Inspection on 15/11/07 for 4a Ash Street

This inspection was carried out on 15th November 2007.

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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

4a Ash Street 14/10/08

4a Ash Street 06/06/07

4a Ash Street 08/12/06

4a Ash Street 06/12/05

4a Ash Street 26/07/05

4a Ash Street 29/11/04

4a Ash Street 29/06/04

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Insight - Eastchurch

Southfields

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Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 4a Ash Street Ash Nr Aldershot Hampshire GU12 6LT Lead Inspector Vera Bulbeck Unannounced Inspection 15th November 2007 14:15p 4a Ash Street DS0000013508.V353024.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 4a Ash Street DS0000013508.V353024.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. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 4a Ash Street Address Ash Nr Aldershot Hampshire GU12 6LT 01252 350582 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) clare.twomey@new-dimensions.org.uk www.new-support.org.uk New Support Options Ltd Vacant post Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1), Physical disability (5) of places 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The people with support may have both learning and physical disabilities The age/age range of the persons to be accommodated will be: 40 65 Years of age, with one service user over the age of 65 years. 6th June 2007 Date of last inspection Brief Description of the Service: 4a Ash Street is a modern bungalow situated just off the main road on the outskirts of Ash Village. Windsor Housing Association owns the premises and the service is provided and managed by a not-for-profit organisation, New Support Options Ltd. Accommodation and personal care is provided for up to five persons, people with support who have both physical and learning disabilities. The four people with support currently living in the home have a single bedroom. There is also an open style kitchen, dining room, lounge area, sensory room and laundry. There is parking available at the front and side of the property. The current weekly fees are from £1,248-13-£1,364.57. The fees do not cover personal items, hairdressing and holidays. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit formed part of the key inspection process and took place over five hours and forty five minutes commencing at 14.15 pm and ending at 20.00pm. Mrs V Bulbeck, Regulation Inspector carried out the visit. A full tour of the premises was undertaken. Two care plans were sampled and the care observed for the two individuals. A number of records were sampled. The inspector spoke with all the people with support living in the home, however communication was difficult. The inspector spoke with all the staff on duty. The manager was not available on the day of the site visit. A senior support worker was able to assist in the inspection process. From the evidence seen by the inspector who would consider that this home would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. There were four people with support living in the home on the day of the site visit and there was one vacancy. The inspector would like to thank the people with support and staff for their cooperation and hospitality during the inspection. What the service does well: What has improved since the last inspection? The bathroom has had a new bath fitted and the tiles were being fitted on the day of the site visit. There are plans to undertake a mop up of work, for example where the paint has been smudged on light switches in people with supports bedrooms following the redecoration in various areas of the home. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 6 The communal areas in the home have been recently decorated and are bright and homely. The main corridor, kitchen, office, laundry room and lounge have all been redecorated. As well as a number of individual’s bedrooms. The premises are looking very much like home and the staff to be congratulated on the work involved on this achievement. 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. The summary of this inspection report can be made available in other formats on request. 4a Ash Street DS0000013508.V353024.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 4a Ash Street DS0000013508.V353024.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. 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 this service. New admissions to the home are only admitted following a needs assessment to ensure that the home can meet the people with support’ identified needs. The home does not offer intermediate care. EVIDENCE: All four individuals living in the home have lived in the home for a number of years. Any potentially new people entering the home would have a pre needs assessment carried out to ensure the home can meet the people with support needs. The staff on duty explained that full details of any potentially new persons would be undertaken before the person enters the home. The staff member in charge explained the admission procedure and criteria to reflect the principles of admission and assessment appropriate to the home. This should be reflected in the homes statement of purpose. The statement of purpose was not seen at this site visit. The home does not offer intermediate care. 4a Ash Street DS0000013508.V353024.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people with support’ health, personal and social care needs are set out in an individual plan of care, to demonstrate needs are met in accordance with the homes philosophy. Systems are in place to enable people with support to make decisions and to promote independence where possible. EVIDENCE: Two individuals care plans were sampled and there was evidence that people with support’ health, personal and social care needs had been identified and assessed. Care notes were detailed to include individual’s daily routines. Some people with support are able to be involved with their care plan. The care plans hold all the relevant information. This includes optical, dental and health professional involvement, as well as the G.P. The care plans are kept in each individual’s bedroom, and staff has access to the care plans. Individual persons care plans should indicate who are able to hold a key to their bedroom; care plans must be documented to include the reasons for not holding a key. Reviews have been undertaken on all 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 10 individuals, currently there are no care managers involved with any of the persons living in the home. Staff stated that individuals are supported to make decisions affecting their lives in a number of ways. The four persons living in the home have limited communication and staff has the experience to enable people with support to make some decisions and choices. Holidays, menu planning and outings are mainly with staff support, and generally knowing the individual well. Observation by the inspector, staff are respectful to the people with support. It was also noted that individuals and staff have a good rapport. 4a Ash Street DS0000013508.V353024.