Inspection on 28/11/06 for The Oaks

This inspection was carried out on 28th November 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 no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Oaks 27/11/07

The Oaks 05/10/05

The Oaks 24/05/05

The Oaks 13/01/05

The Oaks 29/07/04

The Oaks 15/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 The Oaks Blaydon Bank Gateshead Tyne & Wear NE214PU Lead Inspector Mrs Eileen Hulse Key Unannounced Inspection 28th November 2006 10:00 The Oaks DS0000007434.V313513.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 The Oaks DS0000007434.V313513.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. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Oaks Address Blaydon Bank Gateshead Tyne & Wear NE214PU 0191 414 1742 NO FAX 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) Miss Fiona Karen McCoull Mrs Kathleen McCoull Miss Fiona Karen McCoull Care Home 9 Category(ies) of Learning disability (9), Learning disability over registration, with number 65 years of age (4) of places The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5th October 2005 Brief Description of the Service: The Oaks provides personal care and support for 9 people with learning difficulties, with an age range between 50 to 71 years of mixed genders. It is privately owned and managed by one of the proprietors. The home cannot provide nursing care. It is located on a steep bank in Blaydon close to local amenities, including a shopping mall, library, medical health centre, local churches and public houses. Access to public transport to the City of Newcastle, Gateshead and the Metro Centre is a short distance away and there is a bus stop close to the home. The property is a converted 2 storey Victorian building offering single bedroom accommodation. The ground floor provides the communal facilities, 3 bedrooms and a bathroom fitted with an over the bath hoist. The home does not have lift facilities and there is no space available to install one, therefore the home remains unsuitable for people with physical disabilities. Internal access to the second floor level is by means of a wide staircase to further bedrooms, bathroom and WC, which are directly off the staircase onto a mezzanine level. The home has a small garden to the front and a paved area to the rear. There are plenty of on-street car parking spaces to the side of the home; parking is restricted to the front. The weekly fees are £327.50 to £469.51 per week depending upon care needs. Additional charges are made for hairdressing, outings, toiletries, newspapers, and transport. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took 5hrs 30mins to complete and was carried out as part of the annual inspection programme. The Registered Manager was present for most of the inspection. The inspector looked around the home and had lunch with service users. Information about quality of life and care received by service users was collected using a system called ‘case tracking’. This involves following the care and experience of a group of service users by looking at care plans, talking with people, sampling records such as accident and fire records, and medication taken by service users. The requirements made in previous inspection reports were discussed with the Manager and discussions took place with other staff members who were on duty at various times throughout the inspection. The judgements made are based on the evidence available during the inspection and from the pre inspection questionnaire that was provided by the home Manager before the site visit. This gave up to date information about the home to include within the report. No visitors visited to the home during the inspection. What the service does well: What has improved since the last inspection? The care plans have improved. They now include good information on service users personal choices that help staff to make sure that the needs of the service users are met. The risk assessments are well written and make sure that service users can live fulfilled lives with no restrictions placed on them as to what they can or cannot do. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 6 The storage and handling of medication is better and ensures that medication is stored securely and is safe. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Good assessments are included within the plans of care for all service users that help to form the basis of their care plan, this ensures that before admission, the home is able to know if the care needs can be met by them. Each service user has a detailed written contract that is signed and dated as an agreement between The Oaks proprietors and the service user. EVIDENCE: Records evidenced that all the service users living in the house have had needs assessments carried out by a Care Manager and the Manager of the home prior to their admission into the home. Following admission, each service user’s key worker repeats the assessment before completing a care plan. This process checks that the information given is accurate and that the care needs are being met on a daily basis. This information is also used within the review process and service users spoken with confirmed that meetings taking place to discuss if they are happy living in the home. Each service user ‘s contract explains in detail what care they can expect to receive and what their rights are, it also details what is expected of them in relation to how much notice they must give should they wish to leave and live The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 9 somewhere else. The contract also details how much they are expected to pay, what services are included and how the fees are made up. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected 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 area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The care plans have recently been developed into a new format. They are well written and contain information that will address all of the service user’s needs and give good guidance to staff regarding staff practice. EVIDENCE: The care plans are divided into manageable areas to enable easy access for both service users and staff. Three care plans were case tracked and each care plan was very detailed with good information such as the routines of the service users on a daily basis. One care plan described the routine on waking that informs staff to the waking time on days that (name) is at work and what (name) prefers to do when they are on their days off. Another care plan detailed what areas of the home (name) preferred to use and what size portions (name) chooses to eat. Other areas of the care plan referred to the routines on retiring to bed and stated information such as the number of pillows required, if the service user prefers The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 11 to have a bath before retiring, if they sleep well and if they choose to have checks on them by the night staff. The care plans also include picture formats to help service users to understand the content of their personal plans better. The section on activities states the date and details of what the activity is the service user has chosen and their signature. Recently the local dentist commented on the progress and good work in a particular area of the care plan where a programme was followed with staff support. The care plans are monitored on a weekly basis or whenever a need changes and evaluated every three months. The risk assessments within the care plans are well maintained, they contain step by step information so that they can be followed by staff in various situations and all of them were signed by the service users. The Oaks DS0000007434.V313513.