Inspection on 24/08/05 for 41 Newport Road

This inspection was carried out on 24th August 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 but made no statutory requirements on the home.

Other inspections for this house

41 Newport Road 31/10/07

41 Newport Road 14/03/07

41 Newport Road 11/01/06

41 Newport Road 18/11/04

41 Newport Road 22/07/04

41 Newport Road 17/02/04

Similar services:

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

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

CARE HOME ADULTS 18-65 41 Newport Road 41 Newport Road Cowes Isle of Wight PO31 7PW Lead Inspector Liz Normanton Unannounced 24 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 41 Newport Road Address 41 Newport Road, Cowes, Isle of Wight, PO31 7PW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 294134 01983 294134 Islecare 97 Limited Sara Frost (acting) Care home 6 Category(ies) of Learning Disability (6). registration, with number of places 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Authorised to accommodate a service user over 65 years of age. This will no longer apply when the individual ceases to be resident in the home. Date of last inspection 18/11/2004 Brief Description of the Service: 41 Newport Road is a home that provides personal care and accommodation for up to six adults with learning disability. It is a detached two-storey property situated on the main Newport to Cowes road about half a mile from Cowes town centre with its shops and ammenities. While parking is mainly limited to side streets, bus stops are only a few yards from the home. There is a reasonably sized terraced rear garden available for resdients use and a small lawned front garden with flower beds. Accommodation is on both levels. There are ten steps from the pavement to the front door and no lift from the ground to the second floor, making the home generally unsuitable for people with mobility difficulties. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the first in the inspection year. The inspection took place mid week and the inspector arrived at the home midmorning. At the time of arrival the inspector found there to be two residents at home being supported by two staff and the manager was also present at the home. All other residents were out at respective day services or undertaking voluntary employment. Staff supported the two residents to go into Newport shopping and they left shortly after the inspectors arrival. The inspector spent time in consultation with the home’s new manager who has managed the home for eight weeks. The inspector found the manager to be very positive and enthusiastic and she had plans to improve the service provided to residents. Throughout the day the inspector observed positive interaction between staff and residents. A full tour of the home was undertaken by the inspector and was found to be in need of re-decoration throughout. The kitchen, which has been referred to in past reports, is still in need of refurbishment. There were concerns from staff that a panel between the oven and kitchen unit is made from asbestos. The furniture in the sitting room was also in need of replacement. A downstairs bedroom door had been wedged open to provide easy access for a resident who has mobility problems, this is a fire door and should not be wedged open. One resident’s bedroom had a frayed carpet and a door had fallen off the sink unit. Staff had not informed the manager of the broken unit. The inspector viewed a selection of the home’s policies and procedures and found that the complaints policy and procedure requires updating. A number of staff files had information missing which should be available for inspection. The inspector spoke individually to two residents who both stated they enjoyed living at the home. In interviews with two support staff the inspector found that they had received induction training, and mandatory training when they took up their appointment. Staff confirmed that residents are allowed to make choices and that they are always out and about in the community. Staff morale was described as being low over the last few months, but they believe that this will improve with the introduction of the new manager. Overall the home was found to be well managed, the manager and staff were friendly and welcoming and the inspector had full access to the home and staff and residents’ records. What the service does well: The home is comfortable and offers a homely environment to residents. Prospective residents can be assured that an assessment of their needs will be undertaken and from this a comprehensive care plan will be drawn up. The home provides residents with the opportunity to live semi-independently and support is available to those who require additional assistance. Residents 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 6 have their own private accommodation and locks are fitted to provide security and privacy. There is a well-established staff team who understand the needs of the residents. Residents are encouraged and supported to maintain existing relationships and visitors are welcome at the home. The home ensures that support staff have relevant training to ensure they can meet the needs of the residents. The home is kept clean and hygienic. Residents are consulted about how they would like the home to be run on a day to day basis. 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. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 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 standard(s) 2,4 and 5 Prospective residents’ needs and aspirations are assessed prior to admission. The home encourages prospective residents to visit the home to familiarise themselves with the environment and to meet staff and other residents. There was no evidence that residents had a contract or terms and conditions of their placement at the home. EVIDENCE: The inspector was notified that the home had recently had a new admission in May this year. The resident’s file was viewed and had a detailed assessment, which had been provided by the care manager, and a comprehensive care plan had been drawn up from the assessment. The resident confirmed that they had had introductory visits to the home and that there had been a review since they moved in. In discussion with the manager the inspector was informed that a further review is planned in December. The resident has settled in well and said they liked living there. The inspector viewed two residents’ files and was not able to find a contract between themselves and Islecare. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 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 standard(s) 6 and 7 Each resident had an individual care plan of which they were aware. Residents are able to make decisions about their lives with the majority of them being very independent. EVIDENCE: Care plans were detailed and provided staff with relevant information to understand the residents’ needs. Each care plan had risk assessments, some were in need of updating. Care plans are reviewed every three months or as required. The manager is planning to review all residents’ care plans using a Person Centred Planning Approach. At present family members/friends or advocates have not been involved in drawing up care plans and the manager plans to change this. The home has a key-worker system. Residents at the home are able to make decisions and voice their opinions. The inspector observed residents making choices. Individuals’ likes/dislikes are written into their care plans. The majority of the residents are very independent and spend time away from the home out and about in the community. The new manager has introduced residents’ meetings, which will be held fortnightly. The inspector saw minutes of the meetings and found that residents wanted to be more involved in food shopping and choosing what goes on the menu. Support staff were observed asking residents questions 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 10 which enables them to make decisions. Residents are supported in managing their personal allowances and all have building society accounts. One resident chooses to smoke and provision has been made available for them to smoke in the utility room. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15 and 17 Residents live a semi-independent lifestyle and choose what activities they wish to engage in. Residents of the home take an active part in the local community and enjoy leisure activities of their choice. The home supports residents to maintain and develop relationships with friends and family. Residents are offered a healthy balanced diet. EVIDENCE: There are six residents living at the home and five of them go out during the week on a part time basis to day centre services, college and voluntary work. Photographs of outings were seen in the sitting room and in residents’ bedrooms. Staff confirmed that residents go out either with staff or independently. The home arranges outings on the island or mainland to which residents can choose to go. Trips this year have been to the funfair at Southsea and the circus, plus outings to Godshill for cream tea and Shanklin for coffee and a walk on the beach. There was a forthcoming shopping trip to Southampton arranged for the coming weekend. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 12 The inspector observed one resident engaging in knitting. Residents prefer to go out independently and the staff support this. The manager and staff stated that residents have contact with family and friends. One service user is in an intimate relationship and sees their partner regularly through the week. Details of relatives and friends were recorded in care plans. The visitor book had not been signed for some time so there was no evidence of relatives and friends visits. The menus were planned on a weekly basis and meals on offer were seen to provide a well-balanced diet. The home provides three meals a day, which include breakfast, lunch and tea. Residents who go out during the day prefer to prepare their packed lunch the night before in preparation for the following day. The inspector spent some time with residents and staff in the kitchen when they came back from the shops and staff asked what they would like for lunch. Residents have stated in a residents’ meeting that they would like more involvement in menu planning. One resident confirmed that they can have meals within the home anywhere they choose. No comments were made about the quality of the food. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 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 standard(s) 18,19 and 20 Residents who require personal support are helped by staff in the way that they require and prefer. Residents’ emotional and health needs are met by the staff team. The residents are protected by the home’s medication policy and procedures. EVIDENCE: Each resident is registered with a general practice. Care plans have details of health needs. One resident requires assistance with personal hygiene, and when possible this is done by a member of staff from the same gender. In the afternoon of the inspection one resident had chosen to have their hair dyed and was supported to do this by a member of staff. Equipment was available to one resident who has recently had an accident. In conversation with staff the inspector was informed that residents chose their own clothes, hairstyle etc. The community learning disability nurse advises the staff about Autism. There was evidence of a hospital admission. The manager has plans for the women to have breast screening in the future. Islecare provide the home with a medication policy and procedure. Medication is stored appropriately. Medication administration is recorded on MARs Charts. Designated support staff have the responsibility of administering medication and have relevant training. One resident is learning to self-administer. The manager has built up a working relationship with the pharmasist who she 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 14 consults for advice on medication. Staff are informed when a resident’s medication changes and are advised to monitor residents’ health. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Residents have not made a complaint for over two and half years. Information on how to complain was available but requires updating and residents should receive a copy. EVIDENCE: The home did have a policy and procedure for making complaints, however details of the regulatory body were that of National Care Standards Commission. Residents did not have up to date information on how to make a complaint in the service users guide. There have been no complaints made for two and a half years. One resident told the inspector they would not make a complaint. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,26,27,28 and 30 The home provides residents with homely, comfortable and generally safe environment, however the décor and seating is in need of attention. Residents are able to furnish their bedrooms to their own taste with a number of residents having their own furniture. The home has sufficient toilet and bathroom facilities to provide privacy and meet individual needs. The home has the provision of a through lounge/dining-room, a kitchen and large garden, which is communal space shared by residents and this complements their individual bedrooms. The home is kept clean and hygienic. EVIDENCE: The kitchen has an assortment of cupboard fittings, which are mis-matched with loose doors. A side panel near the sink has started to rot and there is a large gap, which is unsightly and a health risk. The cooker has been replaced. There was concern from staff that there is an asbestos panel between the cooker and kitchen unit the inspector examined the board which did look as if it was made of asbestos. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 17 The living room has seating, which has become worn with age, and cushions have lost their shape and offer no support. Paintwork and wallpaper throughout the property is looking tired with lots of chips in the paint to doorways, skirting boards and banister. The border in the hallway is ripped off. A curtain was missing from the dining-room window. The downstairs bathroom has been creatively decorated by staff, however the paint has reacted to the steam and has cracked giving a distressed effect. The bath is enamel and has a chip out of it which could lead to injury. In discussion with the manager the inspector learned that the home has a planned renewal programme, the manager had identified the need for the home to be redecorated. The home is rented from the council and they are responsible for the refurbishment of the kitchen. The home is in keeping with the local community and offers residents, easy access to the local community. Although showing signs of wear and tear the home was clean, bright and free from offensive odours. Residents’ bedrooms were seen to be personalised with the majority of residents having their own furniture. All bedrooms were well lit and ventilated. One bedroom was found to have a door missing from the sink unit. The carpet in this room was also very worn. The home has two bathroom/toilet facilities. There is a large rear garden, which is accessed from the utility room. There is sufficient shared space within the home and a separate staff bedroom. The laundry facilities are housed next to the kitchen, the floor is impermeable. Laundry is taken through the kitchen in a laundry basket. The washing machine washes to appropriate temperatures to wash foul laundry. The home has infection control policies and procedures. Staff have received training in infection control. The home supplies staff with liquid soap and paper towels. Wash basins are situated in prominent sites. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33 and 34 Residents benefit from the clarity of staff roles and responsibilities. Staff have experience and qualifications in the area of learning disability. The home has a well-established staff team with a couple of new members. Residents are protected by the home’s recruitment policy and procedures, however information required in staff files was not available for inspection. EVIDENCE: There are five full-time staff currently employed at the home, two whom have worked there for five years. The inspector viewed staff files and found them to contain job descriptions. Staff were observed interacting with residents throughout the course of the day and their needs were seen to be being met. Four staff have completed National Vocational Qualification (NVQ) at level 2 in care, two certificates were seen. One recent member of staff has completed NVQ level 3 in child care and intends to undertake NVQ level 2 in care, they have also completed the LADF Induction course. All staff have undertaken mandatory training. Other training, which has been obtained by individuals in the team are a Level 2 certificate in working with people who have a disability, and Understanding Autistic Spectrum Disorder. Discussions with two staff confirmed that Islecare are equal opportunities employers. Staff files contained application forms, two references and job descriptions. There was no record of Criminal Record Bureau (CRB) checks, or proof of identification, the manager explained that these are kept at the personnel department and stated that nobody is recruited until CRBs are returned. The home has an induction policy 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 19 and a probationary period. The newest member of staff confirmed that they had received induction training and had had a review of their employment. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 39 Residents benefit from a well run home. Although residents’ views are sought more effort could be made in the area of Quality Assurance. EVIDENCE: The manager of the home has responsibility for managing Newport Road and Venner Avenue. The manager has fourteen years experience in the field of care work. She has managed several homes on the Island prior to taking up her position at Newport Road. The manager is trained and has completed NVQ level 3 in care and intends to undertake NVQ level 4 and her Registered Managers Award in the near future. She is also a Person Centred Facilitator. Since taking up this position the manager has introduced residents’ meetings, she has also rostered staff from both homes to work some shifts across both homes. She has also advised staff in each home that only two staff can be on annual leave at any one given time to ensure there are sufficient staff to meet the needs of the residents. The manager was observed interacting with staff and residents and appeared to be friendly and approachable. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 21 The home had Quality Assurance systems, however with regard to resident feedback only one resident had been assisted to complete the annual survey. Attempts have been made to enable residents to understand the annual questionnaire with the addition of pictures. A number of the pictures used were not easy to understand. Policies and procedures are regularly reviewed. Compliance with CSCI requirements are usually met, however there is an outstanding requirement with regards to the kitchen. 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 1 Standard No 22 23 ENVIRONMENT Score 2 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x 3 x 2 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 41 Newport Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA 30 Regulation 5 23 (d) Requirement Islecare to contact the council with regard to the refurbisment of the kitchen and provide CSCI with a timescale for action. This is a previous requirement. Islecare must provide residents with contracts of the terms and conditions of their placement. The complaints procedure should be produced in a format that is meaningful to residents. The complaints procedure should include the details of how to contact CSCI. Islecare to provide CSCI with timescales for action plan to redecorate the property throughout. Islecare to provide new seating in the sitting room and replace worn bedroom carpet. Staff files must contain all documents as required in schedule 2 A suitable self closing mechanism to be fitted to the downstairs bedroom. The removal of the suspected asbestos panel next to the oven. i Timescale for action 30/11/05 2. 3. YA 5 YA 22 5 (1) ( c ) 22 (2) (7) 30/11/05 30/11/05 4. YA 24 23 (d ) 30/11/05 5. 6. 7. 8. YA 24 YA 34 YA 42 YA 24 16 (c) 19 (d) 24 (4) (a) 23 (2) (b) 30/11/05 Immediate action required. Immediate action required. Immediate action required. Page 24 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 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 Good Practice Recommendations 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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 41 Newport Road H55_H04_S12514_41 Newport Road_V218546_240805_Stage 4.doc Version 1.30 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. 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