CARE HOME ADULTS 18-65
1-3 Adams Street West Bromwich West Midlands B70 9TH Lead Inspector
Chris Lancashire Key Unannounced Inspection 29th May 2008 09:00 1-3 Adams Street DS0000004806.V365488.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 1-3 Adams Street DS0000004806.V365488.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. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service 1-3 Adams Street Address West Bromwich West Midlands B70 9TH 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) 0121 532 6623 0121 505 7808 Pioneer Care Limited Manager post vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 10th April 2007 Brief Description of the Service: 1-3, Adams Street provides care for three people with learning disabilities and is owned by Pioneer Care Ltd. The home is made up of two converted residential dwellings in the heart of a residential area of West Bromwich. It is close to shops and local amenities, and close to a public transport route. The front door can be accessed via a ramp or steps. The home has two floors providing single bedrooms, one with en-suite facilities. There are shower and bathing facilities and an office on the first floor, a toilet, two lounges (one smoking) and dining and kitchen facilities on the ground floor. There is car parking on the street, and a front and rear garden. There are no lifts provided within the home and therefore the home may not be suitable for somebody with mobility difficulties. 1-3 Adams Street DS0000004806.V365488.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 that the people who use this service experience excellent quality outcomes. One inspector carried out this inspection on a weekday without telling anyone that she would be arriving. A few weeks before the visit, a questionnaire had been sent to the manager, asking for information about the home and surveys had been sent to the people who live there, so that we could find out their views and be prepared for the visit. On the day of the inspection, we spoke with the manager and three members of the staff team. We also met all three men who live in the home. One of these men showed the inspector round the building. We looked at records about the running of the home and the files for the three men. We also looked at two staff files and the systems for recording the medication. What the service does well:
This home has a welcoming atmosphere. Staff and the men who live in the home are friendly and clearly enjoy each others’ company. The home feels relaxed and homely. There are no set times for meals, getting up or going to bed. The men choose what they want to eat and what they want to do. The men are happy living in this home. One told us that it is ‘great’. All the decisions made about the running of the home take the views of the people who live there into consideration. The men are encouraged to be involved in all aspects of daily life and are helped to learn new skills such as cooking and gardening. Their care plans are based on what they want to achieve in their lives. One man has written his own plan. The men are helped to live healthy lives. Staff explain the reasons why certain foods and activities are helpful in this respect. They act as role models for the men as they take part in activities with them. Staff are very well supported by the manager and they are enthusiastic about their job. They see their main role as helping the men to live their lives in the way they want and they look for ways of making the men’s wishes become possible. They involve the men in most tasks, including areas of the training. There are regular outings to places of interest and the men enjoy holidays to Spain and Torquay. The staff work well together and two members of the team told us that communication between staff is ‘brilliant’. This was supported by what we saw and read during the visit. The records at this home are very well maintained and well organised, so that it is easy to see what a person who lives in the home needs and wants and to see what staff have done to enable this to happen. The records of medication
1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 6 are completed in a suitable way and the financial records are also in good order. What has improved since the last inspection? What they could do better:
There have been many improvements since the manager and current team have been in post. Some were noted at the last inspection and during the past year, as part of this process, the manager has been constantly identifying areas where practice could be improved to provide the men with a better quality of life. He plans to undertake more activities and trips and to extend staff training opportunities. The lack of computer facilities in the home has not restricted the development of the systems as the manager uses his own facilities. The men access the internet at the local library. However, we consider that it would be beneficial for the home to have a computer with internet facilities, which could be used by the men, the staff team and the manager. The manager should be registered with the Commission for Social Care Inspection. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 7 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. 1-3 Adams Street DS0000004806.V365488.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 1-3 Adams Street DS0000004806.V365488.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): 1,2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good information about the home and this provides a good description of what it is like to live there. People who live in this home have their needs assessed before they move in and this information is reviewed regularly. EVIDENCE: We saw that the home’s Statement of Purpose and service user guide have been updated so that they contain current information about the home. For example, there are details of the staff who now work in the home. This means that anyone who was considering moving into the home would have useful information to tell them what it is like. However, no-one has recently moved into the home as the three men who live there are settled and this is their home. There have been recent meetings for each person who lives in the home to discuss their care and plans with the authorities who fund their placements. This includes making sure that their contracts are set up in the right way. We saw the records of these meetings. We saw records which show that the men who live in the home are involved in meetings and in making decisions about all aspects of their lives. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who live in this home make decisions about their lives and the way the home is run, so that staff can help them to live their lives in the way they prefer. EVIDENCE: Each person who lives in the home has been involved in writing their care plan, which explains their needs and hopes for the future. These plans tell staff how each person likes to be helped to live their life in the way they prefer. One person has written his own plan and the others have been helped by staff to express their views, so that the plans are clear and easy to understand. We saw that the plans have plenty of details about how each person likes to be helped throughout the day and there are photographs of the people living in the home doing things which the plans describe. The plans also let staff know what each person would like to do in the future, so that they can find ways of helping them to have new experiences. These plans are in each person’s bedroom as well as in the office.
