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Inspection on 30/01/06 for 55 Lincoln Avenue

Also see our care home review for 55 Lincoln Avenue for more information

This inspection was carried out on 30th January 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The services provided to people at Lincoln Avenue were seen as very customer focused and of a high standard. The support and care practices actively encouraged independent living principals and choices for customers. Support activities were undertaken within a risk assessment framework to ensure customer safety, and this was properly documented within each customer`s care plan. Feedback from customers confirmed that they were consulted about the care they receive through meetings, personal feedback, and through quality monitoring and reviews. Link meetings are provided for families of Lincoln Avenue customers, which enabled additional feedback to the service. The activities and the lifestyle provided by the home were assessed as exceeding the standard, as they promoted customer`s independence and met their leisure and social needs. Staff and customer records were stored in secure locations within the home and were properly maintained. Staff training and development was actively promoted, and designed to improve staff knowledge of the service user group. Good systems were in place to ensure that all staff at Lincoln Avenue were kept up to date, well trained and competent in their role. Recruitment and employment procedures were assessed as thorough. Staff supervision was undertaken at regular intervals, which ensured appropriate support and supervision of staff members.

What has improved since the last inspection?

There have been significant environmental improvements to the home since the last inspection. These included redecoration of the lounge, bedrooms, toilet areas, the kitchen, the entrance area and the hallway. A grab rail has been installed by the outside entrance. Automatic fire door closures have been installed to all bedroom and living area doors throughout the building. A new smoke and fire alarm system has been installed to the premises.

What the care home could do better:

The home demonstrated the positive provision of a service that met customer needs. This inspection required that the service provider ensure that Regulation 26 visit reports are sent to the CSCI on a monthly basis. Further, that customer finance records are correctly maintained.