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 area is good. This judgement has been made from evidence gathered both during and before the visit to this service. There is a good range of social activities made available to all service users to fulfil lifestyles and they are able to make positive choices on how they choose to spend their leisure time. Service users are supported to maintain personal relationships and friendships and to maintain contact with their families. Service users are offered varied and nutritious meals with good choices for everyone. EVIDENCE: On the day of the inspection, two service users were out of the home and at a day centre, one service user was at work and other service users were preparing to go to the local weekly tea dance. Two service users commented on much they enjoyed this activity every week. One service user talked about her involvement as part of a healthy living project that is organised by the The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 13 Healthcare Trust. Service users discussed some of the other activities that take place regularly and comments they made included: ‘I love the keep fit sessions we have’ ‘I like going to college as I make things, this week I have made a wildlife banner’ ‘I like to be out and about especially going to the pictures’ One service user talked about a weekend he recently enjoyed. He has a tent and went camping overnight as he is interested in astrology and he took his telescope so that he could study the stars. Activities that the service users had taken part in was well documented within the social care plan. The information was recorded showing the date of the activity, what the activity was and a comment on how the service user enjoyed it. The service users and a member of staff signed all records regarding activities within the plan of care. One member of staff explained that all service users are given options on what they prefer to do so that they can choose activites both within the home and externally. The key workers form part of the formal review and lifestyle options for the service users are discussed at this time. Care plans that were case tracked confirmed that this takes place on a regular basis. (staff member) stated ‘I am hoping and trying to arrange to take two service users to the test cricket’ During the visit, a meal was taken with service users who were at home for the day. The meal consisted of various fillings in sandwiches and a yogurt or item of fruit for sweet. Service users commented on the meal, ‘we can have anything we want to eat’. There was good rapport between the service users and staff during the meal. Help and assistance was discreetly offered to service users and safeguarding the persons independence was evident throughout the meal and several service users commented that they had enjoyed their lunch. The menu showed that the evening meal consists of something cooked when everyone is home. The Oaks DS0000007434.V313513.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): Quality in this area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. Three care plans that were case tracked contained good information on the healthcare needs of service users with good staff guidance that help to ensure the healthcare needs are met. The Policy and Procedures regarding medication in the home are good. However, the Medicine Administration Records were not completed satisfactorily; therefore, service users are not protected and given medication safely. EVIDENCE: Three care plans were case tracked and in each one there was evidence to suggest that the healthcare needs of service users are well recorded. Service users are supported by key workers when attending hospital appointments or GP visits. Service users who go out independently are asked if they would like staff support to attend appointments. All service users are given a GP of their choosing as long as the surgery is in the catchment area and records showed the District Nurse supports the home. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 15 Medication is now stored securely in a double locked cupboard and a lockable fridge has been purchased for medicines that need to be stored under a certain temperature, records show the fridge temperatures are tested twice every day. The drugs returns book is up to date and well maintained, staff enter appropriate information such as the date, signature and record information on the medicines being returned in the record and the person collecting the medication also signs this record. The home uses a monitored dosage system that helps to ensure the safe storage and administration of medicines. A drug audit on three service users used as part of the case tracking process was correct. Although the mar (medicine administration record) sheets were completed and up to date, when staff are administering the medication, the second member of staff is countersigning the records on the same sheet. This is altering the recording of the number of tablets held within the home. The Manager was advised that a second member of staff can witness the administration of medicines but cannot sign the records that are given by the pharmacy. As part of the staff training commitment, three members of staff who have responsibility for administering medication have recently completed the ‘Safer Handling Of Medicines’ course. The Oaks DS0000007434.V313513.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): Quality in this area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. The policies and procedures are well written and if followed by staff should protect the service users from possible abuse. As part of the case tracking process, service users money held by the home for safekeeping was checked. Procedures in this area were poor, money is not held securely and safely and therefore service users are not protected against any possible abuse. Service users do not have a copy of the complaints procedure should they feel they need to complain about the service. EVIDENCE: Service users money held by the home for safekeeping was found to be pooled together and stored in a tin. An audit of the money held could not be carried out as no receipts for the expenditure had been entered into the service users finance records. All service users have individual finance books but these were not up to date and were not maintained. Each service users bedroom does have a digital safe in place that helps to protect service users personal possessions. The home has now accessed a copy of the Local Authorities (POVA) Protection of Vulnerable Adults procedures and staff have attended training in this area from the Local Authority. Discussions with service users evidenced they know how to make a complaint should they feel they need to. Comments from service users included: The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 17 ‘I am happy the home looks after my money but I always have some in my purse’ ‘I tell my key worker if I am not happy about something and I can always speak to the Manager on the phone’ ‘I am happy here and never have anything to complain about’ ‘I love it here and never have anything to complain about’ Talking with staff, they were able to explain in detail what they would do if they received a complaint whilst they were on duty and clearly understood the procedures to follow in the event of a complaint made to them. Although no relatives visited the service during the inspection, they made comments on the questionnaire regarding the need to make a complaint. They all commented they have never needed to make a complaint but knew the procedure should they wish to so. The Oaks DS0000007434.V313513.