Care Home: Sunningdales

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What the care home does well The home ensures that residents` needs are met through carrying out a preadmission assessment of their needs prior to being offered a place at the home and then by developing a care plan for the staff to follow. Through care planning, residents` health and social needs are met. Medication is safely administered by trained staff. The residents are provided with a balanced and nutritious diet. The complaints procedure is well publicised. The home provides a safe and `homely` environment for residents. There is an established well-trained staff team who are supported and supervised by the owner/manager of the home. What has improved since the last inspection? The full and required recruitment checks are now carried out in line with the Regulations. The staff application form has been reviewed and amended. More detailed records of food provided to residents are now kept. Where hand entries have to be made to the medication administration records, a second member of staff now signs the record to ensure that no errors have been made. What the care home could do better: The staff application form could do with more amendments to seek information that is consistent with the Regulations. Staff should be reminded of the COSHH Regulations, with particular reference to ensuring that cleaning products are stored safely away from residents. CARE HOMES FOR OLDER PEOPLE Sunningdales 75 Southbourne Overcliff Drive Southbourne Bournemouth Dorset BH6 3NN Lead Inspector Martin Bayne Key Unannounced Inspection 10th January 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunningdales Address 75 Southbourne Overcliff Drive Southbourne Bournemouth Dorset BH6 3NN 01202 426745 01202 420944 sunningdales75@aol.com 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) Mrs Betty Mary Turner Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10) Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service user (as known to CSCI) in the category LD (Learning Disability) may be accommodated to receive care. One named service user under the age of 65 years (as known to CSCI) in the category DE (Dementia) may be accommodated to receive care. 22nd January 2007 Date of last inspection Brief Description of the Service: Sunningdales is a small family run business that provides personal care and accommodation for up to 10 older people who have dementia or who have experienced a mental disorder. Mrs Turner is both the registered provider and responsible for the management of the home. She and her husband live in accommodation above the registered part of the premises. The home is situated in the Southbourne area of Bournemouth and is close to the seafront, shops and local amenities. The residents’ accommodation is provided on the ground and first floor levels. Since the last key inspection in January 2006 a stair lift has been fitted to assist residents to access the upper floor of the home. Sunningdales provides eight single rooms and one double room. There is a communal lounge/diner with a conservatory that leads to an enclosed garden at the rear of the home. Car parking spaces for a small number of cars is provided to the front of the building. The fees for the home range from £485 to £520 per week. Additional charges such as hairdressing, chiropody, toiletries and newspapers are detailed within the home’s Terms and Conditions of Residence. Sunningdales DS0000003990.V357643.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. We, (the Commission) carried out an unannounced inspection, the aim of which was to evaluate the home against the key National Minimum Standards for Older People and to follow up on the one requirement that was made at the last inspection in January 2007. Mrs Turner, the registered provider, assisted us throughout the inspection by providing us with information and records about how the home was managed and how care is provided to the residents. We looked around the premises and tracked the records of two residents who had been admitted since we last visited the home for the key inspection in January 2007. We spoke with four residents, two members of staff and with one relative, who was visiting at the time of our visit. Due to the mental frailty of the residents, it was not possible for them to provide a full account of what it was like to live at the home, however we left comment cards for relatives, care managers and health professionals who have dealings with the home. We used these, as well as the Annual Quality Assurance Assessment document that had been provided by Mrs Turner, to help form the judgements contained in this report. What the service does well: The home ensures that residents’ needs are met through carrying out a preadmission assessment of their needs prior to being offered a place at the home and then by developing a care plan for the staff to follow. Through care planning, residents’ health and social needs are met. Medication is safely administered by trained staff. The residents are provided with a balanced and nutritious diet. The complaints procedure is well publicised. The home provides a safe and ‘homely’ environment for residents. There is an established well-trained staff team who are supported and supervised by the owner/manager of the home. