Inspection on 23/07/07 for 7 Debdale Road

This inspection was carried out on 23rd July 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7 Debdale Road 08/01/09

7 Debdale Road 15/01/08

7 Debdale Road 11/07/06

7 Debdale Road 25/01/06

7 Debdale Road 20/04/05

7 Debdale Road 18/10/04

7 Debdale Road 07/05/04

7 Debdale Road 17/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 7 Debdale Road Wellingborough Northants NN8 5AA Lead Inspector Keith Charlton Unannounced Inspection 23rd July 2007 03:40 7 Debdale Road DS0000012762.V341229.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 7 Debdale Road DS0000012762.V341229.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. 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 7 Debdale Road Address Wellingborough Northants NN8 5AA 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) 01933 276930 01933 229606 www.caremanagementgroup.com Care Management Group Ltd (trading as CMG Homes Ltd) Mrs Hilary Jennifer Watt Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. By Agreement there is 1 service user who has a mental disorder. No further service users are to be admitted in this category. By agreement there is 1 service user who has learning disabilities over 65 years. No further service users are to be admitted in this category. 11th July 2006 Date of last inspection Brief Description of the Service: 7 Debdale Road provides care for up to five adults with a learning disability. The home is situated close to Wellingborough town centre and is in close proximity to all local amenities with good transport links both by bus and train into central Northampton. The home is a semi-detached house in a residential street with a large rear garden. All current residents are accommodated in single rooms. Previously there were two residents who shared a bedroom. Communal areas consist of a lounge and a dining room. The current fees range from £ 564 to £795 per week. This information was provided by the Deputy Manager after this inspection was carried out. All residents receive funding from Social Service Departments. There are costs for extras - hairdressing, toiletries, holidays, etc. The Deputy Manager stated that residents and representatives could be provided with the home’s Statement of Purpose and last Inspection Report on request. The service users guide has been provided to residents and is on their files. 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service user and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. A senior support worker was on duty to assist with the inspection process with another support worker present. Planning for the Inspection included looking at the last Inspection Report, looking at the Action Plan produced by the Regional Manager in response to a complaint alleging institutional practices in the home, looking at another complaint regarding how monies have been spent in the home and assessing any notifications of significant events sent to the Commission for Social Care Inspection by the Registered Manager. The Inspection took place between 15.40 and 18.30 on day one and was completed the following day with the Deputy Manager, and included a selected tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke with four residents (though this was limited for three residents who had communication difficulties), two members of staff and the Deputy Manager. What the service does well: The service focuses on residents’ individual needs, e.g. residents spoken with said they liked living in the home and thought staff were friendly, that they liked their activities and their bedrooms. Care Plans are comprehensive and detailed to assist staff to deliver care that fits individual residents care needs. Individual Activities Programmes help residents plan their time and provide stimulation. Staff were found by the inspector to be positive and friendly in their dealings with residents, and encouraged them to make choices. Bedrooms are personalised and organised to residents’ styles of living with personal possessions in them to make them homely. Facilities are kept in a clean and tidy condition. 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 7 Debdale Road DS0000012762.V341229.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 7 Debdale Road DS0000012762.V341229.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. An assessment system to meet residents needs is in place. EVIDENCE: The situation is the same as last year’s inspection in that there have been no new residents admitted for a long time - the contents of the current residents files contained needs assessments, which had been conducted since their admission to the home. There was evidence that other professionals had been contacted to contribute their assessments to the process. There was also evidence of Care Management assessments. 7 Debdale Road DS0000012762.V341229.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): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual needs and choices of people living in the home are met. EVIDENCE: Residents spoken with thought they were well looked after and no one thought they were restricted in any way. Staff said there were no rules that residents had to follow. Evidence was seen of a range of risk assessments, which addressed activities chosen by residents that may present risk. These included safety in the community. Risk assessments identified aspects of each resident’s care needs that resulted in increased vulnerability. If the keypad system to the front door 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 10 remains then this needs to be subject to an individual Risk Assessment in residents Care Plans. There was evidence of professional visits and reviews. All residents have detailed care plans. There is information as to wishes about terminal care and death, and Health Action Plans are to be completed for individual residents, as per the Company’s Action Plan. Staff spoken with were knowledgeable about the care and support each service user required and they said they were expected to read Care Plans. Staff were observed offering choices to residents, e.g., what food they wanted etc. Staff said that there are meetings with residents to ascertain their wished regarding holidays, activities, décor, regarding food, holidays, outings etc. and there was evidence of these meetings. Residents said that they make decisions about their lives and have independent life styles as much as possible, e.g. a resident is are able to go out on her own, residents are encouraged to do household chores, do as much of their personal care as possible and they can use the kitchen with staff supervision and take it in turns to help with cooking, what time to get up and go to bed, where they want to go on holiday, when they want to bathe, etc. Staff said that residents independence is always encouraged. It is again recommended that residents have representation in staff meetings and for staff interviews, if they wish, so as to increase their voice as to the running of the service. 