Care Home: Eastridge Manor

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What the care home does well The home provides personal care to thirty-two older people with mental health needs. Residents have access to walk throughout the home and there are pleasant seating areas in the home.Staff receive ongoing training which has included some training in dementia care in order to meet the needs of the residents admitted to the home. The manager has been in post since July 2006 and a deputy manager who takes responsibility for co-ordinating staff training has also been appointed. All residents were well groomed and well dressed and the staff said that this was treated as a priority in order to maintain the standards that the residents would have wished for themselves. Residents are able to make choices about the routines of their daily lives and if necessary, helped to make these choices with the staff being aware of their previous lifestyles from the care plans and preadmission assessment. What has improved since the last inspection? The recently appointed manager and deputy have commenced ensuring that documentation is in place to fully ensure the needs of the residents in the home are being met, have commenced staff supervision and increased staff training. The home is in the process of being refurbished and redecorated, plans for an extension, which will include a nursing wing, are in process. Residents commented on the improvements the redecoration had made to the home. Full risk assessments have been put in place to ensure residents safety during the refurbishment process. Requirements made at the last inspection, which were to ensure that the drug fridge was kept locked, that a formal quality assurance process was commenced and that the provider produced reports on his visits to the home under Regulation 26, have been complied with. What the care home could do better: The manager should ensure that no member of staff is allowed to commence work at the home without Protection of Vulnerable Adults checks, Criminal Records Bureau checks relevant to this group of care homes, and references from previous employers being in place.One of the main requisites in the care of the older person with mental health disorders is that they are kept stimulated and able to take part in activities that meet their abilities. Formal activities are provided for a few hours a week only, and residents are unable to go on outings or for walks. One questionnaire received said that ` There is little stimulation, and residents rarely go out, my relatives mobility has deteriorated`, whilst two residents said that ` I miss the shops and going out`. ` There is not much opportunity to go out which is a shame`. Whilst care plans identified residents` leisure interests there was no evidence that the activities programme included these. The service user guide is given to all residents on admission for them to look at, but is then kept in their files. Many residents currently in the home would benefit from keeping this to refer to a required. CARE HOMES FOR OLDER PEOPLE Eastridge Manor Wineham Lane Bolney Haywards Heath West Sussex RH17 5SD Lead Inspector Elizabeth Dudley Unannounced Inspection 10:00 8 November 2007 th 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 Eastridge Manor DS0000065674.V347646.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. Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastridge Manor Address Wineham Lane Bolney Haywards Heath West Sussex RH17 5SD 01444 881768 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) South Coast Nursing Homes Limited Ms Anne Mabey Care Home 32 Category(ies) of Dementia (32), Old age, not falling within any registration, with number other category (4) of places Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 4 persons in the OP category may be accommodated, with the total number of people not exceeding 32. 14th November 2006 Date of last inspection Brief Description of the Service: Eastridge Manor is a Care Home, which provides care and support to elderly people who have dementia and other related mental disorders. It is currently registered to accommodate up to thirty-two residents. Conditions of registration will be reviewed by the South East Registration Team as part of the ‘Modernising Registration Agenda’. The home is a detached property, presently in the process of being extended and refurbished and is situated in the village of Wineham. Communal accommodation consists of two lounges, a dining room, a conservatory and a large hall where residents like to sit in the comfortable armchairs and a sofa. Private accommodation consists of twenty-nine single rooms of which twentyseven have en suite facilities and two double rooms, which can be used as either double or single rooms. Both double rooms have en suite facilities. The registered provider is South Coast Nursing Home Limited. The current scale (as notified on the 8th November 2007) of fees being charged at the home is from £540 to £670 per week. Charges for extra services including chiropody and hairdressing are not included in the fees, and these can be obtained from the manager. Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place on the 8th November 2007 over a period of six hours and was facilitated by the appointed manager, Ms Jennie Kramer, and the deputy manager. The appointed manager has applied for registration with the CSCI and will be referred to as ‘ the manager’ throughout this report. Methods used to collect information about the home included examination of documentation in the home, observation of staff working with residents, the serving of lunches and conversations with residents, staff and visitors to the home. All residents were spoken with during the inspection, and six residents were spoken with in depth and gave their views on life in the home. The inspector sat in on an activities session where a quiz was in progress and spoke to two visitors. Documentation examined included care plans, personnel files, staff training and supervision records, catering records and health and safety files. Prior to the inspection questionnaires were sent out to relatives, residents and staff. Of these five were returned from relatives and visitors to the home, eight from residents and two from staff members. These gave information about the daily life in the home and helped to inform the judgements made in this report. Thanks are extended to those people who responded. The Annual Quality Assurance Assessment, required by the CSCI, which gives an overview of what has been achieved in the home and issues to be addressed, was received by the CSCI prior to the inspection. This accurately reflected the current status of the home. This was used as part of the inspection process. Comments received about the home in the questionnaires were mainly positive with residents saying that ‘Happy with cleanliness and staff, and I am informed of activities every time there is something on’. ‘ The home respond appropriately to (my relatives’) needs. Staff friendly and courteous. More than satisfied with the care (my relative) is receiving’. ‘The home is clean and the food is good, the staff are caring and attentive’. ‘ The home provides training to ensure that residents’ needs are met’. What the service does well: The home provides personal care to thirty-two older people with mental health needs. Residents have access to walk throughout the home and there are pleasant seating areas in the home. Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 6 Staff receive ongoing training which has included some training in dementia care in order to meet the needs of the residents admitted to the home. The manager has been in post since July 2006 and a deputy manager who takes responsibility for co-ordinating staff training has also been appointed. All residents were well groomed and well dressed and the staff said that this was treated as a priority in order to maintain the standards that the residents would have wished for themselves. Residents are able to make choices about the routines of their daily lives and if necessary, helped to make these choices with the staff being aware of their previous lifestyles from the care plans and preadmission assessment. What has improved since the last inspection? What they could do better: The manager should ensure that no member of staff is allowed to commence work at the home without Protection of Vulnerable Adults checks, Criminal Records Bureau checks relevant to this group of care homes, and references from previous employers being in place. Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 7 One of the main requisites in the care of the older person with mental health disorders is that they are kept stimulated and able to take part in activities that meet their abilities. Formal activities are provided for a few hours a week only, and residents are unable to go on outings or for walks. One questionnaire received said that ‘ There is little stimulation, and residents rarely go out, my relatives mobility has deteriorated’, whilst two residents said that ‘ I miss the shops and going out’. ‘ There is not much opportunity to go out which is a shame’. Whilst care plans identified residents’ leisure interests there was no evidence that the activities programme included these. The service user guide is given to all residents on admission for them to look at, but is then kept in their files. Many residents currently in the home would benefit from keeping this to refer to a required. 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. Eastridge Manor DS0000065674.V347646.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 Eastridge Manor DS0000065674.V347646.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): 1,2,3,4,5,6. People who use the service experience good quality outcomes in this area. Prospective residents are assessed by the manager and receive information about the home to enable them to be fully informed about whether the home is able to meet their needs and expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide reflect the current status of the home. Residents are given a copy of the Service User Guide to read on their admission, they should retain their own copy of this to access the information included during their stay at the home. The terms and conditions of residence is at present given to only those residents who are privately funded and the manager is in the process of Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 10 ensuring that residents who are funded by the local authority also receive a copy. All prospective residents receive a comprehensive assessment by the manager to ensure that the home will be able to meet their needs and expectations. Residents are admitted for respite care but not for intermediate care. Eastridge Manor DS0000065674.V347646.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): 8,9,10,11 People who use the service experience good quality outcomes in this area. Care plans identify the current care needs and ensure that staff are aware of how to give the care required to meet the assessed needs of the residents. Risk assessments do not give clear instructions to staff on how to minimise identified risks. Residents’ dignity, in the way that staff address them, and in the matter of their grooming and presentation, is maintained. The standard of medication administration safeguards the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans (10 ) were examined, these addressed the psychological, health and social needs of the residents and had been reviewed on a monthly basis but there was no written evidence to show that they had been formed and reviewed following consultation with the residents or their representative. Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 12 Greater clarity in identifying any ‘triggers’, which may exacerbate challenging behaviour or other psychological behaviour, would help staff to minimise this. Daily records clearly described the care given to the residents and this correlated with the care planning. Staff and residents would benefit from the expansion of the individuals risk assessment to give care staff instructions on minimising assessed risks. Residents have access to health care professionals and staff have undertaken training in dementia care. Residents said that the standard of care was ‘good’ and that the staff ‘were polite and considerate’ Residents were well groomed, and efforts have been made to ensure that residents are dressed as they would have chosen prior to entering the home. The standard of medication safeguards the residents; the methods of recording, receipt and disposal of medication were satisfactory, with all staff that administer medication having undertaken medication training. Residents can remain in the home at the end of their lives, with nursing being provided by the District and Macmillan nurses. The manager is becoming involved in the national ‘End of Life’ initiatives, which enables residents to be cared for in the place of their choice and receive sufficient pain control at the end of their lives. Eastridge Manor DS0000065674.V347646.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 People who use the service experience adequate quality outcomes in this area. There is scope for the range of activities to be increased to ensure that residents are kept occupied and are stimulated to use their abilities. Residents are able to make choices about their daily routines and have some alternatives to the set menus offered at meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an activities programme in place offering in house activities such as quizzes, which are provided by an activities co-ordinator who works six hours a week. Care staff supplement this and a member of staff brings in a guitar to entertain residents. The inspector sat in on a quiz session and some of the residents were enjoying this and participating well. Two residents and one relative commented on the lack of opportunities to go out ‘ I used to like going around the shops and getting out’. ‘ There are not many outings’. ‘ Residents Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 14 sit in the hall and listen to music, there is not much for them to do’ The priority for services providing care to this category of resident is the provision of stimulating activities and outings within the residents ability, with the activities programme tailored to accommodate residents past interests as detailed in the care plans, and give opportunities for new activities and exercise, providing a motivational environment. At present this is not occurring in this home. The home should ensure that this part of daily life is given as much importance as the care aspect. Residents said that they were able to make choices about the routines of daily living and preferred times of rising and retiring were in the care plans. Visitors are welcome at any time and residents are able to practise their chosen religion if wished. Residents are informed of what is on the menu that day by care staff, whilst there is only one option on the main menu, alternatives such as sandwiches or baked potatoes can be provided. Fresh fruit is used in some meals and is available for residents on request. Residents spoken with said that the food was generally good although could be ‘boring’ at times, one resident said that ‘ it is plain cooking’ and another comment described it as ‘ Okay but lacking in imagination’. Lunch was well presented and plentiful with residents being able to eat this in the dining room, the small lounge or their rooms according to their preferences. Staff assisted residents in an unhurried and empathetic manner, allowing residents plenty of time to eat their meals, and had taken care with setting up the tables to ensure that they looked attractive. The kitchen is in the process of being rebuilt and therefore the conservatory is being used as a kitchen. This was extremely well organised with all the plumbing and the electrical supplies required, the cook said that there had been no disruption to residents meals either on the day of the changeover or since. The need to inform Environmental Health Authority of this was discussed with the manager, and she will contact them. Eastridge Manor DS0000065674.V347646.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): 16,18 People who use the service experience good quality outcomes in this area The home deals with complaints in an open and transparent manner, allowing residents and their representatives to be confident that any concerns they may have will be taken seriously and addressed. Staff are aware of their responsibilities towards those in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been two complaints in the past year, both of which were minor and substantiated and addressed by either the provider or the manager. There is a clear complaints policy in place and residents spoken with were aware of to whom to go to with any concerns they may have. There have been no adult safeguarding issues and staff have received adult safeguarding training on a yearly basis. Staff spoken with were aware of their responsibilities towards those in their care. Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 16 Eastridge Manor DS0000065674.V347646.