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Inspection on 12/09/08 for The Whispers Care Home

Also see our care home review for The Whispers Care Home for more information

This inspection was carried out on 12th September 2008.

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

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

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

What the care home does well

The home provides a comfortable environment that is appropriate to the needs of people who live there. The resident`s benefit from being provided with single bedrooms with en-suite facilities and bright and airy communal areas where they can meet and socialise. Meals are provided in the communal dining room in a relaxed and unhurried manner. The home is clean and well maintained throughout and is wholly accessible to people with physical disabilities. Residents feel well cared for and trust the staff to provide the right care. Relatives, residents and visitors to the home say that the staff are thoughtful, warm and caring and provide personal care to the residents with sensitivity & kindness. Relatives and friends are warmly welcomed to the home and are offered appropriate hospitality during their visits.

What has improved since the last inspection?

Since the last inspection the home has continued to develop its policies and procedures in line with good practice. New documentation has been introduced and effective quality monitoring systems have been put in place. Building works on the ground floor are near completion, which will offer residents a more spacious and comfortable place to live. The home has continued to recruit to its vacant positions. There is no reliance on agency staff to cover gaps in the roster. The staff recruited are keen to learn and enhance their skills. Several staff are undertaking National Vocational Qualifications to improve their skills and knowledge. A new experienced Manager has been recruited since the last inspection. All outstanding requirements from previous inspections have been met.

What the care home could do better:

There is a need to fully risk assess the use of supplementary heating in residents bedrooms. The Fire Authority should be consulted about the use of portable heaters and asked for their advice about the use of guards to protect residents from harm.Recruitment practices should be robust to safeguard residents from abuse and exploitation. All staff should provide two written references and explain gaps in their employment history at interview. Staff should be provided with the opportunity to participate in more training to enhance their knowledge and skills, particularly `safeguarding`, health and safety and fire training.

