Care Home: Fairhaven

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What the care home does well The questionnaires sent back to the Commission were completed and signed by residents. All comments in these documents were positive without exception. One newer resident stated that they are very happy and that everyone has "enabled (them) to settle in well". Other comments include being "happy and content " and "very happy here." Residents feel there are enough staff on duty to meet their needs and are very happy with the food provided and the presentation and maintenance of the home. Residents are fully involved with their care planning and have agreed with staff how and when their care will be provided. Quality Assurance in the home is meaningful and residents are happy that their views affect how the home is run. What has improved since the last inspection? A review has taken place of how medication is stored and administered and more staff training has taken place. More care staff have been recruited and staff deployment has been reviewed with increased numbers being on duty at peak times to ensure peoples` needs can be met. The manager has reviewed all Policies and Procedures in the home. What the care home could do better: The manager will review all staff recruitment files to ensure that all appropriate checks are in place and that all staff have two appropriate written references. CARE HOMES FOR OLDER PEOPLE Fairhaven 19 Park Avenue Watford Hertfordshire WD18 7HR Lead Inspector Pat House Unannounced Inspection 9th January 2008 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fairhaven DS0000019346.V357389.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. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairhaven Address 19 Park Avenue Watford Hertfordshire WD18 7HR 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) 01923 220811 01923 490585 Mrs C.C. Fletcher Mr C.G. Fletcher Mrs C.C. Fletcher Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability over 65 years of age of places (20) Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. The large bedroom situated on the ground floor may be used to accommodate two service users providing they have consented to share and that the room will revert to single occupation should one of the couple permanently leave for any reason. 24th August 2007 Date of last inspection Brief Description of the Service: Fairhaven is a family-run residential care home. It is registered for 20 service users whose needs may be associated with a physical disability. It is situated in a residential area within walking distance of Watford town centre where there are numerous shops and facilities. There are good train, bus and road links in close proximity to the home. The building is a large double-fronted house with a purpose-built extension to the side and to the rear. There is a parking area in the front of the building. Security measures include a front electronic gate with an entry phone. The home has 16 en-suite bedrooms that are of single occupancy and 2 ensuite double bedrooms for couples. All bedrooms are furnished and each has a television and a telephone for incoming calls. Bedrooms are situated on both the ground and first floors. Residents have easy access to both floors as the home has stairs and a passenger lift. The office, dining room, kitchen and laundry facilities are all on the ground floor. There is ample community space for the residents, which includes an extended lounge with access to the garden. There is a small patio leading onto the garden, equipped with comfortable garden furniture. The garden is accessible to wheelchair users. Current charges for the home range from £407.89 to £600 per week. Further information is found in the home’s Statement of Purpose and the Service User’s Guide, which are displayed in the entrance hall together with the last CSCI inspection report. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service has been judged to be 2*. This means people using the service receive Good quality outcomes. The report is written on behalf of the Commission and so descriptions are written in the plural, for example, “we saw” or “we were told”, although only one inspector conducted this inspection. The inspection took place over one day and the manager was present throughout the visit. The home’s accountant was in the office at the start of the inspection and spoke briefly and positively about the home’s recent development. The home was full although one resident was currently in hospital. All areas of the home were visited and staff and residents were spoken with both individually and in groups. A selection of records was examined and lunch was served during the inspection. Two visiting relatives also spoke with us. The manager had completed a quality self-assessment (the AQAA), sent out by the Commission, prior to the inspection. Information from this document has been included in this report. Questionnaires have also been sent to the home, by the Commission, for residents and staff to complete, if they wished to. Comments from the seven, which have been sent back by residents, so far, are also included in this report. What the service does well: The questionnaires sent back to the Commission were completed and signed by residents. All comments in these documents were positive without exception. One newer resident stated that they are very happy and that everyone has “enabled (them) to settle in well”. Other comments include being “happy and content “ and “very happy here.” Residents feel there are enough staff on duty to meet their needs and are very happy with the food provided and the presentation and maintenance of the home. Residents are fully involved with their care planning and have agreed with staff how and when their care will be provided. Quality Assurance in the home is meaningful and residents are happy that their views affect how the home is run. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 7 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 Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 8 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): Standards 3 and 5. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that all prospective residents have their needs fully assessed and have the opportunity to visit the home before entering. This ensures that all parties can be sure the home can meet all individual needs in the required way. EVIDENCE: During the visit we spoke in private and at length with a resident who had recently entered the home. This resident confirmed that they had been given written information about the home prior to entering and had made two visits before moving in. One visit had been for ‘tea’ and one had been to have lunch with the other residents. The resident spoken with also said that they had been fully involved with drawing up their initial care plan and that their needs and wishes had been Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 9 discussed with staff in the home and were now being met. We later saw written details of this assessment on this resident’s care plan. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be assured that all individual needs are agreed between residents and staff and are properly documented to ensure that all these needs are appropriately met. Procedures followed in the home ensure that people are always treated with dignity and are protected by a thorough system for dealing with their medication. EVIDENCE: During the morning we spoke with several residents who had chosen to remain in their rooms. One resident said that they had a sore throat and that care staff had asked the doctor to call to see them and to check their legs, which were slightly swollen. This resident said that the staff were bringing lots of drinks to their room. We spoke with another resident who said that they had discussed how often they would like assistance with a shower and this help had been agreed for twice each week. The days for changing clothing and bed linen had also been agreed. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 11 The residents we spoke with had clearly been involved in completing their care plans and said they had given permission for their photograph to be taken for these plans. Residents told us that staff had asked them if they wished to have night checks and that these now happened and confirmed that staff always came if they rang their call alarm. The residents we spoke with, both individually and as a group in the lounge, all said that the staff gave them all the assistance they needed in an appropriate way. During the morning the residents sitting in the lounge were pleased to speak with us and confirmed that staff in the home treated them with respect and that they saw Health professionals in private in their bedrooms. The only shared room was occupied by a married couple who were in the lounge and said they had all the privacy they required in the home. We later checked the care plans for some of the residents spoken with and these were documented in detail and contained information, which reflected what people had said. Residents had signed plans and appropriate risk assessments were also in place, which included those for falls, skin care and nutrition. There was also written information about ‘end of life’ wishes and postal voting. One resident had recently been discharged from hospital with an area of broken skin and details of the resulting district nurse input were documented. Moving and handling assessments had been completed in all the care plans we checked and conversations we had had with staff and residents suggested that any assistance given to help residents to transfer or move was provided in a safe and appropriate way. The manager told us that the format for recording the care planning was being changed and she showed us some of the new plans, which had already been re-written. The manager said that the new format would be clearer and more accessible for staff. During the inspection we checked the system for administering medication. The manager had reviewed this system after the last inspection and had provided further training for one member of staff. The manager has also ordered individual medicine cabinets, which will be fitted on the walls of each bedroom. The manager said this change had been discussed with a local pharmacist and was aware that temperatures around individual storage would need to be monitored. Currently several different dispensing pharmacists are used and there is a variety of packaging provided for medication. We were unable to audit one packet of tablets as the record chart for that month did not have a running total recorded. The manager said that dates of opening and running totals were usually completed and would ensure that this happened in future. Other amounts of medication, provided in packets, tallied with the records seen. Two of the residents in the home currently handle some of their medication and this was properly documented and had been discussed with the residents we saw earlier. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service can be assured that the procedures followed in the home help to enable residents to control their own daily lives and they are able, as a group to make choices about how the home is run. Residents enjoy the food in the home and are supported to maintain community links so that they can maintain a sense of well-being and enjoy living in the home. EVIDENCE: We visited all parts of the home during the inspection and in the dining room there is a large wipe-clean board where details of the day’s activities were written. There were also details of which staff were on duty that day and showed what food was on the menu. We spoke with residents in the lounge who said that care staff provide most of the daily activities and that events included quizzes and bingo and some gentle sitting exercises. Residents said that there had been more activities provided in recent weeks than before and that they had enjoyed the Christmas festivities. We saw people reading newspapers, which had been delivered that day and were told that there had been musical concerts provided from external musicians recently. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 13 The information provided by the manager in the AQAA stated that a typewriter and computer were to be purchased for residents as some had said at a residents’ meeting that they would like use this equipment to write with. The manager also confirmed that day trips and outings were funded by the home’s owners and not by the residents. We spoke to one resident in their room who said that they always decided what clothes they wore and usually got up about 6 each morning out of choice. This resident said they could stay in bed if they wanted to and usually managed their own personal care. They had also chosen not to have a bedside lamp in their room. We were also told that visitors were welcomed in the home at all times. We talked with two separate visitors who were in the home during the inspection. One relative confirmed that their mother was fairly new in the home and was staying in their room at present out of choice. This relative was very pleased with the care and support that had been provided by staff. Another relative was visiting a resident who spoke no English but whom care staff were managing to communicate with by sign language. The manager had agreed that relatives could bring in special food for this resident and the family visited daily. The manager has also provided some translation services for the staff and resident and the relative who spoke with us was very pleased with the situation and said the resident was very happy living in the home We spoke to the new cook in the kitchen who had only started work at the home that day. The cook confirmed that she had all the supplies and equipment she needed. The menus are written by the manager in consultation with the residents, as confirmed by changes made after residents meetings, which minutes are kept. The kitchen was very clean and there were records of appropriate monitoring of equipment and food monitoring. We asked residents about the food and all those spoken with said they enjoyed the meals. One resident said the food was “great” and one that it was always “wonderful”. Residents told us that they chose their food for the day from a choice of at least two options during breakfast each morning. In this way, they said, they knew what they “fancied” which might not be the case if they chose meals the day before. The residents who spoke with us also confirmed that staff provided drinks all through the day and at night if they wanted. We visited one resident in their room who had been provided with coffee and this was presented in a coffee pot and on a tray with separate milk and sugar. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that the procedures followed in the home ensure that any concerns residents might have are listened to and that residents are protected from all forms of abuse. EVIDENCE: We saw the written procedures for making a complaint displayed in the entrance hall of the home. We also asked residents about the procedure and most said they knew how to make a complaint and all said they would have no concerns about voicing any concerns if they had them. We looked at the complaints records book, but there had been none recorded since the last inspection. The Commission has received no complaints about the home. There are written policies on Complaints, Safeguarding Adults and Whistle Blowing and the completed AQAA confirmed that these policies have been recently updated. There has been one recent referral made to the Local Authority under the Safeguarding Adults procedures. This referral was investigated and is now closed. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents find living in the home a pleasant experience as it is well maintained and attractively presented. Procedures followed ensure that the home is kept clean and hygienic which helps to keep the residents safe and in good health. EVIDENCE: We visited all parts of the home during the inspection and all areas were very clean and well decorated. Both inside and outside the building the environment is well maintained and looks very attractive. All the bedrooms seen were personalised and were warm and all had call alarms in evidence. Some residents said they had chosen to bring their own furniture into the home and this included some beds. The widows we checked were all fitted with width restrictors for safety. We used the passenger lift and this worked efficiently and the hot water was being delivered at safe temperatures in the areas we tested. The home has CCTV cameras for the main outside areas, to ensure the Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 16 safety of residents and staff. One resident uses a wheelchair indoors and all areas of the home are is accessible to those who use this equipment. We spoke with the domestic worker who confirmed they had received appropriate training, especially around health and safety and infection control and they were wearing protective clothing. Most communal bathrooms and toilets had holders fitted for paper towels and liquid soap, which are recommended in guidelines for good infection control. The manager said that all communal bathrooms will have these dispensers fitted and in use soon. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be assured that residents are appropriately supported and have their care needs met because there are enough well trained staff on duty in the home. The procedures followed for recruiting staff are generally thorough and help to ensure the protection of the residents. EVIDENCE: The manager and residents told us that, since the last inspection, some members of staff had left the home and new staff had been appointed. There were three care workers and the manager on duty during the inspection, and those people were the staff listed on the week’s staff rota. We spoke to three staff members who said that there were usually enough staff on duty in the home, to meet all the needs of the residents and those residents we spoke with confirmed this. Residents said they could get up and go to bed when they wished and were not “rushed” by staff. During the inspection we saw care staff in the lounge with residents each time we passed this area. Care staff said they have a morning and afternoon break from duties and have half an hour lunch break. The manager has timed the lunch break so that there are enough staff on duty to assist the residents when the main meals are served. The staff we spoke with also said that most current residents were fairly self-caring and they did not have to use the hoist Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 18 regularly at present. Those who spoke to us had had recent training in Moving and Handling. One new member of staff confirmed that they were not involved in administering medication, as they had not yet been trained in the homes procedures, although they were also a student nurse. This new member of staff said they had had a good induction to the home and to the residents and had more training courses booked. This care worker also said she had not been asked to work any long shifts at the home and was happy with staffing conditions. The manager has stated in the AQAA that staff are being supported to do NVQ training and that they hope to have most staff trained to this level in due course. The AQAA also gives details of the home’s induction training and states that all staff have annual appraisals and individual supervision every two months. There is a rolling training programme for staff and courses on Food Hygiene and Infection Control are currently being booked as some care staff need updates in these areas. One care worker has recently completed an accredited course on Palliative Care and the manager said details would now be cascaded to other staff in in-house training sessions. We checked the recruitment files of more recent staff at the end of the visit. Evidence of most recruitment checks were seen and all staff had had Criminal Records Bureau checks in place prior to being employed. All staff are provided with a detailed job description and a staff handbook so that their role is made clear. However, we found that not all staff had two appropriate written references. The manager said that she will review all staff records to ensure that such evidence is in place or is sought. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are content and enjoy living in the home, which they feel is well run and feel their views affect what happens on a daily basis. Procedures followed in the home safeguard their financial interests and ensure that the welfare of both staff and residents is promoted. EVIDENCE: The manager has more than twenty-four years experience of managing care and holds the NVQ 4 qualification in this management area. Staff and residents who spoke with us said the manager was approachable and ran the home with care and efficiency. The returned AQAA was thoroughly completed by the manager and gave details of future planning for the home. These plans included implementing changes resulting from the Mental Capacity Act and the Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 20 introduction of advocates to residents. Other plans included the possible appointment of a deputy manager and the AQAA stated that the manager has updated all the home’s Policies and Procedures. The home has an operational Quality Assurance programme and residents have regular meetings and are given quality questionnaires to complete. We were told that outcomes as a result of quality monitoring have included changes to the menus and cooked suppers being provided for some who requested this. Residents were also asked if they wanted staff to go into bedrooms at night to check them and this was requested and now happens, as confirmed by residents we spoke with. The manager told us that, in general, money is not held for residents, as most have families who handle their finances. One resident however, asks staff members to collect money for their use, from a Post Office account. This resident told us that she always signs for the money received and records are kept in the home. Fire records were being well kept in the home and staff confirmed that fire drills take place at regular intervals. Doors in the home have been fitted with special closure devices which are on the top of the doors and which allow doors to be left open to any degree, but will close if the fire alarm sounds. We found some substances, which could present a hazard to residents in an unlocked cupboard in the hairdressing room. The cupboard was cleared immediately this was seen and the manager said the items would be kept securely locked from now on. Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 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 x 3 x 3 x x 3 Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 22 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 OP29 Regulation 19(1)(b)& (c)& Schedule 2 Requirement To ensure the protection of residents, two written references must be obtained and verified as authentic, for all potential employees, before they start work at the home. Timescale for action 29/02/08 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 Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Fairhaven DS0000019346.V357389.R01.S.doc Version 5.2 Page 24 - 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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