Inspection on 05/12/05 for 137a Tentelow Lane

This inspection was carried out on 5th December 2005.

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 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

137a Tentelow Lane 10/07/07

137a Tentelow Lane 22/01/07

137a Tentelow Lane 16/05/05

137a Tentelow Lane 16/12/04

137a Tentelow Lane 13/07/04

137a Tentelow Lane 09/09/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 137a Tentelow Lane Norwood Green Southall Middlesex UB2 4LW Lead Inspector Sarah Middleton Unannounced Inspection 5th December 2005 10:05 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 137a Tentelow Lane Address Norwood Green Southall Middlesex UB2 4LW 0208 893 6634 0208 893 6634 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) Milbury Care Services Limited Care Home 4 Category(ies) of Learning disability (0), Sensory impairment (0) registration, with number of places 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the named service user, who is registered blind, can remain in the home so long as the home is able to meet the service user`s assessed needs and care plan. The establishment must inform CSCI when the service user no longer resides at the home. 16th May 2005 Date of last inspection Brief Description of the Service: 137a Tentelow Lane is a home for four female service users with learning disabilities. One has a hearing and sensory impairment, in addition to a learning disability. The owner and care provider is Milbury Care Services. The home is a four bedroomed, semi-detached house, located on a busy road between Southall and Hounslow. There are local shops nearby and Southall, Ealing and Hounslow shopping centres can be accessed by car. There is a car and a larger people carrier for the house as there are no trains or bus routes close by. The adjoining house (137b) is for four male service users, whose Registered Manager is currently the Acting Manager of 137a Tentelow Lane. 137a has four single bedrooms. One is on the ground floor and has its own shower. There is a shared toilet nearby. One first floor bedroom is en-suite, with its own bath. The two further bedrooms on the first floor share a bathroom and toilet. The office and sleeping in room for staff is located on the first floor. The lounge, dining room, kitchen and laundry room are located on the ground floor. There is a rear garden which is mostly lawn with a patio area. There is parking at the front of the property for both houses. There is a joint staff team for 137a and 137b Tentelow lane, and staff alternate between the two houses. 137a is staffed twenty four hours a day. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of three and a half hours, 10.05am-1.35pm was spent on the inspection process. The Inspector carried out a tour of the home and viewed a sample of rooms. Service user plans, staff files and maintenance records were viewed. Two service users and one member of staff were spoken with as part of the inspection process. It must be noted it is sometimes difficult to ascertain the views of service users who have a learning disability. Of the four previous requirements set at the last inspection, three had been met. Five new requirements were made following this inspection. The Manager of the home will be referred to as the Manager Designate throughout this report, as they are not the Registered Manager of this service. What the service does well: What has improved since the last inspection? Consultations have taken place with service users when reviewing risk assessments and care plans. Staff recognise service users abilities and work in accordance with those abilities when consulting with them. Staff are encouraged to study NVQ courses to ensure they have up to date knowledge and can reflect on their practice in the home. The home has in place an annual quality assurance report available for inspection to demonstrate areas the home has reviewed and any opinions service users and/or their representatives have about the home and the care offered in it. Action is then taken to address any findings found in this yearly report. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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): 3 The home must seek guidance from an Occupational Therapist to ensure the home is meeting the needs of the service user with a sensory impairment. EVIDENCE: Several months ago the home requested a referral to the local Occupational Therapist to assess the home and to identify if there were any adaptations needed to provide a safe environment for the service user who has a sensory impairment. An assessment had due to be taken place a week ago but due to unforeseen circumstances this had not occurred. The Manager Designate said they would ascertain when a new date for the assessment would take place. This is a re-stated requirement. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8 & 9 There were shortfalls in the care plans viewed, as they did not contain relevant information about the needs of the service users and how these would be met. Care plans must look at the relevant aspects of a service users life to ensure staff are fully aware of how they are to appropriately support and care for the service users. Service users are involved and where possible are consulted with to ensure they have the opportunity to participate in aspects of life in their home. Individual risk assessments on service users were detailed and aimed to safeguard service users. EVIDENCE: Individual service user plans were available and samples were viewed. On one service user file there was no photograph. The home must ensure there is a photograph of individual service users in the home or on a care plan. This is a requirement. One of the care plans did not indicate clearly the service users needs and how these would be met. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 10 Discussions took place with the Manager Designate and one of the Deputy Managers regarding topics that could be covered in a care plan to ensure the home has fully assessed the service users needs. Care plans must be reviewed on a regular basis or whenever there has been a change in service users needs. This is a requirement. Daily records were viewed and although many offered details regarding the mood of the service user and what activities they had taken part in that day, some of the language used was negative and some records did not offer a full explanation of how the service user had been feeling that particular day or why they had behaved in a certain way. It is recommended that staff consider the information they write on daily records and the language that is used to ensure it is not detrimental to the service user. Where possible service users are consulted in aspects of life in the home. Weekly service user meetings are held, this is where service users decide on meals they would like in the house and discuss any other issues they might have. Minutes were seen of these meetings. Service users participate in annual quality assurance reviews and are involved in reviewing their care plans and risk assessments. Risk assessments were viewed and detailed the potential risks to each individual service user. These were broken down into possible hazards to the service user and how these identified risks could be minimised. Staff had reviewed these risks with service users. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15, 16 & 17 Social activities are in place and service users have a full and varied week to ensure they are stimulated and occupied. Visiting is encouraged for service users to maintain contact with family and friends. Meal provision and variety for service users is in place and individual preferences are acknowledged and incorporated into the weekly menu. EVIDENCE: Service users have individual activities planned for each day. Some attend a day centre a few days a week, whilst others attend a local College. Activities are planned during evenings, such as visiting the local leisure centre, pub or cinema. At the weekend activities vary, a Reflexologist visits the home every two weeks and all service users choose to receive this treatment. Service users spoken with said they had a choice about what they do with their time and often they received one to one support from staff. The member of staff spoken with also confirmed that service users are busy with activities mainly outside of the home almost every day of the week. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 12 Those service users with family or friends are able to see them as often as they choose to. Staff support service users to visit their families and service users spoken with said they had regular contact with family. One service user has friends that visit the home as and when they choose, although staff monitor this to ensure the visits do not impinge on the other service users living in the home. Menus were available, and as noted earlier, service users choose meals and a variety is on offer to meet individual and cultural preferences. Where possible staff said service users are encouraged to assist in the preparation of meals. The kitchen was clean and tidy and food that had been opened and stored in the fridge had a date of opening on it. Temperatures were taken of both the fridge and freezer and hot food when it is cooked. These were all in an appropriate range. Service users spoken with stated they were happy with the meals they had in the home. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20 The health needs of service users had been identified and were being met. The medication systems were being followed by staff and were robust. These procedures protect the service users health and safety. EVIDENCE: Records on individual service users personal file indicated that health needs were being met. Service users appointments with health professionals such as GP’s and Dentists had been noted with any treatment plan for service users. Samples of the medication administration records were viewed. These had been completed correctly. As some of the medication no longer comes from the Pharmacist in the blister sealed packs, once medication has been delivered staff each week place each individual’s medication into a doset box for each day. The Manager Designate explained they had checked this procedure with the Pharmacist to ensure it would not damage the efficacy of the medication. This system works in the home and there have been no medication errors. Service users do not self medicate and there are no controlled drugs in the home. All staff that administer medication have received training both on inductions, through the local Pharmacist and through internal annual assessments. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 14 The Manager Designate showed an assessment form to the Inspector that is used to assess the abilities and knowledge the staff have about the medication used in the house. Staff are given detailed information, such as side effects, about the medication service users receive. The Manager Designate stated they would be seeking a refresher course for all staff from the local Pharmacist in the near future. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home has a clear complaints procedure and service users were able to state who they would talk to if they were unhappy. Systems were in place for the protection of vulnerable adults and staff had received training on this topic to ensure they knew how to respond in the event of a potential adult abuse incident. EVIDENCE: There have been no complaints since the last inspection. The CSCI had not directly received any complaints. The Manager Designate records any complaints and outcomes regarding complaints are also recorded and stored in the home. In the dining room there was a small poster outlining who service users can speak to if they were unhappy. Service users spoken with were aware of their right to make a complaint and stated they would speak to either their keyworker or the Manager Designate if they were unhappy about something. Staff had received training in the protection of vulnerable adults, (POVA) and the Manager Designate was looking into running internal workshops on this subject to ensure it is an ongoing topic considered by all staff. They had consulted with the Local Authority’s POVA co-ordinator and had received literature, such as case studies, that they would use during these workshops. There have been no POVA investigations in the home. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 16 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, 26, 29 & 30 Overall there is a homely environment for service users. The home is clean and well maintained. Environmental risk assessments must be completed and/or reviewed to ensure there are no unidentified hazards in the home. Service users bedrooms are appropriate to meet their individual needs and preferences. EVIDENCE: A tour of the home was carried out and a sample of rooms viewed. These were being maintained satisfactorily. The environmental risk assessments were several years old and must be reviewed and updated where necessary. This is a requirement. Furnishings and fittings were being maintained to a good standard and were bright and modern. One service user showed the Inspector their bedroom. This was clean and individual demonstrating the preferences of the service user, for example they had music in their room, which they said they enjoyed listening to. There was sufficient furniture in the bedroom and adequate space for the service user when they wanted time alone. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 17 As noted earlier, there has not been an Occupational Therapist assessment on the home for the service user with sensory impairments. This is a re-stated requirement. The home was clean and free from odour at the time of the inspection. Laundry facilities are located in a small room next to the lounge. Service users require support and assistance to carry out their own personal laundry. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 18 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, 33, 34, 35 & 36 The staff are competent and receive training in order to meet the needs of the service users. Regular bank/relief staff are used but they work with the permanent staff team in a consistent way, which enables continuity of care and good teamwork. NVQ training is available for all staff and the home is meeting its target as all staff are studying this course. The systems for recruitment of staff were robust and safeguarded service users. Staff receive regular one to one support in supervision to ensure they receive the guidance and advice they need to successfully work in the home. EVIDENCE: All permanent staff working in the home have either obtained an NVQ level 2 or 3 or are in the process of studying for the NVQ qualification. The Manager Designate is aware of the importance of encouraging staff to undertake training in order for staff to develop on existing skills and acquire new skills and knowledge for the benefit of the service users. The Member of staff spoken with felt they had the skills and experience necessary to meet the varied needs of the service users. Staff were seen to interact, throughout the inspection, with service users in a sensitive and positive manner. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 19 There are several staff posts vacant at this point in time. However the home has a core group of bank/relief staff who are contracted through the Registered Provider. These are people who work regular shifts in the home and are aware of individual service users needs. The Manager Designate aims to fill these posts, possibly through the bank/relief staff applying for the permanent posts. The Manager Designate feels this is preferential as this enables service users to be supported by a consistent staff team. The home does not use external agency staff. The rota viewed reflected sufficient numbers of staff working on each shift in order to meet the needs of the service users. The member of staff spoken with felt that the staff team work well together. The team meet on a monthly basis. The staff employment files viewed contained details of the applicants completed application forms, photographs, Criminal Record Bureau checks, medical declarations and two references. Staff receive ongoing training on mandatory subjects such as first aid, fire safety and Health and Safety. Additional courses are available for staff on subjects that are more relevant to the needs of the service users. The Manager Designate monitors the training staff attend to ensure they receive refresher training as and when required. Written evidence of staff induction programmes was viewed and was detailed and relevant for the work staff are to perform in the home. The Manager Designate dates when staff have successfully completed the various parts of the induction, then depending on the experience of the new member of staff they would either study the Learning Disability Award, (LDAF) or study for the NVQ level 2. The member of staff spoken to confirmed they receive regular and supportive one to one supervision. They stated they felt able to bring an agenda to the supervision session and that it was a two way process. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 20 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 & 42 The Manager Designate must apply and become the Registered Manager of the home to ensure they are in the permanent position of running and managing the home. Systems are in place for the home to monitor and evaluate the care offered in the home. Service users and their families are encouraged to contribute to these reviews in order to enhance their quality of life. Overall the servicing records were up to date, however the testing for Legionella was not available for this year. This must be up to date to ensure the home does not pose any risk to service users, staff and visitors safety. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 21 EVIDENCE: The Manager Designate has successfully completed the Registered Managers Award and is waiting for his work to be verified. The Manager Designate informed the Inspector they had not been registered as the home’s Registered Manager. The Manager Designate must liaise with their line manager to ensure their Registered Manager’s application is processed, as the service must have a Registered Manager. This is a requirement. The home carries out regular reviews of the quality of care offered in the home and includes the opinions of service users and their families. A report, from earlier in the year, was viewed by the Inspector. Servicing records were viewed at random. The fire equipment, emergency lighting, portable appliance testing and the gas safety had all been tested, serviced and were up to date. The testing for Legionella was not available for inspection and so this is a requirement. Water temperatures had been taken on a regular basis and were within an appropriate range. Staff carry out weekly checks on the fire alarm, call points and emergency lights. Fire drills had been carried out on a regular basis with a record of who was present during the drill. It is recommended the time of the fire drill be recorded to ensure all staff, including night staff, are aware of how to respond in the event of a fire. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 2 x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 x 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 x x 2 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 137a Tentelow Lane Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 2 x DS0000027763.V266665.R01.S.doc Version 5.0 Page 23 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 YA3YA29 Regulation 14 (1)(a) Requirement The home must ensure that the service user who has a sight impairment has been professionally assessed with a view to ensuring the correct facilities are in place. (Previous timescale 01/08/05 not met) There must be a photograph of each service user held in the home. Care plans must clearly indicate the service user’s needs & how these are to be met in respect of their health and welfare. Environmental risk assessments must be in place and reviewed on a regular basis to ensure there are no unidentified hazards that could pose a risk to service users, staff & visitors. The Registered Provider must ensure the Manager Designate is registered to become the home’s Registered Manager. There must be an up to date certificate/report for the Testing of Legionella. Timescale for action 28/02/06 2. 3. YA6 YA6 17 (1)(a) 15 (1) 30/12/05 28/02/06 4. YA24 13 (4) 28/02/06 5. YA37 8 31/01/06 6. YA42 13 (4)(a)(c ) 28/02/06 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 24 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 YA6 YA42 Good Practice Recommendations Daily records must be detailed and written in appropriate language that is not negative or degrading to the service user. It is strongly recommended the time of fire practices/drills be recorded. 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 137a Tentelow Lane DS0000027763.V266665.R01.S.doc Version 5.0 Page 26 - 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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