CARE HOME ADULTS 18-65 55 Lincoln Avenue Ash Rise Saxmundham Suffolk IP17 1BY Lead Inspector Kevin Dally Unannounced Inspection 30th January 2006 02:00 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 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 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 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. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 55 Lincoln Avenue Address Ash Rise Saxmundham Suffolk IP17 1BY 01728 603148 01728 603125 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) Suffolk County Council Ms Debbie Cole Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2005 Brief Description of the Service: Lincoln Avenue is a Local Authority respite home, where short-term respite care is provided for up to three adults who have learning disabilities, and some may also have physical disabilities. The home can accommodate a maximum of 3 customers at any given time. Respite visits usually vary between a few days and a 2 weeks stay. Lincoln Avenue rent the property from Heritage Housing Association. The house is situated on a housing estate and is near to the local amenities on offer, in the Saxmundham town centre. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report followed a second planned unannounced inspection at 55 Lincoln Avenue, on the 30th January 2006, which was undertaken between 14:00 and 19:30 hours. Rachel Wood, the senior support worker, provided assistance with most of the inspection. Mr Rob Illingworth, the new manager, had been appointed to the home, but was not present for this inspection. As the home referred to the residents as their “customers”, this term is used throughout the report. Two customers who were living at the home were both spoken with about the service, the support, and the care that they received. During the day one of the customers had attended their local day centre. Two staff were present throughout the evening, in addition to the senior support worker, who left at around 17. 00 pm. Staff were observed assisting their customers throughout the evening. Staff were spoken with about the care and support they offered. During the inspection, the home’s employment and recruitment procedures, staff training and supervision processes, the management structure, the complaints and quality assurance systems were checked. This inspection revealed that of the 30 National Minimum Standards inspected, 28 were assessed as fully met, with 2 standards as almost met. Comment cards were left at the service for distribution to other customers and their relatives and 11 responses were received in total. What the service does well: The services provided to people at Lincoln Avenue were seen as very customer focused and of a high standard. The support and care practices actively encouraged independent living principals and choices for customers. Support activities were undertaken within a risk assessment framework to ensure customer safety, and this was properly documented within each customer’s care plan. Feedback from customers confirmed that they were consulted about the care they receive through meetings, personal feedback, and through quality monitoring and reviews. Link meetings are provided for families of Lincoln Avenue customers, which enabled additional feedback to the service. The activities and the lifestyle provided by the home were assessed as exceeding the standard, as they promoted customer’s independence and met their leisure and social needs. Staff and customer records were stored in secure locations within the home and were properly maintained. Staff training and development was actively 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 6 promoted, and designed to improve staff knowledge of the service user group. Good systems were in place to ensure that all staff at Lincoln Avenue were kept up to date, well trained and competent in their role. Recruitment and employment procedures were assessed as thorough. Staff supervision was undertaken at regular intervals, which ensured appropriate support and supervision of staff members. 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. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 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 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 Customers can expect that their individual aspirations and needs will be thoroughly assessed and met by staff who are competent and well trained. EVIDENCE: Lincoln Avenue provides short-term respite care for customers, which they often view as a break or a holiday. The home’s Statement of Purpose and Service User Guide clearly outlined what services were available and how the home could meet individual needs. Records checked revealed that the home continued to thoroughly assess each customer’s support and care needs and these needs were recorded within a comprehensive support plan. Agreements of service were found located within the customer records checked. Two customers were spoken with and both confirmed their satisfaction with the time that they had spent at the home, the staff group who helped them, and the activities and support that they had received. Customer and relatives’ comment cards received confirmed this, although one customer revealed that they preferred some staff members to others. One customer’s relative commented, “I would like to say that my relative really enjoys going to Lincoln Avenue” and “they are very well cared for there”. “It is a home away from home” and “I can relax knowing they are safe and well looked after”. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 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): 6,7,8,9 Customers can expect that their care and support needs and personal aspirations would be fully recorded in their own plan, and that support would be provided within a risk assessment framework. Customers can expect that they would be consulted about all aspects of their life while at the home. EVIDENCE: Two customer’s care plans were checked in some detail and these continued to be regularly reviewed and updated to ensure that they reflected the current needs of these individuals. The care plans were constructed from a detailed needs assessment undertaken for each individual. The care plans included consideration of the customers’ support needs including bedtime routines, preferred meals, dressing preferences, toileting needs, medication needs, communication needs, seizures information, behavioural approaches, personal money needs and the preferred room allocation. The customers’ records also contained important medical information including their Doctor’s name and contact number. The customer records checked were in a format that was accessible to customers. For example the provider review, which customers complete when 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 10 they have received respite care at Lincoln Avenue, is in picture, symbol and a written format. Care plans are completed in consultation with customers and their family within a risk assessment framework. Full consideration was given to the rights and aspirations of each individual, and was only limited by the risk assessment when this demonstrated that the customer might be at risk of personal harm or injury. The risk assessments found in place for both customers were very detailed and included assessment around personal, environmental and general risks identified. Customers’ complete regular provider reviews, which were used as part of Lincoln Avenue’s quality assurance process. Issues raised by customers would be followed up by the home in order to improve the service for the customer. During the inspection it was clear that customers were consulted about the activities, meals and routines that they would prefer. An example of this was that one customer was asked what they wished to do after work and a computer game was chosen. Staff were seen to work with individuals who were encouraged to promote their independence. Customers’ records checked showed customers’ preferences. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 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): 11,12,13,14,17 Customers can expect to be provided with very good opportunities for personal development and to take part in appropriate activities. Customers have appropriate relationships and their rights are respected in their daily lives. Customers can expect that they will be offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: On the day of the inspection two respite customers were residing at the home. One had accessed a local day centre and returned to the home at around 4pm. During the inspection both customers were spoken with about the service, the support and the care that they received. Customers revealed that they really enjoyed the opportunities provided by the home, which allowed them to continue to live and work normally even though they were away from their own homes. One customer was observed enjoying a computer game while the second watched Television. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 12 During the course of the evening both customers were supported with their evening meals and were able to select their own food choices. Meals are served in the dining room, which is open plan with the lounge and kitchen. The dining area is light, well ventilated and overlooked the conservatory and garden. Both customers confirmed that they were happy with the meals provided. The menu record also revealed that customers had access to a good range of balanced and wholesome meals, which were also appropriate to each customer’s personal choice. A fruit container located on the kitchen table, provided a generous selection of various fresh seasonal fruit. Customers were observed to leave the lounge and go to their own room where they were private. Customers had full access to shared rooms and there were no restrictions placed on when or how these were accessed. Customers’ records viewed show that their daily routines independence. Staff spoken with confirmed that customers are encouraged to participate in the daily routines at the home. For assisting with the cleaning of their room or undertaking their own hygiene. promote actively example personal One customer feedback form revealed their view of the home’s activities. “I think that the activities and the outings are very good”. “I think we go out to different places, like Yarmouth, Southwold”, and “also I think the choices are being met.” 