Inspection on 17/02/09 for Tanglewood, St Austell

This inspection was carried out on 17th February 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tanglewood, St Austell 19/03/10

Tanglewood, St Austell 23/02/07

Tanglewood, St Austell 16/11/05

Tanglewood, St Austell 03/05/05

Tanglewood, St Austell 07/12/04

Tanglewood, St Austell 10/06/04

Tanglewood, St Austell 11/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Tanglewood, St Austell Coombe Road Lanjeth, High Street St Austell Cornwall PL26 7TL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ian Wright     Date: 1 7 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Tanglewood, St Austell Coombe Road Lanjeth, High Street St Austell Cornwall PL26 7TL 0172671088 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): mail@dcact.org Spectrum Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 3 Tanglewood is a detached bungalow in the village of Lanjeth, near St Austell. The home provides accommodation and care for up to three people with autism or Aspergers Syndrome. The registered provider is Spectrum, an organisation which provides specialist services for people with autism or Aspergers Syndrome. The manager is Mandy Pearce, who currently is not registered with CSCI. The accommodation consists of three single bedrooms, a large lounge, separate dining room, kitchen, bathroom and an activity room. The front access has two sets of two steps. There is a rear access with one step. The lounge is accessed via two fairly deep steps. There is a large garden with a patio, lawn and fishpond at the back and car parking space at the front. The office provides the staff sleeping-in room. The home has vehicles to assist transportation in the community. Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home The fees as given at the time of the inspection were from £908.74 per week. Fees are based on an assessment of individual needs. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection took place in four and a half hours in one day. All the key standards were inspected. The methodology used for this inspection was: (1) To case track two people using the service. This included inspecting their records. (2) Discussing care practices with staff and management. (3) Inspecting records and the care environment. (4) Surveying staff and people who use the service regarding their views. Other evidence gathered since the previous inspection such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. Care Homes for Adults (18-65 years) Page 6 of 30 Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information provided to people who use the service (e.g. regarding services offered) is good. For example all people who use the service (and /or their representatives ) receive a statement of terms and conditions of residency or contract when they move in. This ensures people are aware of their rights and responsibilities. Pre admission assessment procedures are satisfactory and ensure the registered provider checks it can meet the persons needs before admission is arranged. Improvement is however required regarding staff being trained in Makaton to assist effective communication with at least one of the people living at the home. Evidence: We inspected a copy of the homes statement of purpose and service user guide. These contain satisfactory information about the service. The staff group have developed pictorial forms of the service user guide. This may be helpful in assisting the people using the service to understand their rights and responsibilities at the home. The registered provider has a satisfactory assessment procedure. For example prospective clients and their families visit the home before admission is arranged. Care Homes for Adults (18-65 years) Page 10 of 30 Evidence: Senior staff visit and meet the person as part of the assessment process. The person concerned also visits the home as part of the assessment process. There have been no admissions to the service since the last inspection. We were concerned regarding one person uses Makaton as their main form of communication. Staff are not being formally trained as part of the homes training programme in this form of communication. The manager did tell us one of the staff was a trainer in this area, and some training is cascaded by this person, as well as by the resident concerned , to other staff. However the registered provider does need to ensure all staff are formally trained in Makaton from the time they begin to work at the home. We were able to inspect contracts / statements of terms and conditions of residency for people using the service. Information inspected was satisfactory. Care Homes for Adults (18-65 years) Page 11 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory care planning procedures are in place. There is satisfactory opportunity for people to participate in making choices and be involved in decision making. Staff enable people using the service to take an appropriate level of risk so they can pursue as independent a lifestyle as possible. These measures ensure the needs of people who use the service are met, and they are given the opportunity to make choices how they lead their lives. However there needs to be improved facilities for the storage of money and valuables in order to improve security. Evidence: A care plan was contained on the file for each person we case tracked. Care plans are accessible to staff. There is a review process in operation, and people who use the service (and / or their representatives) are invited to the review meetings that occur. From discussion and observation, people who use the service are as much as possible involved in making decisions about their lives, and how the home is run. Where Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: restrictions are in place, these are recorded. Restrictions in place appear appropriate considering peoples needs. Staff said one person did not appear to be very happy now at the service, and was at times presenting some difficult and challenging behaviour which may be a sign of unhappiness. There is some concern in the team of the impact of this behaviour on others in the home. However, it does appear management are trying to address the matter for example looking into alternative accommodation within the Spectrum group of homes. It is important the relevant social services department is involved in this process, if they are not already. Suitable risk taking seems to take place to enable people using the service to live as independently as possible. The home has its own transport, which enables people to participate in community activities. Suitable risk assessments are kept on file, and reviewed as necessary. Personal monies are managed by staff on behalf of people using the service. Money is held in cash tins. It is important that cash tins are locked away for example in a safe or a secure cupboard. Suitable records are kept regarding any expenditure. Management have appropriate systems to ensure financial records are checked. Care Homes for Adults (18-65 years) Page 13 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered provider ensures people living in the home can live a lifestyle which meets their needs and