Inspection on 21/10/08 for 40 Cooperative Street

This inspection was carried out on 21st October 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

40 Cooperative Street 20/08/07

40 Cooperative Street 05/02/07

40 Cooperative Street 12/12/05

40 Cooperative Street 28/07/05

40 Cooperative Street 28/02/05

40 Cooperative Street 03/08/04

40 Cooperative Street 21/02/04

40 Cooperative Street 09/10/03

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 40 Cooperative Street 40 Cooperative Street Stafford Staffordshire ST16 3DA The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jane Capron Date: 2 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 30 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: 40 Cooperative Street 40 Cooperative Street Stafford Staffordshire ST16 3DA 01785252645 F/P01785245903 kwebb@staffordshire.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Staffordshire County Council, Social Care and Health Directorate Name of registered manager (if applicable) Julie Paula Lindsay-Ayre Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 13 3 5 0 1 0 0 care home 13 dementia learning disability mental disorder, excluding learning disability or dementia physical disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home 13 people live at 40 Cooperative Street. 11 people live in the main building and 2 people live in a house in the grounds. Everyone has their own bedroom. There are places where people can sit and can eat their meals. People go out. They go to college Go shopping. Care Homes for Adults (18-65 years) Page 5 of 30 People can choose what they want to do. People can talk to find the service to get information about what it costs to live there. Care Homes for Adults (18-65 years) Page 6 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 30 How we did our inspection: This is what the inspector did when they were at the care home The service did not know we were visiting. Before we visited we looked at information we had about the service. This included an annual quality assurance assessment (AQAA). This tells us about the service. We also had surveys from people that live there and from staff that work there. When we visited we spoke to people that live there, staff and the manager. We looked at how staff supported people and we looked at some records. Care Homes for Adults (18-65 years) Page 8 of 30 We also looked at some of the rooms at the service. What the care home does well The service has good information that tells all about the support people need. People are involved in making their own plans. Care Homes for Adults (18-65 years) Page 9 of 30 People see health staff when they need to so that they get the medical care they need. People have the medicines that the doctor says they need. The service makes sure that people can be private and staff show them respect. Care Homes for Adults (18-65 years) Page 10 of 30 What has got better from the last inspection The manager is now registered with the Commission. Manager The room where washing is done is now clean and tidy. What the care home could do better Care Homes for Adults (18-65 years) Page 11 of 30 There could be more staff working at weekends. This would mean that people could go out more. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Jane Capron 77 Paradise Circus Queensway Birmingham B1 2DT 0845 015 0120 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 12 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 13 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People considering moving to the service can be confident that their needs will be assessed to make sure the service can meet their needs. Evidence: The services Annual Quality Assurance Assessment (AQAA) states that prior to admission a full comprehensive assessment takes place and that overnight stays and visits would be offered to ensure the service user would be happy with the choice of home. There have been no recent admissions to the service but we saw that multi agency assessments had been completed by the local authority and by relevant health care staff. The manager of the service also told us that if an admission was proposed they would visit the person to undertake their own assessment. The assessment documents we saw included information about peoples health and personal care needs and their specific social and leisure activities. Consideration was also given to any spiritual and cultural needs. Surveys we received from people living at the service said that they had been involved in the admission process and were asked if they wanted to move to the service. Care Homes for Adults (18-65 years) Page 14 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People that live at the service can be confident that their needs are identified in support plans and that staff have the information to be able to meet their needs. People are supported to make decisions about their lives. Evidence: The services AQAA states that people are involved where possible in their own care planning and that the service takes a multi agency approach to ensure that all areas of need are met. When we looked at a sample of support plans we saw that they were completed in a person centred manner. Plans contained all areas of need including health and personal care, social and leisure needs. They also identified peoples important relationships and identified how these were to be maintained. Plans also showed peoples preferred daily routines and identified peoples like and dislikes. Where people had specialist communication needs information about their method of communication was included. The service was supporting some people that displayed aggressive and violent behaviour and plans for this were in place and included triggers for behaviours and showed how staff should respond to make sure that the person and others were kept safe. Plans we saw had been reviewed with relatives, staff and other Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: professionals that were involved in a persons care. The person concerned could always attend their review. The surveys sent to us by staff told us that all people had support plans and staff read them so that they were up to date with peoples needs. When we spoke to staff they were able to tell us about peoples individual needs and the actions that were needed to make sure that needs were met in a person centred way. For example one person liked his door open but did not like people going into their bedroom so plans had been put in place to try and prevent this happening. In another instance one person found it difficult to eat with others so they were able to eat separately. The service had risk management systems in place. Plans had risk assessments to support people to undertake activities safely. These included accessing the community, personal care tasks, undertaking independent living tasks and social activities and were up to date and reviewed. The services AQAA told us that they offered people choices in all areas of their lives. The surveys from people living at the service told us that they made choices about their lives. When we spoke to staff they were able to tell us how they supported people to make choices. For example on person was able to make choices when given a small number of items to choose from. Another person used facial expressions to show they were unhappy. In addition as some people have difficulty expressing views staff had developed records of