Inspection on 11/07/05 for 14 Maple Way

This inspection was carried out on 11th July 2005.

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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

14 Maple Way 24/07/08

14 Maple Way 06/03/07

14 Maple Way 20/12/05

14 Maple Way 15/11/04

14 Maple Way 16/06/04

14 Maple Way 16/02/04

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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 14 Maple Way Headley Down Alton Hants GU35 8AZ Lead Inspector Marilyn Lewis Unannounced 10:00 a.m. 11th July 2005 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 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 Stationary 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. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 14 Maple Way Address Headley Down Alton Hants GU35 8AZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01225 444596 Robinia Group PLC CRH 1 Category(ies) of LD Learning disability registration, with number of places 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users must be at least 18 years of age Date of last inspection 15/11/04 Brief Description of the Service: 14 Maple Way is a small home registered to provide a service for one person with learning disability. The home is owned and operated by Robinia Care Limited, a service provider since 1995. The home is a three bedroom, semi detached house on a small residential estate in the village of Headley Down, Hampshire. There is a small enclosed garden to the rear of the property and room for off road parking at the front. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours on the 11th July 2005. The inspector toured the home and had the opportunity to meet with the resident, the registered manager, the shift leader and two support workers. The residents’ care plans were seen and checks were made on records for medication, accident, fire and gas and electrical appliances. The homes’ policies and procedures were also inspected. What the service does well: The home has a statement of purpose and service user guide in place that provides the information needed by prospective residents and their relatives for them to make a decision about life at the home. No one is admitted to the home without a full care needs assessment ensuring the home can meet the prospective residents’ care needs. Good care plans inform staff of the residents’ care needs and the actions required to meet those needs. Staff support the resident to make decisions about daily living and leisure activities. Staff have developed a varied and interesting activities programme suitable for the resident. The resident is able to choose meals that are well balanced and nutritious. Good liaison with health professionals ensures the residents’ health needs are met. Staff follow clear procedures when dealing with medicines, minimising the risk of error. The resident is protected from abuse by the staffs’ awareness of abuse issues and their willingness to follow clear procedures should abuse be suspected. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 6 14 Maple Way is a clean home with a suitable bedroom, comfortable communal rooms, sufficient bathroom facilities and outdoor space providing a homely environment for all who live and visit there. The resident is supported by competent, trained staff who have clear roles and responsibilities. The resident is safeguarded by the homes’ robust recruitment procedures. The resident and staff benefit from strong leadership and the open approach to management of the home. Safe working procedures and good record keeping protects the health and welfare of the resident. What has improved since the last inspection? What they could do better: The homes’ complaints procedures require updating to provide accurate information for those wishing to make a complaint. The carpet in the activities room requires renewal and the flooring needs to be made even to minimise the risk of falls. The pathway from the rear door of the property to the side gate, which is used as a fire exit, requires widening and needs to be made level to allow the resident a safe walkway. A tumble dryer placed under the stairs needs to be moved to minimise the risk of persons upstairs should it cause a fire. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 7 The homes’ policies and procedures require annual review by the registered manager to ensure up to date and relevant information is available for staff. 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. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 2 Prospective residents and their families are provided with clear information about life at the home and no one is admitted to the home without a full needs assessment, ensuring their needs can be met. EVIDENCE: Since the last inspection the homes’ Statement of Purpose and Service User Guide have been reviewed and now include the information required for prospective residents and their relatives to make a decision about life at the home. The documents state the criteria for admission and the qualifications and experience of the registered manager. The registered manager had a list of the qualifications and experience of staff currently employed at the home and this was added to the Service User Guide during the inspection visit. A full needs assessment had been undertaken for the current resident prior to admission. The assessment was detailed and covered all aspects of care needs including communication methods and socialisation. Information gathered during the assessment formed the basis for the personal care plan. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 standard(s) 6, 7 and 9 Good care plans give staff the information required to meet the changing care needs of the resident. Staff support the resident to make decisions and clear risk assessments allow the resident maximum independence. EVIDENCE: Care plans for the resident gave clear information on all aspects of care needs and the actions required to meet those needs. The plans included the residents’ preferences for participating in daily activities such as liking a routine for folding tea towels and cleaning and tidying up in the kitchen. The care plans showed evidence of monthly review. New staff members read the care plans and then discuss them with the senior support worker or the registered manager of the home to ensure they understand them. It was evident during the inspection that the resident was supported to make decisions about what to wear, and where to go that day. Staff were seen to offer options for the resident to choose from and to allow time for a decision to be made. The registered manager said that the residents’ ability to make decisions had improved over the last six months and there was a constant 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 11 need to update the records to inform staff of the support required to meet the changing needs. Records indicated that they had been updated frequently. The care plans contained risk assessments for all daily and leisure activities including use of the television, shopping and visiting another care home close by. The risk assessments were detailed and stated what the risks were and actions needed to minimise the identified risks. The records seen indicated that staff encouraged stimulation in the residents’ independence skills by allowing participation in daily living activities, such as helping in the kitchen, but had taken precautions to minimise the risks by always accompanying the resident and putting items that could cause injury such as knives and cleaning products in locked cupboards. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 standard(s) 13, 14, 15 and17 The resident is able to participate in a wide range of suitable educational and leisure activities. There is good communication between the resident and staff of the home and family members and neighbours . The resident is able to choose from a variety of meals that are well balanced and nutritious. EVIDENCE: Two days a week the resident attends educational sessions at the organisations’ local resource centre. Sessions include cookery and using the trampoline. Staff use the homes’ vehicle for transport to the resource centre and remain with and support the resident while there. The resident is accompanied by staff when visiting local shops and a neighbouring care home for younger adults. The registered manager said that in recent months neighbours have started to use the residents’ name when 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 13 speaking. The resident enjoys visiting another care home close by and residents from that home also visit at Maple Way. The residents’ likes and dislikes for participation in activities had been taken into account when staff developed a good programme of leisure activities, that includes cookery, crafts, puzzles, gardening and swimming at a pool in a local village. During the inspection visit the resident spent some time threading beads. The registered manager said that staff had praised the resident, as this was the first time that the resident had been able to thread the beads independently. One day a week the resident joins with the residents of the neighbouring care home to visit an activities centre in Southampton. There the resident has the opportunity to go horse riding which is enjoyed. The registered manager said that on the last visit the resident was happy spending an hour on a boat ride, an activity not wanted by the resident a short while ago but as confidence was gained each week new activities were being tried successfully. Due to communication difficulties staff observe the residents behaviour when deciding whether to try an activity and if there is any sign of distress the activity is changed to one more acceptable at that time. Records seen indicated that the resident sometimes likes to spend time alone and this wish is respected, although staff check frequently and stay near by. On alternate weekends the resident goes to spend time at the family home. The family are arranging a party for the residents’ forthcoming birthday and have invited residents from the neighbouring care home and resource centre plus staff. The registered manager said that communication with the family is good. Menus seen indicated that the resident was offered varied and balanced meals that met dietary needs. Breakfast was usually cereals and fruit, and examples of lunch included prawn salad and new potatoes or beef casserole and vegetables with supper of chicken sandwich or beans on toast. Snacks available throughout the day included fruit and fruit milk shakes. The registered manager said that pictures and photographs were used to assist the resident to make decisions about food items but that sometimes it was trial and error and the menus were updated to include new foods liked by the resident. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 standard(s) 19 and 20 Good liaison with health professionals ensures the residents’ physical and emotional health needs are met and the clear procedures followed by staff when dealing with medicines minimises the risk or error. EVIDENCE: Records seen indicated that advice is sought from health professionals such as the GP and psychiatrist as required. The resident recently joined residents of the neighbouring care home for a routine dental examination by the community dentist. The inspector was visiting the neighbouring care home at the time of the dentist visit and the dentist commented on the improvement in the behaviour of the resident who was relaxed and calm during the dental examination. The registered manager said that the behaviour pattern of the resident had improved over the last six months and following discussion with the GP and psychiatrist the residents’ use of medication had been reduced. Staff receive training in handling medication and follow clear procedures for the administration of medicines. Records seen had been completed appropriately. Information on medicines used in the home including homely remedies was available in the home for staff. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 standard(s) 22 and 23 The resident is protected by staff awareness of the procedures to be followed should abuse be suspected but the home requires clear procedures with regard to making a complaint. EVIDENCE: The homes’ complaints procedures still require revision to provide clear guidance for anyone wishing to make a complaint including the right to be able to make a complaint to the Commission at any time. The registered manager said that the organisation had reviewed the complaints procedures but at the time of the inspection a copy of the updated version of the procedures could not be found. The home has procedures in place to be followed should abuse be suspected. Two staff members spoken to were aware of the procedures and said that they would not hesitate to act by reporting any concerns to the registered manager, person in charge or if necessary to the area manager. The home keeps a small amount of personal money for the resident. The money is stored securely and receipts are kept for all transactions. Records for the balance seen matched the amount held. The registered manager said that meals taken out of the home were paid for from the housekeeping budget. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29 and 30 The provision of a large pleasant bedroom, comfortable communal areas and suitable bathroom facilities gives the resident and staff a clean, homely environment but further maintenance is required to ensure the property meets the residents’ needs. EVIDENCE: 14 Maple Way is a three bed roomed house situated in a residential area of the village of Headley Down. Entry to the home is by a keypad system allowing staff control over persons entering and leaving the home. All visitors are required to complete the record book and the inspector was asked for identification on arrival at the home. At the time of the inspection visit the home looked cheerful and homely. Robinia Care Limited employ a maintenance team for routine repair and redecoration of the home. The resident has a large pleasant bedroom. Since the last inspection the room has been fitted with a new carpet. A collage of photographs of the resident and 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 17 family is displayed in the room. The registered manager said that the resident had been encouraged to choose the colours for the décor and furnishings of the room. One of the other bedrooms is used as an activities room. The carpet in the room is worn and does not sit properly in some places and the flooring under the carpet does not feel even in one or two areas. This requires attention as the resident has tripped on worn carpet in the past. The registered manager has requested new flooring for the room. The third bedroom is used as the