Inspection on 30/11/05 for 33a Forest Road

This inspection was carried out on 30th November 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

33a Forest Road 23/06/09

33a Forest Road 22/07/08

33a Forest Road 17/04/07

33a Forest Road 08/08/06

33a Forest Road 04/07/05

33a Forest Road 26/02/05

33a Forest Road 20/05/04

33a Forest Road 06/02/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 33a Forest Road Kingswood South Glos BS15 8EW Lead Inspector Helen Taylor Unannounced Inspection 30th November 2005 09:30 33a Forest Road DS0000037337.V267217.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 33a Forest Road DS0000037337.V267217.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. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 33a Forest Road Address Kingswood South Glos BS15 8EW 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) 0117 9677447 0117 9677239 Shaw Healthcare (Specialist Services ) Ltd Mrs Deborah O`Shea Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: 33a Forest Road is a purpose built home providing personal care with nursing for 9 adults with a learning disability. The home is owned and operated by Shaw Healthcare (Specialist Services) Ltd, an organisation that specialises in providing accommodation and support that promotes independence. The accommodation is set over two floors and a lift is available. Individual rooms are spacious with en-suite facilities; some rooms have small private garden areas. Communal space includes, lounge, relaxation room, kitchen/diner, therapy room and a large Jacuzzi tub. The home provides individual support to service users using a variety of approaches determined by a detailed assessment of individual need. Service users are encouraged to be involved in the everyday running of the home, and activities in the local community are organised on a regular basis. The home opened on the 6th January 2003. The registered manager is Mrs Deborah OShea. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted as part of the annual inspection process, to examine the care provided and to monitor the progress in relation to the four requirements made during the previous inspection conducted in July 2005. Three requirements were met; one was partially met and is repeated with an extended timescale. Evidence was gathered through observation, discussion with staff, the deputy manager and two residents. A tour of the premises took place and various records were examined. Monthly reports of registered provider visits to the home, and notifications under Regulation 37 have also been received and form part of the information during this inspection process. The atmosphere in the home was relaxed, and the residents indicated they were comfortable with the service being provided. What the service does well: The residents receive a very good standard of individualised care based on assessed needs, some of which are very complex. They are well supported on a one to one basis, by a key team of staff allocated for each individual. Staffing levels are appropriate so that this can be accomplished. Residents at Forest Road benefit from comprehensive care plans developed through a multi-disciplinary approach, and staff members are provided with detailed guidance on how to meet each residents individual needs. The rights, choices and independence of the residents is promoted by clear polices and procedures in conjunction with a comprehensive staff training programme, ensuring staff members are aware of their role and responsibilities with in the home. The management team provides adequate formal and informal support. A bright, airy environment has been created, and the residents benefit from individual rooms with en-suite facilities, where choice and the ability to personalise rooms is encouraged. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 33a Forest Road DS0000037337.V267217.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 33a Forest Road DS0000037337.V267217.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): 1,2,5. There is information available to enable prospective residents and their supporters to make an informed choice about the facilities on offer. EVIDENCE: Admission to the home is through the care management approach and each admission is on a planned basis. There are presently no vacancies at the home. There is a comprehensive statement of purpose and resident guide detailing the facilities and services provided. The residents rights and choices, the aims and objectives of the home, and the philosophy of care are also contained in the documents. The residents benefit from comprehensive care management and health needs assessments seen on file. Assessments are completed prior to the admission process, and are developed according to individual needs, during the trial period. The needs and preferences of those already living at the home would be part of the initial assessment and decision-making process. 33a Forest Road DS0000037337.V267217.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): 6,7,9,10. Residents benefit from a comprehensive care planning process ensuring all aspects of personal, social and health care needs are met. Support to enable residents to take responsible risks is good, however this could be improved with appropriate protocols in place. EVIDENCE: Each resident has an essential life plan (ELP) and those reviewed indicated a high standard of individualised care. The care plans and associated information was written in a person centred way, and indicated that information had been developed over a period of time. The care plans were reviewed on a regular basis to ensure they met individual needs and aspirations. The daily observation records contained good detail of daily interactions, outings and meals provided. There was evidence of staff members taking action if concerns arose in relation to any resident, and a commitment to supporting external professionals in planned interventions with residents. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 10 The staff members spoken with during the inspection demonstrated a sensitive approach to care provision, and were able to verbally demonstrate their knowledge of the residents needs. Observations indicated that positive relationships had been developed between the staff and residents. The care file information revealed that care was provided within a risk assessment framework. Risk assessments seen were comprehensive, and adequate guidance was provided for staff in relation to residents Accessing the Community, Using Hot Tub, Accessing Kitchen and Managing Challenging Behaviour. It was noted in one risk assessment; staff are guided to read the two person removal protocol in the challenging behaviour folder. Each resident has an individual folder containing guidance on managing difficult behaviour and a review of this individuals behaviour folder revealed no guidance on this aspect of behaviour management. The staff members present and the deputy manager were unable to locate the guidance referred to in the risk assessment. When physical intervention is used as part of a behaviour management strategy, a detailed protocol must be in place providing adequate guidance to staff. Risk assessments must contain adequate guidance to ensure staff members maintain the safety and well being of the resident. Although a protocol was not located, two staff members spoken with conveyed to the Inspector a detailed knowledge of individual residents needs in relation to the used of two person removal. Both confirmed they had received guidance from senior staff members regarding such incidents. 