Inspection on 10/07/06 for 11 Friars Close

This inspection was carried out on 10th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

11 Friars Close 05/12/05

11 Friars Close 23/06/05

11 Friars Close 13/12/04

11 Friars Close 04/08/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Friars Close (11) Dorchester Dorset DT1 2AD Lead Inspector Marion Hurley Key Announced Inspection 10th July 2006 10:00 DS0000026739.V296485.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 DS0000026739.V296485.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. DS0000026739.V296485.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Friars Close (11) Address Dorchester Dorset DT1 2AD 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) 01305 263479 www.leonard-cheshire.org.uk Leonard Cheshire Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places DS0000026739.V296485.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: 11 Friars Close is a care home providing personal care and accommodation to three adults who have a learning disability and additional physical disabilities. The home is one of seven similar services in Dorchester that are owned and operated by the Leonard Cheshire Foundation, a not for profit organisation providing services to people with disabilities. The service aims to promote normal living, and choice for all the residents in accordance with their individual assessed needs, abilities and preferences. On the ground floor there is a lounge, kitchen/dining room, utility area and one bedroom fully adapted with en suite facilities. On the first floor there are two bedrooms, bathroom and toilet and staff sleep in room with en suite facilities. There is a good size rear garden, which is enclosed, and to the front of the property is a paved driveway providing limited parking for vehicles. The home is located in a popular residential area on the outskirts of Dorchester, within walking distance of the town centre. Dorchester has a wide range of shops, banks, GP surgeries and other amenities, which are used by service users on a daily basis. A range of daytime activities is provided for the service users. The home has the use of an adapted vehicle. The home is staffed 24 hours a day, with at least 2 members of staff on during the day and one member of staff sleeps in. Fees are individually negotiated according to the residents needs. Copies of inspection reports are available upon request from the Leonard Cheshire Home administration Office in Dorchester. DS0000026739.V296485.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place over a period of three hours and was completed as an announced inspection. The team leader was present and there was also the opportunity to meet with two senior support workers. All three residents were seen during the inspection and variety of documentation was viewed including care plans and relevant records maintained at the home. A tour of the premises was undertaken. The home is currently “managed” by the recently appointed Team Leader who at the time of this inspection is in the process of applying to become the Registered Manager. The team leader is being advised and supported in this new role by the Leonard Cheshire Home’s Regional Service Manager. No additional visits have been undertaken since the last inspection in December 2005. There have been no reported accidents or incidents and no complaints or concerns have been raised internally or to the CSCI. Two comment cards were returned from health and social care professionals with no identified concerns. A pre inspection questionnaire was sent on May 23rd but not completed or returned prior to the inspection. What the service does well: The home continues to provide good practical care for the residents and has an experienced staff group who have developed a strong awareness of the residents’ individual needs and abilities. The service is focused on understanding the needs and wishes of the residents and encouraging them to lead active and fulfilling lives. The level of activities offered to residents is widespread; age appropriate and aimed at integrating them into the wider community. The staff demonstrated a good understanding of the residents’ behaviour, which at times is complex and challenging for staff. The health care needs of residents are carefully monitored and the home has good working relationships with other professionals from both Health and Social Care Agencies. All three residents seemed comfortable in the home. The staff rotas are designed around the needs of the residents. DS0000026739.V296485.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. DS0000026739.V296485.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 DS0000026739.V296485.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There have been no admissions to the home for many years. The Team leader said that admissions would not be made to the home until a full needs assessment had been undertaken. All the residents must have a written and signed contract and or terms and conditions that reflect where they live and the services they receive. EVIDENCE: The present group of residents have lived at Friars Close for many years. They are a well established and settled group. There is no anticipated change for this group of residents. The team leader confirmed their knowledge and understanding of the principles and good practice for admission procedures. However, they were not aware of the Leonard Cheshire Homes’ policies and formal procedures for admissions. The team leader explained that previously the Leonard Cheshire Home’s Service Manager has dealt with all enquiries, referrals and admissions. DS0000026739.V296485.R01.S.doc Version 5.2 Page 9 It is important if the Team leader is going to succeed in their application to become the registered manager that they familiarise themselves with the Homes’ policies and procedures and are aware of the National Minimum Standards required to ensure this standard is met at future inspections. Not all the residents have completed contracts and or terms and conditions and this is in part due to the fact that this group have lived and been supported though the Leonard Cheshire Home network for over 20 years. However, each resident must have an individual written contract or statement of terms and conditions. DS0000026739.V296485.