office. The bathroom and toilet facilities looked clean and in good order. Doors to the bathroom and bedroom are not locked as the resident has been assessed as not able to hold the keys. The resident is able to manage the stairs independently and does not require any specialist equipment. The home has a pleasant lounge with comfortable seating and television and audio equipment. The kitchen has a dining area and is domestic in style. Some cupboards are kept locked for safety. A tumble dryer is positioned in a cupboard under the stairs. The registered manager said that the position of the tumble dryer caused concern as it was felt to be a fire hazard. Following the inspection, the positioning of the dryer was discussed with an area manager who said that the cupboard in question was fire protected but a new position or improved ventilation of the cupboard would be arranged. The home has a small garden to the rear of the property. The garden looked attractive with containers of summer flowers on display. The registered manager said that the resident had helped to plant the flowers in the containers. Staff said that the resident enjoys using the specially adapted swing on the lawn. The pathway alongside the home leading to a gate that is used as a fire exit requires attention as it is narrow and uneven and unsuitable in its’ present condition for use by the resident. At the time of the inspection all areas of the home looked clean. Staff receive training in infection control during induction. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34 and 35 The resident is protected by the homes’ robust recruitment procedures and is supported by a competent, effective, trained staff team who have clearly defined roles and responsibility. EVIDENCE: The home employs a registered manager, a senior carer who is the shift leader and six support workers. One support worker is employed through an agency, however the staff member has been working at the home for eighteen months and is aware of the needs of the resident. Staff receive a clear job description when commencing employment at the home and it was evident during discussion that staff were aware of their roles and responsibilities. During the visit the inspector had the opportunity to talk to the registered manager, the shift leader, the agency support worker and a support worker on her second day at the home. The shift leader and agency worker both commented on the good team working at the home and the new staff member said that she had been very well supported by the other staff on her first two days. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 19 The new staff member was completing an induction programme. The other two staff members had received training in communication methods that were relevant to the resident including Makaton and communication and autism. They had also attended sessions in challenging behaviour and the compulsory training in medication, moving and handling, first aid, food hygiene and fire safety. The shift leader had completed training in management skills such as managing people and report writing. The shift leader holds NVQ level 3 in care and the agency worker is due to complete an NVQ in care shortly. Staff rotas seen indicated that staffing levels were sufficient to meet the needs of the resident with two support workers on duty at all times plus the shift leader allowed additional hours for management duties. The registered manager is also the registered manager for the neighbouring care home so time is allocated as required. Staff at the home have the mobile numbers of the registered manager and the area manager for the organisation and there is an on call system for out of hours. Staff records seen for the three staff members on duty at the time of the visit contained all the information required including proof of identity and two written references. Checks were made at the Criminal Records Bureau prior to staff commencing employment at the home. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40 and 42 The resident and staff benefit from strong leadership and an open approach to management that takes into account the views of all involved with the home. however some policies and procedures have not been reviewed regularly and could lead to out of date actions by staff. Good record keeping promotes the health, safety and welfare of the resident, however out of date policies and procedures could lead to poor practice and put resident and staff at risk. EVIDENCE: Since the last inspection the manager has registered with the Commission. She has been employed by Robinia Care Limited for seven years and has been the manager of 14 Maple Way since May 2004. She is also the registered manager for another care home for younger adults, which is situated very close to this home. She holds the Registered Managers Award. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 21 The registered manager operates an open door policy approach that gives the home a relaxed atmosphere. Staff spoken to during the inspection commented on the support and encouragement they received from the registered manager. The registered manager said that questionnaires regarding the quality of care provided at the home had been sent to the parents of the resident and there were opportunities for discussion on alternate weekends when the resident went home to spend time with the family. Discussions also take place with the Community Behaviour Support Team during their visits to the home. The homes’ policies and procedures are written at head office and sent out to the organisations’ homes. Documents seen did not show any evidence of review by the registered manager annually. Records were seen for up to date checks on electrical portable appliances, gas and water tanks. Fire records seen indicated that all staff had received training in fire safety and had attended fire drill practice. During a tour of the home hazardous substances such as cleaning products were seen stored securely. The kitchen looked clean and in good order with food stored appropriately. The temperatures of the fridge and freezer were being monitored and recorded. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 14 Maple Way Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 2 x H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 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 YA22 Regulation 22 Requirement The complaints procedures must be updated to include accurate, relevant information. This is an outstanding requirement of the inspection dated 15/11/04 The flooring in the activities room must be made even and the worn carpet replaced. The pathway used as a fire exit leading from the rear of the house to the side gate must be made wider and level to allow the resident safe use. The registered person is to remove the tumble dryer from under the stairs. The registered person must ensure that all policies and procedures contain accurate, up to date information and are signed, dated and reviewed annually. Timescale for action 31/08/05 2. 3. YA24.10 YA42.3vi 16(2)( c ) 23(4)(b) 31/08/05 31/08/05 4. 5. YA42.3vi YA40 23(4)(a) 17 31/08/05 31/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 24 No. 1. Refer to Standard Good Practice Recommendations 14 Maple Way H54 S55527 14 Maple Way v227592 110705.doc Version 1.30 Page 25 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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