wishes. Evidence: People using the service have the opportunity to pursue a range of activities such as going horse riding, attending work placements, going to college, the leisure centre etc. Social and shopping trips are organised according to the wishes and needs of individuals. There is evidence from daily records that people participate in a lot of activities. What activities people are pursuing are displayed in pictorial form in the dining area of the home. People have opportunity to visit friends and relatives and these people also visit the home. Routines in the home seem appropriate according to individual needs. People can Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: spend their time in the part of the home where they wish. There was a relaxed and friendly atmosphere in the home throughout the time of the inspection. People living in the home are involved in housework and cooking. Daily meals are displayed in pictorial form on a notice board in the kitchen. Records also show people appear to have a varied and nutritious diet. Care Homes for Adults (18-65 years) Page 15 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and health care needs of people living in the appear to be satisfactorily promoted and met. The management of medication is satisfactory. Evidence: We observed people using the service receiving suitable care and support from staff. Support was carried out in a professional, but relaxed and friendly manner. Documentation regarding how care tasks are completed is satisfactorily documented in care plans. People living in the home appear to have their personal hygiene needs met. All people using the service looked well cared for on the day of the inspection. There was a record of several falls in regard to one person using the service. This needs to be risk assessed via a manual handling assessment- and methods investigated to minimise the number of falls-if this is possible. People living in the service have suitable access to health care professionals such as GPs, dentists, district nurses, chiropodists, opticians etc. Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: We inspected the medication system. The medication policy seems satisfactory. Medication is stored appropriately in a medication cupboard. Medication is administered via a monitored dosage system supplied by a local pharmacist. Staff have received appropriate training regarding handling medication. Administration and recording of medication seems satisfactory. Care Homes for Adults (18-65 years) Page 17 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered provider has a satisfactory complaints and adult safeguarding procedures. This should help to ensure any concerns, complaints and safeguarding allegations are investigated appropriately. Evidence: Copies of the complaints and adult safeguarding procedures were inspected and are satisfactory. Staff on duty were not aware of any complaints or concerns. The Commission for Social Care Inspection has not received any complaints during this inspection period. We would advise the registered provider to include information regarding access to the social services complaints procedure within their procedure and / or within individual service user guides. People who are funded by local authorities have a right to use this procedure if they are funded by social services, and subsequently they should be made aware of this. The registered providers adult safeguarding procedure is satisfactory. Care staff said they would inform the manager if they suspected any abuse had occurred. Staff could not find the adult safeguarding policy, but this was found after a phone call to senior staff. It is advisable that staff receive a refresher regarding safeguarding procedures, and they are made aware of where the policy is stored. This could be completed as Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: part of the staff meeting. Training regarding safeguarding is delivered to care staff as part of their induction. Staff who we spoke to, said they had no concerns regarding the attitudes of other staff or care practices in the home. Care Homes for Adults (18-65 years) Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Tanglewood provides a suitable facility for the people living there. Evidence: The building was inspected. Three people are accommodated at the home. The home is a spacious bungalow. There is a kitchen, and a a lounge / dining area. There is suitable toilet and bathing facilities. It is advisable thermostatic valves are fitted to all bath and shower facilities to limit the risk of scalding, however water temperatures are checked when people bathe. Each person has their own bedroom. One person has an en suite facility. The garage is converted and is used for a calming area (for therapeutic purposes if one of the people living in the home is agitated). The area is also used for recreational purposes. There is an office, which is also used as staff sleep in accommodation. Decorations and furnishings are to a good standard. The home has a large pleasant garden which are accessible to the people living in the home. There is suitable car parking areas available. The home is situated in a small village near St Austell. There is a bus into the town from Lanjeth. The registered provider has transport so people can move around the community. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: The home was clean, warm and light enough on the day of the inspection. The kitchen was clean. Laundry facilities are satisfactory. The outside of the building and the gardens are maintained to a satisfactory standard. Care Homes for Adults (18-65 years) Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels appear satisfactory to meet the needs of people currently accommodated at the home. Recruitment checks are to a good standard. Improvement is required regarding staff training. These measures ensure people who use the service are supported by suitably knowledgeable and skilled staff. Evidence: On the day of the inspection there was three members of staff on duty during the morning and three members of staff in the afternoon/evening. One member of staff sleeps in. Personnel records were inspected for the staff on duty for the day of the inspection. These were satisfactory.Staff employed had two references, a Protection of Vulnerable Adults First check (POVA First) , a Criminal Records Bureau check (CRB) , a completed application form and evidence of identification. It would be helpful if a scanned copy of the POVA First check is stored with other personnel records on the Spectrum records system. This will help us validate this check has been completed before the member of staff has commenced employment. We inspected training records for the same sample group of staff. By law staff require Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: the following training: * Regular fire training in accordance with the requirements of the fire authority. *There must always be at least one first aider on duty (at appointed person level) *All staff must have manual handling training and should have regular updates of this (e.g. annually) *All staff must have basic training in infection control. * Staff who handle