Inspection on 21/06/07 for 30 to 31 Pickwick Close

This inspection was carried out on 21st June 2007.

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

Other inspections for this house

30 to 31 Pickwick Close 30/09/09

30 to 31 Pickwick Close 04/12/05

30 to 31 Pickwick Close 01/08/05

30 to 31 Pickwick Close 16/02/05

30 to 31 Pickwick Close 07/09/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 30/31 Pickwick Close 30/31 Pickwick Close Laindon Basildon Essex SS15 5SW Lead Inspector Ray Finney Unannounced Inspection 21st June 2007 10:00 30/31 Pickwick Close DS0000018073.V343913.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 30/31 Pickwick Close DS0000018073.V343913.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. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 30/31 Pickwick Close Address 30/31 Pickwick Close Laindon Basildon Essex SS15 5SW 01268 410634 01268 410634 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) Estuary Housing Association Limited Mr George Lai-Chun Care Home 8 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (2), Learning disability (8), Learning disability of places over 65 years of age (8) 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Accommodation and personal care to be provided for three service users who have Dementia and whose names are known to the Commission. No more than a total of eight service users to be accommodated at any one time. 6th June 2006 Date of last inspection Brief Description of the Service: Pickwick Close is situated relatively close to Basildon, Laindon and Wickford town centres. There are a good bus and train links to the area. The home provides 24-hour residential care for up to eight adults who have a learning disability. The home comprises of two interconnecting bungalows. Each bungalow offers four single bedrooms, a large lounge, a dining room, kitchen, bathroom, shower room, sluice facility and separate toilet. There is also a separate office and a sensory room. Each bungalow has its own garden/patio area to the rear of the property. Parking is available to the front of the bungalows. The home has its own transport facilities for residents. Information about the service may be obtained by contacting the manager. The home charges £1,567.63 a week for the service they provide. This information was provided to us in July 2007. There are additional charges for personal items such as toiletries and services including chiropody and hairdressing. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was looked at when compiling this report. Documentary evidence was examined, such as menus, staff rotas, care plans and staff files. Two completed surveys were received from relatives. The manager submitted an Annual Quality Assurance Assessment (AQAA) with information about the home. A visit to the home took place on 21st June 2007; this included a tour of the premises, discussions with the manager and members of staff. Observations of how members of staff interact and communicate with people living in the home have also been taken into account. On the day of the inspector’s visit the atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the manager and members of staff. What the service does well: What has improved since the last inspection? There have been improvements to the home’s sensory room, which has been cleared of clutter and stored items and is a useful resource for people living in the home to enjoy. Record keeping has improved and all records relating to people living in the home, recruitment, training and Health & Safety were available during the inspection visit. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 30/31 Pickwick Close DS0000018073.V343913.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 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People choosing to live at Pickwick Close can be confident they will receive adequate information about the home and their needs will be assessed before admission. EVIDENCE: Since the last inspection the Statement of Purpose and the Service User Guide have been updated. A copy of the Service User Guide is displayed on the notice board. The records of three people living in the home were examined. Each has an assessment of need in place using the Estuary Housing Association Initial Assessment form. The assessment covers communication skills/needs and social skills including relationships and how the person interacts with others. There is a section looking at the person’s “adaptive functioning” that covers mobility & self-help skills, eating, drinking, dressing & undressing, washing, bathing. The assessments contain sufficient detail to ensure care plans are developed that will make sure care is carried out in the way people like. Details such as 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 9 ‘loves baths, dislikes showers’ are recorded, which is important for people whose communication needs are complex. Significant life events such as family bereavements are recorded in the assessments. Also included is information about likes and dislikes around leisure activities. A discussion took place with the manager around assessments. Although no one has moved in to the home recently, the manager is able to demonstrate a good awareness of the process for assessing needs. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Pickwick Close benefit from a well developed care-planning system. They are supported to make decisions about their lives and to take risks within their capacity to understand. EVIDENCE: A sample of three care plans for people living at Pickwick Close were examined. The care plans are individual and are personalised with photographs. One plan examined contained a document entitled “My Life Path”, which identified things the person is good at such as “with support I can hold my cup” and this was backed up with supporting pictures. Care plans identify what they are aiming to address in the care plan, the persons skills in that particular area, what support needs are required and how they are to be implemented. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 11 However, files are large and unwieldy and would benefit from being streamlined so that staff can use the care plans, as working documents and the good information they contain does not get lost amongst the older information. Daily record sheets examined were being completed appropriately. One relative responded that they feel one of the things the home does well is the “overall care and attention” and their relative “doesn’t seem to want for anything”. The manager plans to develop the use of pictures in care plans and has purchased ‘recordable’ picture albums for people to use. Care plans contain sufficiently detailed information to ensure people are supported in ways that they like. Good interactions were observed between people living in the home and members of staff. An established member of staff was able to demonstrate a good knowledge of how they support people with complex needs to make choices. Records examined show that there are a variety of care plans and related risk assessments in place. Risk assessments identify the risk and also the person’s strengths and what additional support is required to reduce the risk. Staff records examined indicate that there has been recent training on developing risk assessments, which the manager has also attended. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home need to have greater opportunity to participate in activities that are appropriate to their needs and to access facilities in the local community. The home ensures that people living there build and maintain relationships with their families. The people living in Pickwick Close benefit from a well balanced, nutritional and varied diet. EVIDENCE: All those living in home have complex needs and are unable to undertake paid employment or to attend college/educational facilities. Weekly activity records were examined for three people living in the home. One record showed that someone listens to music and attends a music class. A person spoken with 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 13 said they like to watch television and enjoy videos, of which there is quite a large collection in the person’s room. People use the home’s sensory room for relaxation. However, on the day of the inspection the planner for the sensory room indicated that an individual was booked for a session and it was unused at the time stated. Staff said that the person had chosen not to use the room and was having a rest instead. As recorded at the last inspection community presence is limited. The manager provided information that people in the home use local restaurants. One person does a ‘communication through art’ class. It was observed that people living in the home are relaxed and appear happy, although there seemed to be little stimulation on the day and records indicate that there is not a wide variety of planned regular activities taking place. A discussion with the manager and staff indicates that the home supports people to maintain good family links. One relative spoken with on the day of the inspection was complimentary about the care provided by the home and feels they are always kept informed about any issues. One person living in the home was looking forward to a relative’s visit the following weekend. ‘Personal calendars’ were examined and confirm that families continue to visit regularly. Further discussions with the manager and staff indicate that people are supported to make choices about their daily lives, such as times for getting up and going to bed. However, people living in the home with complex learning disabilities and physical needs are unable to take an active part in daily household routines. On the day of the inspection daily menus were examined. Lunchtime is usually a choice of sandwiches with the main hot meal provided in the evening. Food storage was examined on tour of the premises and there is a good variety of cereals, stored tinned foods, salad, cold meats, yogurts and soft drinks. The fruit bowl contains a variety of fresh fruit. One person spoken with indicated that they enjoy the food. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service receive very good personal and healthcare support that meets their needs. The home has systems in place to ensure the safe administration of medication and the protection of people living there. EVIDENCE: All those living in the home have complex needs and all require support to varying degrees with personal care. Observations on the day of the inspection indicate that people are being supported appropriately. One individual’s records contain a ‘Personal Planning’ book written with easy read symbols that clearly documents things that the person does and doesn’t like. Care plans examined contain evidence that relevant healthcare professionals are consulted during the assessment process. Evidence was seen of input from Speech & Language Therapy services and an Occupational Therapist. Individual files contain information sheets relating to individual healthcare needs and medical conditions. Daily records contain individual personal 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 15 calendars containing dates of appointments for doctor’s visits, dentist, Occupational Therapist (OT), community nurse and chiropodist. Records examined show that people living in the home have their weight monitored and recorded. The manager explained that some people’s communication difficulties mean that staff have to be very aware of changed moods or behaviours to indicate if something is wrong. He explained that staff were able to pick up a problem after one person had visited the hearing aid clinic and been supplied with new batteries that were not working correctly. The person was not able to explain that the hearing aid was not working properly but staff realised from the person’s behaviour that there was something wrong. None of the people living in the home have the capacity to self medicate. The home’s procedures around the storage and administration of medication were checked. Care plans examined contain details of people’s prescribed medication and their individual files contain protocols for the administering of PRN or ‘as required’ medication. Medicine Administration Record (MAR) sheets were examined and found to be completed appropriately. Medication is stored securely in a locked cupboard. Staff records confirm that they have received medication training. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have access to an effective and understandable complaints procedure that ensures that they are listened to. The home operates robust practices and procedures to protect the people who live there. EVIDENCE: The home has an appropriate complaints policy in place. The procedures for dealing with concerns and complaints were discussed with the manager. A copy of the home’s complaints procedure is displayed on the notice board. Complaints records examined show that no complaints have been recorded since the last inspection. A discussion took place about the recording of minor concerns, which would benefit people using the service by confirming that even minor concerns are taken seriously and acted upon. Staff spoken with are aware of the complaints procedure. Staff files examined confirm that staff have received Protection of Vulnerable Adults (POVA) training. Staff spoken with show an awareness of their responsibilities around responding to suspected abuse. People are further protected by robust recruitment procedures. Staff records examined all contain enhanced Criminal Record Bureau checks. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall people living in Pickwick Close benefit from a homely, comfortable environment that is adequately maintained and clean. EVIDENCE: A tour of the premises indicated that some improvements have been made to the environment since the last inspection. Two areas where improvements were noted are the sensory room, which has been cleared of stored items, and the cupboard containing cleaning substances was locked. Individual bedrooms have ample evidence of personal possessions. Furnishings are domestic in nature and as ordinary as possible, whilst meeting the complex needs of the service users. Overall, the home is free from offensive odours and is reasonably clean and people’s individual rooms show an acceptable standard of cleanliness. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 18 On the day of the inspection staff were vacuuming carpets and cleaning up kitchen areas. Although the standard of cleanliness throughout the home are adequate it could be improved if there was a member of staff dedicated to cleaning tasks. This would also benefit people living in the home by ensuring that care staff are free to concentrate their time on providing care. The laundry facilities are appropriate for the size of the home with suitable flooring to ensure good infection control may be maintained. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall people living in Pickwick Close benefit from a competent staff team, although they should continue to be supported to obtain relevant qualifications. Staff receive appropriate training and the support and supervision they need to carry out their jobs. People are protected by the home’s recruitment policy and procedures. EVIDENCE: The manager provided information that two members of staff have a National Vocational Qualification (NVQ) at level 3 or above and a further three will be starting the award in September, which will bring the level of staff with NVQ to the level of 50 as recommended in the National Minimum Standards. Rotas examined show that staffing levels are three per shift during the day and two at night. In addition there is an activities worker for three days a week 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 20 and the manager is supernumerary. As at the last inspection there were a mixture of permanent staff and agency staff on duty. Staffing levels were observed to be adequate on the day, but few activities were taking place and much of the staff time was taken up with housekeeping duties such as cleaning and cooking. If people living in the home are to benefit from a fulfilled lifestyle with meaningful activities, staffing levels need to be reviewed and adjusted. The home has an appropriate recruitment process in place. A sample of five staff files was examined; records are well organised with a checklist of contents at the front. All contain the required information including a job description, application form, contract of employment, two written references, proof of identity and evidence that staff have been given an employee’s handbook. Criminal Record Bureau (CRB) and Protection of Vulnerable Adults checks are carried out to ensure service users are protected. Evidence of the staff induction process was recorded in the five staff files examined. They also contain evidence of training including Protection of Vulnerable Adults (POVA), Moving & Handling, Parkinson’s Disease awareness, Dementia training, Risk Assessment, Food Hygiene, First Aid, Food Safety in catering, and NVQ level 3. Records are also available for agency staff working in the home confirming that they have received training. The agency has provided a profile of each agency staff member giving details of documents held by the agency, including CRB certificate numbers, identity checks, references and a self-declaration that the person is physically and mentally fit to work with vulnerable people. The manager has a robust process in place for supervising staff and records examined contain evidence of staff supervision. Team meetings are also held regularly and records of minutes of meetings are available. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Pickwick Close benefit from a home that is managed by a competent person. The health and safety of individuals living and working in the home is promoted and protected. EVIDENCE: As previously reported, the manager has appropriate qualifications in both care and management. The manager is a registered nurse and they have completed the Registered Manager’s Award. Evidence was also examined confirming that the manager keeps up to date with training including an update on Risk Assessment training, Moving & Handling, Health & Safety, Fire Awareness, Administration of medication, POVA, Dementia and Parkinson’s Disease. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 22 Records examined show that the views of people living in the home are taken into account through monthly residents’ meetings. As previously reported key workers continue to consult regularly with people in the home and record their wishes in their individual books. A relative spoken with said that the manager is always ready to listen to their views. Records examined relating to Health and Safety were examined and found to be in order. There is a Fire Risk Assessment in place and the fire alarm is checked weekly. Monthly checks are carried out on fire equipment and fire drills also take place monthly. Doors are fitted with automatic closures in case of fire. Records relating to fridge and freezer temperatures and water temperatures were recorded appropriately. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA13 Regulation 16(2)(m) Timescale for action People living in the home must 31/08/07 be supported to take part in local, social and community activities so that their lifestyle is improved by being part of the local community. There must be sufficient staff on 31/08/07 duty so that people living in the home are able to have all their needs met, including social and recreational needs. Requirement 2. YA33 18(1)(a) 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. 3. Refer to Standard YA12 YA30 YA32 Good Practice Recommendations People living in the home should have access to a wider range of social and recreational activities that will provide stimulation and improve their lifestyle. Ways of improving the standard of cleaning in the home should be explored so that people can enjoy living in a cleaner environment. Staff should continue to receive support to complete NVQ awards so that people living in the home benefit from a DS0000018073.V343913.R01.S.doc Version 5.2 Page 25 30/31 Pickwick Close well-qualified staff team. 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 30/31 Pickwick Close DS0000018073.V343913.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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