7 Debdale Road DS0000012762.V341229.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): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at the home have the opportunity to have a fulfilling lifestyle though the menu needs to be reviewed to ensure tasty, healthy food is offered to residents. EVIDENCE: 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 12 Residents spoken to said they had their daily programmes, confirmed in their Care Plans, and they generally liked to do their activities. Residents said they go out when there is enough staff on duty - to pubs, for a meal etc that they said they liked doing. Records showed that residents have been asked where they want to go on holiday. A resident said she had been on an overseas holiday this year, to Corfu, which she really enjoyed. Residents Meeting notes showed that they have been consulted and trips are planned. Staff said that residents use a range of community facilities including local shops, pubs, the park, the post office, to get their money though the Deputy Manager said no one is interested in attending specific groups for people with learning disabilities. The Annual Quality Assurance Assessment stated that the service has requested a bigger vehicle from the company as a result of residents saying it is not comfortable enough for them when full. Residents said they could have their visitors to the home and that there were no restrictions on visiting times. There were comments received from residents regarding the food being good. Dinner that day consisted of pie, oven chips and beans, which was satisfactory though not a particularly healthy choice. Food records did not show that residents were not given a choice of food for each meal or that vegetables/salads are frequently on the menu and offered to residents. On a positive note the inspector observed that fresh fruit was available for residents to have. There appears to be a need to review the food supply to encourage interest in healthy eating (as per Staff Meeting notes) and involve a dietician in furthering this issue. The Registered Manager needs to ensure this is carried out. 7 Debdale Road DS0000012762.V341229.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): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive good personal support with their physical and emotional health needs being well met though staff need to refer to medical services if there are head injuries. EVIDENCE: A resident said that staff always help her when she needs to talk and reminds her of any appointments she has. There is comprehensive information kept which details all medical appointments and check ups on an individual basis - from nurses, GPs, dentist, etc. Care Plans indicate all aspects of residents health care needs are covered – e.g. management of personal care, monitoring weight, communication, social skills, work and play etc. 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 14 There has only been a small number of accidents to residents in the past year though there was one in November 2006 where a resident hit their head. In these circumstances medical services need to be alerted to provide a clear direction as to the need for treatment. Staff stated that there is in house training regarding medication. The inspector also saw a form used by the Registered Manager to assess staff competence before allowing the issuing of medication. The home has a policy and procedure for the safe administration of medications, which staff can refer to in the medication cabinet. It is recommended that an outside pharmacy service be accessed to do this to ensure it is fully comprehensive. Medication records were checked by the inspector and found to be up to date. Medication is kept securely. 7 Debdale Road DS0000012762.V341229.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): 22,23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents welfare is generally protected by the procedures of the service. Staff training needs to be in place to ensure the proper process of protecting residents from abuse is followed. EVIDENCE: Residents said that if they were worried about anything they would speak to staff or the Manager and they thought it would be followed up. The Commission for Social Care Inspection has received two complaints in the past year. The Company has attended a Vulnerable Adults Meeting and produced a detailed Action Plan covering a wide range of issues. For the other complaint the Commission for Social Care Inspection is awaiting details as to how the Company investigated this. There were no records in the complaint book of residents complaining though the above complaints need to be recorded with details of how complaints were followed up. The Complaints Procedure seen by the inspector reflected the National Minimum Standard except inserting the local Social Service Department, and not the Commission for Social Care Inspection, as the Agency who investigates complaints. 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 16 A staff member on duty was asked about the understanding of whistle blowing procedures, but was not aware of outside agencies to refer to if the in house arrangement failed. All staff need to be tested on this procedure and Vulnerable Adults protection training put in place as needed. 7 Debdale Road DS0000012762.V341229.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): 24,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a generally homely and comfortable environment though more attention needs to be paid to maintenance. Standards of hygiene are good. EVIDENCE: Residents said that they liked their bedrooms and they could have their things in them. One resident wanted her bedroom to be redecorated and the furniture left by the previous occupant to be removed. She wanted to have more pictures on the wall and her curtains replaced (one curtain was hanging down and another window did not have a curtain in place). Tiling was needed to her sink as the 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 18 wash hand basin had been replaced with a new one, which did not ‘fit’ the space of the old unit. In another bedroom a small area of wallpaper was blotched owing to an old damp patch. The Deputy Manager said that redecoration and recarpetting of two residents bedrooms was planned. The inspector noted that there were damp problems to walls on the ground floor and a smell of damp. Plaster was coming off in places (dining room, hallway and laundry) some skirting was rotting and shelves under the kitchen sink were warped. There was a crack to the wall of the ground floor toilet. The Deputy Manager said these problems were known and due to be attended to. It is recommended that there is a monthly audit of facilities. Repairs then need to be swiftly carried out. Communal areas looked comfortable and clean. Standards of cleanliness in all areas of the home were good. 7 Debdale Road DS0000012762.V341229.