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have their care assessed and planned satisfactorily and in a way that reflects their individual preferences and abilities. However, the monitoring and reviewing of care is neither consistent nor explicit and the care plans do not illustrate how staff have established and worked to understand the resident’s preferences. On a day-to-day basis staff focus on understanding the needs and wishes of the residents. However, this positive practical work needs to be reflected in the care plans. DS0000026739.V296485.R01.S.doc Version 5.2 Page 11 EVIDENCE: One care plan was examined in detail and was found to focus on the resident’s likes and dislikes in addition to their specific personal and health care needs. Whilst the assessment /plan contained a lot of information, further details on how specific needs were addressed had not been included in the support /care plan. From discussions with staff and observations it was clear staff had a sound knowledge of the resident’s needs and daily routines and the most appropriate way to support each person. Information from the risk assessments need to be cross-referenced with the support/care plans to ensure that staff are clear about where all the essential the information is held. The risk assessments should be an integral part of the support/care plans. The interaction between the staff and the residents appeared genuinely warm. All the residents have complex needs and communication is limited. Staff working at the home are able to interpret the individuals’ subtle level of communication for example one resident “will move their arms around when happy”. There was some evidence that residents’ rights to make decisions about their own life was respected and encouraged. This included choice at mealtimes, decisions about what to wear - outside advice or advocacy is sought, wherever possible. Most of the risk assessments and care plans are being reviewed. However, no explicit comments are added by the review dates and the care plans do not identify objectives or goals for each resident. The reviews are being conducted by different staff; the care/support plans by staff working in the home whilst the risk assessments are reviewed by a member of staff not employed as a carer who is based at the Leonard Cheshire Administration office. The need for satisfactory risk assessments was highlighted at the last inspection and although some progress has been made there is still a need to emphasise the indivual hazards and risks as they present to each resident and to describe the action to minimise the risk for the individual resident and this information must be linked with the support/care plans. DS0000026739.V296485.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a range of leisure and social opportunities provided which are linked to their individual interests and competencies. Residents are offered a healthy diet based on choice. EVIDENCE: From care plans and discussions with staff it was clear that there was a good base of knowledge on each residents’ competencies, interests and needs and these were linked with recreational and developmental opportunities. i.e. for one resident the goal is to re-establish family links, another to maintain their keep motivation and join in activities provided through an Outdoor Leisure and Educational Centre and for another to start swimming again. Whilst staff and the team leader were able to describe the goals and how they hoped to achieve them the information and details were not recorded in the care plans. DS0000026739.V296485.R01.S.doc Version 5.2 Page 13 Whilst there were no formal activity programmes within the Home, there were various games and materials available together with music and video /DVD equipment. Residents continue to use the home’s minibus regularly, and go out for trips locally, trips to Weymouth, lunches out, shopping. The care plans identified those residents who attend the Social and Educational Centre from around 09:30 –15:30 during the week. Those attending do so on a part time basis i.e. two days one week and three the following. Some residents have regular contact with their families, whilst for others this was of a more intermittent nature if at all. Residents did not have any specific social contacts outside the network of the Leonard Cheshire Homes. The menu is planned a month in advance and is used as a broad guide for staff. A record of all meals eaten by the residents is kept in their diaries. Other records relating to the cleaning rota, fridge and freezer temperatures were all being maintained. Residents are not involved in the preparation of meals; however, staff will do some simple cookery sessions with them on a one to one basis. DS0000026739.V296485.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health care needs are well understood and met by staff in a sensitive and appropriate way. Residents are safeguarded by the medication procedures within the home. EVIDENCE: The health care needs of residents are well understood by staff and assistance with personal care is provided sensitively. This was established through conversation with the staff and team leader and from the examining the care plan. The residents are dependent on the staff for all their personal and health care needs however they are encouraged to “have a go” i.e. cleaning teeth, undressing”. The residents’ have complex emotional and social needs and the care plans indicated that there is consultation with a range of healthcare professionals in order to ensure that the appropriate support can be provided. DS0000026739.V296485.R01.S.doc Version 5.2 Page 15 Records of medical contacts were maintained and residents had annual reviews with the Consultant. Most staff were involved in the administration of medicines and confirmed that they had received training from the pharmacist. Records of drug administration were viewed and were satisfactory as were storage arrangements and stock levels. Staff and the team leader stated that they were unaware if any of the residents had any preferences for male or female staff to support them with personal care needs as no specific behaviours to indicate residents’ preferences had been noted. DS0000026739.V296485.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to enable staff to complain about the service and to contact outside agencies for support. Procedures are established for the reporting and recording of any potential abuse. Records of residents’ money were sufficiently robust to provide a level of reasonable protection. EVIDENCE: Leonard Cheshire Homes has policies and procedures in place regarding abuse, protection and guidance for staff had been developed concerning restraint issues. These documents and records of any issues raised are kept at the Leonard Cheshire Homes Administration offices in Dorchester. Most staff have attended Team training, which focuses on the least restrictive method for working with individuals whose behaviour challenges staff. Any accidents and incidents are monitored and body maps provide detailed information if any marks are noted on the residents. All residents have their own bank accounts however no residents have an understanding of the value of money. Money and records kept were satisfactory. DS0000026739.V296485.R01.S.doc Version 5.2 Page 17 The team leader said there was an open atmosphere in the home and staff seemed confident to speak out at the regular staff meetings with any concerns. Minutes from the staff meetings are recorded and if necessary issues would be followed up in individual staff supervision. The team leader stated that they hoped any person raising a concern or complaint would feel comfortable enough to peak to any member of the staff team. The residents do not have the verbal skills to communicate any concerns and staff described how they observe any changes in their behaviour both for positive reinforcement and for negative reactions to situations or people. DS0000026739.V296485.