Inspection on 10/10/05 for 32 Ringstead Road

This inspection was carried out on 10th October 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

32 Ringstead Road 20/08/09

32 Ringstead Road 23/09/07

32 Ringstead Road 25/07/06

32 Ringstead Road 12/01/06

32 Ringstead Road 03/02/05

32 Ringstead Road 20/07/04

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 Ringstead Road (32) 32 Ringstead Road Sutton Surrey SM1 4SJ Lead Inspector Deborah Yapicioz Unannounced Inspection 10th October 2005 09:00 Ringstead Road (32) DS0000007209.V257520.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 Ringstead Road (32) DS0000007209.V257520.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. Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ringstead Road (32) Address 32 Ringstead Road Sutton Surrey SM1 4SJ 020 8642 7725 020 8642 7725 manager.ringsteadroad@careuk.com 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) Care Solutions Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 03/02/05 Brief Description of the Service: 32 Ringstead Road is a residential home for people with learning disabilities. The home is owned, managed and staffed by Care U.K. The home is registered to provide residential care for up to six adults with learning disabilities with medium to high dependency needs. The home currently has six male residents with no vacancies. The service users all have a private bedroom. The home does not provide any emergency or respite provision. The home is a large property, with accommodation provided over three floors, situated in a quite residential road within walking distance of Sutton town centre. The home has a large open plan lounge and dining room. There are French windows, which open onto a large garden. The home also has a drive to the front of the house for parking. 32, Ringstead Road also has transport for the residents use. Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place in the morning of 10th October when most of the service users were at home. The home manager Charlotte Payne was present for the inspection. The home was inspected under the National Minimum Standards Care Homes for Younger Adults. Methods of inspection included a tour of the premises observation of contact between staff and service users, talking to staff and service users and discussion with the home manager. Records examined included service user plans; care manager needs assessments and risk assessments, medication records, complaints, staff files, health and safety and fire records. What the service does well: What has improved since the last inspection? What they could do better: Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 6 The job descriptions looked at during the inspection referred to working in a service for people with mental heath problems. The home manager must ensure the correct job descriptions are held on file, which reflect the service users group accommodated by the home. The home manager must ensure that regular fire drills take place in keeping with the company’s policy. The majority of service users at the home have had an annual holiday. The home manager explained that for some service users it is not appropriate for them to go away for a week on holiday, as it would cause the service users a high level of distress. When this is the case the service users should have at least five individual days outing to places that it is of interest to them. Annual appraisals have not been completed. Each member of staff should receive an annual appraisal. The home manager must ensure regular staff meetings take place to ensure good communication and consistency of approach. Criminal Records Checks are completed before a new member of staff can begin work in the home although it is company policy that Criminal Records Checks are held centrally at the head office. The home must ensure that Criminal Records Check are held on the staff files at the home. There has been an ongoing issue at the home regarding the evacuation of the top floor office in the case of a fire. The home manager has sought advise from the homes fire officer and is waiting for the out come. 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. Ringstead Road (32) DS0000007209.V257520.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 Ringstead Road (32) DS0000007209.V257520.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): 1,2,4,5, The home provides information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home. Each of the service users is issued with an individual contract setting out the terms and conditions of the placement, which safeguards the interests of both parties. EVIDENCE: The home has a statement of purpose and a Service users guide in place. The service users guide has also been put into “Widget” format. The statement of purpose is given to each new service user. Service users are only admitted to the home once a full assessment of their needs; compiled by their care manager or other relevant person has been received. The home also has a procedure for introducing service users to a new residential placement. This is completed as well as a care manager’s assessment. Care manager’s assessments and Care U.K. assessments were seen on the service users files sampled. New service users would also have the opportunity to visit the home so that they can “test drive” the home. Visits would include staying for a meal and an overnight stay. Each of the service users has a personal contract, specifying the terms and conditions of their occupancy that included periods of notice, fees charged, and the cost of ‘extras’ not covered by the basic cost of the placement. Ringstead Road (32) DS0000007209.V257520.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): 6,7,8,9, The service users have individual care plans with detailed information on their needs and personal goals. Individual care plans include consultation with service users and are regularly updated by the key-worker to reflect current needs and ensure service users wishes are represented. The home operates a risk management strategy thus enabling the service users to participate in activities in the home and in the community with appropriate support. EVIDENCE: The home manager stated that the home is in the process of introducing a new assessment process to Ringstead road. The new formats will be based on Person Centred Planning principles. The home manager is arranging for the staff team to attend training on writing and compiling Person Centred Plans. Main reviews occur every year. Care plans are internally reviewed every six months and updated by key workers regularly. The home has a risk management strategy and service users files looked at all had individual risk assessments in place covering individual activities as well as going out in the community. There are also risk assessments relating to the environment and staff under the health and safety at work act. Risk assessments are reviewed regularly. The home has a comprehensive missing person’s policy, which gives staff clear guidance if a service user was to go missing. Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 10 The home has a key worker system and there is a written procedure, which describes the role and responsibility of key workers. The home runs service users meetings once a month to determine service users views and include them in the decision making process of the home. The home manager has made contact with a local advocacy group. Ringstead Road (32) DS0000007209.V257520.