1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 11 When we spoke with staff, they knew what each person prefers to do and they understood the amount of help which each person needs so that they can live their lives how they wish to. They explained how they look for ways of helping each person to work towards their goals and to experience new places and activities. One member of staff told us that his job was ‘facilitating the men to live their own lives’. Staff find out what each man wants by using different methods of communication as their needs are very different in this respect. They described these methods and they included, talking, using gestures, using photos and objects to help the men to make choices. There are also times such as ‘talk time’ and ‘happy gatherings’, which are used to make plans about things such as where they will go on outings and holidays. The men all have key workers. When the man make choices which may involve a risk, the staff assess the risks and try to make the activity possible by reducing these. In this way, the men live very full lives. For example, one goes to local shops and staff are looking at safe ways to help him to realise his ambition of driving a car, by seeking safe and supervised location where this may be possible. Where the men make choices which may not be safe, such as deciding to smoke, the manager has provided experts who have described the reasons why this may be a dangerous choice, but in the end, a choice to continue has been respected and staff tray to make as safe an environment as possible for all the people who live and work at the home. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The men who live in this home are assisted to take part in activities and to develop their skills in a variety of areas. They have a healthy diet and enjoy their meals. EVIDENCE: People who live in this home are helped to develop their skills and interests. They go out to day centres when they wish to. The staff have the use of a minibus and this means that there are days out to local places of interest. In the past few weeks, they have been to Bridgenorth, the Sea Life centre, Dudley, fruit picking and for several meals. The men enjoy holidays. One told us that he had been to Spain and Torquay. The manager is planning another trip to Torquay in the near future. Staff also take people out to do the food shopping or to fetch other things for the house. Everyone is involved in the running of the house. The men who live
1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 13 in the home do jobs such as keeping their rooms tidy, replacing the paper towels in the bathroom, assisting with testing safety systems and gardening. Staff help the people who live in the home to get the most out of their lives and to continue to learn and develop their skills. The men all have library cards and use the library to access the internet. They also attend training when they are interested to do so. For example, men who live at the home have been to training in food hygiene, healthy eating, first aid and foot care. There is no computer at the home and we suggested that it would be an advantage if the home were to obtain one. The manager has made great efforts to help people to keep in touch with their relatives when they want to and this includes overnight stays. Staff record when there are phone calls and visits and we saw that these records are kept up to date. Since this manager has been in post, this contact has increased. One man chooses to go to church on a regular basis and staff help him to do this. The manager and staff help the people who live in this home to eat a healthy, balanced diet. Everyone has had some training in this area and they follow the ‘Five for Life’ advice. The men choose their meals each day and staff either cook for them or help them to prepare the food. One man said ‘you can have what you want – it’s great’. Most of the food is cooked from basic ingredients, using fresh vegetables. The men are helped to grow vegetables in the back garden and one showed us the potatoes which he had planted and told us about the tomatoes which he grew last year. Staff record the meals which the men have eaten and take care to make sure that the chart includes the fruit and vegetables. Fruit and soft drinks are left out at all times for people to help themselves and so that visitors can be looked after. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. The quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The men who live in this home are given support in the ways they need and choose, so that their needs are met. They are helped to make choices about what will happen after they die. The men’s medicines are handled correctly and staff keep good records of the medicines taken, which ensures that the men are properly protected. EVIDENCE: The men who live in this home are fully involved in writing their own care plans so that staff have very good instructions about how each person likes to be helped and the tasks which they can do for themselves. These include bathing, shaving and other personal tasks. The amount of help each person needs because of medical reasons is also in the care plans. Staff respect choices which have been made. They told us about the different amounts of support which are needed for each person. Staff are trained when there are tasks which need special care. For example, they have been trained in foot care. The men who live in the home have also had this training so that they understand what they and the staff need to do to keep their feet healthy.
