Inspection on 13/12/06 for Tudor Lodge

This inspection was carried out on 13th December 2006.

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.

Other inspections for this house

Tudor Lodge 03/12/08

Tudor Lodge 01/03/06

Tudor Lodge 22/08/05

Tudor Lodge 31/01/05

Tudor Lodge 10/08/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Tudor Lodge 8 Brightstowe Road Burnham-on-Sea Somerset TA8 2HW Lead Inspector Jane Poole Unannounced Inspection 13th December 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Tudor Lodge DS0000015974.V320862.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. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tudor Lodge Address 8 Brightstowe Road Burnham-on-Sea Somerset TA8 2HW 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) 01278 784277 01278 786844 mail@tudorlodge.net www.tudorlodge.net JDA Care Limited Mrs Judith Isabel Arnold Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1/03/06 Brief Description of the Service: Tudor Lodge is registered with the Commission for Social Care Inspection to provide personal care for up to 27 residents over the age of 65. Nursing care is not provided. The Home is owned by JDA Care Limited. One of the Directors -Mrs Judy Arnold - is also the registered manager. In keeping with the properties around it, the home is a large older style building, in a residential area of Burnham-on-Sea. Various aids and adaptations have been fitted to enable service users to move freely around the home. There is a passenger lift and a chair lift providing access to different areas. All communal areas are on the ground floor. Fees at the home range from £361.00 to £460.00 per week. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a six hour period by one inspector. The inspector was able to spend time talking with staff and service users, both in private and in communal areas. All members of the management team were at the home and made all records requested available. The inspector was given unrestricted access to all areas of the building and was therefore able to view the premises and observe care practices. Two visitors/relatives completed comment cards prior to the inspection and one visitor was spoken to on the day. What the service does well: Tudor Lodge is a well maintained home with a warm relaxed atmosphere. All areas of the home were immaculately clean and fresh on the day of the inspection. All prospective service users have their needs assessed before being offered a place at the home. All those spoken to said that they had been able to visit and spend time in the home before making a decision to take up residence. New service users receive a service user guide and a contract making it clear what is included in the fee. There was evidence that the physical and mental health of service users is monitored and all service users have access to appropriate health and social care professionals. All service users spoken to felt that their privacy and dignity was respected. The inspector observed that staff interacted with service users in a friendly respectful manner. It was apparent that staff, and the management of the home, had a good knowledge of service users and requests for assistance were responded to promptly and sensitively. Service users are free to decide how and where they spend their time. There is a varied programme of activities and entertainment which service users are able to take part in if they wish to. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 6 There are excellent quality assurance systems in place, which take account of the views of service users and their representatives. These ensure a high standard of care and a well maintained home. When asked what were the best things about living at Tudor Lodge service users gave various answers. One person said that it was “the care and the company” another said that it was the fact that they “remained in control but knew there was always someone to call on.” Several people felt that the best things about the home were the staff. They were described as “kind and patient,” “ always cheerful and happy to help” and “extremely approachable.” Everyone asked stated that they felt safe at the home and knew any worries or concerns would be dealt with. Staff asked felt that it was a very nice place to work. They felt that there were ample opportunities for training and good communication which led to a happy team atmosphere. What has improved since the last inspection? What they could do better: Service users could not think of anything that the home could do better. One person said “I don’t think anyone could improve it.” Another service user said that “if there is anything that you don’t like, you just have to tell someone and they improve it.” One requirement has been made at this inspection. Currently the home do not check new employees against the Protection Of Vulnerable Adults (POVA) Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 7 register until they begin work in the home. As the process can take some days this means that people are working in the home without these checks in place. This was discussed with the management team who agreed to address this issue. 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. Tudor Lodge DS0000015974.V320862.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 Tudor Lodge DS0000015974.V320862.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): 1, 2, 3 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users have their needs assessed before being offered a place at the home. Prospective service users are able to visit and spend time in the home before deciding to move in. Intermediate care is not provided. EVIDENCE: The home has a statement of purpose and service user guide, which gives up to date information about the home and its facilities. The service user guide is written in plain English and clearly sets out what is included in the fee. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 10 Service users spoken to during the inspection stated that they had received a copy of the service user guide and had signed a contract with the home. The inspector viewed the personal files relating to three service users. All contained pre admission assessments that had been completed by either the care manager of Tudor Lodge or professionals outside the home. All service users receive a copy of their pre admission assessment. Service users spoken to during the inspection stated that they and their representatives had been able to visit the home prior to making a decision to move in. Two people stated that they had originally stayed on a respite basis which gave them an opportunity to spend an extended length at the home before deciding to take up permanent residence. Tudor Lodge DS0000015974.V320862.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): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to healthcare professionals appropriate to their individual needs. Service users are treated with dignity at all times and their privacy is respected. EVIDENCE: The inspector viewed the care plans of three service users living at the home. All contained assessments of need including nutrition and moving and handling. An assessment of daily needs including social needs had been completed in respect of each individual. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 12 There was evidence that care plans were reviewed monthly and up dated when needs or preferences changed. Service users spoken to stated that they were assisted with personal care in a way that respected their privacy and dignity. One person stated that although they had found it difficult to accept help with intimate tasks the staff were extremely sensitive which made the situation much more comfortable. The inspector noted that staff knocked on service users doors before entering and interacted in a friendly respectful manner. Service users stated that they continued to feel in control of their day to day lives and were able to determine how and when they were assisted. The home has good communication with local healthcare professionals and records are kept of all appointments. Care plan records show that people are accessing GP’s, opticians, dentists and the district nursing team. The inspector noted that during the inspection the home enabled service users to see professional visitors in private. All service users asked stated that the staff assisted them to make and attend appointments with health and social care professionals. The management gave evidence that they monitor the physical and mental health of service users and seek advice where appropriate. Although the home aim to care for people as long as they wish to remain at the home they appreciate that there are times when service users needs would be better meet in a nursing home environment and therefore seek re-assessments when needed. The home uses a Monitored Dosage System for medication and all staff who administer medication have received training in this area. There are adequate storage facilities for medication including storage for controlled drugs. The inspector viewed the Medication Administration Records and found them to be well maintained and correctly signed when administered or refused. A sample of controlled drugs was checked and stocks held correlated with records kept. Tudor Lodge DS0000015974.V320862.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): 12, 13, 14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users maintain control over their day to day lives and have opportunities to express their views on many aspects of their care. There are ample opportunities for social interaction and visitors are always made welcome. EVIDENCE: Routines in the home are flexible in line with the needs and wishes of service users. There are no set times to get up or go to bed and people are free to choose how they spend their day. There is an extensive activity and entertainment programme in the home. Activities include keep fit, quizzes, aromatherapy, arts and crafts, trips out and visiting musicians. Service users stated that they are able to join in with sessions that interest them but there is no pressure to join in with organised Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 14 activities which are not to their liking. Many people said how much they enjoyed the aromatherapy sessions. Service users are free to spend time alone in their rooms or to socialise in the communal areas. On the day of the inspection some people were enjoying time in their rooms whilst others were enjoying the company and social stimulation of the communal areas. At the time of the inspection the staff were decorating the home for Christmas and planning outings for service users. One member of staff had recently completed an activities training course which they said was extremely good and had given them lots of ideas for further enhancing activities in the home. Visitors are welcome at the home at all reasonable times. One visitor was spoken to during the inspection and two more completed comment cards prior to the inspection. All stated that they were always made welcome in the home and always able to see their relative/friend in private. Many service users stated that they continued to enjoy going out with friends and family and all felt comfortable to invite people to the home. Service users felt that they remained in control of their day to day lives and continued to make choices. Service users are able to bring personal possessions with them to the home which gives individual rooms a very personal and domestic feel. Many service users have telephones in their rooms and there is a payphone available in a private area. All personal mail is delivered unopened to individual service users. The home does not act as a financial appointee or power of attorney for any service user. The main meal of the day is at lunch-time with a choice of two sittings. The weeks’ menu is displayed outside the dining room and there is always a choice of two main courses. One person who requires a specialist diet stated that the management had “gone out of their way to make sure they had a good variety of food including some special treats.” Since the last inspection a new cook has been employed and there has been some changes to the menu. The home has gone to great lengths to seek the Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 15 views of the service users and ensure that the menu is in line with their preferences. Food has been discussed at service users meetings and with individuals. Recently a survey was conducted to enable people express their views. Service users spoken to had mixed views on the menu in the home but all agreed that the quality of food was good. The inspector observed lunch being served, it was well presented and appeared nutritious. Tables were nicely laid and fresh vegetables were available on each table for service users to help themselves to and therefore determine the size of portion. The inspector was impressed by the effort being made by the home to ensure that service users views were taken into account when planning the menu. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 16 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): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management in the home is approachable and takes all concerns raised seriously. Recruitment procedures need to be improved to ensure that any risks to service users are minimised. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. A copy of the complaints procedure is available in the service user guide, which is given to all service users, and is on display in the entrance hall. All service users spoken to stated that they would be comfortable to raise any concerns or complaints with a member of staff or the management team. All felt confident that the home would take their concern seriously and address any issues raised appropriately. A complaints log is maintained and this shows that appropriate action is taken to investigate any issues bought to their attention. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 17 The inspector observed that service users had unrestricted access to all communal areas and their private rooms. The inspector viewed the recruitment files of the three most recently appointed staff and was concerned to note that, although enhanced Criminal Records Bureau checks were in place, none had been checked against the Protection Of Vulnerable Adults (POVA) register before commencing work. This was discussed with the management team who agreed to address this issue and ensure that all new staff were checked against the POVA register before they commenced work. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 18 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): 19, 20, 21, 22, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tudor Lodge provides a warm and comfortable environment for service users. The standards of cleanliness are excellent. EVIDENCE: The home is located in a quiet residential area of Burnham on Sea. It is within close proximity to the sea front and the town centre. All areas of the home are fitted with a fire detection and call bell system. There is an ongoing plan of refurbishment and redecoration, which ensures that all areas of the home are maintained to a high standard. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 19 All communal areas are located on the ground floor and are accessible to service users with all levels of mobility. There is a lounge, conservatory and dining room. All communal areas are comfortable and homely. At the main entrance to the home there is a large hallway with comfortable seating. Outside there is a pleasant garden with seating for service users. Various aids and adaptations have been installed to enable service users to maintain their independence as far as possible. Service users personal accommodation is set over two floors with a passenger lift between. There are 23 single rooms and two doubles, 20 of the rooms have en suite facilities ranging from a toilet and wash hand basin to full bathrooms. ( All bedrooms have wash hand basins and toilets close by.) The inspector viewed a sample of service users bedrooms. All had been personalised to reflect the tastes and needs of their occupants. Service users stated that they are able to bring personal possessions, including small items of furniture, with them to the home. There is a small laundry, which is appropriate to the needs of the home. The standard of cleanliness in the home is excellent. Many service users commented on the hard work of the cleaning team and how much they appreciated that the home was always clean and fresh. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 20 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): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are confident in their roles and respond to requests for assistance in a prompt and sensitive manner. The recruitment procedures need to be improved to minimise the risks of abuse to service users. EVIDENCE: The home employs 15 care staff and 7 ancillary workers. 9 members of the care staff team (60 ) have a National Vocational Qualification in care at level 2 or above.(Figures taken from pre inspection questionnaire.) Staff spoken to during the inspection were very happy with the level of training made available to them. All had completed courses in health and safety issues and training in specific areas relating to the care of older people Staff and service users asked felt that the home was adequately staffed to meet the needs of the current service user group. Both relatives/visitors who completed comment cards answered YES to the question “In your opinion are there always sufficient numbers of staff on duty?” Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 21 Service users stated that if they rang their call bell during the day or night staff responded very quickly. Staff observed during the inspection interacted with service users in a friendly respectful manner. It was noted that any requests for assistance were responded to in a prompt and sensitive way. Staff stated that there was good communication in the home, which led to a happy atmosphere. The inspector viewed the recruitment files of the three most recently appointed members of staff. All contained completed application forms and signed contracts. Two references had been obtained for each person. Enhanced Criminal Records Bureau checks had been applied for once people had begun work but the three files showed that none had been checked against the Protection Of Vulnerable Adults register before they commenced work in the home. As previously stated the management gave assurances that this would be addressed. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 22 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): 31, 32, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed taking account of the views of service users and other interested parties. Appropriate measures are in place to ensure the health and safety of service users. EVIDENCE: There is a clear management structure which is detailed in the statement of purpose and the service user guide. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 23 The registered manager is Judy Arnold who is also a joint proprietor. She has managed the home for many years and is able to demonstrate an excellent knowledge of the home and service users. In addition to the registered manager there is a care manager who is a registered nurse and also has many years experience of working with older people. Both have attained the Registered Managers Award (NVQ level 4.) There is also an operations manager who has also recently completed the Registered Managers Award. Service users and staff spoken to during the inspection felt that the home was well managed. People stated that all members of the management team were very visible in the home and they felt able to approach them at anytime. There are staff and service users meeting held in the home that people felt was an opportunity to share information and make suggestions about the home. The inspector observed that interactions between the managers, service users and staff were very relaxed and friendly. In addition to verbally checking out with service users that they are happy with the service and facilities offered the home carries out regular surveys. Surveys are analysed and any issues are taken to service user meetings to be further discussed. There is also a suggestions box in the main entrance that enables people, including visitors, to write their suggestions. This can be done anonymously if preferred. All service users spoken to during the inspection felt that their opinions were always viewed as very important and that the home worked hard to seek their views. The home has developed an annual improvement programme, which covers areas of care, building maintenance and up grading. All areas of the home are well maintained and regular checks are undertaken to ensure that safety is maintained. The fire log was viewed by the inspector. A risk assessment has been completed and records show that the alarms and emergency torches are tested weekly. Emergency lighting is tested monthly. All fire safety equipment is regularly serviced by outside contractors. There are certificates in the home giving evidence that the electrical and gas installations have been checked by outside contractors. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 24 Portable electrical appliances were tested in August 2006. All lifting equipment i.e. assisted bathing facilities and hoists was last serviced in July of this year. Hot water temperatures in communal bathrooms were tested by the inspector and found to be within recommended limits. Hot surfaces, such as radiators, have been guarded to minimise the risk of burns. As previously stated the home does not handle the financial affairs of any person living at the home. Individual rooms have lockable facilities where people can store money or valuables. Up to date certificates of insurance and registration are displayed. Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 25 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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 3 X 3 X 4 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 x 3 x x 3 Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 26 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 OP18 OP29 Regulation 19 (4) Requirement The manager must ensure that all new staff are checked against the Protection Of Vulnerable Adults (POVA) register before they commence work in the home. Timescale for action 13/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tudor Lodge DS0000015974.V320862.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Tudor Lodge DS0000015974.V320862.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!