Inspection on 26/03/08 for 106 Queens Road

This inspection was carried out on 26th March 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

106 Queens Road 16/03/09

106 Queens Road 28/11/06

106 Queens Road 08/05/06

106 Queens Road 12/12/05

106 Queens Road 25/10/05

106 Queens Road 01/03/05

106 Queens Road 05/10/04

106 Queens Road 11/12/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 106 Queens Road Littlestone New Romney Kent TN28 8ND Lead Inspector Caroline Johnson Unannounced Inspection 26 March 2008 10.20a th 106 Queens Road DS0000023147.V359076.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 106 Queens Road DS0000023147.V359076.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. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 106 Queens Road Address Littlestone New Romney Kent TN28 8ND 01797 366620 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) support@communitas.org.uk Evesleigh (East Sussex) Ltd Post Vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2006 Brief Description of the Service: 106 Queens Road is a detached property that offers care and support to a maximum of 4 service users who have learning disabilities. It is situated in the Littlestone area, with access to local shops and other amenities about 15 minutes walk away. The town of New Romney is accessible by foot (30 mins walk), by public bus service or by using the homes dedicated vehicle. The home is set in its own ground, with parking for several vehicles to the front and side of the home. It has a semi-secluded garden with patio space to the rear. Part of the garage is used for smoking and keeping recreation things. The home has 3 communal rooms, a lounge, conservatory and a dining room that joins the kitchen. One communal bathroom and two W.C. facilities are available. All bedrooms are single occupancy; one has full en-suite facilities. The main ethos of the home is the promotion of greater independence in skills, social development and responsible decision-making. It is aimed to achieve this through developing practical skills both within the home and in the community. People are supported to seek and maintain employment in the community. The home is owned and operated by Evesleigh (East Sussex) Ltd. Day to day management is conducted by Mr Tom Jannone. The range of fees are £1,495 to £1,995 per week. Previous inspection reports are available from the home. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at 106 Queen’s Road will be referred to as ‘residents’. We have assessed that people who use this service receive an adequate quality of care. This key inspection included an unannounced site visit on 26 March 2008 and it lasted from 10.20am until 3.40pm. Over the course of the day there was an opportunity to meet with two of the residents, with the manager and with the two staff on duty. A tour of the building was also provided. A range of records were examined including, care plans, records held in relation to staff training and recruitment, health and safety, quality assurance and minutes of staff and residents’ meetings. Since the last inspection the previous manager has left their position and a new manager was appointed in June 2007. He has yet to submit his application for registration. What the service does well: What has improved since the last inspection? Suitable arrangements have been put in place for the storage of medication. A suitable lock has been fitted on the bathroom door, which enables access in an emergency. Residents’ keyworkers now write a monthly report, which is then copied to relatives and care managers. The majority of the staff team are up to date with all mandatory training. In addition staff have either completed or are working towards achieving NVQ (national vocational qualification) at level two or above. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 6 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. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their representatives are provided with detailed information about the home in order to make an informed choice about accommodation. EVIDENCE: There is a detailed statement of purpose in place, which was last updated in March 2007. Residents are also given a service user contract. Although there is a contract there is no place on the contract for residents or the home to sign. Reference is made to the Commission but there is no address included. A pre admission assessment was seen in relation to one of the newest residents. The company have a placement manager to carry out such assessments and the information obtained was detailed. Residents are given the opportunity to visit the home prior to making a decision about accommodation and the frequency and type of visits is based on the individual needs of the residents. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 9 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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improved record keeping in relation to goal planning and risk assessment would better promote residents’ health and welfare. EVIDENCE: Two care plans were seen on this occasion. The residents require very little support regarding personal care and most of the care provided is in relation to emotional support, support with budgeting and goal planning for independence. Risk assessments are carried out where there is a perceived risk and care managers have been asked to sign these. Residents’ keyworkers write a monthly report and these are sent to the care manager and to relatives. One resident in addition to having a mild learning disability has other assessed needs that could potentially mean that a different type of care could be 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 10 needed. The home has put in place a series of measures that aim to ensure that the current placement remains appropriate. There are risk assessments in place in relation to this but no risk assessment in place in respect of the action to be taken by staff should the resident’s secondary needs become more significant. In relation to one care plan it was noted that goals were identified in September 07. There were signatures advising that they had been reviewed but no written review or information provided about any progress with the goals. A new comment sheet has just been introduced to encourage staff to write about progress but this has not been started yet. The main ethos of the home is the promotion of greater independence in skills, social development and responsible decision-making. A goal for one resident is to cook a meal for the home once a week. It was reported that he can cook but the goal is to encourage him to cook so that he can maintain his skills. There was no evidence that this has been achieved. There are weekly planners on display showing laundry rotas and cleaning rotas and advising who has responsibility for tasks on a given day. Records were seen in relation to the two previous residents’ meetings. The content of the minutes were discussed with the manager as they described what could be seen as punitive measures that would be taken if rules were not followed. An example of this included that unless residents completed their chores by a certain time they would have ‘ to cook your own dinner and there will be no take away at the weekend’. Another example was where residents were told to take cutlery to their bedrooms as staff were fed up with cutlery going missing. The manager advised that he has stopped this practice. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 11 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents make decisions about how they spend their days. Improved menu planning with promotion of healthy eating would benefit the residents. EVIDENCE: All of the residents have work placements throughout the week. One resident works five days a week with a local charity. Two days are spent in a shop and three days on the road collecting items for sale. A second resident attends a course one day a week and takes part in voluntary conservation work approximately three days a week. He receives one to one staff support. A third resident also does voluntary conservation work approximately three days a week. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 12 A staff member spoken with advised that one resident has looked at a college prospectus and chosen a number of courses that he would like to attend so she will contact the college to check if this is possible. Evening activities include football, clubs, Special Olympics, meals out and shopping. Time is also spent trying to maintain and develop new skills in reading, money skills and writing. Residents enjoy board games and using the pool table in the lounge. One resident goes line dancing regularly. The three residents decided that they would like to go to Norfolk on holiday and the manager advised that he then booked the holiday. Residents were not involved in choosing the accommodation. Residents have regular one to one days out with their keyworkers to places of their choice. One resident had a day trip planned to Canterbury. One resident is currently doing a manual handling at work course. Residents are independent in many tasks. During the inspection it was noted that one resident got their own lunch independently, go ready to go out and after checking the times of the buses with staff he and another resident headed off to Folkestone for the afternoon. All of the residents have regular contact with family and friends. Staff spoken with advised that they also support residents where necessary to maintain this contact and it is also their role to keep relatives informed of any changes. Residents are encouraged to participate in menu planning on a weekly basis. The menu seen was balanced and showed some variety. Records of the actual meals served were also seen. One resident generally sticks to the planned menu but both of the other residents choose different meals on a daily basis. In relation to one resident it was noted that within one week they had chicken three days in a row. The other resident had burger and chips three days in one week along with pie and chips another day and on one occasion the evening meal consisted of hot cross buns. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 13 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 People who use the 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 ensures that the healthcare needs of the residents are met. Attention needs to be given to acting upon recommendations made by health professionals. EVIDENCE: There are suitable arrangements in place for the storage of medication. The manager advised that none of the residents are currently prescribed any medication. The majority of the staff team has completed training on medication. The home is putting together a list of homely remedies that they will then ask residents’ doctors to agree. Individual weights are monitored. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 14 Two of the residents smoke. A comment card from one of the care managers referred to one resident taking up smoking recently. The manager advised that this resident did try smoking for a period of time but has now ceased. There was a very relaxed atmosphere in the home on the day of inspection and it was apparent that there was a very good rapport between staff and residents. Residents receive support where necessary to attend a range of healthcare appointments. One resident has two weekly appointments with a counsellor and also regular appointments with a psychiatrist. Around the time of this resident’s admission a psychology report was received by the home and one of the recommendations was that a referral be made to speech and language for assessment. This has yet to be carried out. The care plan in place states that the resident is able to communicate verbally with no problems at all. Issues identified centre on support in developing appropriate friendships and social skills to sustain them. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 15 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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems do not encourage residents to raise concerns and know that they will be dealt with. EVIDENCE: Records showed that the last complaint received by the home was in September 2006. A requirement was made following the last inspection that the Symbol version of the complaints procedure be user friendly. This has not been addressed and the document is not very easy to understand. The manager advised that all residents would be able to understand a simplified written version. No complaints have been made to the Commission about this service. It was noted in the residents’ meeting that when a resident advised that he was not happy about the menus but was told that as he didn’t contribute to menu planning he had no right to complain. There is no evidence that he was able to say why he was not happy. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 16 There is a procedure in place in relation to adult protection and prevention of abuse. There have been no adult protection alerts made by the home. All but one staff member has received training on the subject. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a clean and comfortable environment where they are able to personalise their own rooms. EVIDENCE: The home is spacious and well maintained providing a comfortable and homely environment for those accommodated. Communal areas consist of a large lounge with an area housing a pool table. There is also a large open plan kitchen leading on to a dining room and from the dining room there is a conservatory leading on to the garden area. An area of the garage is designated as a smoking area and to the rear of the garage there is an office area. The garden area is mostly private and it is well maintained. Bedrooms seen were spacious and homely and had been 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 18 personalised by the residents. Both of the residents spoken with stated that they chose the colour scheme for their bedrooms. As recommended at the last inspection the lock on the bathroom door has been replaced with a type that allows access in times of emergency. It was noted that staff use this bathroom when they are doing a sleep-in shift. Staff spoken with stated that they feel particularly vulnerable at these times and they have asked that separate shower facilities be provided that cannot be accessed from the outside. Agreement has been reached for this to happen but no timescale has been given. All areas of the home seen during the inspection were clean. Three of the staff team have completed training on infection control. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are provided with good opportunities to update their skills and knowledge. Excessively long shifts are not in the interests of staff or residents. EVIDENCE: Records were seen in relation to one staff member recently recruited to work in the home. There was a detailed application form and two references had been obtained. A pova first check had been carried out and the home was awaiting a full CRB (criminal records bureau) check. The worker had started in post but was only working with supervision and was unable to do sleep-in shifts. All staff are expected to complete a detailed induction that is linked to the Common Induction Standards. One member of staff is currently studying for the LDAF (learning disabilities award framework). On successful completion they will then go on to study for an NVQ (national vocational qualification). 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 20 One member of staff is currently studying for NVQ level two. One staff member has completed level two and is currently studying for level three. The majority of the staff team have completed all of their mandatory training. However, at the time of inspection none of the staff team had received training on basic food hygiene but it was reported that arrangements had been made for all staff to receive training over the coming months. It was reported that there were two staff vacancies but that one has been filled subject to receiving a satisfactory CRB. The staff rota seen shows regular use of agency/bank staff. The manager advised that the home only use regular staff so that there is consistency for the residents. The rota shows that staff regularly work long shifts, which include fifteen hours. It also shows that staff on occasions, work a long shift then do a sleep in followed by another long shift. The manager advised that he works sixteen hours on shift each week. A staff member advised that she receives regular supervision and she finds this very helpful. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42,43 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is essential that there is a registered manager in post. Quality assurance systems must assist the home in developing the service it provides. EVIDENCE: Since the last inspection a new manager has been appointed. He has been in post as manager since June 2007. He advised that he submitted his application for registration but it was returned, as it was incomplete. He has yet to resubmit the application. He has worked in the field of learning disabilities for a number of years. He has no formal qualifications but reported that he is due to start studying for the RMA (Registered Manager’s Award) in 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 22 September 2008. He advised that he has a mentor to support him in his role and that in addition the operations manager visits the home once a week to provide support and monthly to provide supervision. Staff meetings are held on a monthly basis and records showed that staff are encouraged to share their views. Staff described the manager as ‘very supportive’. As part of quality assurance a number of audits are carried out to measure the quality of care, environment, food and health and safety. It was noted that on the last food audit carried out in December the home scored 95 . However, at that time there were no staff trained in food hygiene. The manager advised that satisfaction questionnaires were distributed to residents and their families in December and the results are at the head office. The manager has not yet been advised of the outcome. Monthly reports are carried out by the manager of another home within the company. It was noted that the issue of long shifts, referred to previously in this report, had been raised as part of this process. In relation to health and safety there were a wide range of certificates in place showing that regular servicing is carried out in relation to gas, electric portable appliances, and fire safety. Records seen in relation to accidents were sufficiently detailed. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 2 X X 3 3 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15(2b) Requirement Care plans must include evidence of progress made in relation to goals agreed with residents. The home must ensure that residents receive a well balanced diet. The Symbol version of the complaints procedure must be user friendly. [This is a requirement of the previous inspection – timescale given 01/01/07]. The home must demonstrate that the views and opinions of residents are sought and that if they choose to complain their complaints must be taken seriously. The manager must submit an application for registration. The manager must commence training to NVQ level four or an equivalent subject. In relation to quality assurance Residents and relevant people must receive feedback on the questionnaires carried out as part of the home’s quality 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 25 Timescale for action 30/05/08 2. 3. YA17 YA22 17(2) Sch (4) para 13 22 15/05/08 15/05/08 4. YA22 12(3) 15/05/08 5. 6. 7. YA37 YA37 YA39 9(2) 9(2b(i) 24(2,3) 15/05/08 30/09/08 15/05/08 assurance system. 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 YA5 YA33 Good Practice Recommendations The home’s contract with residents should include a space for signatures. The practice of working a long shift followed by a sleep-in duty and then another long shift should cease. 106 Queens Road DS0000023147.V359076.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone, Kent ME16 9NT 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 106 Queens Road DS0000023147.V359076.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. 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