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): Quality in this area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home is clean and well maintained making it comfortable and homely for service users living there. However, Some issues still need to be attended to ensure the home is safe for the people living there. EVIDENCE: Improvement to the furnishing and decoration of the home is continuing. The dining room has been recently refurbished with a new carpet being fitted and the room has been decorated. Service users were complimentary about some of the work that has been done in the home and comments made were: ‘I love the dining room since it has been decorated’ ‘Some of us have lovely new furniture in our bedrooms’ ‘I like the furniture in my room, I chose it myself, the staff helped me’ ‘We have a new window’ The dining room has a large number of light bulbs not working so the room is not as bright as it could be. The Staircase has dampness to the walls causing The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 19 the wallpaper to peel off and the windowsill is missing in the bathroom making the area very damp. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. Staffing levels within the home are good and sufficient in numbers to enable the needs of service users to be addressed. This helps to ensure service users can live the lifestyle they prefer. The recruitment and selection of staff procedures are not robust and therefore do not protect the people living in the home. EVIDENCE: The individual staff training files contain mandatory training schedules for the current year. This ensures the staff team receive the annual basic training required that will help to keep service users safe. The records also show that there is a range of training provided for the staff that includes first aid, moving and handling, food hygiene, risk assessment and infection control. Specialist training is optional at the discretion of the Manager. There are eleven staff employed at the home, 45 of the staff team now hold an NVQ qualification. The home has a policy and procedure available when recruiting new staff to the service, records showed procedures are not always adhered to when new staff are selected. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 21 The file of a newly appointed member of staff showed two references had been obtained, a Criminal Records Bureau check and an application form was completed but there were no records concerning the actual interview, how this person was selected, the personal details form was left blank and no induction training had commenced since commencing employment. Training was discussed with the staff on duty and comments they made included: ‘I have completed medication training which I really enjoyed’ ‘I like learning as I think it helps me to do my job better’ ‘I recently completed medication training and person centred planning, I am not keen on training but I know it is essential to increase my knowledge’ The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home is managed by a qualified and competent Manager. However, systems used within the home need to be improved to ensure the quality of a good service. The home is managed to an adequate level that can help to ensure that service users needs and aims of the home are met. EVIDENCE: The home’s Manager, Ms Fiona McCoull has managed the home for six years, she is a Registered Learning Disability First Level Nurse and has a great deal of experience of working with this Service User group and has many valuable relevant skills. She has recently achieved the Registered Managers Award. There is no evidence that the two proprietors do audits of the service on a monthly basis. No Regulation 26 reports have been received by CSCI. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 23 Records of these visits are not sent to CSCI and therefore checks to systems and management arrangements in the home are not recorded which would help the home to evidence that it provides a good quality of care that is monitored on a regular basis. The home does not have a formal quality assurance system available and therefore does not assist the home to ensure it meets the needs of service users and the statement of stated aims and objectives. Some systems have been implemented as part of a quality audit. Twice in the last year questionnaires have been given to service users, their families and other professionals visiting the home. All were completed and returned stating the home provides a good quality of care and felt no improvements were necessary. CSCI has not received an evaluation audit of the questionnaires. The Manager has implemented a quality audit system of the care provided to service users, this is carried out monthly by one of the senior care staff. Records evidenced this takes place every month Fire safety records and the accident book are both well maintained and up to date. Fire tests and drills are carried out on the due dates. This ensures service users are living in a safe environment. The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 2 23 1 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 1 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 x 3 X 2 x x 3 x The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 25 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 YA20 Regulation 13 Medication recording system must be completed correctly by one member of staff 2 YA22 22 All service users must have a copy of the complaints procedure in a format suitable to them 3 YA23 10 Money held for safe keeping must not be pooled and finance records must be completed 4 YA24 16 The refurbishment plans for the home must be completed. (Previous timescale of 24 May 2005 not met) 5 YA24 16 Light bulbs must be replaced and damp areas of the home repaired 6 YA32 18 50 of the staff team must hold a qualification 01/03/07 01/02/07 31/03/07 01/02/07 01/03/07 Requirement Timescale for action 01/02/07 The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 26 7 YA34 19 Recruitment policies and procedures must be used when interviewing new staff 01/02/07 8 YA39 24 The Manager must implement a quality assurance system 01/03/07 9 YA41 17 The proprietor must carry our visits to the home and send record to CSCI 01/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 The Oaks DS0000007434.V313513.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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