food receive food hygiene training. * All staff must have an induction and there needs to be a record of this. * Awareness training regarding the needs of people accommodated. The delivery of training is generally satisfactory. The registered provider offers staff a comprehensive staff induction which covers the majority of the elements required by law. Staff subsequently attend follow up training which covers the areas more comprehensively. However, some of the staff files inspected show that some of the staff still need to attend the follow up training. Some staff need to receive infection control training. It would make sense basic training (e.g hand washing techniques, use of protective clothing, minimising cross contamination etc.) was included as a short module as part of the initial induction. All the legal training requirements should be covered, in the induction modules, when the person commences employment. Some staff also need refresher training. For example one person, who was due to sleep in the night of the inspection last received first aid training in October 2005. This training needs to be recompleted every three years. Staff need to have training regarding Makaton; as highlighted in the first section of this report. It is also essential all staff have training regarding epilepsy for example regarding awareness of the types of this condition, and procedures which need to be followed to assist people who have a seizure etc. This training needs to be organised as a priority so people using the service are safe. There are good opportunities for staff to obtain a National Vocational Qualification in care. When staff have received an NVQ 2 there is the opportunity to obtain an NVQ 3 in care if this is deemed by management as appropriate. Care Homes for Adults (18-65 years) Page 23 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager and the staff team are effective in ensuring the service is managed to a good standard. However it is essential the application for the registered manager is submitted to the commission to be processed. Quality assurance procedures appear satisfactory. Health and safety procedures and checks are generally to a satisfactory standard. However improvement is required regarding the prevention of legionella. The policy and procedure file needs to be updated. Evidence: The registered provider is Spectrum, a registered charity supporting people with autism/aspergers syndrome. The manager said she has completed her application to be registered with the Commission for Social Care Inspection. However the commission has not received this and the registered provider needs to organise its submission as a priority. However, the home seems to operate to a good standard. Routines seem to balance the need to have a relaxed friendly atmosphere, underpinned by the staff group working in an organised fashion. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: The registered provider has a satisfactory approach to quality assurance. For example an annual development plan was inspected for the service. This was developed by the manager in January 2009. The registered provider has supplied the commission with their Annual Quality Assurance Assessment (AQAA) (an annual dataset, and self assessment required by CSCI). This was completed to a good standard. Any notifications, required by the commission (e.g. regarding untoward incidents) appear to have been received by us. We know that Spectrum has an up to date and comprehensive set of policies and procedures. However, the policies and procedure files in the home are dated May 2003. Some policies e.g. quality assurance were absent from the file, and the adult safeguarding policy was in a filing cabinet unbeknown to the staff on duty. It is essential an up to date set of policies (particularly those required by regulation) are kept in the home, accessible to staff, and staff are aware of the existence of policies they need to have a knowledge of. The registered provider has a health and safety policy. There is a fire risk assessment. Testing of fire extinguishers and the fire system appear to have been completed appropriately by external contractors. Internal checks on the fire system appear to have been completed appropriately by staff (e.g.emergency call points and emergency lighting). Health and safety risk assessments have been completed. However, we did not view any risk assessment or routine testing records regarding the prevention of legionella. If this is not occurring this needs to be organised. The Health and Safety Executive publish a useful document regarding this matter via their website. As stated earlier in the report, it is strongly advisable that the temperature of hot water is controlled via thermostat to reduce the risk of scalding. The Environmental Health Department may require this particularly considering the needs of the current people accommodated at the home. Suitable records regarding accidents and incidents are kept. Portable electrical appliances have been tested and appear satisfactory. The electrical hardwire circuit has been tested. The test results were satisfactory. Gas appliances have been serviced. An up to date certificate of insurance is displayed. Care Homes for Adults (18-65 years) Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 3 18 The registered provider needs to ensure all staff are formally trained to use the Makaton signing system. This will ensure people using the service can improve communication with staff who work with them 01/06/2009 2 9 16 There must be a secure 01/04/2009 place where money and valuables of people using the service can be deposited for safe keeping. This will ensure these items are kept more securely. 3 35 18 Staff need to receive training as outlined in the body of the report. This will ensure all staff have appropriate knowledge and skills, in accordance with the law and to meet the needs of the people accommodated in the home. 01/06/2009 Care Homes for Adults (18-65 years) Page 27 of 30 4 37 8 Submit an application for the manager to be registered with the Commission for Social Care Inspection. This will ensure the manager is deemed as fit by the commission to manage the home. 01/04/2009 5 40 12 Update policies and procedures in the home, ensure staff are aware of these and they are available for inspection This will help to ensure staff are fully aware of the policies they need to work to. 01/04/2009 6 42 12 Ensure a risk assessment is completed, and any subsequent control measures are introduced regarding the prevention of legionella. This should help to ensure staff and people who use the service are protected from this disease 01/04/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 22 Ensure there is reference to the Social Services Complaints procedure, in the homes complaints procedure, and /or service user guide, as people funded by local authorities have a right to use this if they have a concern or a complaint. Care Homes for Adults (18-65 years) Page 28 of 30 2 27 Fit thermostatic valves to control the temperature of hot water, particularly in regard to bathing facilities Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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