Inspection on 20/06/05 for 262 Tunnel Lane

This inspection was carried out on 20th June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

262 Tunnel Lane 30/01/08

262 Tunnel Lane 16/06/06

262 Tunnel Lane 01/11/05

262 Tunnel Lane 02/12/04

262 Tunnel Lane 30/04/04

262 Tunnel Lane 17/12/03

262 Tunnel Lane 16/09/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Tunnel Lane 262 Tunnel Lane Kings Heath Birmingham B14 6JX Lead Inspector Sarah Bennett Unannounced 20th June 2005 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 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 Stationary 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. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Tunnel Lane, 262 Address Kings Heath, Birmingham, West Midlands, B14 6JX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0121 443 4131 0121 443 4131 FCH Housing & Care Vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd December 2004 Brief Description of the Service: 262 Tunnel Lane, is located in Kings Heath, Birmingham. The home is set within an established residential area. It is not recognisable as a care home, but blends in with ordinary domestic houses. The home briefly comprises of the following, on the ground floor there is a kitchen, open plan dining room and lounge, a bathroom with walk in shower, a toilet and laundry room. There is one bedroom on the ground floor, the other four bedrooms are located on the first floor. There are two additional bathrooms with WCs. The staff sleep -in room is a combined office. To the rear of the home there is a large garden, which has ramped access and raised flowerbeds. The home has a combined lounge and dining room. There is no space for tenants to meet in private, other than tenants own bedrooms. There is no alternative room for tenants who smoke. An extractor fan is provided in the dining room, which is used by tenants who smoke. However, tenants are encouraged to smoke in the garden when possible. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over five and a half hours. A tour of the premises took place. Care, staff and health and safety records were looked at. Two tenants records were sampled. Five tenants and seven of the staff on duty were spoken to. The Operations Manager visited the home during the inspection. What the service does well: What has improved since the last inspection? A dietician is involved so that staff are aware of what food to provide for tenants to promote their well being. The lounge, dining room and kitchen have been redecorated. New carpets have been fitted in the hall and on the stairs. This has improved the environment for the people living at the home. The statement of purpose of the home has been written, which gives information about the home to tenants who may choose to live there in the future. Information in tenant’s records about health appointments they have been to are more detailed. All staff have received training in how to give medication to tenants. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 6 Staff regularly test the water temperatures to make sure they are not too hot or too cold for the tenants. 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. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 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 standard(s) 1, 5 Prospective tenants have some of the information they need to make an informed choice about where to live. Tenants do not have a contract that states the terms and conditions of their stay at the home. EVIDENCE: The statement of purpose of the home included all the relevant and required information. It was not produced in a format accessible to the tenants. The service users guide could not be found at the time of the inspection. Staff said that it had been completed and when found a copy will be sent to the CSCI. Tenants records sampled did not include individual contracts. The Operations Manager said that these are currently being reviewed and updated. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 9 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 standard(s) 6, 8, 9 The system to inform staff what individual needs are is not adequate and could lead to individuals needs not being met consistently. Tenants are consulted on what goes on in the home. Some further development is needed to ensure that all tenants are supported to take risks within a risk assessment framework. EVIDENCE: One of the tenants records sampled did not include an individual care plan. The other record sampled included a care plan that stated how staff were to support the tenant to meet their needs and achieve their goals. Two of the tenants are involved in the FCH tenants group, where they are given an opportunity to participate in what goes on in FCH and in the home. Tenants records sampled included some risk assessments that had been regularly reviewed and updated where necessary. However, one tenants record did not include risk assessments for the tenant when participating in household tasks. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 10 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 standard(s) 13, 14, 15, 16, 17 Arrangements are in place so that people living at the home experience a meaningful lifestyle. Tenants have appropriate family relationships. Tenants are offered a healthy diet and enjoy their meals. EVIDENCE: Tenants were observed being encouraged by staff to put away their clean laundry, to make drinks and to make their own lunch. Tenants records sampled showed that tenants regularly participate in household tasks. Tenants went to the local shops supported by staff. Tenants do college courses. Where appropriate tenants have their own bus pass. Staff said that a vehicle is provided for the home and that many of the staff are able to drive this. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 11 Tenants records sampled showed that tenants go shopping, for walks, to pubs, parks, the bank, barbers, out for lunch, bowling, football matches, museums, car boot sales, restaurants, craft centres and for day trips. Tenants said that they go to the cinema, swimming and to football matches. One of the Assistant Team Leaders had information about the City College programme, which they hope that tenants will be able to participate in from September 2005. This will involve developing the tenant’s skills in household tasks, gardening and social/leisure activities. The programme is run in-house with staff from City College assessing the portfolio that tenants produce. Financial awards are given that can be spent on leisure activities or on equipment to develop tenants daily living skills. Staff said that holidays for tenants have not yet been arranged, however they are looking at this. Tenants may go on a London theatre trip, if they want to. Staff said that some tenants prefer going out for day trips to holidays. Staff said and tenants records indicated that where appropriate tenants relatives visit them at the home and they visit their relatives. Where appropriate special diets are followed with advice from the dietician. During the inspection some staff were attending menu - planning training with the dietician. Staff said this was useful and will help them to provide more healthy options for tenants. Menus showed a variety of food is offered to tenants and that the cultural background of the tenants is reflected. Adequate food stocks were available in the home. Staff said that tenants and staff usually do the food shopping weekly at local supermarkets. Tenants said that they like the food that is provided. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 12 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 standard(s) 18, 19, 20 It is not clear how each tenant should be supported with their personal care or their health needs. The arrangements for the management of the medication protect tenants. EVIDENCE: Staff were observed to divert tenants attention to other activities when tenants displayed inappropriate behaviour. Tenants records sampled included behaviour management strategies. Tenants records sampled included manual handling risk assessments. One tenants records sampled did not include an individual care plan that detailed how the tenants health needs are to be met and how they will be supported with their personal care. Some tenants have epilepsy. Where appropriate rescue medication has been with involvement from the epilepsy nurse. Signed protocols are in place for individuals, signed by the Doctor, community nurse and the tenant’s representative. Tenants records sampled showed that where appropriate health professionals are involved in the care of tenants. These include the community nurse, speech and language therapist, dietician and psychiatrist. Some tenants have regular aromatherapy sessions. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 13 Tenants records sampled showed that tenants regularly visit the dentist and optician and where appropriate the chiropodist. One tenant is regularly weighed and a record of this is kept however, other tenants are not weighed. Records of health appointments are kept with the outcome and any advice from the health professional. Health Action Plans in line with the ‘Valuing People’ document are not yet in place. However, staff said that they had spoken to the community nurse who will be involved in developing these with individual tenants. Medication is stored in a locked cabinet. Boots supply the medication to the home using the monitored dosage system. Protocols were in place for all as required (PRN) medication. The pharmacist from Boots visits the home to audit the medication quarterly. Medication administration records cross-referenced with the monitored dosage system packs indicating that medication had been given as prescribed. Separate storage is provided for Controlled Drugs (CD’s) and these are checked by two staff in the handover between shifts and signed for in the CD register. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 14 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 standard(s) 22, 23 Arrangements for making complaints are not adequate to ensure tenants views are listened to and acted on. Arrangements for protecting tenants from abuse are not adequate. EVIDENCE: Tenants records included a copy of the homes complaints procedure, which included the relevant information. These were not produced in an accessible format. The Operations Manager said that cards have been produced in an accessible format for the tenants but these were not available at the time of this inspection. Staff said there have been no complaints since the last inspection. Two tenants financial records were examined. Each tenant has their own bank account. Bank statements seen showed that their benefits are regularly paid into their accounts and they receive their personal allowance as they are entitled to. A record of tenants’ personal expenditure is kept and receipts are kept of all purchases. Staff have not received training in adult protection and recognising abuse, however staff said this is planned for September and October 2005. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 15 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 standard(s) 24, 26, 27, 28, 30 Tenants live in a homely and comfortable environment. Tenants bedrooms need redecorating so that they will suit their needs and lifestyles. Shared spaces are not adequate to complement and supplement tenants individual rooms. EVIDENCE: The lounge and dining room have been redecorated since the last inspection. The hall and stair carpets have been replaced. The carpet in the lounge was stained and in need of cleaning. Staff said it had been cleaned a few weeks before but they would get it done again and it would need to be replaced if necessary. There were stains on some of the ground floor hall carpet. Tenants bedrooms contained many personal possessions. Bedrooms were in need of redecoration and were not decorated according to individual tastes. The kitchen units were showing signs of wear and tear. Some drawer fronts had been replaced with similar but not matching fronts. To the rear of the home is a large garden with grassed areas, hanging baskets, flowerbeds and shrubs. Garden furniture and a gazebo are provided. Some tenants were enjoying sitting in the garden during the inspection. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 16 Lidded bins were not provided in the toilets or shower room. Staff said that these were to be purchased later in the week, which will help to minimise the risk of cross infection. One of the bathrooms on the first floor was in need of redecoration. The home was clean and free from offensive odours. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 The arrangements for staffing the home, their support and development was variable. All staff vacancies need to be filled to enable tenants to be supported by an effective staff team. EVIDENCE: During the day there are five staff on duty until 4pm. From 4-10pm there are four staff on duty. At night there is one member of staff sleeping on the premises and one waking night staff. Staff said that there are vacancies for three support workers and the manager post is vacant. Reserve staff cover the support worker vacant hours. Staff said that three support workers have been recruited and are awaiting POVA checks and satisfactory references before starting work at the home. Staff rotas indicated that minimum staffing levels are met and few agency staff are used. The psychologist has delivered training to staff on behaviour and autism. Staff said that they have found this useful. Some staff have received a half-day training from Boots in administering medication. Staff said that new staff have been on the Learning Disability Award Framework (LDAF) training. One of the Assistant Team Leaders is doing NVQ level 3 and a support worker is doing NVQ level 2. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 18 Staff training records showed that not all staff have completed Food Hygiene training. No staff have completed training in adult protection and recognising abuse. Staff said that this planned for September & October 2005. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 42 The recruitment of a manager would enable tenants to benefit from a well run home. The health, safety and welfare of tenants is promoted and protected. EVIDENCE: Staff said that the manager post has been vacant since January 2005. There are two Assistant Team Leaders in post. The Operations Manager said that a manager was recruited but unfortunately they were offered another job and turned the post down. A Service Manager from FCH will be working in the home for two days per week so that there is regular management input until a manager is recruited. Fire records were looked at. These indicated that staff tests the fire alarm weekly and the emergency lighting monthly to make sure that they are working. A fire drill takes place at least every six months. A new fire alarm was installed in October 2004. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 20 The lift certificate stated that it was serviced in January 2005 and was working. Staff said that the lift is not used. Staff test the water temperatures regularly to make sure they are maintained at the safe level of 43 degrees centigrade. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x x 1 Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 2 2 2 x 2 Standard No 11 12 13 14 15 16 17 x x 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 2 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tunnel Lane Score 2 2 3 x Standard No 37 38 39 40 41 42 43 Score 1 x x x x 3 x E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 22 Yes 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 1 Regulation 5 (1) (a f), (2) 5 (1) Requirement A service users guide must be developed. A copy of this must be given to all tenants.(Previous timescale not met). Each tenant must have a copy of the contract;it needs to specify terms and conditions, fees, charges, facilities and rooms to be occupied. It should be in a suitable format and signed by the tenant and the manager.(Previous timescale not met). More specfic information and detail is required on tenants care plans. All documentation must be signed and dated and reviewed at least six monthly.(Previous timescale not met). Analysis of behaviour and health care needs must be undertaken. The results must inform care planning and care practice. All care documents must contain consistent information(Previous timescale not met). Evidence of tenants consultation in the development and review of the care plan must be available Timescale for action 31st August 2005 31st August 2005 2. 5 3. 6 17 (1) (a), Schedule 3 (1) (a, b), 15 (1) (2) 12 (1) (a), 13 (4) (b, c), 15 31st July 2005 4. 6 31st July 2005 & ongoing 5. 6 12 (2), 15 (1) 31st July 2005 Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 23 (Previous timescale not met). 6. 9 13 (4) (a,b,c) Risk assessments must be updated and kept under review. Risk assessments must be developed to underpin tenants participation in household tasks.(Previous timescale not met). How the health needs of tenants will be met must be fully documented in each tenants care plan.(Previous timescale not met). Each tenant must have a plan detailing how they will be supported to undertake personal care. (Previous timescale not met). Each tenant must have a Health Action Plan in line with Valuing People. All tenants must be weighed monthly and a record of these must be maintained in their personal records. The complaints procedure must be accessible to tenants who live at the home.(Previous timescale not met) The lounge and hall carpet must be cleaned regularly. If necessary the lounge carpet must be replaced. The kitchen units must be replaced. All tenants bedrooms must be redecorated. The bathroom on the first floor must be redecorated. Lidded bins must be provided in all bathrooms, toilets and the kitchen. 31st August 2005 & ongoing 7. 18 13 (1) (b) 31st July 2005 & ongoing 31st July 2005 & ongoing 30th September 2005 & ongoing 31st July 2005 & ongoing 31st August 2005 31st July 2005 & ongoing 31st January 2006 30th November 2005 31st October 2005 31st July 2005 & ongoing 8. 18 12 (1) (a) 9. 19 12 (1) (a), 13 (1) (b) 12 (1) (a) 10. 19 11. 22 22 (1) (2) (3) 23 (2) (d) 12. 24 13. 14. 15. 16. 24 26 27 30 23 (2) (b, c) 16 (2) ( c), 23 (2) (b, d) 23 (2) (b, d) 16 (2) (j, k) Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 24 17. 18. 33 23, 35 18 (1) (a) 13 (6), 18 (1) (a, c) 18 (1) (a, c) 8 (1) (a), 18 (1) (a) All staff vacancies must be recruited to. All staff must receive training in adult protection. All staff must receive training in food hygiene. (Previous timescale not met). A manager must be recruited to work at the home. 19. 35 20. 37 30th September 2005 31st October 2005 & ongoing 30th September 2005 & ongoing 30th September 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 1 Good Practice Recommendations The statement of purpose should be produced in an accessible format for the tenants. Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 25 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor Ladywood House 45-46 Stephenson Street B2 4UZ 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 Tunnel Lane E54 -E06 S16797 Tunnel Lane V234964 200605 Stage 4 - Final .doc Version 1.30 Page 26 - 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!