Care Home: Prospect House Care Home

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What the care home does well The home has only been open for a few months. It is clean, warm and comfortable. The furnishings and furniture are good quality and one person said ` it`s like anyone`s house. Warm and welcoming`. People receive the care and support according to what they want. Routine is very flexible so that people can have a shower at a time that suits them, and can get up and go to bed as they choose. This helps people to stay in charge of their own life as much as possible. People are consulted regularly about how they want to spend their time and what it is like living there, for them. Their views are listened to and acted upon, meaning that they are central to how the home runs. People lead interesting lives and are able to maintain past interests like gardening and art. The home encourages links with the local community so that people feel included and valued. These help to promote people as individuals, with rights and opinions. There are regular trips out. One person said. `The staff have taken us out on two outings recently. To Dalby Forest and to a Christmas demonstration at the local garden centre. These are enjoyable`. People help to choose what meals are to be prepared. Staff knowledge of people`s likes and preferences helps to make sure the meals are a positive part of living at the home. Visitors are encouraged to treat the home as a second home. One relative commented. `Prospect House is an outstanding home. We are delighted with the care and attention our relative receives.` The owner and staff group work well together and are very enthusiastic about their work. They want to provide a good service and get extra training to improve their skills and knowledge so that people living there can benefit. What has improved since the last inspection? The home has been open for just a few months. This is the first inspection undertaken by the Commission for Social Care Inspection. What the care home could do better: The recruitment processes and documentation could be more robust, so that the owner can easily check whether an applicant is suitable to work in a care setting. This would help to show that she is contributing to keeping people safe. All the staff could discuss and learn about safeguarding adults and what staff`s responsibilities are, should they suspect or witness abusive behaviour. A safeguarding policy could be written, which staff could refer to, which would help to ensure these incidents are managed in a consistent way. These will help to protect people from harm. Medication checks could be carried out as a way of checking that people are receivingtheir drugs correctly as well as providing a more accurate record of the medication stored at the home. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Prospect House Care Home Prospect House Gate Helmsley York YO41 1JS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jean Dobbin     Date: 0 9 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Prospect House Care Home Prospect House Gate Helmsley York YO41 1JS 01759373796 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Debra Susan Boughen Name of registered manager (if applicable) Debra Susan Boughen Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of users who can be accomodated is: 3 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 categories: Old age not falling within any other category - Code OP Date of last inspection Brief description of the care home Prospect House is a purpose built care home registered with the Commission for Social Care Inspection in 2008. It provides personal care and support for three older people, both men and women. It is situated about 6 miles north east of York, in the small village of Gate Helmsley, where there are village amenities. It is on a bus route to York, where there are major transport links. The home is attached to a Victorian country house, where the owner lives. There is a car park to the rear of the house and attractive gardens, with level access to the home. There is a large lounge and dining Care Homes for Older People Page 4 of 29 care home 3 Over 65 3 0 Brief description of the care home room, small residents kitchen and toilet on the ground floor. Stairs and a stair lift provide access to the private rooms, on the first floor, which all have ensuite toilet and hand basin facilities. A very large shower room is also on the first floor. The home has a Statement of Purpose, which is available for people to read. This is the first report published by the Commission for Social Care Inspection. The weekly fees to live at Prospect House on January 9 2009 are £495. Additional charges are made for hairdressing and chiropody. Whilst the cost of weekly outings are included in these fees the home charges an extra rate of £7 an hour when staff need to accompany someone to the doctors or hospital to offset the cost of them working the extra hours. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is what was used to write this report. Information about the home kept by the Commission for Social Care Inspection. Information asked for, before the inspection, which the manager provides. This is called an Annual Quality Assurance Assessment or AQAA. Information from surveys, which were sent to people who live at Prospect House, to staff and to other professional people who visit the home. 3 were sent to people at the home, and all were returned. 3 were sent to health care and social care professionals and 1 was completed and returned. 