Inspection on 20/09/06 for 45 Mayfield Park North

This inspection was carried out on 20th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

45 Mayfield Park North 14/08/07

45 Mayfield Park North 28/02/06

45 Mayfield Park North 09/08/05

45 Mayfield Park North 04/02/05

45 Mayfield Park North 25/05/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 45 Mayfield Park North Fishponds Bristol BS16 3NH Lead Inspector Sandra Jones Unannounced Inspection 20th September 2006 09:30 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 45 Mayfield Park North Address Fishponds Bristol BS16 3NH 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 9583869 0117 9709301 admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Mr Ioan Williams Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 4 persons aged 19 - 64 years May accommodate 1 person aged 65 years and over Date of last inspection 28th February 2006 Brief Description of the Service: Mayfield Park North is a care home for five adults with mental health care needs. It is operated by Aspects and Milestone Trust and managed by Ioan Williams. The property has the appearance of a domestic dwelling, which blends well with its immediate environment. It is close to shops, amenities and bus routes. Arranged over three floors, with shared space on the ground floor and bedrooms on the lower ground floor and first floor. There is self-contained accommodation on the basement that is used by a resident that is independent with living skills. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key visit was conducted unannounced over one day in September 2006 and focused on the assessment of key standards. The main purpose of the visit was to check on the welfare of the residents, ensure the premises are well maintained and to examine health and safety procedure. During the site visit, the records were examined, a tour of the premises conducted and feedback sought from residents and staff. In addition to key records, surveys were sent to residents in advance of the inspection. What the service does well: What has improved since the last inspection? Since the last inspection, the person centred approach to meeting needs has been further developed. “All about me” profiles and care guidelines contain the likes, dislikes and preferred routines of the individual. The guidelines, profiles together with the Service User Guide are handed to residents. These ensure that residents are aware of the arrangements in place for meeting their individual needs. This is a positive move towards placing the individual at the centre of their care. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The procedure in place for admission to the home will ensure that the needs of potential residents can be met at the home. The resident group is stable and vacancies are not expected in the foreseeable future. EVIDENCE: It was understood from the manager that there is full occupancy at the home and vacancies are not expected in the near future. Within the Statement of Purpose there is a brief outline of the process that is followed for admissions at the home. It describes the arrangements for introductory visits and trial periods. A flow chart accompanies the procedure and describes the purpose and the assessment to be undertaken for each step of the process. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The Person Centred Approach to meeting needs ensures that residents are placed at the centre of their care. The manager must apply to vary the age range for two residents currently accommodated. Residents state that they are able to make decisions about what to do each day. Risk assessments are in place for activities that may involve an element of risks. EVIDENCE: “All about me” profiles were developed using a person centred approach to meeting needs. Profiles were developed with residents and led into assistance to be provided by the person. From the profiles, care guidelines, which are more descriptive, are formulated and reviewed monthly. The manager explained that the case records were rearranged to ensure that information was better accessed by the staff. Residents have received copies of their “All about me” profiles, with care guidelines and copies of the Service User Guide. The residents accommodated are literate and can understand the content of their plans. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 10 Within the “All about me” profiles is a “When to worry” section and relates to the person’s mental health care needs. Individual Care Programme Approach (ICPA) no longer occurs at the home and there is no input from a psychiatrist. The manager act’s as the main keyworker and the intention is to involve the members of staff in care planning. Responses were received from the residents through surveys and indicated that they always make decisions about their daily lives. It is the managers intention to add a statement into residents “All about me” profiles about the person’s ability to make decisions. In terms of making decision about budgeting, profiles are clear where residents manage their own finances. The financial support provided to one resident must be more specific, the profiles must be clear about the person’s abilities to budget and assistance provided by the staff. It is evident through the residents surveys and case records that two residents are over the registered age range. A condition to accommodate one person over 65 years exists, with one person reaching 65 within 4 years. The home must make a decision about the age range for the home, as the four residents will be over 65 years in four years. The residents currently accommodated make their own decisions. To ensure that residents are supported with decision making the Trust has an appointed person that residents can access for advocacy. 4/4 residents surveys received indicated that residents always make decisions about what to do each day. Two residents giving feedback during the inspection confirmed that they are able to make decisions. Risk assessments support decisions about residents competency. There are risk assessments for residents to use COSHH substances; safety, smoking household chores, staying home alone and mental heath care needs. The home maintains a record of accidents and occurrences. There were no recorded accidents since 2004. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16&17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are opportunities for residents to experience varied and suitable activities. Residents are part of the local community. Members of staff support residents to maintain links with family and friends. There is a clear approach that respects individuality and promotes independence. Residents are satisfied with the arrangements in place for meal preparation. EVIDENCE: The residents accommodated are over retiring age. Two residents choose to stay at home and arrange their day to day activities and two attend an Activity Resource Centre (ARC) three days per week. Within the individual “All about me “ profiles, residents interests are described including routines for daily living. The manager stated that the two residents without day care arrangements are able to arrange their daily lives and be part of the local community. In terms of seeking residents goals, the manager stated that residents have expressed their goals in the past and the staff have ensured their goals are met. The two residents consulted described the activities undertaken at the Arc and at the home. Watching television, knitting 1:1 with staff and reading were the activities undertaken at the home. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 12 Residents abilities to go out alone are assessed and supported by risk assessments. One resident is supported in the community by the staff because of mobility impairments. The manager states that newspapers and notice boards are used to inform residents about events and activities. It was further stated that additional staff are rostered on Saturday’s for outings with residents. 1:1 are arranged with residents to visit pubs, shops and places of interests. Within the Statement of Purpose the arrangements for visitors are described. It states that open visiting exists at the home and there is a visitor’s book, mainly used by professional visitors. Professional visitors sign the visitor’s book and report the nature of their visit to the home. It is evident from the policies and procedures in place, that there is a clear approach that respects individuality and promotes independence. The expectations that residents share responsibilities in the domestic upkeep of the house are detailed in the Statement of Purpose. House rules are based on Smoking and living together. Aims of the service, which include O’Brien five accomplishments, are included in the Service User Guide. The Privacy and Dignity policy further illustrates the set approach for valuing the individual. The manager confirmed that whenever two staff are on duty there is an expectation that 1: 1 is taking place with residents. One person is mainly on duty and therefore staff interact with residents and not each other. The records of food provided indicate that three meals are served to the residents. Each resident has the opportunity to select the meals to be served and residents confirmed the arrangements in place for menu planning. There is a wide selection of fresh canned and frozen food at the home. Records of cooked meats and fridge and freezer temperatures are maintained. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 &20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The action plan for one person that is supported by the staff must be clearer about the individuals preferred routines. Residents health care needs are monitored by the staff at the home and systems are in place to refer residents for specialist care. Residents are supported to self medicate and benefit from safepractices of medication systems. EVIDENCE: Residents daily routines are detailed within their “All about me” profiles. Times to rise, retire, and hygiene needs are also detailed within the profiles. The manager states that one person has support with personal care from staff. The action plan must be clearer about the preferred routines of the individual that has support from the staff. Grab rails and a stool were provided to increase one person’s level of independence. Residents health care needs are detailed in their profiles. Residents have no input from Psychiatrists, Community Psychiatrists Nurse (CPN) or therapists. Two residents that attend the Activity Resource Centre (ARC) have access to medical staff for their physical and mental health care needs. The manager 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 14 confirmed that residents attend hospital appointments for further investigation and these referrals are through the GP’s. It was understood from the manager that female residents are invited and attend for routine screening appointments. Medical profiles describe the person’s health care needs, with medical reports and health check. Visits to the GP or clinics are recorded with their outcomes along with documentation following hospital appointments. Weight and blood pressure checks are carried out monthly at the home, for GP’s to confirm checks conducted. Residents giving feedback about health care commented that they are accompanied by staff on GP’s visits and hospital appointments. There is a section for medication within the medical profiles, and for residents that self medicate risk assessments are in place. Three residents currently self medicate and the staff administer medication to one person. In determining the competency of the person to self medicate their understanding and attitude to medication, reliability, refusal and storage are assessed. Medications prescribed its purpose and the management of the medication is described within the profiles. Medications are administered through a monitored dosage system. The records of administration examined indicate that staff sign the records immediately after administration. Analgesics are administered from stock supply and the running balances are consistent with the quantities held. Members of staff that administer medications have attended competency based training. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents confirm that their views are sought. Policies and procedures in place promote residents protection from abuse. EVIDENCE: The Complaints procedure is included in the Service User Guide and residents are provided with copies of the guide. The manager stated that during residents meetings, concerns and complaints are discussed. Complaints raised during meetings are based on group living. The managers comments indicate that format of the procedure can be understood by the residents. Residents indicated through the surveys that they know who to speak to if they are unhappy and they know how to complain. One resident is in a potential abusive relationship with a person not accommodated at the home. To safeguard the individual outside professionals were contacted and procedures introduced to address potential incidents of domestic violence. The manager states that there are no disciplinary procedures in progress. All staff at the home have attended Safeguarding training. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 &30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. A comfortable and homely environment will be provided to residents once the previous requirements are addressed. Shared space provided is suitable for shared activities and for private use. Bedrooms reflect the residents personalities and suit their individual lifestyles. The screens in the shared room must be replaced to promote the individuals privacy. The number of toilets and bathrooms offer sufficient personal privacy. The home is clean and free from unpleasant smells. EVIDENCE: The property has the appearance of a domestic dwelling with level access into the home. It provides accommodation and personal care for four people, arranged over four floors with shared space on the ground floor and bedrooms on the basement and first floor. The third floor is used by staff for sleeping-ins at night. There is a bed-sit, with en-suite on the basement, used by one person living independently. On the first floor there is a double room and a single room. The property is close to the local shops and bus routes Overall the building is maintained to an adequate standard and clean. The requirements from previous inspection about the porch and ventilation are being addressed by the Trust. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 17 The bed-sit in the basement is fully fitted with en-suite, kitchen, sitting and sleeping space. On the first floor there are two bedrooms, two females share one bedroom and the second is single and occupied by another female. Both bedrooms contained a combination of the home’s furniture and residents personal belongings reflecting their lifestyles. For the two females that share screens are provided to maintain their privacy. However, the screens are broken. A resident accommodated in the sharing room stated that the screen was broken and not used for a period of time. There is a toilet and wash hand basin on the ground floor and a full bathroom on the first floor. As the bed-sit is en-suite, three residents share the bathroom and less than three people sharing the toilets. There is a lounge with sufficient seating for four people, a dining room with additional seating and kitchen. Residents have sufficient shared space to sit together and away from others. The residents accommodated are fully ambulant and do not require assistance with moving around the home. The laundry space is adjacent to the kitchen, with floors and walls that can be easily washable. There is a washing machine and tumble dryer that are domestic in scale. The washing machine is designed to reach 90 temperature. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 &35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The Trust has a robust recruitment process to ensure the staff are suitable to work with vulnerable adults. Members of staff attend training that will ensure residents changing needs can be met. EVIDENCE: The Trust are providing home’s with copies of the staff’s application forms, terms and conditions of employment, references and fitness. Criminal Records Bureau (CRB) disclosures, Codes of Conduct also provided. Within the records minutes of supervision meetings and appraisals are kept. Since the last inspection, two staff were employed and as these staff have experience in the learning disabilities field, mental health awareness training will be provided. Three staff are currently employed at the home and their personnel files were examined. Application forms, two written references and CRB declarations along with supervision minutes are held in the individual files. Residents giving feedback stated that staff respect their privacy. Through surveys residents indicated that staff always treat them well. The staff on duty was recently employed and confirmed that an in-house induction was taking place. Introduction to residents, access to files and the routines of the home were explained during the induction. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 19 Members of staff have attended statutory training which entails fire safety, Moving and Handling, First Aid, Food Hygiene and Safeguarding Adults training. Medication training and other in-house training for epilepsy and Code of practice is completed by the staff at the home. One member of staff has undertaken NVQ level 3 and the two other staff will be undertaking the training once the manager has completed NVQ level 4. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The manager is experienced and competent to manage the care home. Quality audit will provide a measure for making judgements about meeting the aims and objectives of the home. The Health and Safety of the residents and staff is promoted at the home. EVIDENCE: It was understood from the manager that the duties of the role include the welfare of the residents, staffing and providing a good service to the residents, organisation and stakeholders. The manager has been in post for seventeen years and receives support from the external manager. Convenes the peer support group with other managers within the Trust and attends operational policy review group. Residents and staff commented that the manager is approachable and is responsive to their suggestions. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 21 The manager explained that a Quality Assurance Audit tool is to be introduced in October. The audit tool is the mechanism used to assess each NMS standard; the method of seeking evidence to support the findings and the outcomes will be recorded in the audit tools. Once the audit tool is completed a copy will be sent to the external manager. Audits checks of the medication systems from the pharmacist, residents surveys, and visits from the external manager will feed into the audit tool. These sources of feedback will inform the planning and review process of the home. The records that relate to fire safety practices and checks were examined and indicate that checks and practices are conducted at the stipulated frequencies. Portable appliance checks and gas heating systems are checked annually to ensure a safe environment for the residents. 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 x 3 x 3 x 3 x x 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 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. 2. 3. Standard YA6 YA2 YA24 Regulation 12 14 16 (2) (c) Requirement The personal care needs of one resident must be clearer about their routine. An application to vary the age range for two residents must be made to the Commission The screens in the double room must be repaired/replaced Timescale for action 30/11/06 30/12/06 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 24 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 45 Mayfield Park North DS0000026563.V309745.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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