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): 19,20,21,22,24,25,26. People who use the service experience good quality outcomes in this area. Residents live in a clean, pleasant and homely environment, which is currently being improved by redecoration and refurbishment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Plans are in place to extend the home and this will include a nursing wing. This will be built on part of the large gardens around the home. Work has been ongoing to redecorate and refurbish the home since it was purchased. Communal accommodation consists of two lounges, a comfortable hall area where seating is provided and a seating area in the gallery above the main Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 18 hallway where residents can enjoy the views through large windows, a separate dining room is provided. Resident’s rooms were generally good and free from odour, all had call bells, furniture was of a good standard and most rooms had a lockable drawer and door with residents being given a key in conjunction with a risk assessment. Residents can bring in their own possessions to personalise their rooms. Water temperatures to residents outlets are monitored and recorded and records showed that these were within recommended parameters. All window restrictors were in place as were radiator guards. The home has equipment and adaptations to enable residents to maximise their independence The home was clean, and generally free from odours, there were odours in one room, which the manager was aware of and taking measures to address. Red bags are used for soiled linen and the home has infection control policies. Staff spoken with were aware of their role in minimising the spread of infection. Eastridge Manor DS0000065674.V347646.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): 27,28,29,20 People who use the service experience adequate quality outcomes in this area. Staff receive suitable training and are employed in sufficient numbers to meet the needs of the residents. The recruitment procedures are not sufficiently robust to ensure that residents are safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are sufficient staff on duty on a daily basis to meet the needs of the residents in the home. Staff spoken with said that they were able to spend time with the residents and rarely worked with insufficient staff on duty. Agency staff are used at times but the manager is currently recruiting more staff. All staff undertake an induction course at the commencement of their employment at the home and this is followed by ongoing training, both in mandatory health and safety and in subjects relevant to the care of the residents in the home. Ten members of care staff (50 ) have the National Vocational Qualification level 2 or 3 in care. Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 20 Four staff files were examined and these showed deficits in the documentation required by the regulations to safeguard the residents. Two of these showed that staff had commenced work without Criminal Records Bureau and Protection of Vulnerable Adults checks relevant to this service, and two without sufficient references or lack of references from a previous employer. One of the employees is not being supervised due to their current role and position in the home. Discussions showed that the manager was not aware of the current legislative requirements, and a requirement to comply with these was made. Eastridge Manor DS0000065674.V347646.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): 31,32,33, 35,36,37,38 People who use the service experience good quality outcomes in this area. Residents and their representatives have opportunities to make their views and expectations known. Management systems are in place to ensure the safety and well being of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been in post since July 2007 commencing as a temporary manager, before being appointed to post. She has applied for registration with Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 22 CSCI and in the process of completing the National Vocational Qualification level 4 in care and the Registered Managers Award. A deputy manager has also been recruited who is involved in staff training and organising the care. It was evident that in the past few months they have worked together as a team to consolidate the home and to address any issues that they found and have created a positive and relaxed atmosphere. The Annual Quality Assurance Assessment was received by the CSCI and accurately reflected the current situation in the home. This has been used with other quality monitoring methods, which included annual questionnaires for residents and relatives, monthly residents and staff meetings and quarterly relatives meetings. Staff receive regular formal supervision and the provider has undertaken Regulation 26 visits to the home (monthly visits and reports required by the CSCI). Records of these were seen in the home. The home does not act as appointee for residents but keeps some money for personal allowance, records of these were seen and found to be in order discussions were held around safeguarding a resident regarding two blank cheques being held for their use. The Annual Quality Assurance Assessment identified that all utilities and equipment have been serviced regularly and that staff have received mandatory health and safety training. No concerns to health and safety of residents were noted and recommendations were made to the manager to ensure that sufficient risk assessments were in place to safeguard staff and residents during the refurbishment process. Eastridge Manor DS0000065674.V347646.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 3 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 3 3 Eastridge Manor DS0000065674.V347646.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 OP12 Regulation Reg 16(m)(n) Requirement That the provision and scope of activities is increased to ensure that service users are stimulated and enabled to live an active life in accordance with their abilities and wishes. That staff do not commence working at the home without written references, which should include references from past employers, and without Protection of Vulnerable Adults and Criminal Records Bureau checks relevant to this service Timescale for action 01/01/08 2 OP29 Reg 19 Sched 2 10/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Eastridge Manor DS0000065674.V347646.R01.S.doc Version 5.2 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. 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