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): 32,33,34,35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are not sufficient staff numbers on duty to meet all residents needs and all identified staff training needs to be in place. EVIDENCE: 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 20 Residents spoken to were happy with staff and saw them as helpful and friendly. Staffing levels during the course of the inspection met the relevant minimum standards in that there were two staff on duty. However there are a number of occasions where there is one care staff on duty during weekend/evening periods when all the residents are in the home. This means that residents cannot go out when they want to or if a resident needs one to one support from staff then other residents cannot be given attention. The Deputy Manager said that there were plans to increase the level of staffing for evening and weekend shifts to ensure that two staff are on duty to meet residents needs. It was also found that staff were working long shifts, and some staff working consecutive long shifts, which are not recommended as this can lead to fatigue and impaired performance. There is a sleeping staff member on duty at night with staff on call if needed. Staff records were inspected and generally found to have all the necessary statutory checks, with identification on all records. Staff members were spoken to and had a good knowledge of residents care needs and were again committed to providing a good service to residents. They are supplied with supervision, which is recorded, though this was behind schedule. The Deputy Manager stated that all staff have a National Vocational Qualification level 2 qualification, as a minimum. Staff spoken to said they were encouraged to undertake this training. The Company’s Action Plan identified that all staff need to have training in a wide range of topics – the Person Centred Planning system which identifies service users individual needs, Epilepsy, Communication, Health Action Planning, Fire, Food Hygiene, medication, First Aid, Protection of Vulnerable Adults, Diabetes/ Rectal Diazepam, injections, Moving and Handling Incontinence, Values etc. However this has not yet happened except for health and safety, and Staff Meeting notes that training was cancelled ‘again’. As this was noted in last year’s Inspection Report this now needs to be actioned in the short term. It is recommended that a training matrix be set up to quickly identify who needs training in what topic so this can be swiftly identified and acted upon. 7 Debdale Road DS0000012762.V341229.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): 37,39,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health and safety systems need to be more robust to protect residents welfare. EVIDENCE: 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 22 Residents thought the home was well run by management and staff. Staff Meeting notes seen focused on ensuring staff meet residents care needs though the frequency of Meetings was behind their two monthly schedule. Residents have been asked as to their views on the way the home is run through a detailed Quality Assurance survey. The Registered Manager needs to analyse the results of surveys, to produce an Action Plan and include this information in the Statement of Purpose. Fire Doors were wedged open to both the dining room and lounge, which compromised fire safety, and was in contravention of Company policy. An Immediate Requirements Notice was issued to deal with this as it was noted in last year’s Inspection Report. A staff member was asked as to the fire procedure and was aware of this. Fire records showed that regular testing of emergency lighting was in place and there are regular fire drills. Fire bell testing was not always on a weekly basis and this needs to be put in place. There is a fire risk assessment of the home though this lacked detail. The Deputy Manager said the Company had ordered detailed fire risk assessment documents and this would be completed in the short term. Some residents monies were checked and found to be in order. Records had receipts, running balances and two signatures and monies and there is a policy that monies are checked daily to ensure they are correct. There were Risk Assessments for safe working practices in place though none for the risk from hot radiators. From comments received there is a potential risk for two residents who could lean on radiators and scold themselves. The fitting of radiator covers is therefore indicated. This was stated in the last Inspection Report and action is overdue. The hot water temperature was measured and found to be within the National Minimum Standard at 41c. As the National Minimum Standard is 43c, water can be hotter than this if residents wish to have a warmer bath. There are hot water monitoring records in place to ensure residents are protected from scalding temperatures. Health and Safety Policies and Procedures are in place and staff said they were encouraged to read them. 7 Debdale Road DS0000012762.V341229.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 1 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 1 34 3 35 1 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 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 1 X 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 YA23 Regulation 13 Requirement The Registered Provider must ensure that staff receive training on Vulnerable Adults issues and be able to fully operate the procedure. The premises need to be well maintained. Staffing levels need to be increased to ensure that residents needs are catered for. The Registered Manager should continue to pursue a training programme, which will achieve comprehensive training for staff. Health and Safety systems need to be fully in place to ensure residents safety, e.g. regarding protection from fire and risk of burning from hot radiators. Timescale for action 23/09/07 2. 3. YA24 YA33 23 18 23/10/07 23/09/07 4. YA35 18 23/01/08 5. YA42 13 23/10/07 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA17 Good Practice Recommendations It is recommended that menus are reviewed to ensure that tasty healthy food is supplied to residents based on their preferences. 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 7 Debdale Road DS0000012762.V341229.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!