CARE HOMES FOR OLDER PEOPLE The Whispers Care Home 30 Rambler Lane Langley Slough Berks SL3 7RR Lead Inspector Julie Willis Unannounced Inspection 12th September 2008 10:00 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 The Whispers Care Home DS0000047604.V372252.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 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. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Whispers Care Home Address 30 Rambler Lane Langley Slough Berks SL3 7RR 01753 527300 01753 527300 hyaremoni@hotmail.com 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) Mrs Mohanjit K Hyare Mrs Mohanjit K Hyare Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th March 2008 Brief Description of the Service: The Whispers is a small independently owned residential home for 19 service users situated in a quiet cul-de-sac off the A4 Bath Road linking Slough and Langley. This home is a converted domestic house, which still retains some of the original structural and décor embellishments when built and is set in a moderate sized garden encompassed by large residential properties. The fees charged range from £450 to £490 per week and include basic hotel costs of staffing, meals, drinks, laundry and accommodation. Additional charges are made for hairdressing and chiropody. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that people who use this service experience adequate quality outcomes. This unannounced inspection took place on weekday morning and afternoon over the course of five hours. It was conducted by Julie Willis – Inspector and Tim Inkson – Regulation Manager. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. Prior to the visit survey and comment cards for residents and visiting professionals such as doctors and nurses were sent to the Manager for distribution. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met all of the residents. The inspector also spent time talking informally to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service has a good awareness and understanding of equality and diversity issues and would be able to provide positive outcomes for residents in the areas of race, ethnicity, age, gender, sexuality, disability and belief. The inspectors gave feedback about their findings to the homes Proprietor and Manager at the end of inspection. There were three legal requirements made as a result of this inspection. The Commission has received no information concerning complaints since the last inspection in March 2008. The home has been subject to Enforcement Action by the Commission over the past year. The home was previously inspected on the 23rd November and 10th December 2007, 25th January, 4th March and 27th March 2008. Reports of these inspections are available on request. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: There is a need to fully risk assess the use of supplementary heating in residents bedrooms. The Fire Authority should be consulted about the use of portable heaters and asked for their advice about the use of guards to protect residents from harm. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 7 Recruitment practices should be robust to safeguard residents from abuse and exploitation. All staff should provide two written references and explain gaps in their employment history at interview. Staff should be provided with the opportunity to participate in more training to enhance their knowledge and skills, particularly ‘safeguarding’, health and safety and fire training. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 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 The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard3 People using the service experience good outcomes in this area. Service users are fully assessed prior to admission to ensure their needs can be effectively met by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although there have been no new admissions to the home recently there was evidence in the care files that a full needs assessment is undertaken prior to admission. The pre-admission assessment is holistic in content and includes information about the residents health and personal care needs, along with information about the residents dietary needs, communication needs, mobility needs, history of falls, continence, medication regime and mental state. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 10 Information is gathered from a variety of sources, including the user, their family and other health and social care professionals. The information gathered is used to produce an initial care plan and to ensure that any aids or equipment needed by the user are available on admission. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 People who use the service experience adequate outcomes in this area. The health and personal care that people receive is based on their individual need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector examined care documentation for ten residents. It was evident that the care plans are developed holistically as they consider all aspects of a person’s lifestyle including their personal, health and social care needs. They give an overview of the resident’s general health and act as an indicator and trigger for when referral should be made to other health & social care professionals for further specialist advice and support. There is a need however, to order the information in care plans for ease of use. Examination of the care plans evidenced that information is recorded in several places in each of the files, which makes navigation through the information difficult for staff. Much of the information is duplicated in several areas of each file. A thorough The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 12 revision of the information contained in files would be of benefit and would make them easier to use. Observation of care practice concluded that users were encouraged to remain as independent as possible by providing appropriate levels of support to maintain the users privacy, dignity and independence. Staff were observed to provide personal care in a discreet and sensitive manner and were heard to be polite and courteous to users at all times. There is a need however, to remind staff to knock on bedroom doors before entering as one member of staff forgot to do this and interrupted the private conversation between one of the inspectors and a resident. General practitioners, community nurses and other social and healthcare professionals are regular visitors to the home and provide advice to the staff on all aspects of care. Residents confirm that they regularly see the GP and are referred to hospital when necessary for further treatment. Routine screening and preventative treatments are provided to all residents of the home including dentistry, chiropody, hearing and sight tests. From examination of the medication administration system and discussion with senior staff it is clear that the home follows best practice guidance when administering drugs. Senior staff have been trained in the administration of medication. A monitored dosage system is in operation at the home and medication is delivered to the home on a monthly basis. Storage systems are effective and disposal systems are safe. Residents made generally positive comments about the quality of care they were receiving including “I’m very happy here, I’ve everything I want”, “staff are kind”, “I can get up in the morning when I want”, “they wash me and I dress myself”, “its alright here, they dress and bath me, they are always polite” The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 People using the service experience adequate outcomes in this area. There is a limited range of activities available at the home to occupy residents. Food is of satisfactory quality. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A range of activities are provided at the home by the activities organiser who visits once a week. Several residents said that they looked forward to her visits. Other leisure activities are provided by the staff on a daily basis. At the time of inspection residents were joining in a sing-a-long in the lounge during the morning and were watching television and chatting to visitors in the afternoon. One resident that had resided at the home for three years told the inspectors that since they moved to the home they had been given the opportunity to go to a pantomime, the theatre and to Bognor Regis but felt they should have the opportunity to go out more often. Service users confirmed that their visitors are made most welcome at any time and are offered appropriate hospitality during their visits. One relative The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 14 confirmed that they were able to visit at anytime and were always made welcome. Another said that they didn’t visit often but felt that they could visit when they wished. The routines of the home are planned around resident’s needs and wishes when possible. People may rise and retire at a time of their choosing and may spend their time alone in their rooms or in the communal areas as they wish. One resident said, “we don’t have to be in a bed by a certain time”, “I go to bed when I feel tired” another said “my bed is my own, I have a brandy each night, but it doesn’t help me sleep”. One resident said, “ I get up when I want and choose what I want for my breakfast”, “there are no hard and fast rules here”. The food provided by the home is satisfactory quality. The home has a menu, which is varied and rotated on a four weekly basis. The chef was interviewed and confirmed that they kept a record of food provided to each resident. They said that two of the residents required a pureed diet due to swallowing difficulties. Documentation confirmed that a Speech & Language Therapist had recommended pureed meals. The Chef confirmed that they were able to provide food to meet the needs of people’s cultural and religious preferences. One resident requires a menu free from beef and alternatives are provided when needed. The inspectors had the opportunity to observe how lunch was provided to residents. Lunch was served in the dining room at 12.30pm. Residents were seated four to a table that were pleasantly set with cloths, serviettes and small vases of flowers. One resident enjoyed a glass of sherry before their lunch. Residents had a choice of soup or grapefruit segments followed by fish, chips and peas. One user chose sausages as an alternative to the main course. Dessert was fruit and custard or ice cream. Residents said “its quite nice”, “the foods OK, but a bit samey”. Another said, “the foods alright, it varies day-today, sometimes its good sometimes not so good” The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 People using the service experience adequate outcomes in this area. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Not all of the staff have received ‘Safeguarding’ training, which should be mandatory for all staff to protect residents from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaint policy in the home meets the requirement of Regulation and Standard. Residents are provided with information on how to make a complaint and the stages and time scales for action. The complaints procedure is written in plain English and is easy to understand. It is displayed in each copy of the service user guide. There is a need to update the contact point for the CSCI to the Maidstone office. Examination of the complaint records indicated that there have been 3 complaints made to the home since December 2007. The details of complaints were well documented and evidenced the investigation undertaken and the outcome to complainants. Two of the three complaints were upheld and measures have been put in place to reduce the likelihood of recurrence. The The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 16 CSCI has received no information about complaints about the home since the last inspection in March 2007. Examination of the homes training records indicates a shortfall in ‘Safeguarding’ training. Only 4 staff have received formal training in the past year. There is a need to ensure that all staff receive safeguarding training as a matter of priority to ensure that staff are fully aware of their responsibilities in relation to ‘whistle-blowing’ and local safeguarding protocols. One member of staff interviewed confirmed that they were not entirely clear about safeguarding issues but understood that any concerns should be referred to the local Social Services department. Another also said that they weren’t sure about safeguarding matters but would refer any concerns to Social Services. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 People using the service experience good outcomes in this area. The standards of décor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspectors undertook a tour of the premises. The communal lounges and dining area are pleasantly decorated and furnished in a homely manner. The large extension to the lounge is warm, light and airy but is in need of some new furniture to make it more comfortable and inviting for the residents. The ramp that leads to the garden from the French doors needs to have handrails fitted to ensure residents can use it safely. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 18 Lighting throughout the home is domestic in character and bright enough to meet the needs of residents with visual impairment. All bedrooms have en-suite facilities. Elsewhere in the home there is a choice of bathing facilities with a number of assisted baths and showers and strategically placed toilets. The home was odour free and clean and hygienic throughout. The home has an effective infection control policy. The home operates the red-sack system for soiled linen and staff are aware of the need to wear protective clothing when dealing with contaminated materials. Residents confirmed that the communal areas of the home are always clean and tidy and their bedrooms are kept well maintained and free from dust. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29, 30 People using the service experience adequate outcomes in this area. Staffing levels are sufficient to meet the needs of the residents. Staff recruitment procedures are not sufficiently robust and staff lack the necessary training to protect residents from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has successfully recruited to the majority of its permanent posts in recent weeks. Examination of the staff rosters evidenced that there were sufficient numbers of staff on duty at all times to meet the needs of the residents, with particular attention given to busy times of the day. Examination of five staff files evidenced that the selection and recruitment procedures at this home are not sufficiently robust to protect residents from harm. One member of staff had only one reference and there was no evidence that gaps in recruitment history were routinely followed up at interview. There was evidence that staff are fully inducted to Skills for Care standard but there is a shortfall in the frequency of mandatory training. Evidence from the ‘training log’ identified significant gaps in core skills training for some of the new and existing staff. There is a need to ensure that all staff receive The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 20 safeguarding training, health & safety and fire safety training as a matter of urgency to protect residents from risk of harm. Residents confirmed that the staff team are caring and kind and they are confident that the staff are able to care for them effectively. Staff interviewed by the inspector appeared to have a good understanding of how their individual role benefits the work of the team and a thorough knowledge of the key values that underpin their work with frail elderly residents. They said that they were happy at the home and enjoyed working there. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 & 38 People using the service experience adequate outcomes in this area. The Manager is new in post and is yet to make an impact on the daily running of the home. There is a need for the home to provide some continuity in management to improve the general outcomes for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of inspection the newly appointed Manager had only been in post for two days and was still undergoing her induction to the home. The Proprietor Mrs Hyare was introducing the Manager to her new role. The new Manager is a qualified nurse with recent experience of managing a nursing The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 22 home. She is keen to fully develop in her role as Manager of the Whispers and to introduce new systems and ideas based on good practice. Since the last inspection in March 2008 the home has continued to improve its policies, procedures and practices. New documentation has been introduced throughout the home. Management recognise that there is a need for a period of consolidation and evaluation of newly introduced policies and procedures to ensure that they benefit residents and provide better outcomes overall. Building works continue on the second floor and the new extension to the lounge has been completed with minimal disruption to the residents. Residents confirmed that they are happy with the outcome and look forward to its full usage. The home does not hold funds in the form of cash accounts for or on behalf of residents. All residents monies are dealt with by the resident themselves or by a relative or advocate. Quality assurance systems in the home continue to be developed. An external consultant is undertaking the (Regulation 26) Proprietors Representative visits. A recent customer satisfaction survey carried out in February 2008 has provided positive feedback from residents and relatives and there are plans to repeat the survey in the near future to ensure the home continues to improve outcomes for residents. Examination of a sample of health & safety records indicated that they were up to date and in good order. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as a safe and risk free environment for residents. There is a need however, to fully risk assess the supplementary heating in residents bedrooms, as there is a risk to residents if they should fall against unguarded radiators. Advice should be sought from the Fire Authority about their usage. The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 2 The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 OP38 Regulation 13 (4) Requirement Ensure that the use of supplementary heating in resident’s bedroom is fully risk assessed. Advice should be sought from the Fire Authority about its usage to protect residents from harm. Ensure that recruitment practices are robust enough to protect residents from harm • Ensure that all staff have two satisfactory written references • Ensure that gaps in employment records are explored at interview and recorded Ensure that staff are provided with training they need to meet residents needs safely & effectively • Ensure all staff undertake training in ‘Safeguarding’, health & safety, fire safety Timescale for action 12/10/08 2 OP29 9 (Schedule 2) 12/10/08 3 OP30 18 (1) c (i) 12/12/08 The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 25 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 Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Whispers Care Home DS0000047604.V372252.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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