4 were sent to staff at the home and 3 were returned Care Homes for Older People Page 6 of 29 A visit to the home by one inspector, which lasted about 4 hours, from 10am until 2pm. This visit included talking to people who live there, and to staff and the owner about their work and training they had completed. It also included checking some of the records, policies and procedures that the home has to keep. Information about what was found during the inspection was given to the owner, who is also the registered manager, at the end of the visit. We have reviewed our practise when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: The recruitment processes and documentation could be more robust, so that the owner can easily check whether an applicant is suitable to work in a care setting. This would help to show that she is contributing to keeping people safe. All the staff could discuss and learn about safeguarding adults and what staffs responsibilities are, should they suspect or witness abusive behaviour. A safeguarding policy could be written, which staff could refer to, which would help to ensure these incidents are managed in a consistent way. These will help to protect people from harm. Medication checks could be carried out as a way of checking that people are receiving Care Homes for Older People Page 8 of 29 their drugs correctly as well as providing a more accurate record of the medication stored at the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The pre admission assessment ensures that individual care needs can be met at the home and the prospective resident receives information and help to enable them to choose whether Prospect House is the right place for them. Evidence: The people living at Prospect House were assessed by the owner before they moved there. She visited them at their previous address so that she could discuss the kind of care and support they need and whether those needs could be met if they moved to the home. They were invited to visit the home, with or without their family so that they could get a feel of what it is like. One person said in their survey that they visited twice, and a relative commented that they were invited to visit to look around the home and talk with the owner. They also commented that they were given a contract, which set out Care Homes for Older People Page 11 of 29 Evidence: the terms and conditions associated with living there. The home produces a Statement of Purpose, which provides information about the home and staff, and what services are included in the weekly fees. Prospect House does not provide Intermediate care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and individualised personal care needs are well met and the principles of dignity, respect and privacy are recognised by staff as very important. Evidence: The two people currently living at Prospect House have care plans, which describe the care and support they need to stay as independent as possible, and in control of their own lives. These were very different to each other, to reflect peoples individuality. Examples include recording that a person has some deafness, so staff have to speak more loudly, and a clear description of the extra temporary help one person needs, following an injury they sustained. There are very detailed daily records and these describe social activities as well as peoples personal care support. There are no specific written risk assessments though the owner explained that the people living there currently have been informally assessed as low risk for incidents Care Homes for Older People Page 13 of 29 Evidence: like developing pressure sores, falling, or becoming malnourished, either because of a health problem or poor appetite. It would be good practise to record that these risks are low if only to show that the risk has been looked at. Care staff have a handover before every shift, so that they have up to date information about the people living there. This was confirmed by staff in their survey comments. Care plans are securely stored, though people and their families are encouraged to read what has been written about them. Some records contained peoples signatures to confirm their agreement to what had been written. The records though did not contain contact details for peoples next of kin, family doctor or social care professional. These are securely stored, with only the owner having access, to maintain confidentiality. However if an event happens when the owner is not available then the carer on duty needs to have this information so that they can inform the right people in a timely way. The owner said changes will be made urgently to ensure this information is accessible to staff. The home has good links with the local doctor and people are taken to the surgery wherever possible. One person said that if they wanted to see the doctor they would speak with Debbie and she would organise it. Another person completing their survey said they were always informed promptly if the manager had any concerns about their relative. A chiropodist visits the home regularly and the care records showed that people had been seen by other health care professionals since they moved to the home. Nobody currently looks after their own drugs. The medicines are dispensed by the local pharmacist in packets and one carer has received extra medication training, so that they can give the medicines to people if the owner is unavailable. They are stored securely, however the cupboard is small and the owner is already in discussion with the pharmacist about purchasing something bigger. The home does not hold any controlled drugs at this time, but she should also seek advice from the pharmacist about what systems the home will need when someone living there is prescribed these drugs. The medication record sheets were filled in properly with no omissions, however the quantity of medication from one monthly cycle to another is not recorded on the new record sheet. This means there is not a complete record of medication within the home and makes it difficult to check if medication is being administered correctly. The owner says she will bring in ways of addressing this. People were observed being treated in a respectful manner. One person said they liked Care Homes for Older People Page 14 of 29 Evidence: to receive help with personal care from a female staff member, and said this was always respected. One carer said in their survey. We treat residents the way we would treat our own parents. With love, respect and dignity. And a relative commented that we are delighted with the care and attention our relative receives. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Prospect House are supported to live the life they choose and enjoy a nutritious and varied diet. Evidence: People living at Prospect House have interesting and varied lives. There is a weekly trip out in the homes car and people are asked where they would like to go. One person said in their survey that they particularly liked these events. These trips have included visits to the coast for fish and chips, to the Humber Bridge and for afternoon tea at local garden centres. People are supported in maintaining past interests and hobbies. One person has helped in the garden with potting on and growing the vegetables. Another is attending Art classes and visits the mobile library in the village each fortnight. The home encourages links with the local community, like attending the harvest supper at the local church and having visits from local nursery children. Also the home has held a coffee morning and carol singing in the conservatory. This is attached to the original part of the building, but people living there also use it when events are held. Care Homes for Older People Page 16 of 29 Evidence: Visitors can call anytime. One person said it was more like walking into a friends house, rather than a home. And residents seem more like one of the family. A hairdresser visits regularly and a religious service is held at the home fortnightly. The meals at Prospect House are good. They have their breakfast at a time that suits them. Although there are planned menus staff know peoples likes and dislikes, and adapt the meals accordingly. One person said the food was very good and another said their relative appeared to enjoy all the food. People are given choices at teatime, but they are also asked what they would like and this is provided wherever possible. One person likes lots of drinks and their mug is regularly refilled, and biscuits offered. The other person at the home likes a china cup and saucer, and this preference is also respected. Records are kept, as requested by the Environmental Health Officer. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that any concerns will be addressed promptly and peoples welfare is being properly protected. Evidence: Prospect House has a complaints policy, which is discussed with people and their families if they choose to move there. The survey responses all said they would tell the owner if something was bothering them although since opening there have been no complaints. The owner and her husband regularly check informally if people are satisfied with the support they receive. People receive regular visitors and the staffs knowledge of peoples needs means they are likely to recognise changes in peoples behaviours if something were worrying them. Prospect House does not have a safeguarding policy, though the owner said they would address this with some urgency. One care worker spoken with was unclear about their responsibilities in the event of an allegation of abuse being witnessed. However the size of the home means that care staff and visitors are informally observing the behaviours of everyone else all the time, and are likely to notice if someone appears unhappy, or more withdrawn. One person spoken with said they would definitely report that someone had been unkind to them, but added that the staff are very good and caring. The owner said safeguarding would be discussed at the next staff meeting and she would make sure her knowledge was up-to-date. Care Homes for Older People Page 18 of 29 Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a very clean, warm, attractive and well appointed home. Evidence: Prospect House is a new purpose built extension to a Victorian farmhouse. It has been built to blend well with the original building, which is where the owner lives. There is a large lounge with an inglenook fireplace and a dining room with its own informal seating area. A small residents kitchen enables people and their families to make their own drinks independently. The fittings and fixtures are high quality and there is a lot of soft lighting and other homely items in these rooms. Prospect House has level access as well as a well maintained, safe garden with patio, different seating areas and built in barbecue. Photographs in the home showed that the garden was well used in the warmer weather. A stair lift can be used to access the private rooms on the first floor. These are a good size, all with en suite toilet and wash hand basin. The rooms are all lockable but people currently choose to keep the doors unlocked. All the rooms looked at contained personal items, including items of furniture, to make the room feel more like home. One person said I love my room. The home has a large walk-in shower and downstairs toilet, but no bath. Care Homes for Older People Page 20 of 29 Evidence: The laundry facilities are accessible to the people living there and one person likes to help with their own washing. The owner makes sure that appropriate aids are available and used to make sure that people living and working in the home are protected against infection. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are helped by an enthusiastic and competent staff group, who feel valued and supported. Recruitment processes need to be more robust as this will contribute to keeping people safe. Evidence: The owner provides most of the care and support that people living there need. Three more care staff are employed, who between them work about the equivalent of one full time post. This provides flexibility and makes sure there are enough helpers when people go out for the day, each week, or need to attend health care appointments. All the staff carry out catering and domestic duties in the home too. A call bell system alerts the owner if people need help at night. The owner says she is not regularly woken at night, though is aware that if this happened very frequently she would have to re-look at the way the home is staffed. The owners husband works several hours a week as a Business Manager, ensuring health and safety requirements and written records, not relating to care, are properly maintained. There are both male and female care staff, so people can make a choice when they Care Homes for Older People Page 22 of 29 Evidence: need to receive personal care. Two of the three part time staff already had up to date training in areas like food hygiene and first aid when they started working at Prospect House, and two have a National Vocational Qualification Award Level 2 in Care. People are more likely to receive safe, consistent care from staff who have a good understanding of why they do what they do. The two staff at the home on the day of the visit were observed talking gently and respectfully to the people there. Their behaviours and attitudes showed they had a good understanding of what mattered to the people there. Comments in the surveys include all staff are friendly and helpful. And a member of staff is always available. And staff are very caring and supportive. One person said staffing levels are excellent. One recruitment file was looked at. Although the owner could show that care staff did not work unsupervised until their full police check was returned this person started working there before a PoVAFirst check was completed. This check confirms that an individual is not barred from working in a care setting because of a previous offence. Although the owner knew this person well, and they were already working in a different care setting there must be robust recruitment processes in place, so that the owner can show that she is doing all she can do, to keep people safe. The way the homes recruitment application form has been devised does not make it clear that a full employment history is needed from all applicants, so that this can be checked and discussed, if necessary, at interview. The Business Manager said he would make these changes. An induction period was provided for staff when they started working at the home. This was quite informal, however the rota showed that they worked a number of shifts alongside the owner, so that their work could be informally monitored and she could be satisfied that their work was satisfactory. The owner says she is keen to support staff to undertake extra training if it is to the benefit of the people living there. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being run in the best interests of the people living there. Evidence: Mrs Boughen owns and manages the care home on a daily basis. She is a registered nurse having spent most of her career in health care. However prior to her present role she has had a lot of contact with care homes when she was a specialist nurse. She showed in discussion that she had a good understanding of what might matter to people moving to the home, and the importance of promoting their independence and control. People spoken with said she was readily available and they found her approachable and flexible. The owner is very responsive to peoples needs and there is a very open culture in the home, where peoples views and suggestions are actively sought. One relative said the staff make everyone feel very at ease. The owner needs to try to capture this Care Homes for Older People Page 24 of 29 Evidence: informal monitoring of how the home runs, so that she can show that she is regularly consulting with all the people who have an interest in how the home operates. The home does not have any responsibilities for managing peoples personal monies, though a secure facility is provided in each bedroom, so that people can safely store money and items that matter to them. Staff meetings are held each month. All staff attend and they are minuted. Staff do not have direct supervision, however Mr Boughen states he will incorporate group supervision into the staff meetings, with the staff being offered the opportunity for a private meeting if necessary. The owner has made proper provision to ensure that there are safe working practises by being alert to the need to provide staff with regular refresher training as necessary, in areas like moving and handling, food hygiene, fire safety and first aid. The owner, with her husband, showed in discussion that they had a good understanding of the need to have good systems at the home in order to protect people living and working there. The home has environmental risk assessments in place and these all have dates when they are to be reviewed. The fire safety checks are carried out regularly and one member of staff said fire drills are always happening. Hazardous substances are securely stored and daily checks are carried out to make sure that neither the radiators nor the hot water delivery is too hot. This monitoring should be recorded to show that it is happening. All these processes help to show that peoples health and welfare are being well protected. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 18 13 Staff at the home must 31/01/2009 know about safeguarding vulnerable adults and what they must do if they suspect or witness abusive behaviour This is so that all staff are alert to the need to keep people safe. 2 29 19 Staff must not work at the home, even when supervised, until they have had at the very least, a PoVAFirst check to confirm they are suitable to work in a care setting. Robust recruitment processes contribute to protecting people from harm. 31/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. Care Homes for Older People Page 27 of 29 No. Refer to Standard Good Practice Recommendations 1 9 A system should be in place to record medication carried over from the previous month. This helps to confirm that medication is being given as prescribed and when checking stock levels. The home should have a safeguarding policy in place so that staff can refer to it for guidance, and the home has a consistent approach to managing any allegations that may be made. 2 18 Care Homes for Older People Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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!