Care Home: Fairways

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What the care home does well Fairways is a large, detached care home, which has been adapted to provide a domestic appearance. There is a pleasant, friendly and homely atmosphere here. Before a person moves here they have the chance to visit and to have overnight stays. This can help them to decide if this is the right place for them, and for them to meet those people already living and working here. The manager also receives a lot of information on a person`s needs. Again, this is to ensure Fairways is the right place for each person wanting to live here.The people living here and a visiting relative told us about the quality of care here, the activities they enjoy, and what is good about the home. We were told about a recent holiday, which the people living here had enjoyed. Comments were complimentary about the staff and the manager, and the level of care that is provided. The staff who work here have a friendly and relaxed approach, and effectively work with people living here, to ensure their needs are met. The staff also work with other care professionals to ensure that support is offered in a well planned manner. The people living here are given regular opportunities to talk about activities, meals, and other things affecting their day-to-day lives. This can help make sure that they are involved in and can guide the way the service is run. The home is effectively managed. What has improved since the last inspection? Quality checks and other measures, such as regular staff supervisions, are carried out by the manager and her deputy to monitor the performance of staff and the service. These have been put in place to ensure continued service improvements. Medication is stored in a secure and hygienic way, and is handled safely. This can ensure people receive the right medicines when they need them. Some decorating and refurbishment has taken place. This has included the fitting of some new carpets to replace those that were worn. What the care home could do better: A good standard of service is offered here. Nevertheless some areas require further work. These include the need for staff to attend regular training to keep their knowledge and skills up to date. Easy access to the internet would also assist here. The home`s owner also needs to carry out regular (monthly) inspections. This is to make sure the staff here are well supported and the standard of service is overseen. CARE HOME ADULTS 18-65 Fairways Easedale Gardens Wrekenton Gateshead Tyne & Wear NE9 7EE Lead Inspector Lee Bennett Key Unannounced Inspection 13 and 15th August 2008 09:30 th Fairways DS0000007427.V368846.R01.S.doc Version 5.2 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 Fairways DS0000007427.V368846.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 Adults 18-65. 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. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairways Address Easedale Gardens Wrekenton Gateshead Tyne & Wear NE9 7EE 0191 491 0518 F/ P 0191 491 0518 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) Dr Vayalil Pillai Mrs Julia Short Care Home 6 Category(ies) of Learning disability (6), Physical disability (2) registration, with number of places Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2007 Brief Description of the Service: Fairways can provide personal care for six people who have a learning disability, two of whom may have a physical disability. The service cannot provide for those people who require nursing care. The service is run by Clifford House Homes. The home itself is a large corner detached house, which is set in its own grounds. It is located in Wrekenton, an area in the South of Gateshead and is close to local services, shops and a variety of community facilities. The home is near to a public transport interchange. There is a private and secure garden around the home and a large car park at the rear. The house has a kitchen, a dining room and a large lounge area with bedrooms arranged on first and ground floors. The two downstairs bedrooms are more suitable for those people who have a physical disability. All necessary facilities are provided and are suitable for people who live there such as an emergency call system. The range of weekly charges, per person, is £295.59 to £1,012.21. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit in August 2007. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on the 13th August 2008. An announced visit was made on 15th August 2008. During the visit we: • Talked with people who use the service, staff and the manager. • Observed life in the home. • Looked at information about the people who use the service & how well their needs are met. • Looked at other records, which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked what improvements had been made since the last visit. We told the registered manager what we had found. What the service does well: Fairways is a large, detached care home, which has been adapted to provide a domestic appearance. There is a pleasant, friendly and homely atmosphere here. Before a person moves here they have the chance to visit and to have overnight stays. This can help them to decide if this is the right place for them, and for them to meet those people already living and working here. The manager also receives a lot of information on a person’s needs. Again, this is to ensure Fairways is the right place for each person wanting to live here. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 6 The people living here and a visiting relative told us about the quality of care here, the activities they enjoy, and what is good about the home. We were told about a recent holiday, which the people living here had enjoyed. Comments were complimentary about the staff and the manager, and the level of care that is provided. The staff who work here have a friendly and relaxed approach, and effectively work with people living here, to ensure their needs are met. The staff also work with other care professionals to ensure that support is offered in a well planned manner. The people living here are given regular opportunities to talk about activities, meals, and other things affecting their day-to-day lives. This can help make sure that they are involved in and can guide the way the service is run. The home is effectively managed. 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. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Fairways DS0000007427.V368846.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detaile assessments of need are in place before admission to make sure the home and the staff team can meet people’s identified needs. EVIDENCE: Most of the people living here have done so for a few years now. One person moved here more recently. Before this person came here the manager obtained a social workers assessment. This is so the manager had sufficient information about the person, and could make a judgement about whether the staff had the right skills and the home was physically suitable for the person concerned. Assessments include information about diversity issues such as disability, race, gender and culture. After a person moves here their needs are reviewed each year, and if necessary re-assessed. This is done with the involvement of social services as well. It is from these assessments, in areas such as diet and nutrition, moving and handling, behaviours that may challenge the service, and so on, that plans of care are developed. For each person we found that these were up to date and reflected the needs assessment. Their needs are detailed within their Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 9 personal case files, and they also detail the action taken to meet these needs and progress made. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All of the people living here have clear care plans and risk assessments in place. Effective care planning can offer guidance to care staff on their care practice and ensure consistency where necessary. Good risk assessment can help promote independence, whilst maintaining safety. EVIDENCE: To help guide the care offered to the people living here, a care plan file is compiled. All of the people living here have had one developed. These are all written up, evaluated and reviewed by a ‘key worker’; a member of staff who works with a named service user and takes a lead on the planning and delivery of care. The care files contain detailed information on each person’s needs in a person centred way, and how these needs are met. Closely linked to care planning arrangements are risk assessments. Again, these have been developed by a key worker. Areas of risk are therefore Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 11 documented within each service users’ care file, including assessments relating to activities out of the home, behaviours that may challenge the service, and the use of equipment. This can contribute to staff having guidance to enable service users to access community facilities without being placed at undue risk of harm. A model is used, whereby each risk area is identified, who or what may be harmed is noted, current and additional control measures are documented, and this is then reviewed. Both care plans and risk assessments are a formal way of documenting decisions about important matters affecting a person’s care and lifestyle. For the people living here they are used to enable people to lead an active life, to give people new experiences, and to access everyday opportunities. The people living here also have opportunities to help make decisions at the house meetings, that are held occasionally, and on a day-to-day basis, as was observed at the time of the inspection. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living here are assisted, to a good degree, to lead active and fulfilling lifestyles by having a regular community presence, by accessing a range of community facilities and by keeping in touch with family and friends. This will assist in them leading a full and enjoyable life. EVIDENCE: On the two days of the inspection, the people living here were doing activities around the home, and were also helped in getting out and about. For all people here their individual choices are recorded, and the activities undertaken reflect these choices, their needs and risks involved. A minibus, with trained driver, is available to help people get to community facilities. This is shared with another care home run by this provider. We were told by the people here about a recent holiday and the activities they enjoy, such as going to the shops, the cinema and to local day centres. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 13 As well as going out and about, contact with friends and relatives can affect the quality of life enjoyed by people. Staff in the home will assist service users to ‘keep in touch’ by sending cards and making phone calls, and where necessary help with visits. Visitors can call at any time that is convenient with the people living here, and we were told by a relative that they are made welcome. The people living here also attend a range of activities, such as going out for meals, taking trips to the shops, going to clubs, and to church. This allows them to interact with people outside of their immediate home environment and to develop wider friendships and acquaintances. Most of the people living here also go to council run day centres during the week. There is regular communication between the home and day centre staff. The activities offered are age and culturally appropriate. As well as having rights to keep family contact and to lead a varied and fulfilling lifestyle, the people here also retain rights around how they are helped, and what staff do when they put themselves at risk of harm. To ensure these rights are recognised and promoted there is clear staff guidance in place in individual care plans and risk assessments. Meals form an important part of people’s daily routine and lifestyle, and are normally taken within the lounge / dining room. The dietary needs of each person are outlined within their care plans. There is a record kept of the meals planned and provided, which follows a pre-planned weekly menu. Where help or prompting is needed for people eating meals, staffs’ practice is clearly guided in risk assessments. For example, this might be to help prevent people from choking due to eating too fast. We shared a meal during the inspection, and the practice of staff that we observed followed this guidance. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each individuals personal care and healthcare needs are well supported by good systems that ensure choice, privacy and dignity is respected and that their health and welfare is maintained. EVIDENCE: The people living at Fairways have their personal and healthcare needs outlined within their case files. Their needs are supported and met, where appropriate, in private, and they are encouraged to cater for their own needs where possible. Specialist support has been sought and obtained where necessary, and multi-disciplinary input (for example from the “Intensive Support” team, and Speech and Language Therapists) are made available. As well as making sure appropriate advice is sought, the registered manager, and other staff in the team, help service users in accessing health care treatment. This is so people get the help and healthcare support they need to keep well. The result of health care visits and routine monitoring is recorded Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 15 within each person’s care file. This can help ensure staff follow any advice and guidance that has been made by the healthcare professional. Linked to these health and personal care arrangements, is the support given with medication. Due to their levels of need, service users are not able to administer their own medicines, and designated staff will help in this area. Some, but not all, staff at the home have had medication administration training (the safer handling of medication course). This has been added to by in house training on this topic. The medicines themselves have been placed in locked storage to keep them safe. Internal and external medicines are stored separately from one another to ensure good hygiene practice. Once given out, staff write down who has had what medicine on printed administration records. A sample signature list is maintained to identify which staff were responsible for each medication administration. An audit of the medications used here was carried out by the inspector. All of the medicines looked at were properly accounted` for. For medicines, like eye drops, that have to be used within a certain time, the date they were opened is written down. This is good practice, and can ensure out of date medicines aren’t used. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear systems support people using the service to express their views and ensure they are listened to and acted upon. They also help ensure that service users are protected from abuse, neglect and self-harm. EVIDENCE: A clear complaints procedure exists within the home. There have been no complaints reported within the past twelve months. Because of peoples varying communication needs, it may be difficult at certain times for some of them to directly express their views and opinions on the service they receive. Staff have to be mindful of service users’ behaviour as a means to gauge their feelings. Nevertheless, the people living here have opportunities to discuss various aspects of the home at periodic meetings. Notes of these are written up for future reference. We were told by a visiting relative that they were comfortable to raise questions and queries with staff here, and confident that they would be dealt with. Some staff have also received training from the local Adult Protection Coordinator, which has helped to explain the role of adult protection, and to offer guidance to staff. Both the home’s own and the local authorities adult protection procedures are available in the home, should staff need guidance in this area. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Fairways is an ordinary house, that is quite large, but domestic in style. It is decorated to a good standard and kept clean and tidy. This can ensure people remain comfortable, and their privacy and dignity is supported. EVIDENCE: The home is regularly cleaned to ensure high standards of hygiene. The people living here are encouraged to participate in some cleaning schedules as part of their individual support plans. Bedrooms are all decorated to suit individual tastes and are redecorated periodically to maintain a pleasant standard. Carpets have been fitted to replace worn and heavily stained ones. Therapeutic lighting, which makes for a relaxed atmosphere, has been obtained for one person living here. Overall, Fairways is a comfortable home and the people living here appear comfortable and relaxed in their surroundings. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 18 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are well supported by an effective and competent staff team. This ensures that the people living here are supported in a safe manner by staff who have an understanding of their needs. However, the lack of regular training can mean staff are not always kept up to date with current knowledge and practices. EVIDENCE: Before staff come to work here they have to have detailed checks carried out to make sure they are suitable for the work expected of them. The examination of a sample of staff records and confirmation by the manager indicated that staff are only employed in the home after sufficient background checks are carried out. These are to help determine their suitability to carry out their role and to work with vulnerable people. These checks include the receipt of a Criminal Records Bureau ‘disclosure’, two written references, and confirmation of physical fitness. This helps determine a candidate’s suitability to carry out their caring role. The job application prompts candidates to provide a full work history but not an explanation for gaps in their work record. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 19 When the manager interviews potential recruits she uses a set list of questions. This is to ensure all candidates are interviewed in a fair and nondiscriminatory way. However, this list of questions does not prompt the manager to ask about issues highlighted in application forms, references and CRB disclosures. Equal opportunities monitoring forms are completed as part of the application process. Once recruited to the home, staff need to receive a range of training, relevant to the needs of service users, health and safety, and to care in general. The manager keeps clear records of the training staff have received, which can assist in the planning of future training for the staff team. However, of the three staff records we looked at all had received fire safety / fire extinguisher training and two Safeguarding Adults (POVA) training over the past year. No other training had been received over this period, and none in 2006. Staff have not received any training on equality and diversity. Three quarters of the staff team have undertaken and achieved an NVQ in care, at level 2 or higher. One staff member is working to get this qualification. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 20 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well managed home, where the quality and health and safety matters are regularly checked. This can help ensure the service remains focused on their needs and aspirations and that people remain safe. EVIDENCE: Fairways is overseen, on a full time basis, by the registered manager. She is supported by a deputy manager, who works full time here. The registered manager is qualified to NVQ level 4 in management, and to level 4 in care. Since the last inspection she has also attended training and seminars relevant to her post and the needs of service users. Topics covered include: • Fairways The Mental capacity Act. DS0000007427.V368846.R01.S.doc Version 5.2 Page 21 • • Employment Law. Six monthly Care Alliance seminars. As well as ensuring her own knowledge and practice remains up to date, the registered manager undertakes a number of quality checks and audits to ensure the standard of care is up to current good practice levels. An annual questionnaire survey is also conducted to gain the views of service users’ relatives and independent representatives. The homes owner also carries out periodic inspections, although these are not always done monthly. Just as the quality of the care provided is checked, so are matters affecting health and safety. Therefore regular checks on the building are carried out, water and fridge / freezer temperatures are monitored, and working practices that could present a risk are looked at, and safe ways of working (for instance by the use of lifting aids) introduced. At the time of the inspection there were no observed hazards in the home, and up to date chemical data sheets are in place. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 23 No 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 YA35 Regulation 18(c)(i) Requirement The registered manager must ensure that all staff receive regular training that complies with the employers legal responsibilities and reflects service user’s needs. This is so the knowledge, skills and practice of staff remains up to date. This is a new requirement. The registered person must undertake regular (monthly) inspections and complete a written report of his findings. This is a new requirement. Timescale for action 10/01/09 2. YA39 26 10/01/09 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 YA34 Good Practice Recommendations The registered person should arrange for the job application form to be amended to allow candidates to DS0000007427.V368846.R01.S.doc Version 5.2 Page 24 Fairways 2. YA35 provide a full employment history, including an explanation for any gaps. The registered person should consider the provision of a computer with internet access at the home to improve access to on-line professional development, training and learning resources. Fairways DS0000007427.V368846.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Fairways DS0000007427.V368846.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. 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!