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 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 Customers can expect that their physical and emotional health needs would be met and that medication would be appropriately provided. EVIDENCE: Two customers’ records viewed showed detailed care plans regarding their health and emotional needs and that each aspect of their care had been risk assessed. Medical appointments and their Doctor’s name are well documented. Staff confirmed that customers could use the local Doctor if this was required. During this inspection the medication records for one customer and the medication cupboard was checked. Records were found appropriately maintained and the medication securely stored. Records checked were clear, completed and revealed good practices. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 14 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 Customers can expect that every effort would be made to keep people safe and to promote and ensure their protection. EVIDENCE: Lincoln Avenue provided a complaints policy and procedure, which provided to customers in an accessible format having picture symbols as well as written text. The complaints policy was also found within the home’s Statement of Purpose and Customer Guide. The complaints log was viewed and there had not been a complaint within the last year. The complaint procedure was clearly explained in the complaints book for the attention of staff. Staff spoken with were confident that the manager would appropriately deal with any concerns. The policy and procedure was in place in relation to the Protection of Vulnerable Adults and available at the home. Further the home had received the Suffolk Vulnerable Adults at Risk guidance policy June 2004, which provided very robust and detailed guidance. Staff understood their responsibilities in relation to the reporting of any abuse to Social Services. The agency’s recruitment procedures included Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures for all staff. Staff members’ records revealed that they had received Protection of Vulnerable Adults training. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27,28, 29, 30 Customers can expect that the environment would be very well maintained, safe and hygienic with the provision of good facilities that met customer’s needs. EVIDENCE: Lincoln Avenue provided a spacious, warm, and clean environment for customers, which had recently been thoroughly redecorated throughout. The lounge had been redecorated in more modern colours, with the kitchen and conservatory in more natural colours. A new modern lounge suite had been purchased. The bathrooms and toilets were spacious, clean and very accessible and safe for customers including the provision of handrails. Secure handrails were in place down the stairwell. A new fire system had been installed and bedroom doors were provided with automatic fire safety closures. The laundry area was very clean and meticulously maintained and the COSHH cupboard was properly secured. Liquid hand wash and paper hand towels were in evidence throughout the home and there were sanitary bins in the downstairs toilet and the upstairs bathroom. Bedrooms were personalised and comfortable, which customers confirmed were really nice to live in. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 16 The kitchen area provided a dishwasher and refrigerator and was also well maintained. Radiator protectors were in place on all radiators. One customer feedback form stated, “The house is very spacious” and “the downstairs settee is very big to sit on”. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 17 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): 33,34,35 Customers can expect to be supported by appropriately trained and competent staff. Customers can expect to be protected by the home’s recruitment policies and practices. EVIDENCE: As a respite service, the numbers of customers constantly change depending on the needs of each individual and the availability of rooms. On the evening of the inspection two-service users were at the home. Two staff had been allocated for the afternoon shift and available to meet the customers returning from their day centres. The staff rotas were checked and revealed a 1:1 ratio, so care and support during the evening was very high. One staff member was allocated to undertake a sleepover during the night and assist customers if required. On call and a call back policy was in place to ensure that staff can be contacted, should they be required during the day after hours or at the weekend. Customers spoken with confirmed that staff were “really good and looked after them”. Staff spoken with and records checked revealed that staff were thoroughly trained in their job roles and had the necessary skills to meet the needs of customers with learning disabilities. Training records checked demonstrated that the home had ensured that all staff had received appropriate and specific training including food hygiene training, first aid, Unisafe training, induction and foundation training for new staff, adult protection, personal care, Epilepsy, 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 18 moving and handling, risk assessment, National Vocational Training for 2 staff, sexual health and rights training, and eye drops training. The recruitment and employment records for two staff were checked and these confirmed that the home had undertaken sound and thorough recruitment checks for any new staff. This included obtaining a Criminal Record Bureau check and Protection of Vulnerable Adults (POVA) checks, identity checks, 2 references, and photo for each employee. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 19 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): 37, 39, 41, 42 Customers can expect that the home would be well run with a robust quality assurance system that seeks customer’s views about the quality of the service. Personal finance records may not always be accurate. EVIDENCE: The management of the home is undertaken with the partnership of the manager who spends 50 of their time at the home with the support of a full time Senior Support worker, Rachel Wood. Recently the Local Authority has appointed a new manager and their application for registration with CSCI is due shortly. The management of the home was seen to be very focused on the provision of a service that promoted independent living and choices for its customers. The home’s robust quality assurance system ensured that the opinions of customers are fully taken into account and that any problems are quickly resolved. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 20 Staff spoken with revealed that staff meetings occur monthly and staff confirmed that they were really supported and well supervised. Staff revealed that they felt confident to call the manager or senior support worker to discuss any aspect of a customer’s support needs. Quality assurance feedback forms sent to the home were viewed and customers made the following comments. “I like being at Lincoln Avenue”, and “I enjoyed my stay”. “The quality of the service is very good”. “I am very happy with the service. I find the staff helpful and kind, and I love coming to Lincoln Avenue”. It was noted that the CSCI had not recently received any Regulation 26 provider visit reports. During the inspection the personal money held for the two customers were checked against the records provided. One set of finance records showed a discrepancy of £10. It was revealed that the correct money was in place but that the records had not been correctly maintained, which was required. Staff spoken with and training records checked confirmed that staff members received ongoing training in moving and handling techniques, food hygiene, health & safety and first aid training. In discussion with staff it was confirmed that routine maintenance was undertaken at the home. Radiators had protectors in place. Hot water taps had restrictor valves in place to prevent scalding. A new fire and smoke detection system had recently been installed, which met the relevant standards. 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 21 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 3 2 3 3 X 4 X 5 3 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 4 25 3 26 x 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 x 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 4 x LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 2 x 2 3 x 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No 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 Standard YA39 YA41 Regulation 26 (1-5) 17(2)(3) Sch 4(9)(a) Requirement The home must ensure that Regulation 26 visit reports are sent to the CSCI each month. Finance records must be correctly maintained at all times. Timescale for action 26/02/06 26/02/06 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 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 55 Lincoln Avenue DS0000037694.V282146.R01.S.doc Version 5.1 Page 24 - 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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