33a Forest Road DS0000037337.V267217.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): 13,14,15,16,17. Opportunities for personal development and links with the local community are an integral part of the care provided at this home. The meals provided in this home are nutritious and planned taking account if individual needs and choices. EVIDENCE: Each resident is allocated a key team of support workers and positive relationships have been developed which enables staff members to develop communication links with the resident. Through this process of positive interaction the key team are able to support the resident in developing new interests. Each resident has an opportunity plan aimed at fostering new interests in the community, the home, and maintaining relationships with family members. The plans indicated participation in a variety of events for example: Swimming, Local pub, Skittles and Cinema. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 12 Visiting professionals provides access to Aromatherapy, Music Therapy and Indian Head Massage in the home. Visits to a local farm where Art, Cookery and Pottery sessions took place were also available if the residents chose to attend. The deputy manager confirmed that two residents attend a local college where life skills and the development of independence skills are part of the curriculum. The opportunity plans are reviewed on a regular basis, and changes are discussed during key team meetings to review the residents progress and interactions during activities. The Inspector had the opportunity to speak with the cook, who demonstrated a good understanding of the needs of the residents. A varied menu was in place, and the cook explained the key team would inform her of any necessary changes or special dietary requirements of any resident. Pictorial information is used to ascertain individual choice. A staff member had recently introduced a food club to encourage residents to be more involved in choosing the content of the menu. This is good practice. The kitchen was clean, tidy and well organised. Records held in relation to food temperatures and kitchen equipment were up to date and in order. A cleaning rota was in place. The cook explained only staff members who have food hygiene certificates are allowed to use the kitchen facility. A recent complaint from neighbours about the noise from the kitchen-cooling fan has been dealt with appropriately and the situation is being monitored. 33a Forest Road DS0000037337.V267217.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. Residents are supported in their preferred manner and can be confident their physical, emotional and personal health care needs will be met. EVIDENCE: The storage and administration of medication was not reviewed on his occasion. The home provides nursing care and only senior qualified staff members administer medication. All medication is stored in a locked metal cabinet. Each resident has a dedicated health care file, and a review of this information provided evidence of clear guidance to staff on the provision of personal care for each individual. Records reviewed indicated that the residents had access to relevant health care professionals, and the home is aware of preventative health care. The residents are supported to attend health care appointments and screening, and consultation reports are completed after any such visit. This ensures a consistent approach to meeting individual needs. The records indicated that staff are aware of each individuals communication method, or change in behaviour that may indicate a health issue or pain. Appropriate action and advice is sought in relation any concern noted. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 14 It was noted for one resident who required medication that advice and guidance has been sought from the relevant professional to decide how this should be administered. A written protocol was in place, and written consent was seen from the doctor to administer medication in a covert manner to ensure the health and welfare of the resident. The health care plans are reviewed on a monthly basis. 33a Forest Road DS0000037337.V267217.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. Policies and procedures are in place to ensure residents are protected from any form of abuse, however this could be improved with development of further guidance in relation to behaviour management strategies developed for individuals living in the home. EVIDENCE: There is an adequate complaints procedure in place, and a review of records held indicated that a recent complaint from neighbours about noise from the home had been appropriately dealt with. This issue is being carefully monitored. Care files viewed indicated that key team members have a sound understanding of the complex communication methods of the residents, and changes in behaviour, body language and facial expressions are observed closely. Residents would be offered support in a sensitive manner to determine whether a problem existed, and appropriate action taken to rectify it. The organisation has in place a comprehensive training programme that includes abuse awareness sessions. Staff members spoken with confirmed this. One recently appointed staff member explained an introduction to abuse awareness was also part of the induction process. Training sessions are also provided focussing on Autism, Intensive Interaction, Epilepsy and Positive Response Training. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 16 Each resident has a file, which contains individual guidelines for staff in the event the resident exhibits challenging behaviour. All incidents of challenging behaviour are recorded on a behaviour monitoring form BMF. In the event of physical intervention being used, a form is in place to ensure staff record all incidents of restraint. A review of the BMF recordings revealed instances when physical intervention had been used, but no restraint form had been completed. The language used in the general recordings was unacceptable, for example: the resident was PRTd two person removal he was restrained. The content of the BMF recordings was limited and inconsistent. Although there was evidence the BMF incidents were being monitored, it was evident the numbers of incidents was being monitored, not the content or reason, and no analysis was taking place to inform future practice. The staff must record any restraint of a resident, particularly when physical intervention is used. The content of BMF recordings must be monitored and an analysis used to review the care plan of any individual subject to physical restraint, and risk assessments must be reviewed in order to minimise challenging behaviour episodes. Staff must be provided with adequate training and guidance on the completion of the BMF recordings and associated restraint records, including the use of language used. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30. Overall a warm, comfortable environment has been created ensuring the residents needs are met. The home was clean and tidy. Generally each resident had been provided with furniture and fittings adequate to meet their needs, however in one room this could be further improved. EVIDENCE: During the last inspection four requirements arose after a tour of the building. The first related to the provision of furniture that met the challenging needs of the residents. The furniture in the room this referred to remains unchanged and this requirement will be repeated. The second requirement has been complied with and a review of the necessary areas has provided evidence of repair or replacement where necessary. The third requirement related to the cleanliness in some en-suite facilities. A review of the en-suite facitlies indicated a higher standard of cleanliness in all rooms. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 18 The fourth requirement has also been complied with and evidence was seen of staff members reporting problems, repairs or other issues relating to individual rooms in the maintenance record. A maintenance person is employed to attend two days per week, and the records showed timescales when repairs were completed. All rooms viewed at the time of inspection were clean and tidy, and the furniture and fittings reflected individual choice and preferences. One resident proudly showed the Inspector pictures he had painted, and it was evident he was proud of his room. This resident told the Inspector he liked it at the home. The communal space includes lounge/dining area, therapy room, hydro pool and social skills kitchen. Staff members spoken with confirmed residents regularly use the social skills kitchen supported by staff. A staff member has recently received training and been designated to oversee the cleaning and maintenance of the Hydro pool, to ensure the safety and well being of residents who use it. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35. The residents are supported by a competent, trained staff team, who are committed to improving the quality of life for the individuals living in the home. EVIDENCE: There are clear aims and values in this home, which are resident focussed and centre on choice, rights and self-determination. Through observation and discussion with seven staff members, it was evident that each understood their role within the home, and were able jointly to ensure the needs of the residents were met. The organisation have in place a robust recruitment procedure, and although records were not examined on this occasion, two newly appointed staff members confirmed all appropriate checks and employment information had been obtained prior to the employment start date. Two recently appointed staff members confirmed induction and mandatory training had taken place. Familiarisation with policies and procedures, mentoring, and sessions on Fire, Positive Response Training, Autism and Epilepsy, were included in the training programme in place. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 20 A programme of NVQ training is also in place at the home, and one staff member was progressing through the NVQ assessor award to ensure all staff members are provided with adequate support when undertaking NVQ training. The staff member explained the organisational plan is to train staff members as NVQ assessors and internal verifiers to improve the rate of achievement within the staff team. This is consistent with good practice. It was evident from observations, and a review of records held that positive relationships had been developed between the staff and residents, and one resident conveyed to the inspector that he was happy in the home. Supervision records were not reviewed on this occasion, however the staff spoken with confirmed a high level of support from the management team, and confirmed formal supervision took place on a regular basis. Staff meetings, and key team meetings were also held regularly and records reviewed confirmed this. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,40,41,42,43. The home is well-managed ensuring residents rights; interests, health and safety are promoted and protected by a knowledgeable staff team within safe environment. EVIDENCE: The registered manager was not available during this inspection, however the deputy manager was able to demonstrate his competence to run the home in the absence of the manager. The atmosphere in the home at the time of inspection was calm and relaxed, and the residents looked at ease and comfortable. Policies and procedures are in place to ensure the health and safety of the residents and staff members. One staff member is designated the health and safety representative, and specific training is provided relating to this role within the home. There was evidence of regular meetings to review any health and safety issues in the home, and to monitor practice. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 22 A review of the fire safety records revealed all appropriate tests and fire drills held on a regular basis. Fire training is part of the induction and mandatory training provided for all new staff. The organisation has in place a comprehensive auditing system and regular inspections by the area manager are part of this process. The Commission receives regulation 26 visit reports regularly. Regulation 37 notifications are also received on a regular basis in the event of any incident occurring in the home that might adversely affect the residents. It was noted that some of the Regulation 37 forms used did not contain a date. The deputy was advised notifications must include a date, time and location of any incident. Generally, the feedback from staff was that the organisation is supportive and provides comprehensive training enabling staff to deliver a high standard of individualised care. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X 3 Standard No 22 23 Score 3 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 33a Forest Road Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X 3 X 3 3 3 3 DS0000037337.V267217.R01.S.doc Version 5.0 Page 24 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. 2. 3. Standard YA25 YA9 YA9 Regulation 16.2(c) 13.5 13.4 Requirement Provide adequate furniture to meet the needs of each resident. A protocol must be in place providing guidance to staff about two person removal. Risk assessments must contain adequate guidance to ensure staff can safely manage challenging behaviour. To record the circumstances of any physical intervention used to manage challenging behaviour. The content of Behaviour Management Forms must be reviewed and action taken to minimise episodes of physical intervention. Provide staff with training and guidance on language used when completing records. Timescale for action 30/03/06 30/01/06 30/01/06 4. 5. YA23 YA23 13.8 15.2 30/01/06 28/02/06 6 YA23 18.1(c) 28/02/06 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 25 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 YA42 Good Practice Recommendations The format for reporting Regulation 37 incidents to include, date, time and location of incident. 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 33a Forest Road DS0000037337.V267217.R01.S.doc Version 5.0 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!