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): 12,13,14,15,16,17 The service users at the home are offered the opportunity to engage in age appropriate activities with an emphasis on using community based facilities although this is limited by the type of vehicle used by the home. The service users have a varied programme of social activities organised by the staff team to reflect service users individual interests. The daily routines and house rules promote residents’ rights and encourage independence. The home has an open visitors policy to ensure friendships and family links are maintained. Dietary needs are catered for with meals that are nutritionally well balanced, nicely presented, and clearly based on the service users food and drink preferences, providing them with daily variation and healthy eating options. EVIDENCE: The service users have a varied programme of social activities with an emphasis on using community facilities. The service users attend The Cheam Centre, Pine Lodge day centre and The Orchard Hill further education centre for a variety of activities depending on their interests and goals. The home arranges for “Us and a Bus” to run activities in the home. An aroma therapist also runs in-house sessions at the home. The service users are offered the opportunity to attend local churches if they wish. Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 12 The home is situated close to the centre of Sutton, which has good transport links. The home manager informed me that service users are taken out to activities that they have shown an interest in. This includes outings to pubs and places of interest. However the home is limited in the number of service users who can participate in outings due to the homes vehicle. The vehicle is a family type salon car. The opportunities for community activities would be increased if the home had a vehicle with more seating capacity. The majority of service users at the home have had an annual holiday. The home manager explained that for some service users it is not appropriate for them to go away for a week on holiday, as it would cause the service users a high level of distress. When this is the case the service users should have at least five individual days outing to places that it is of interest to them. A record of the visits/ outings should be kept on the service users files The home manager informed the inspector that all service users are on the electoral register, and support would be offered to the service users to access the poling stations and engage in their civic rights if they wished. The service users are given a choice of having keys to their bedrooms and the front door of the home. Not all of the residents have taken up this option; a record of their personal choice has been risk assessed and kept on their file. The manager stated that the staff team are mindful of respecting the service user privacy and dignity and always knock on the service users bedroom doors before entering. Not all service users have contact with their families. For those who do have relatives, the staff team supports the service users to maintain their links by ensuring they are always invited to service user reviews and the social events organised by the home. The home has an “open” visitors policy and family can visit at any time as long as they ring ahead to inform the home. Visitors are welcomed and can be seen in communal areas or the service users room. “Care U.K” also arranges a service user group for all the homes in the local area. The home menus are based on the likes and dislikes of the homes service users. The service users help the staff team to draw up the menus on a weekly basis. They also go shopping with the staff to a local supermarket. Any health needs would be taken into consideration when planning meals. The home is in the process of putting the menus into a pictorial format to increase choice for service users who have little verbal communication. The staff team at the home keep a record of all the food eaten by the service users. Ringstead Road (32) DS0000007209.V257520.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): 18,19,20,21, EVIDENCE: The service users at 32 Ringstead Road are fully mobile and self-sufficient when it comes to their personal care. The home manager stated that they just need a “prompt” at times. The level of support a service user needs would be detailed at their review and recorded on their service user plan. The service users at the home are registered with a local General Practitioner. The service users are able to access community health facilities such as an optician, when required. The home has links with the Community Team for People with Learning Disability. Healthcare needs and any appointments were recorded in the service users’ files. The home operates a key worker system, which takes into account the wishes of the service user. Service users choose their own clothes and go shopping with their key worker for personal items of clothing or toiletries. The home uses a blister pack system for medication. Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 14 Records examined showed that all medicines administered are recorded on Medicine Administration Record Sheets, which were up to date at the time of the inspection. The home manager is in the process of ascertaining service users wishes around death and dying through the annual review process. Ringstead Road (32) DS0000007209.V257520.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 There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users EVIDENCE: The complaints procedure was clear and contained all of the elements required to meet standard 22 including a minimum response time of less than 28 days. A copy of the complaints procedure was seen in each of the service users bedroom. The home has had one complaint since the last inspection, which has been appropriately investigated and resolved. The home has a copy of the local authority Adult Protection Policy on site. All staff receives training on issues of adult abuse. Ringstead Road (32) DS0000007209.V257520.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): 24,25,30 The general décor of the home is good providing a homely, comfortable and safe environment for service users to live. Service user’s bedrooms provide privacy and reflect individual interests and preferences. The communal areas provide additional space for group activities or privacy. EVIDENCE: 32 Ringstead Road is situated on a residential street within walking distance of Sutton. The home was comfortable, bright, well ventilated and free from offensive odours at the time of the inspection. The home is suitable for its stated purpose, There are many “homely” touches such as photographs of the service users through out the house. Maintenance for the home is provided on an as required basis by company’s works dept. Each of the service users has a single bedroom. Most of the bedroom has been redecorated since the last inspection. The home manager explained that each service user was able to decide on the colour scheme for their bedroom. One of the service users has an ensuite bathroom. The ground floor of the home is an open plan lounge/diner with a separate kitchen and laundry room. There are French windows to a large pleasant garden, which has a patio area and is equipped with garden furniture. The office /sleep in room is on the top floor of the house. Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 17 The carpet in the lounge has been repaired since the last inspection and the home manager is hoping to redecorate the hall and lounge area of the home. The home has appropriate laundry facilities separate from the kitchen and the preparation of food. The washing machine is capable of washing clothes at high temperatures, which helps with the control of infections. The laundry has suitable flooring. There is a locked cupboard for the Control of Substances Hazardous to Health products. The home has policies and procedures on the disposal of clinical waste. Ringstead Road (32) DS0000007209.V257520.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): 31,32,34,35 The staff team at the home have a range of skills and abilities, which enables them to meet the needs of, the service users living at the home. The staff team have all had Criminal Records Check, as a safeguard to offer protection to the homes service users, although these are all held at the company head-office. EVIDENCE: The home manager arranges for at least two staff to be on duty at any time during the day. If there are a lot of activities arranged then an extra member of staff is rotated on duty. On the morning of the inspection there were two members of staff as well as the home manager. The job descriptions looked at during the inspection referred to working in a service for people with mental heath problems. The home manager must ensure the correct job descriptions are held on file, which reflect the service users group accommodated by the home. The staff team at the home receive supervision from the home manager. Staff supervisions at the home were up to date on the day of the inspection. However annual appraisals have not been completed. Each member of staff should receive an annual appraisal. All new members of staff at the home must complete a comprehensive induction as part of their introduction to the home. The new employee signs the induction programme when they have completed it. The home also has a training plan, which is organised by Care U.K. Attendance certificates are issued for each course. The home manager has booked staff Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 19 members on various courses including protection of Vulnerable Adults, First Aid, food hygiene and Values training. The home has only has two staff meetings this year. The home manager must ensure regular staff meetings take place to ensure good communication and consistency of approach. Criminal Records Checks are completed before a new member of staff can begin work in the home although it is company policy that Criminal Records Checks are held centrally at the head office. The home must ensure that Criminal Records Check are held on the staff files at the home. Ringstead Road (32) DS0000007209.V257520.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 management style is transparent and open with clear lines of accountability, which is aimed at ensuring the well being of the service users. In the main health and safety arrangements are adequate to ensure potential risks to service users health and safety are so far as reasonably possible identified and minimised. EVIDENCE: Charlotte Payne is the manager of Ringstead Road. She was aapointed to the post of manager in September 2005, although she had been acting manager before that. Ms Payne has worked in different care and management positions with in the “Care UK” organisation. Ms Payne now needs to register as home manager with the Commission for Social Care Inspection. There was a clear line of accountability within the home and the manager demonstrated a good knowledge of the service users and the staff team. Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 21 The home has self-monitoring systems in place such as Quality Assurance audits, which are completed by Care U. K. Many of the records required for the safety and well being of service users are in place including accidents, PAT testing, water temperatures, risk assessments, complaints, incidents, food records, staff and service users case files, medication records and so forth. However records kept at the home show that fire drills have not been happening as often as they should. The home manager must ensure that regular fire drills take place in keeping with the company’s policy. There has been an ongoing issue at the home regarding the evacuation of the top floor office in the case of a fire. The home manager has sought advise from the homes fire officer and is waiting for the out come. All staff must attend training relating to health and safety issues including fire safety and food hygiene. A record of training attended is kept on staff files. A representative of the registered provider visits the home regularly and copies of the visit report are sent to the Commission for Social Care Inspection Croydon office. Ringstead Road (32) DS0000007209.V257520.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 3 3 x 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 2 14 2 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 2 3 x 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ringstead Road (32) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 2 x DS0000007209.V257520.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 YA36 Regulation 18(2) Requirement The registered person must ensure all staff working at the home has an annual appraisal with their line manager to review performance against job descriptions and agree career development plans The registered person must ensure a ‘suitably’ qualified and competent individual submits an application to register as the homes manager, subject to a fit person interview with the Commission (carried over from previous inspection) The home manager must ensure more frequent fire drills take place in keeping with good practise. The registered provider must ensure the home has a more appropriate form of transport suitable for the needs of the service users. The home manager must ensure regular staff meetings take place (at least six a year) The home manager must ensure the correct job descriptions are held on file, which reflect the DS0000007209.V257520.R01.S.doc Timescale for action 30/01/05 2 YA37 8(1) (2) 30/01/05 3 YA42 23. (2)(e) 12.-(1)(b) 16.(2)(m) 12.(5)(a)(b) Sch 4 6. (e) 10/10/05 4 YA13 31/03/06 5 6 YA31 YA31 31/03/06 30/12/05 Ringstead Road (32) Version 5.0 Page 24 service users group accommodated by the home. 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 Refer to Standard YA14 Good Practice Recommendations The home manger must ensure that all service users who do not go away on an annual holiday have at least five “days out” to places that are of particular interest to them. A record of the activities should be kept on their file. Ringstead Road (32) DS0000007209.V257520.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Ringstead Road (32) DS0000007209.V257520.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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