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Before a person is offered a place at the home, a full assessment of their needs is carried out to ensure that the home provides a suitable placement. EVIDENCE: At the time of the inspection there were no vacancies at the home. About half of the residents were funded through Social Services contracting arrangements and the other half being privately funded. Mrs Turner told us that the home does not advertise and that the majority of referrals are through word of mouth. She said that when a vacancy arises, family members and the prospective resident are welcome to visit the home. As the home caters for people with dementia it is usually not possible for the person referred to make a choice about residential care and they rely on care managers or their relatives to make decisions on their behalf. Mrs Turner informed us that in all Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 9 cases she visits the person to carry out a preadmission assessment of needs, or will do the assessment if the person visits the home. By these means she ensures that the home only admits people whose needs can be met. Since the last inspection in January 2007 two new residents have been admitted to the home. We tracked their personal files through the inspection. These provided evidence of good record keeping. We found that in both cases, a detailed preadmission assessment of the person’s needs had been carried out and the form used for recording, covered all of the topics detailed within the National Minimum Standards for older people. We saw that where the person had been referred by Social Services, a copy of the care management assessment and care plan had been obtained. The home does not provide an intermediate care service. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their care and health needs being met through the care planning arrangements, their medication being administered safely and by being treated with respect and dignity. EVIDENCE: We found that care plans had been developed from the pre-admission assessments for the two residents tracked through the inspection. Due to their mental frailty, residents at the home are not able to be fully involved in their care planning. Mrs Turner informed us that where possible, relatives are involved in care planning on behalf of the person concerned. This is achieved by using a questionnaire that families are asked to complete, which provides a history and details of the person’s lifestyle choices. This information is then used in developing the care plan. We also saw that there was a space on care plans where relatives were invited to sign that they had been involved in the Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 11 care planning. We found that care plans were concisely written and provided sufficient information for a new member of staff to meet the care needs of that person. We found there was no photograph on the front of the files for both residents, however we saw that for people who had been admitted prior to these two residents, their photograph was on the front of their file. It was agreed that photographs would be taken as soon as possible of the two newly admitted residents, as this is a requirement of Regulations. We found that risk assessments had been carried where significant risks of harm in delivering care had been identified. Step to reduce the risk of harm were incorporated into the care plans. We also saw that care plans were signed, dated and reviewed monthly. We saw that monitoring charts, such as fluid intake charts and turning charts were available for recording if this was an identified need. We saw within the care plans, personal files and daily recording sheets of residents that health needs of residents were being met. Each resident is registered with one of the local GP surgeries and there was reference to arrangements for chiropody, dental care and the visiting an optician. We also saw evidence of the Community Mental Health Team and District Nurses being involved appropriately. The relative with whom we spoke, told us that they had peace of mind, as they had full confidence in the home in meeting residents’ health and care needs. They also informed us that the staff treated residents with respect and upheld their right to privacy and dignity. We observed the interaction between the staff and the residents. They appeared comfortable and at ease with the staff. Mrs Turner informed us that only she or her deputy administer medication to residents and both have been trained in the safe administration of medicines. All medication is administered to the residents owing to their mental frailty. We looked at the medication administration records for all the residents. The records had been completed in full with no gaps in the records. Known allergies were recorded at the top of the recording sheet. At the last inspection it was recommended that where a hand entry has to be made on to the medication record, a second member of staff should sign that the record has been checked for accuracy. We found that this practice had been adopted, save one omission. The home has a medication trolley that is fixed to the wall in the lounge area and is kept locked so the residents cannot access medicines. We saw that medications were being stored correctly. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a balanced and wholesome diet being provided and from being able to receive visitors at any time. Their leisure and social needs are assessed and efforts made to meet these individually. EVIDENCE: Mrs Turner informed us that she had found most group activities were not of value to the residents at Sunningdales and therefore the majority of activities were arranged on an individual basis. She told us that occasionally singers were invited into the home, as at Christmas when residents were entertained by carol singers. As reported in the previous section of this report, family members of residents assist by providing information about residents’ life histories. By these means the staff get to know residents and how to meet their social and leisure needs. Examples of how needs were met included, one resident whose personal appearance was of particular importance to them and how staff paid a particular attention to this person, ensuring that they were assisted with putting on makeup and regular hair appointments. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 13 Another resident liked to sit with the newspaper each morning and another resident who liked to have comfort from her collection of soft toys. We observed that the staff were attentive to residents and knew of their personal likes and how to approach them. On the day of our visit the hairdresser was visiting the home. We were informed that visitors are welcome at any time, although asked to avoid mealtimes, as visits at these times can be distracting for residents. The relative we spoke with said that they were made welcome at the home and could visit whenever they chose. At the last inspection we recommended that more detail be written concerning the records of food provided to residents, so one could determine what each resident had eaten. Mrs Turner informed us that since that time, the Environmental Health Officer had visited the home for a food hygiene inspection and had provided further advice on how to maintain food records. We saw that the home was now keeping better records and these reflected that a varied and a balanced diet was being provided to the residents. We saw the midday meal that was being provided on the day and this looked wholesome and adequate in portion. We were also able to see that specialist diets were being offered, with two residents having a diabetic diet and others who required their food to be puréed. Care plans detailed those residents who needed assistance with eating. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the complaints procedure being provided to their families, who can complain on their behalf and from the staff being trained in adult protection. EVIDENCE: Mrs Turner informed us that since the last inspection she has received no complaints about the home. No complaints or concerns have been brought to the attention of the Commission. The complaints procedure is detailed within the Service User Guide. A copy of this document is given to family members of residents when a person is admitted to the home. The complaints procedure is also detailed within the Terms and Conditions of Residence and is prominently displayed in the hallway. Due to the mental frailty of the residents it is unlikely that they will be able to make a formal complaint and therefore rely on families, friends and visitors to complain on their behalf. Mrs Turner informed us that since the last inspection staff have been given training in the protection of vulnerable adults through an external trainer and certificates of this training were seen on the wall in the hallway. Mrs Turner also informed that copies of all the relevant procedures and policies concerning adult protection were held in the home and were available to the staff. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a safe, clean and well maintained environment. EVIDENCE: Since the last inspection a stair lift has been fitted providing access to the six bedrooms located on the first floor of the home. The installation of the stair lift should make it much safer for both residents and staff. Approval was gained from the Fire Officer before going ahead with fitting the stair lift. We saw that new carpets had been fitted in all the communal areas of the home. We found the home to be in good decorative order as well as being clean and free from any odours. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 16 As reported at the last inspection the front door of the home is kept locked for the protection of residents, as there is a busy road that runs outside of the home. Owing to their dementia, residents would be a great risk if they wandered from the home unescorted. The front door locking mechanism is linked to the fire safety system so that in the event of a fire, residents can be evacuated safely. We found that the conservatory was currently not in use as there was some furniture being stored in this area. We were informed that the conservatory is not used during the winter but that it would be made available again for residents in the spring and summer when the weather is warmer. On the day of inspection the weather was cold, however the home was warm inside. Some of the radiators have been covered following risk assessments of all radiators. Those radiators being assessed as a high risk to residents have been covered. We noted that at the time of inspection, none of the radiators were of a temperature that could cause burns. We also tested the temperature of the hot water of one of the baths and found that thermostatic mixer valves regulate the temperature of the water so as not to be a scalding risk to residents. As reported at the last inspection, the home does not have a sluice facility. We found that procedures for cleaning commodes have been put in place in the interest of infection control. The laundry area is sited on the first floor away from food preparation areas and has a washing machine with a sluice cycle. The staff reported to us that there was always a supply of protective clothing such as gloves and aprons. Alcohol gels were seen to be provided in bathrooms and strategic places in the home. We did find a cleaning product that had been left out in the open in the laundry room and this was brought to the attention of Mrs Turner. We recommend that staff are reminded to COSHH procedures, (control of substances harmful to health) and the need to keep any of these products locked away from residents for whom they could be harmful. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the staff being suitably recruited, trained and supported by the manager. EVIDENCE: Mrs Turner informed us that between 8am and 3pm there were two care staff on duty and from 3pm to 8pm, one member of the care staff. She also informed us that between 8am and 9:30pm she and her husband worked and were available in the home. During the night time period from 8pm to 9:30am two members of the care staff are on duty; one person awake and one person on a sleeping in duty. The duty roster was seen that reflected this level of staffing. Mrs Turner showed us a daily diary in which was recorded the hours that individual members of staff have worked. Mrs Turner said that this level of staffing met the needs of the residents. Staff spoken with and also returned comment cards supported this. At the last inspection a requirement was made concerning staff recruitment. It had been found that a member of staff had started work at the home before the return of the POVAFirst check; this is the check against the register of individuals deemed unsuitable to work with vulnerable adults. We were told Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 18 that since the last inspection two members of staff had started working at the home and their records were seen. We found that all the necessary checks that are detailed in Schedule 2 of the Regulations had been complied with, including the POVAFirst check. A recommendation was also made at the last inspection concerning the staff application form. It was recommended that this document be revised so as to seek information consistent with Schedule 2 of the Regulations. We found that the application form had been changed, however we recommend that further amendments be made to ensure that a reference is sought from a person’s last place of employment of not less than three months where the person worked with vulnerable adults or children. Staff training certificates are displayed in the hall and reception area. Mrs Turner told us that core training is provided to the staff team that includes, induction training, health and safety, moving and handling, adult protection, infection control, first aid and basic food hygiene. We saw training certificates to support this. We also saw the staff have been trained in caring for people with dementia in February of last year. Standards require that 50 of the staff be trained to level 2 NVQ. At the last inspection the home had achieved this level. Mrs Turner informed on this occasion that due to staff changes, the level had fallen below 50 . However new staff were in the process of doing NVQ level 2 training and when qualified, this would bring the home back up to the 50 level. During the inspection we spoke with two members of staff who informed us that there was a good working environment at the home, that the staff worked very much as a team and that they felt well supervised and supported. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the interests of the residents. EVIDENCE: Mrs Turner has 18 years of nursing experience as well as experience is in care management and residential care. She also has a qualification are in advanced management and care of the elderly. We found at this inspection that the home was well managed with the residents being cared for in a homely and safe environment. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 20 Mrs Turner informed us through her quality assurance document that she is in the process of conducting a survey involving residents’ families and visitors to the home, as part of her quality audit. By virtue of being a small family run home and always being available, there is always good communication between relatives and management for issues to be dealt with should they arise. Mrs Turner told us that as a general principle she does not handle residents’ finances, with families taking on this responsibility. One resident has a social worker, who assists with their finances and Mrs Turner has been made appointee for another resident. Mrs Turner told us at this inspection that this resident was shortly to be moved to another placement and she will cease being the appointee for this resident. As mentioned earlier in the report, we found a cleaning product that had been left in the open in the laundry room and this was brought to the attention of Mrs Turner. Mrs Turner provided us with information about servicing of equipment within the home in the Annual Quality Assurance Assessment. We saw the fire in the book and found that tests and inspections of the fire safety system had been carried out to the recommended timescales. We also saw that fire safety training staff had been conducted at least twice yearly for all staff as required and that a fire drill had been carried out every six months. Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP28 Good Practice Recommendations It is recommended that further amendments be made to the staff application form to ensure that a reference is sought from a person’s last place of employment of not less than three months where the person worked with vulnerable adults or children. It is recommended that staff be reminded of COSHH procedures, (control of substances harmful to health) and the need to keep any of these products locked away from residents. 2. OP38 Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Sunningdales DS0000003990.V357643.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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