peoples individual likes and dislikes. The service also confirmed that they used advocates to support people to make decisions. Although we felt staff knew people well we did discuss with the manager ways to further develop peoples decision making through for example using pictorial information to choose meals. Care Homes for Adults (18-65 years) Page 16 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People that use the service are supported to make choices about their lifestyle and are encouraged to take part in activities. People enjoy a varied menu based on their preferences. Evidence: The services AQAA stated people were offered a range of community based activities either on a small group or individual basis. We saw that five people that live at the service attend Stafford Day Services five days a week undertaking such activities as going to the gym, arts and crafts as well as undertaking independent living tasks. Several other people go to college for part of the week. Other people were supported by the service to take part in activities both in the service and out in the community. The service had two activity staff that work during the week to promote activities of peoples choice. We saw that people have the chance to go out several times during the week to do activities such as shopping, going out for meals and for walks. Additional activities include occasional trips to the theatre and on day trips. One Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: person is supported to go out on their bicycle for rides. People are also supported to go to local facilities such as the hairdressers, the doctors and the dentist. Within the service people are supported to take part in activities they want to do for example one person likes writing and another enjoys baking. People also watch television and listen to music. One person we saw enjoyed watching DVDs and playing on their Wii. People told us in their surveys that they had less chance to do things at the weekend and this was confirmed when we looked at the staffing arrangements. The manager and staff did tell us that although staffing levels were lower they tried to make sure that everyone had the chance to go out even for a short walk to the shops. The service told us that people are encouraged to keep in contact with family and friends. Records we saw confirmed that relatives made visits to see people and some people went out regularly with family members. One relative we spoke to told us that the service made sure they were kept informed about their relative. The service told us that menus were planned taking into consideration the likes and dislikes of the people that live there. The two people living in the house adjacent to the main building were supported to plan and cook their own meals. We saw that in the main part of the service menus were planned in advance and offered varied meals. A choice was always provided. People had the choice of where to eat their meals. The three people living in a flatlet area on the ground floor ate in their kitchen/ diner, other people ate in the main dining room on the ground floor and another in the kitchen/diner area upstairs. Although meals were cooked centrally there was some flexibility over when meals were taken. The main meal is provided in the early evening and comprises of a main meal and pudding. The service was able to provide for special diets including a diabetic menu. The service promoted peoples independence by providing aids to support people with eating. Care Homes for Adults (18-65 years) Page 18 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using the service can be confident that they will receive the personal care and health care support that they need. The services medication practices are making sure that people receive their medication as prescribed. Evidence: The services AQAA told us that a range of health professionals were involved in peoples care. They also told us that staff supported people sensitively in a way that people preferred. We saw that people had Health Action Plans that showed peoples health care needs and how they were met. These identified peoples needs and confirmed that people saw the doctor, the dentist and the optician. Records confirmed that people attended Well Man and Well Woman clinics. We also saw that the service was working with specialist health care staff to promote peoples health. For example one person with epilepsy was seen by the nurse specialist and the service was completing monitoring sheets to inform their treatment. Staff received training in managing epilepsy. Another person with specialist communication needs had been supported by a speech and language therapist and had a communication passport in place. During the inspection we saw that people were dressed suitably and that they were receiving hair and nail care. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: When we spoke to staff they were aware of peoples needs and could tell us about the level of support with health and personal care people needed. Staff told us how they promoted peoples privacy and dignity describing knocking on bedroom doors, making sure doors and curtains were closed when completing personal care and treating people as individuals. Our surveys from people living at the service told us that they felt the staff treated them well. The service identified in its AQAA that staff were trained to administer medication and followed the policies and procedures. We saw that people had a medication plan in their support plans and that yearly medication reviews took place. Medication was stored securely in a locked cabinet in a locked room. Insulin was stored in a fridge and the temperature was checked regularly. We checked two peoples medication and we saw that this was being administered as prescribed. The records were being completed and there were no gaps. The service had an agreed homely remedies procedure in place. We saw that protocols were in place for medication that was given as required. Discussions with staff and an examination of training records confirmed that staff that administered medication had received training. In August 2008 the service had a check on their management of medication by the local pharmacist. This had identified no areas of concern. Care Homes for Adults (18-65 years) Page 20 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living at the service can be confident that staff will respond to concerns they may have. People can be assured that they are being protected by the staffs knowledge and skills in managing behaviour and safeguarding issues. Evidence: The services AQAA told is that the complaints procedure is provided to people and that staff are made aware of the vulnerable adult policy. We saw that the service had a complaints procedure in a pictorial format and this was displayed in the entrance hall and was present on the files we saw. Due to the complex needs of the people living at the service most people would be unable to make a complaint through the formal process. When we spoke to staff they were aware of how people expressed distress or dissatisfaction and were aware of the need to deal with peoples concerns. We also saw that the service used a local advocacy service to assist people to raise concerns and to represent their views. The surveys we received from people told us that they knew who to speak to if they had concerns. We saw that the service maintained a folder for complaints. The service had received no complaints and we, the commission had not received any either. We talked to staff about their knowledge of safeguarding. They all told us they had received training and they were able to describe different types of abuse. They could also tell us the procedure if they had any concerns. There had been one safeguarding incident and this had been dealt with appropriately by the service. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: The service has a number of people that exhibit aggressive and violent behaviour. We examined the behaviour management plans and these showed us that plans were in place to respond to any aggressive behaviour. Plans were based on diversion and distraction techniques but did include when necessary, physical intervention plans to make sure people were protected. When we spoke to staff they were fully aware of how to respond to aggressive behaviour and the circumstances that physical intervention could be used. We saw that records were kept of all incidents and there was a system in place to analyse these incidents. We also saw that the service had plans in place to make sure people were protected from other people. Training records confirmed that all staff had completed training in the Management of Actual or Potential Aggression and this was up dated yearly. We did see that some incidents had occurred between people living at the service and although there had been no serious injuries it was unclear when these would be considered as safeguarding incidents. We therefore advised the manager to clarify this issue with the Local Authority Adult Protection Co-ordinator in order to be clear when such incidents should be considered as safeguarding incidents. The service was managing peoples money. We checked a sample and confirmed that records were being kept and that receipts were in place for any expenditure. Where large amounts of money were spent, we confirmed through talking to a relative that the service involved people external to the service before a decision was made. Care Homes for Adults (18-65 years) Page 22 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People that live at the service enjoy accommodation that is comfortable and is kept clean and hygienic. Evidence: The services AQAA states that the service is a purpose built institutional type building and that there are plans to find more suitable provision for the people living there. We saw that the service is a two storey 1970s building situated on the outskirts of Stafford Town Centre. It is quite institutional in appearance and although the staff have done their best to make it homely and to use the space effectively it is not felt to be appropriate to provide the support that is needed for people with complex needs and behaviours that challenge. There are plans in place for people in the future to move to move appropriate accommodation. There is a three-bedroom detached property in the grounds of the main building that provides care for two people. Within the main building there are eight single bedrooms on the first floor and three on the ground floor within a self-contained flat. None of the bedrooms provided en-suite facilities but all had washbasins and were individually decorated. Bedrooms were personalised with peoples belongings and provided homely private accommodation. All bedrooms were lockable. There were sufficient communal rooms and sufficient bathing, shower and shower facilities. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: Within the detached house in the grounds two people live separately from the main unit and are supported by staff to complete independent living tasks such as doing their laundry and planning and cooking their own meals. The environment was clean and tidy throughout. Surveys told us that people felt that the service was kept clean and fresh. Staff had received training in infection control and were aware of effective infection control practices. The service had a large laundry and this was clean and tidy. Care Homes for Adults (18-65 years) Page 24 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living at the service can be confident that the services way of employing staff is protecting them. People can be assured that there are sufficient staff on duty and that staff receive training to provide them with the support they need. Evidence: The services AQAA states they have a good staffing ratio that means that people are able to access the community. It also states that staff are trained to a high standard and that staff have the necessary checks before they start work. We looked at a sample of staff rosters and these confirmed that the service had adequate staff on duty to support the people that lived there. We did see that there was a higher staffing level during the week when the service had two day care staff on duty and five of the people living there were out of the service at day services. Therefore during the week people had more opportunities to access the community. Staff did tell us that although there were less staff at the weekend they tried to make sure that everyone had the chance to access the community at least once. The staff told us that they undertake a range of training. These included training in Health and Safety issues as well as training relevant to the people living at the service. Training included Management of Potential or Actual Aggression, medication, epilepsy, diabetes, safeguarding and training in learning disabilities. Training records also Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: confirmed training was being provided. The service also told us that they had over 50 of staff trained to at least NVQ level two. Staff that responded to our surveys told us that they received training to do their job. We checked a sample of staff files to look at the services recruitment procedures. All files seen contained evidence of the necessary pre employment checks taking place. Staff we spoke to and staff surveys also confirmed that people had a Criminal Records Bureau (CRB) and a Protection of Vulnerable Adults (POVA) check and two references obtained before they started work. Care Homes for Adults (18-65 years) Page 26 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People benefit from a well run home that makes sure that they are kept safe. Evidence: The services AQAA stated that it was well managed with the Health and Safety of people living there being paramount. The services registered manager has long experience of working in care and had previous experience of managing a care service. Our discussion with her showed that she was aware of her role and set high standards. Records confirmed that she under took training to keep up to date with current practice. We received a fully completed AQAA that told us about the service. The services AQAA confirmed that all equipment was being serviced and an examination of records showed that fire safety checks were being completed. We also saw that the service had an up to date risk assessment in place. Staff told us and records confirmed that staff received training in Health and Safety issues including infection control, moving and handling, fire and first aid. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 33 Consideration should be given to increasing the staffing levels at weekends. This will give people more chance to access the community at these times. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!