicated that training was provided around the administration of medication, which was individually certificated. A senior staff member was interviewed and she clearly outlined the establishment’s policy and procedure around privacy and dignity. Positive examples were given of its application, to include use of language in communication and ensuring privacy during personal care and bathing. New staff are trained during their induction and appropriate ways to implemented practice are part of foundation training. Appointments with visiting health care professionals always takes place within the privacy of the individual’s room. One service users partner was very positive in respect of contact with the home. He spoke highly of his partners appearance, the care they received and their general well being. He also complimented the home and its staff for the overall cleanliness of the establishment. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 and 14 The service provided by the home enables service users to experience a lifestyle that meets their social, cultural, religious and recreational interests Service users maintain contact with family and friends/representatives and the local community if they wish. Service users are helped to exercise choice and control over their lives. EVIDENCE: The recreational activities on offer for the forthcoming week are displayed on a timetable within the main communal dining room. This is in written format on a white board that is completed daily and which also contains pictures and sentences about the weather and events. In conversation with service users reference was made by individuals to clarifying what they were discussing. A variety of activities were planned for the forthcoming week. These included painting, music and a sensory session incorporating relaxation music and instruments. On the day of the inspection several individuals were observed participating in, and preparing artwork for, the Halloween evening planned within the home. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 14 The local church attends once a month; this involves a service within the home Incorporating prayer, readings by the pastor and hymn singing. This is a positive and welcomed activity with a high number of attendances by the service user group The home provides signage to help ensure service users are familiar with their environment. Meal times are flexible within the allocated timescales identified. The acting manger is currently exploring the use of photographs at mealtimes to encourage further choice and understanding for individuals. The inspector spoke with a service uses partner who was complimentary about the service, visiting regularly between 2 – 3 times a week. They spoke of the support received from staff. Staff spoken to confirm the positive contact with visitors, outlining there were no restrictions on visits. One relative telephones his mother regularly from Japan. Letters are sent and received by other service users. There is a separate lounge area for individuals to meet with visitors or within their individual rooms if this is their preference. Management and staff clearly encourage individuals to make informed choices. One service users spoken to outlined that due to her impaired sight she prefers to remain within her room. She chooses to access the dining room for her meals, attends church services and other activities. Her choices are respected and clearly documented within her care plan. She also chooses to retain her own money and a clearly defined procedure is followed by staff. Those residing within the service and their relatives have access to the North Essex Advocacy team; with relevant information displayed for reference. To date this has not been accessed. Rooms observed by the inspector clearly reflected individual choice and contained items of furniture, personal belongings and effects brought with them upon admission. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were no inspected during this inspection. EVIDENCE: Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 26 Service users live in safe and comfortable surroundings. The home generally was clean and pleasant. EVIDENCE: The home had recently fitted thermostatic valves to all main water outlets providing washing and bathing facilities to service users, thus ensuring that the risk of scalding was reduced and that all water temperatures were monitored on a regular basis. This was a requirement from the last inspection. The home ensured that rooms of each individual were well ventilated and centrally heated; radiator guards were evident throughput the home. Emergency lighting was provided in all areas. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 17 In general terms the premises was clean and tidy but in several rooms and one hallway there was a strong smell of urine. Arrangements had been put in place to address this but now needs to be reviewed to ensure this problem is overcome. The laundry room has still not been constructed; therefore laundry continues to pass through the kitchen in a sealed Billy. This is at set times when the kitchen is not in use, first thing in the morning and after the lunch period, when the cook has completed her duties. There was written evidence that planning permission had been given for the laundry room, and the home was currently awaiting a date for the building to commence construction as the footings are in place. The proposed start date was late October 2005. There are also plans in the maintenance programme to fit all bathrooms with non slip flooring. The purchase of a new washing machine provides sluicing facilities. The home operates a sound infection control policy with appropriate procedures. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this inspection. EVIDENCE: Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 31 33 35 36 37 and 38 Staff are generally well trained and competent to do their job. The home currently has no registered manager, as the position is vacant. The home is run in the interest of the service uses but needs to implement a system of quality monitoring systems. Service users financial interests are safeguarded. Staff are appropriately supervised, but the content needs to expanded upon and the system made consistent within, the induction framework. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. The health, safety and welfare of service users and staff are promoted and protected generally. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 20 EVIDENCE: The acting manger has in place a training programme that covers the areas of mandatory training. Staff files sampled contained evidence that first aid had been completed in 2004; food hygiene in 2005; health and safety in 2005; manual handling in 2005; but no fire training had been undertaken. In relation to NVQ II training, seven staff have completed this level, with ten individuals currently underway and a further two individuals due to enrol in this current year. The acting manager has undertaken dementia training and has currently trained two staff to date and a third is due to complete shortly. An immediate requirement was issued in relation to there being no registered manager in post. The previous timescale of the 31/07/05 had not been met by the home and this had been carried over previously from 31/01/05. The current acting manger is undertaking the registered managers award NVQ level 4.There is a clear indication she is updating her current knowledge base, through the various courses she has attended. There was sound evidence that new systems had been devised and implemented by the acting manager, this included a training schedule, supervisions, and undertaking assessments. Reviews of service users needs take place with the relevant agencies, and a key worker system is in place that helps to review individuals needs on a monthly basis. The system for reviewing and improving the quality of care was not in place at the time of the inspection. Three service users records around finance were case tracked appropriate and related documentation was maintained. The individual’s monies are kept separately, with one individual taking sole responsibility for their own finances. The cash held all tallied and receipts for individual purchases were documented and filled accordingly. The personal effects brought to the establishment upon admission were listed within the persons individual care plan. The files of three staff members were sampled and two contained evidence of a sound induction, whilst the most recently appointed staff member had no evidence of an induction. A new supervision system has been devised and implemented since the last inspection. All staff have received formal supervision, with documentation confirming its regularity. The content of the supervision itself is limited and should be reviewed to incorporate further discussions around aspects of working practice, philosophy of care in the home and training and developmental needs of the individual staff member. The home has in place all documentation as listed in schedule 3. Approproate records are kept and maintained in respect of each individual service user. The care plans do not currently incorporate a section that identifies limitations placed on the individual through discussion and agreement. This should be Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 21 reviewed and documented accordingly to reflect this area of need that is affected. Regular reviews of the individual’s plan of care should be carried out consistently across the service. This will enable a change in individual need to be clearly identified and addressed appropriately. The report made under regulation 26(4) (C) is undertaken by the Responsible Individual but is not sent to the Commission for Social Care Inspection, or a copy retained within the home. The homes current Statement of Purpose should be updated to reflect the changes in the management structure. Staff files sampled held all appropriated records in respect of staff employed at the care home. A new service user guide was made available to the inspector during the inspection; this should be reviewed and additional information added to ensure it reflects the regulation requirements of regulation. All relevant paperwork is completed in respect of the protection of service users; this includes good documentary evidence of record keeping in relation to accidents and of appropriate documentation being forwarded to the Commission. The inspection focused on sampling records and documentary evidence to help ensure that the safety and welfare of both service users and staff is protected and promoted. All documentary evidence was available in the form of certificates of conformity for all relevant areas. Current certificates confirmed servicing of all appropriate items within the present year (2005). Staff training around manual handling was up to date and current. The identification of a training provider to access fire training was still being investigated. Two staff had attended an advanced first aid course and three staff were qualified nurses. The current cooks and the senior staff had completed food hygiene training. There was a robust policy around infection control and associated procedures. The implementation of water temperature checks ensured monitoring in relation to the prevention of legionnaires. Windows within the home were fitted with restrictors to help ensure the safety of those on upper floors. There was a clearly defined accident policy and relevant health and safety sheets were displayed. The home needs to ensure that risk assessments around safe working practices are carried out and implemented and a policy reflecting this requirement is devised. Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x x 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 X 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x 3 2 STAFFING Standard No Score 27 x 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 x 1 x 3 2 2 2 Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 6(a) (b) Requirement The registered person must ensure that the Statement of Purpose and Service Users Guide is kept under review and notify the Commission and service users of any such revision within 28 days. The registered person must ensure that unnecessary risks to health and safety of the service users are identified and so far as possible eliminated. The registered person must ensure that the assessments of service users needs are kept under review. The registered person must ensure that there are measures in place to ensure against the spread of infection. This specifically relates to the need to provide hand washing facilities in the laundry room. Carried over form the last inspection. (Previous timescale of 31/03/05 & 31/07/05 not met) The registered provider must ensue that persons employed at the care home receive training DS0000045521.V256725.R01.S.doc Timescale for action 31/01/06 1. OP4 13 (4)(c) 28/02/06 2. OP8 14 (2)(a) 28/02/06 3. OP26 13(3) 31/12/05 4. OP30 18(1) 31/12/06 Tang Hall Version 5.0 Page 24 5. OP31 8 6. OP33 24 7. OP36 18 (1)(c)(i) 8. OP37 15(2b) 26(15) 4(c,a,b) 9. OP38 4(a) appropriate to the work they perform.(This specifically relates to fire training for staff) The registered provider must 30/11/05 ensure that there is a manager in post, who is qualified, and competent to run the home. An application for registration must be made to the Commission for Social Care Inspection Carried over from the last inspection. (CSCI)(Previous timescales of 31/01/05 not met). The registered person must 31/12/05 ensure that they establish and maintain a system for reviewing and improving the quality of care in the home. Carried over from the last inspection. (Previous timescales of 31/03/05 & 31/07/05 not met). The registered person must 31/12/05 ensure that persons employed are trained appropriately to carry out the work they are to perform,(regular supervision and induction) 31/01/06 The registered person must ensure that the records kept in the home in relation to the service users plan of care are kept under regular review (This relates specifically to the infringement of rights of individual service users.). The registered manger must ensure that the regulation 26 visits are recorded and a copy retained by the acting manager and a copy forwarded to the Commission. The registered person must 31/01/06 ensure that all parts of the home are so far as practicably free from hazards and that an appropriate policy is devised in relation to safe working practices. DS0000045521.V256725.R01.S.doc Version 5.0 Page 25 Tang Hall RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Tang Hall DS0000045521.V256725.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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