1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 15 The staff try to help the men to live a healthy lifestyle. This includes healthy eating, taking exercise and giving up smoking. One man showed us the details of a walk which staff are going to do with the men as part of a health promotion in Sandwell. We saw records of meetings which the manager organised with health professionals to encourage one person to stop smoking. However, the staff respect the personal choice of the men who live in the home. We saw the record of the times when the men visit the doctor, dentist and other health professionals. The appointments are clearly marked on the calendar. After each appointment staff record if there are any new instructions which change the way in which they need to provide care and support. There is a safe, locked cabinet where the medicines are stored. It is very well organised and the medicines are all clearly labelled. There are photographs of the men on the system where most of the tablets are stored as well as on packets which are not part of the system. The pharmacist visits to check the systems regularly and we saw records of the visits. The staff are trained to give out the medication and we saw that the records of when medicine has been given out are completed in the right way. As part of the care plans, the men have made choices about what they want to happen after they have died and these instructions are kept in the plans in sealed envelopes with clear instructions for staff about who to contact. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in this home are protected from abuse, self harm and neglect and they feel that their views are listened to. EVIDENCE: There is a complaints procedure which is available to people who live in the home, their relatives and visitors. As well as a written version, there is one which has pictures and may be easier to use for some people. We saw that the men are reminded regularly about the ways they can make a complaint and one described what he would do if he was unhappy with anything at the home. Neither the home nor the Commission for Social Care Inspection has received any complaints in the past year. The staff have been trained in recognising signs of abuse and in the action to take to protect the men. We saw the Council’s vulnerable adult procedures in the office and staff also have the home’s procedures to guide them should they need to take action. There is a good system for making sure that money which is looked after for the men is kept safe. The money is kept in see-through wallets in a locked container. The records are signed by the staff and the person who lives in the home when any money is taken out and the amount which should be in the wallet is recorded. The money is checked when staff handover between shifts and the manager also carries out checks. We counted the money belonging to
1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 17 all three men and found that it was correct. The men also have secure storage in their rooms so that they can keep money and other items safely. 1-3 Adams Street DS0000004806.V365488.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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The men who live in this home have a comfortable and homely environment. EVIDENCE: The home has gardens at the front and the rear. These are well-maintained by the staff and the men who live in the home. The rear garden has a patio, a shed and a small greenhouse. One of the men is growing vegetables and we saw the pots where he has planted potatoes. On the ground floor there are two living rooms. One is set aside for one of the men to smoke. There is also a dining room, kitchen, shower room and utility room. On the first floor there is a bathroom, office and three single bedrooms, one of which has an en-suite facility. One of the men told us that he is very happy with his room. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 19 The whole home is clean, with homely pictures and ornaments. Several areas have been decorated recently. These include bedrooms. There are plans to decorate other areas in the near future. The manager has made sure that there are good arrangements for controlling infection. There are suitable cleaning materials and the manager showed us the procedure for sanitising the mop heads. There are aprons and gloves for staff and the men to use when there may be a risk of infection. At each wash basin there are clear pictures and reminders about the best way to wash hands. The staff and the men who live in the home have been trained in infection control. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 20 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): 32,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The men who live in this home are protected by the home’s recruitment practices and supported by suitably trained staff. EVIDENCE: There are good arrangements for recruiting new staff. All staff are checked through the Criminal Records Bureau and they need to provide suitable references. We saw the records of these checks for two of the staff. We looked at the rotas and found that there are enough staff. One man told us that the staff are helpful. We talked with three staff members as well as the manager. They were all enthusiastic about their job. They all said that they like coming to work and enjoy being with other members of the team as well as the men who live in the home. They said that the manager supports them in their role, by providing supervision and also time to talk about things which may be bothering them. They said that they are asked about the training which they may need and about areas which interest them.
1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 21 More than half of the staff team are close to finishing their NVQ level 2. All of the team have had training in basic areas such a food hygiene, fire safety, foot care, and adult protection. We saw certificates on staff files and the chart which has details of the courses staff have attended. There are regular updates in the most important areas. Two people described the communication in the staff team as ‘brilliant’. We saw staff communicating well with each other and with the men who live in the home. There are team meetings and handover meetings between shifts so that information is shared between staff and they can all work in a consistent way. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 22 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): 37,38,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The men who live in this home benefit from it being well managed. Their views are taken into account at all times and their health, safety and welfare is promoted and protected. EVIDENCE: The manager has been in post for over a year. He is well qualified to undertake the role, but has not yet registered with CSCI. We discussed this with him and he said that he will seek registration. The home is well run and there are many examples of improvements which have taken place since the last inspection. Staff told us that the home is now a happier place to work, where they feel they have opportunities to develop their
1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 23 skills. The men who live in the home told us that it is a good place to live and they are consulted about every aspect of their lives. The manager has set up new systems to ensure that the administration of the home is efficient and that detailed records are kept of all important events. We saw that the had taken care to make sure that all the records for the last year were complete and that anything which needed further action had been attended to before filing them. The manager and staff review the policies and procedures on a regular basis. There are regular visits from a manager at head office to make sure that the home is running well and we saw these. The manager checks the records which the staff have written. Staff and the men who live in the home are regularly asked for their comments on how it is run and there are questionnaires. The home has received a folder full of compliments from visitors, including health and environmental services professionals, praising the way the home is run. We saw the folder and it included the following, ‘I am writing to express how impressed I was with the attitudes and philosophy of your home. You seem to do all your care planning in a truly person centred way’. There are good arrangements for making sure that the home is safe and any possible hazards are controlled so that people who live and work in the home are protected. We saw some of the records such as the fire safety tests and they were up to date. There is a safe cupboard for storing materials which may be dangerous, such as cleaning materials and one member of staff has responsibility for making sure that this is kept in good order. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 3 x 4 x x 3 x 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 25 No 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. 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 2 Refer to Standard YA37 YA12 Good Practice Recommendations It is recommended that the manager seeks registration with the Commission for Social Care Inspection. It is recoemmended that the home obtains a computer with internet access for the use of staff and the men. 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 1-3 Adams Street DS0000004806.V365488.R01.S.doc Version 5.2 Page 27 - 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!