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents were relaxed and at ease in the home environment, which was generally clean and comfortable and generally well maintained. EVIDENCE: A tour of the home was undertaken and all the communal areas were considered to be comfortable and suitably maintained, satisfactorily furnished with fixtures and fittings domestic in style. Within reason residents’ moved about the home as they wished. There has not been any major decoration work since the last inspection. The garden is a safe space for the residents to use and in the summer months this extra space impacts in a positive way on the daily lives of residents. The bedrooms seen were highly personalised containing pictures, posters, music centres and other personal items. DS0000026739.V296485.R01.S.doc Version 5.2 Page 19 All staff share the responsibility for ensuring the home is kept clean and hygienic and ensuring residents’ laundry is kept up together. The rotten wood inside the porch needs attention. DS0000026739.V296485.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive regular training and supervision ensuring residents benefit from knowledgeable staff who are committed and consistent in their approach to the care of the residents. Staff are employed in sufficient numbers, which enabled them to meet the needs of the residents. Mandatory training is provided for staff in order to ensure that they have the knowledge and skills to undertake their work. However at the time of this inspection not all the staff had received fire training in the last six months. Residents are safeguarded by the homes’ recruitment procedures. EVIDENCE: During this inspection visit there were two support workers on duty with the three residents. This gave staff the flexibility to support residents on a one to one basis. Staffing levels remain in line with the needs of the residents and are flexible enough to facilitate resident activities. The rotas showed that staff DS0000026739.V296485.R01.S.doc Version 5.2 Page 21 worked flexibly in order to maximise the residents’ potential to live a fully balanced life. Observations and discussions with staff showed that they knew the residents well and were aware of their individual needs. Staff were observed being patient and seemed comfortable with the residents. It was evident that staff were able to communicate well with the residents that had poor communication skills. There have been no significant staffing changes though two staff have recently transferred from other Leonard Cheshire Home Services in the Dorchester locality. Two staff files were checked. All relevant recruitment checks had been undertaken including references and criminal record bureau checks (CRB). The team leader has not been involved in recruitment but was aware of the procedures and policies and requirements. The majority of staff have started / completed mandatory care courses such as moving and handling, basic food hygiene and first aid however, staff fire training was not up to date and this potentially has a serious impact on the health and welfare of the residents and the staff. (this cross-references with NMS 42) Staff stated that they felt well supported in their role and communications with colleagues and the team leader were satisfactory. Regular staff meetings are conducted and minutes from these recorded. DS0000026739.V296485.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a general relaxed atmosphere with the interests of the residents kept to the fore; however, these could be further enhanced through a more structured approach to monitoring the quality of services. The team leader has yet to complete the registration process. EVIDENCE: The team leader has commenced studying for the National Vocational Qualification level 4. The team leader has significant experience of working with this group of residents and was aware of the professional obligations and responsibilities regarding the promotion of residents’ rights. DS0000026739.V296485.R01.S.doc Version 5.2 Page 23 The team leader displayed a sound knowledge of both of the residents’ individual needs and how they are suitably supported and managed in a communal setting. However, at this stage the team leader has not been given the opportunity to learn all the roles and responsibilities of becoming a registered manager for this service. The team leader explained that monitoring the quality of services at the home remains on an informal basis mainly through direct work with staff and contact with the residents. The responsible person representing Leonard Cheshire homes undertakes monthly monitoring visits (Regulation 26) and these comprehensive reports are sent regularly to the CSCI offices. Fire safety records were not satisfactory and it was clear that the equipment is not always tested on a weekly basis as required and some staff are not up to date with fire training. Other health and safety checks and servicing records were all satisfactory. There were no obvious hazards noted within the home. Residents’ records were safely and securely stored. Insurance cover was in place and the certificate displayed. From observations of the residents, it would seem that they felt comfortable and safe in the home and were looked after by staff that understood their needs and responded to them. DS0000026739.V296485.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 X 2 2 3 3 4 X 5 2 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 2 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 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 2 X X 2 X DS0000026739.V296485.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO DS0000026739.V296485.R01.S.doc Version 5.2 Page 26 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 YA5 Regulation 5(1)(b)(c) Requirement The registered provider/manager must ensure that all residents have a written and costed contract/statement of terms and conditions. The registered provider/ manager must develop and agree with each resident an individual Plan which may include treatment and rehabilitation, describing the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations and achieve goals. The plan must be reviewed at least every six months and updated to reflect changing needs. The registered provider must appoint a manager who is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. Effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. The registered / provider manager must ensure all staff receive fire training within the required timescales. DS0000026739.V296485.R01.S.doc Timescale for action 30/11/06 2 YA6 15(1) (2) (a), (b), (c), (d) 31/10/06 3 YA37 8(1) 9(1) (2) 30/11/06 4 YA39 24(1) (2) (3) 30/11/06 5 YA42 23 31/08/06 Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000026739.V296485.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 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 DS0000026739.V296485.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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