Care Home: Fontburn Court (7)

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What the care home does well What has improved since the last inspection? What the care home could do better: The registered manager must ensure that there are up to date information sheets on all of the chemical products used here. This is so staff have easy access to information on how products are to be safely handled and disposed of, and what to do should there be an accident or spillage. This is an outstanding requirement and must be addressed. Several staff and a service user told us that they would like there to be both more staff at times and better consistency when using staff from other services to cover the home. CARE HOME ADULTS 18-65 Fontburn Court (7) Witherwack Sunderland SR5 5SP Lead Inspector Lee Bennett Key Unannounced Inspection 3rd October 2008 10:00 Fontburn Court (7) DS0000032736.V373335.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 Fontburn Court (7) DS0000032736.V373335.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. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fontburn Court (7) Address Witherwack Sunderland SR5 5SP 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) 0191 553 5440 0191 553 5440 fontburncourt@ssd.sunderland.gov.uk Council of City of Sunderland Helen Louise Everett Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning disability - Code LD, maximum number of places: 6 The maximum number of service users may be accommodated is: 6 Date of last inspection 21st November 2006 Brief Description of the Service: Fontburn Court is care home, providing personal care for up to 6 people with a learning disability. Nursing care is not provided, but District Nursing services can be arranged where necessary. It is a purpose built bungalow with level access to all of the accommodation. The home is suitable for people with a physical disability or frailty. There is an enclosed garden to the rear of the home. The home is situated in a suburb of Sunderland, and is a bus ride or car journey away from central Sunderland. The home is near to local public transport links and local facilities, such as a doctors surgery, pubs and places of worship. Fontburn Court (7) DS0000032736.V373335.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 3 stars. This means the people who use this service experience excellent quality outcomes. Before the visit: We looked at: • Information we have received since the last visit in November 2006. • 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 3rd October 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: Fontburn Court is a detached bungalow, that has been purpose built to be a care home. It is domestic in scale and appearance, and has been designed to be easily accessible for the people who live here. It has adaptations such as hoists and handrails. There is a pleasant, friendly and homely atmosphere here. Before a person moves to Fontburn Court they have the chance to visit and to have overnight stays. As one person told us … “I had visits before moving into Fontburn, also tea and evening meals.” This can help people to decide if this is the right place for them, and for them to meet those already living and working here. The manager also receives a lot of information on a person’s Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 6 needs. Again, this is to ensure this is the right place for each person wanting to live here. The people living here told us about the quality of care here, the activities they enjoy, and what is good about the home. We were told how the staff here were helping people to be more independent and were involved in important decisions, such as who works here. Comments were complimentary about the staff and the manager, and the level of care that is provided. Several people told us about the management and staffing of the home, and comments included: • • • • “…we have a very good manager and senior residential officer, which shows in the care and support each individual is offered.” “Very friendly and committed staff team.” “The leadership at Fontburn Court is very strong.” “The staff are well motivated and focused on the people they serve.” 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. They are well trained, and qualified in care. 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. They are well protected from harm. The home is effectively managed. What has improved since the last inspection? There are a range of quality checks carried out here to help make sure the standard of service is regularly looked at and improved. This includes regular meetings with the people who live here, as well as external checks. These have been in place for several years. There was only one requirement made at the last inspection. This has still to be dealt with. The manager told us about a lot of things that have been done here to improve the service offered. This has included: • • • Working with people to help them move to more independent settings. Changing the way meetings are run to increase the involvement of the people who live here. Carrying out general refurbishment and redecoration works, including improving the shower to make it safer for people to use independently, Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 7 • fitting a new kitchen and making the garden a more pleasant place for people to spend time in. Getting a new computer, which the people who live here can use, and access the internet with. This is not an exhaustive list. 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. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 8 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 Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 9 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. People only move here once the manager has sufficient information about them. This is to make sure the home and the staff team can meet their particular 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 ‘person centred’ information about diversity issues such as disability, 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 Workers 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 Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 10 personal case files, and they also detail the action taken to meet these needs and progress made. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 11 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 excellent. 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. They all follow a standardised format. There is a summary section that highlights areas of need, likes, dislikes and so on. There is a separate part that has more detailed Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 12 plans of care. Objectives are set, and these are aimed at developing a person’s skills and independence. Closely linked to care planning arrangements are risk assessments. Again, these have been developed by a key worker. Areas of risk are therefore documented within each persons’ 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 the people living here 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 these are used to plan and enable people to lead an active life, to give people new experiences, and to access everyday opportunities. One person we spoke with has a ‘person centred plan’ posted in her own room. This details how they will be supported to move to more independent accommodation. This is to help with her wish to have a home of her own. The people living here also have opportunities to help make decisions at the house meetings, that are held regularly, and on a day-to-day basis, as was observed at the time of the inspection. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living here are assisted 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 day 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 vehicle is available to help people get to community facilities. We were told by the people here about the activities they enjoy, such as going to the shops, the disco and meeting up with family and friends. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 14 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 the people living here 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. 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 meeting up with friends and loved ones. This allows them to interact with people outside of their immediate home environment and to develop wider friendships and acquaintances. 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 shared dining room. Some of the people living here will be involved in all aspects of meal preparation and cleaning away. Other people need more help. The dietary needs of each person are outlined within their care plans. There is a record kept of the meals planned and provided. 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. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 15 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 excellent. This judgement has been made using available evidence including a visit to this service. Each individual’s personal care and healthcare needs are well supported by systems that ensure choice, privacy and dignity is respected and that their health and welfare is maintained. EVIDENCE: The people living at Fontburn Court 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 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 Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 16 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, most of the people living here are not able to administer their own medicines, and designated staff will help in this area. Most staff at the home have had medication administration training (the safer handling of medication course). This has been added to by ‘in house’ guidance and advice form the manager on this topic. The manager will check each member of staff is competent to handle medication, and comment and advise on areas for improvement. The medicines themselves have been placed in locked storage to keep them safe. 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. Where a person is supported to retain and administer their own medication, this has been done in a carefully pre-planned way. Staff undertake discreet support and monitoring to ensure this person’s skills are retained and that they remain safe. An audit of the medications used here was carried out by the inspector. All of the medicines looked at were properly accounted` for. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 17 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 about this service reported to us within the past twelve months. Where complaints are made to the service they are clearly documented and appropriate support from others obtained. For example where people complained about another person living here the help of other social care workers was sought to help achieve a satisfactory resolution. Nevertheless, 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 regular meetings. Notes of these are written up for future reference. Staff have also received training on the local Adult Protection procedures, which has helped to explain the role of adult protection, and to offer guidance to staff. The adult protection procedures are available in the home, should staff need further guidance in this area. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. Fontburn Court is a purpose build bungalow, domestic in scale and appearance. It is decorated, furbished and equipped to a high standard and kept clean and tidy throughout. 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 care plans. Bedrooms are all decorated to suit individual tastes and are redecorated periodically to maintain a pleasant standard. Overall, Fontburn Court is a comfortable home and the people living here appear comfortable and relaxed in their surroundings. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 19 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 excellent. This judgement has been made using available evidence including a visit to this service. The people living here are well supported by an effective and competent staff team. This ensures that they are supported in a safe manner by staff who have an understanding of their needs. Regular training also means staff are kept up to date with current knowledge and best 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, although since we last inspected this care home there have been no staff employed here who are newly recruited to the Council. Some staff have moved here from other Council services. We were told by one of the people living here about how they were involved in the interviewing and selection of staff. This was to help ensure that they were comfortable with the staff working in their home, and to support those people living here in the management of the service. 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 Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 20 manager keeps clear records of the training staff have received, which can assist in the planning of future training for the staff team. Of the three staff records we looked at all had received training relevant to people’s needs, health and safety and adult protection. Over three quarters of the staff team have undertaken and achieved an NVQ in care, at level 2 or higher. Two staff members are to enrol to get this qualification. Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 21 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. The people living here 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: Fontburn Court is overseen, on a full time basis, by the registered manager. She is supported by a Senior Residential Officer, who works full time here. The registered manager is qualified to NVQ level 4 in management, and to level 4 in care and has also attended training relevant to her post and the needs of service users Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 22 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. These include seeking the views of the people living here, and formal processes include the setting of and following up of clear plans. Staff from within the Council, but independent of the home, also carry out monthly inspections. Standards are examined, and if necessary recommendations for change made. 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, but up to date chemical data sheets need to be kept here to ensure staff have ready access to information on the chemical products being used. This means if there is a spillage, someone has an accident or they need to safely and responsibly dispose of a product, they know what to do. Fontburn Court (7) DS0000032736.V373335.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 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 2 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 2 X Fontburn Court (7) DS0000032736.V373335.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Regulation 13(4)(c) Requirement The registered person must arrange for COSHH data sheets to be available for all hazardous chemical products stored and used in the home. This is so that should there be an accident or spillage staff have information readily available about the chemical products being used here. The previous date for this repeated requirement was 19/03/07 Timescale for action 19/01/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fontburn Court (7) DS0000032736.V373335.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 Fontburn Court (7) DS0000032736.V373335.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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