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people with support have opportunities for personal development and to take part in appropriate activities within the home and in the local community. They are supported to maintain and develop appropriate personal and family relationships. EVIDENCE: The people with support are not able to communicate verbally, however it was evident that staff are able to communicate by a number of methods. One individual was able to acknowledge that he goes to Aldershot football club twice a week; this was also demonstrated in his bedroom by all the posters displayed. The member of staff who takes the individual stated he really enjoys the atmosphere as well as the football. It is also very much a social event with people from the community talking to him at the match. Another person with support attends drama classes, and the inspector was informed about a particular drama and the involvement of the person involved. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 12 A member of staff informed the inspector that four individuals are taken to the local library on a weekly basis. They are able to access the computer as well as find books they are interested in. Activities are also brought into the home from the community for example Us in a Bus visit the home weekly and aromatherapy is enjoyed by all the individuals on a weekly session. The staff confirmed that individuals are taken to attend various activities for example the local pub for meals. They also enjoy going out for walks with the staff. The four people with support enjoyed a holiday and this year they went to Southsea. Two of the individuals went on a boat trip on the canal. One of the persons living in the home had a big 50th birthday; the staff arranged a party and a lot of friends attended. Photographs were on display and clearly all enjoyed the party. Two persons with support have contact with their family. The staff stated that the families are very much involved with the care of their relatives. The inspector discussed with the staff the individuals who have advocates and who visit the persons with support on a regular basis. The inspector was able to sit with the people living in the home during the evening meal. The food had been pureed for each individual and it was clear that they enjoyed their meal. The food was nutritional in content and advice is sought when required from a nutritionist. Each person needs to be supported by a member of staff, which was sensitively undertaken and it was very clear that the persons have a good rapport with the members of staff. Mealtime was a very social occasion. 4a Ash Street DS0000013508.V353024.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen in care notes, to be provided, where needed, in a respectful and sensitive manner. EVIDENCE: The inspector was informed by staff that the people with support are able to choose when to go to bed and when to get up and are supported to choose their own clothes, hairstyles and other aspects of personal grooming. There are regular visits to the local G.P and individuals have an annual health check. The medical team as well as other professional health care people, these include the dentist, optician, chiropodist and Physiotherapist when required. On the day of the site visit the physiotherapist visited the home to assess and treat an individual. The Physiotherapist stated she is very satisfied with the staff in the home and the care provided to the people with support. She stated that she visits the home regularly and has always found the home to be clean, comfortable and always a welcome for any visitors to the home. The 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 14 Physiotherapist also stated that the people with support are always well dressed, happy and well looked after. A number of risk assessments were seen, risk assessments were in place for each individual, and the member of staff explained the process is updated on a regular basis. The confidential notes currently in the care notes are stored appropriately in a locked facility, care plans are used as a working tool for all staff and a copy is kept in each persons bedroom. The system for medication administration was seen and was undertaken by staff that has received medication training. The persons with support are taken to the office and two members of staff administer medication. The Medication Administration Record (MAR) sheets were seen for the two individuals who were case tracked and it was noted that there were no gaps on the recording records. Staff stated that the member of staff making the entry, signs any additional entries to the MAR sheet that have been handwritten. Two staff signs the MAR sheet for some medication given and for the receipt of medication into the home. Sample signatures of all staff that administer medication were held with the MAR sheets for ease of reference. There are no people with support who are able to self medicate. 4a Ash Street DS0000013508.V353024.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The majority of staff have received training in protecting vulnerable people and are aware of the procedures and practices, to ensure that people with support are safeguarded, as far as reasonably possible, from harm or abuse. EVIDENCE: There was one recorded complaint. It was not clear the outcome of the complaint as this complaint refers to the clinical waste bin being left outside a neighbour’s house. This is not the first time this has happened and a complaint has been made previously. It is an ongoing problem the home is having with the collection service. The home has tried to ensure this does not happen again and has telephoned the council but it seems to be an ongoing problem. Records seen indicated that complaints would be responded to within the guidelines. The Commission for Social Care Inspection (CSCI) have not received any direct complaints. The homes complaints procedure for people with support is in pictorial form and staff stated that individuals would not be able to use it if necessary without staff support. The complaints form is written with widget symbols. Some staff spoken to stated they had undertaken training in the protection of vulnerable adults and were aware of the whistle blowing policy. Staff said they would be willing and able to report any concerns and “would go to any level to protect the people with support”. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 16 All people with support should be provided with a copy of the service users guide and should include the complaints procedure. These documents to be made available for relatives and visitors. A copy is displayed on the notice board in the hallway. The staffs maintains the finances for all individuals, people with support have their own bank account. Which is held by the organisation. Individuals’ personal allowance is sent weekly from the Organisation and is topped up when necessary. Receipts were available and staff checks the people with supports finances daily to ensure the money held is correct. The home has an up to date copy Surrey Multi Agency procedures, the copy in the home is dated April 2005. An up to date version of the procedures is due to be launched any time now. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are nicely decorated, homely and welcoming. The garden needs attention, to ensure people with support have the benefit of the grounds as well as the house and this would provide a safe, environment to live in. EVIDENCE: The main lounge was found to be clean and well presented. The people with support bedrooms were personalised and nicely presented. Some of the individuals had music players along with other personal items. It was noted in one of the bedrooms that the carpet was stained. The member of staff stated that the management are aware of the carpets need cleaning but are currently waiting for work to be completed on the bathroom. The bathroom has had a new bath fitted and the tiles were being fitted at the time of the site visit. A mop up of work is to be undertaken in people with supports bedrooms, this is due to paint being smudged at the time of redecorating. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 18 The communal areas in the home have been recently decorated and are bright and nicely furnished. The main corridor, kitchen, office, laundry room and lounge have all recently been decorated. As well as a number of people of support’s bedrooms. Records were seen that the door closure on the laundry door had been attended too since the previous inspection, when a requirement was made. However, on the day of the site visit the door was not closing appropriately. The inspector advised the member of staff to make adequate arrangements for the door to be serviced and examined closer, and not just a few screws tightened and the latch on the door adjusted by the engineer, as advised and seen written on the maintenance records. The garden is in need of attention it was found to have a number of weeds growing around the garden. However, some of the weeds have been cleared since the previous inspection. The garden is not used during the winter months but certainly needs to be well maintained before the summer months. It was noted that a number of bushes have been cleared from the front of the premises. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and vetting practices were not available for inspection. Staff training files were available and a number of training courses have been attended. Training is currently being up dated and a number of staff are undertaking updates to their training. EVIDENCE: The New Support Options has recently appointed a new manager who is currently going through the process of registration. Staff spoken to on the day of the site visit commented that the manager has an open door policy and staff are able to discuss with the manager any issues. The staff confirmed that regular supervision takes place. The present staff team are committed to providing good quality care and informed the inspector they would go to any length to provide the care the people with support deserve. There are three support workers on duty per shift and two waking night members of staff. The staff undertakes the cleaning, laundry and cooking duties as well as care. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 20 Staff recruitment files were not available; therefore it is not appropriate to comment on the procedures. However, one new member of staff confirmed that she had undertaken some mandatory training, but needs to undertake first aid, and protection of vulnerable adults. It was also not clear if health and safety and manual handling training need to be undertaken. Staff training files were available and a number of training courses have been attended. Training is currently being up dated and a number of staff are undertaking updates to their training. All staff needs to attend equality and diversity training, which was not seen on the current training programme. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management in the home provides an open, positive and welcoming atmosphere. The home has been operating without a registered manager for a short time; The manager is currently undertaking the registration process. EVIDENCE: The manager was not available on the day of the site visit. However, staff confirmed the manager has an open door policy and staff feels supported. Some records were observed and found to be in need of some organisation, for example, the fire book needs to be sorted and all fire records should be located under the same file. The inspector was not able to locate the fire stay policy in which the recent fire officer’s visit recommended. The testing of the water temperature also needs to be undertaken on a regular basis. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 22 Regular monitoring Regulation 26 visits need to be undertaken. The reports seen were informative and the person undertaking the visit is clear regarding the content of the report. The use of correction fluid was seen on some records, this correction fluid should not be used on records, which are legal documents. It was also noted that the rota consists of four pages and is difficult to understand. The actual rota is not fully completed and a separate page makes up the rota. The rota needs to be simplified to enable anyone in the event of an emergency to be able to understand the staffing levels on a daily basis. It was also noted that the cupboard under the kitchen sink contained various cleaning materials. This cupboard was found unlocked with the key in the lock. The lock was broken and the key was stuck in the lock. The staff removed the items immediately from the cupboard. The four people with support are unable to move unaided and it was felt the individuals were not at risk. However, all staff should attend COSHH training to ensure staff has a clear understanding of the Health and Safety Regulations and procedures. The staff member informed the inspector that an annual survey has already commenced with sending the surveys to G.P.’s as well as the individual’s relatives, and other professionals need to be included in the survey. These were not available on the day of the site visit. 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 N/A 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 3 3 3 X 3 X 3 X X 2 X 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 Page 24 No 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 YA42 Regulation 17 Timescale for action The fire book to be sorted and 14/12/07 filed appropriately, in the event of an emergency records would be readily available. The lock on the kitchen 14/12/07 cupboard under the sink, containing cleaning materials is broken and must be attended too. Management of the home to 07/12/07 ensure all the fire doors are operating appropriately at all times. Requirement 2 YA42 12 3 YA42 13 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. 2 3 4 Refer to Standard YA24 YA35 YA37 YA42 Good Practice Recommendations The garden needs attention. All staff to receive appropriate training. The rota to be simplified. The use of correction fluid must not be used on legal documents. DS0000013508.V353024.R01.S.doc Version 5.2 Page 25 4a Ash Street Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: 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 © 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 4a Ash Street DS0000013508.V353024.R01.S.doc Version 5.2 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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