Inspection on 10/02/06 for 72-74 Walsingham Road

This inspection was carried out on 10th February 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

72-74 Walsingham Road 24/08/06

72-74 Walsingham Road 25/08/05

72-74 Walsingham Road 05/01/05

72-74 Walsingham Road 06/07/04

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

CARE HOME ADULTS 18-65 72/74 Walsingham Road Hove East Sussex BN3 4FF Lead Inspector Jennie Williams Unannounced Inspection 10th February 2006 10:30 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 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 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 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. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 72/74 Walsingham Road Address Hove East Sussex BN3 4FF 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) 01273 888077 Care Management Group Limited Mrs Sandra Elizabeth Stinton Care Home 12 Category(ies) of Learning disability (12) registration, with number of places 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That the home is registered to accommodate up to twelve (12) service users Service users should be aged between 25 and 65 years upon their admission That the category of service users admitted have a learning disability, not falling within any other category 23rd August 2005 Date of last inspection Brief Description of the Service: 72-74 Walsingham Road is one of many homes within the Care Management Group (CMG). It is registered to provide accommodatoin for twelve residents, between the ages of twenty-five (25) and sixty-five (65) years on admission with a learning disability. The home is located in a quiet residential area in Hove. The establishment is two homes that have been joined together. There is access to local amenities and public transport. The home has access to a mini bus. There is no parking available at the home, but free parking is available in the adjacent streets. There is one double room. All other rooms are for single occupancy and are located over two floors. The twelfth room is located on the second floor but is not currently in use. Residents must be able to independently mobilise to access the first and second floor. The layout of the home is not suitable to accommodate wheelchair users. There is suitable communal space available at the home for residents to use. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 72-74 Walsingham Road will be referred to as ‘residents’. This unannounced inspection took place over five and a half hours on the 10 February 2005. This inspection was facilitated by the deputy manager. Staff files, care plans and some policies and procedures were inspected. Medication procedures and residents personal allowances were checked. The environment and some individual rooms were spot-checked. Staff and residents were spoken with throughout the inspection process. The Inspector would like to thank staff and residents for their assistance and hospitality throughout the inspection process. There were eleven residents residing at the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 6 The recruitment procedure requires being more robust. Priority needs to be given in providing assisted bathing facilities for residents. This remains an outstanding requirement from the last three inspections. 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. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 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 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 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, 3, 4 & 5 The home has information available to prospective residents and their representatives to make an informed decision if the home is suitable for their needs. All prospective residents are assessed prior to moving into the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide that provides prospective residents/relatives information on the care and services provided at the home. These documents incorporate the use of pictures and symbols. A copy of these documents are available upon request at the home. The organisation has a central assessment team based in Wimbledon who undertakes the initial assessment of prospective residents. The Registered Manager is involved in the assessment process and will make the final decision on admitting a resident. Copies of previous care plans/social services assessments are taken when available. Management will also obtain information from other health professionals, if applicable. There are health professionals employed through CMG that the home has access to if the needs arise. The home also accesses health specialist advice from within the local community. Nursing care is not provided at the home. District nurses will visit the home if an individual requires nursing input. All prospective residents are provided with opportunities to visit the home prior to admission to meet staff and other residents residing at the home. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 9 Contracts are negotiated between head office of CMG and the purchasing authorities. The deputy manager confirmed that they have copies of the contracts for the newer residents. It has been required that the home ensures that they have copies of all residents contracts/terms and conditions. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 10 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 & 10 Residents’ needs are being met by the information contained in the care plans. Risks are identified and eliminated so far as is practicable. EVIDENCE: Care plans contain clear information on the needs of the residents. Care plans are being reviewed every six months or earlier if the needs of an individual changes, as required from the last inspection. Residents spoken to confirmed that staff discuss their care needs and felt that their needs were being met at the home. Residents were very complimentary about the staff. The home has arranged that one of the care planning reviews coincide when social services undertake their reviews. Relatives/representatives are invited to the review if the individual wishes to have them present. Staff empower residents to make choice about their lives. Independence is encouraged. This was observed during the day of the inspection. Residents were encouraged to choose and make their own drinks and assist with the meal preparations, washing up and cleaning duties. Residents are consulted and participate in all aspects of life in the home, wherever possible. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 11 The home has developed and implemented risks assessments as required from the last inspection. These are kept under review. Personal information is kept confidentially at the home. Information is used in accordance with the Data Protection Act 1984. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 12 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, 15, 16 & 17 Residents are provided with opportunities for personal development and to be involved in the local community. Visitors are welcomed at the home. EVIDENCE: Residents are provided with a range of activities they are able to participate in. No resident is involved in employment. All residents are enrolled on college courses. One resident has chosen not to continue with their studies. Courses that residents participate in range from health and beauty, flower arranging, ‘speak out’ groups, cooking etc. Some residents are also provided with an opportunity to attend a day centre. Some residents spoke enthusiastically to the Inspector about the courses and activities that they participate in. The home has its own bus and there is a full time driver available. Staff also attend some courses with residents to provide assistance and support. Residents spoken to confirmed that their lifestyle is their choice and that there are enough activities in and outside the home environment to participate in. Three staff have undertaken a life saving course for when supervision at swimming sessions is the responsibility of care staff, as required at the last 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 13 inspection. It was confirmed that the pool owned by CMG is currently out of order and the home has chosen to use local amenities. Visitors are welcomed at the home. There is a visitor’s book kept at the entrance of the home that all people must sign when entering and leaving the home. Relationships with friends/families are encouraged. The home has implemented a new in/out board that has photos of all staff and residents. Each photo is placed on the appropriate side to demonstrate quickly and easily who is in or out of the home. Residents are involved in ensuring the information board is kept up to date. Residents were complimentary about the food provided at the home. Residents spoken to confirmed that they are involved in the planning of the menus and participate in the shopping, preparation, cooking and washing up of the mealtime dishes. It was confirmed that meals have become more diverse and increased in nutritional value. The home has brought cookbooks to assist residents in deciding what to cook when preparing the menu. Some residents confirmed that they are enjoying making new things. It was confirmed that prescribed supplements on the MAR charts are now reflected in the care plan as recommended from the last inspection. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 14 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 & 21 Resident’s needs are being met by the skill mix of staff and support network. Residents are safeguarded by the medication procedures within the home. EVIDENCE: Residents and staff spoken with confirmed that they felt there were always enough staff on duty to meet the assessed needs of the residents. The home does not provide nursing care. Due to the complex needs of some residents, staff are required to have a clear understanding of all needs. Health needs are also met with the good support network throughout the organisation and with external health professionals. There is no one self-medicating at the home. MAR charts inspected demonstrated that medication is being signed for at the time of administration. There are photos on the MAR charts to clearly identify each individual. Suitable steps have been implemented to ensure appropriately trained staff are on duty at all times in the event that rectal diazepam requires to be administered. There is a list of staff in the medication room to demonstrate who has undertaken the appropriate training. There is only a couple of night staff required to do this training. These steps have been implemented as required from the last inspection. All staff that administer medication has been trained and assessed as being competent. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 15 Any hand written MAR charts or amendments are being signed as recommended from the last inspection. The acting manager confirmed that no work has been done yet to ascertain the wishes of an individual following death. The home is aware of this shortfall and will be looking into obtaining the information. Some families have been spoken to. This has not been reflected as a requirement as it was confirmed that the home will be addressing this issue. This will be assessed again at the next inspection. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 16 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 Residents/representatives are provided with opportunities to air their views. Staff are provided with information on procedures to follow if an allegation of abuse occurs. EVIDENCE: There is a complaints procedure available at the home. This has been amended locally to include the contact details of the local CSCI as required at the last inspection. There is a pictorial complaints procedure that residents have access to. There have been no complaints made since the last inspection. The POVA procedure has been amended locally to provide clear guidance to staff that all allegations of abuse must be referred to social services who are the lead authorities. Contact numbers for social services is included in this additional information for easy access for staff. This procedure has been amended following a requirement made at the last inspection. There have been no allegations of abuse made since the last inspection. Staff receive training in POVA procedures. Training is provided by CMG and courses are also accessed through the Brighton and Hove social services. It remains an outstanding requirement that the whistle blowing is amended to state that it refers to any practice in the home and not just abuse issues. The home is waiting for the amended policy from head office of CMG. There is one person within CMG who is the designated appointee for residents’ finances. The home holds personal allowance securely at the home. Personal monies spot-checked demonstrated that there are suitable procedures in place for handling residents’ personal allowance. Receipts are kept for all financial 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 17 transactions. There are arrangements in place that residents have access to their own money at any time they require. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 18 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 & 30 Residents live in a homely environment. Some resident’s needs are at risk of not being met due to the lack of assisted bathing facilities. Residents live in a clean environment. EVIDENCE: The home is located in a quiet residential area in Hove. It is two houses that have been joined together. Rooms are located over two floors and residents must be able to independently mobilise to access all areas of the home. The home is not suitable for wheelchair dependent people. There is suitable communal space for residents to use. There is currently no assisted bathing or showering facilities available at the home. This remains an outstanding requirement from the last three inspections. It was confirmed that the bathing facilities are only just meeting the needs of some of the residents. The home has obtained the relevance quotes and is awaiting information from head office of CMG when the work is to be undertaken. It was confirmed at the last inspection that the work was going to be undertaken in January 2006. Priority must be given to provide assisted bathing facilities to meet the needs of the ageing residents. Rooms spot-checked were seen to be personalised to reflect the individuals’ choice and character. Residents spoken with confirmed that they were happy 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 19 with their individual rooms and are supported by the home if they wish to make changes. The home is receiving a new washing machine and drier and will be making the laundry room more suitable for its purpose. This will enable residents to be able assist in washing their own clothes. The home will be undertaking work to improve the garden in the summer. It is proposed that residents will be involved in this process. There are suitable procedures in place for the cleanliness and hygienic processes within the home. District nurses input into any resident care if there is incontinence problems. The home was clean and free from offensive odours on the day of the inspection. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 20 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): 31, 32, 33, 34 & 35 Residents’ needs are being met with the skill mix and number of staff on duty. Robust recruitment procedures need to be followed to safeguard residents. EVIDENCE: Three staff have left employment at the home since the last inspection. New staff commenced employment within months of each other. It was confirmed that this change went smoothly and did not have any major impact on the residents. Residents quickly developed good professional rapport with the new staff. The home currently has one full time vacancy. It was confirmed that new staff undertake an induction course that is similar to TOPSS. It was confirmed that head office of CMG is currently arranging all new staff to undertake TOPSS induction. A new staff member spoken with confirmed that they have undertaken some induction. Staff spoken with confirmed that they are provided with training opportunities. Head office of CMG provides the homes with a list of when training courses are being provided and the home also links in with training courses being provided by agencies external to CMG. Residents and staff spoken with confirmed that there were sufficient staff on duty at all times to meet the needs of the residents. Staffing numbers have been improved following a requirement made at the last inspection. The rota demonstrated that there were sufficient staff on duty. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 21 Staff files inspected demonstrated that there are still shortfalls in the recruitment procedures. One staff member was noted to be working alone with only a POVA First check. It was made an immediate requirement that staff can only work supervised on a POVA First check until a full enhanced CRB is returned. Shortfalls were discussed with the deputy manager and an amended Schedule 2 was sent to the home following the inspection. It remains an outstanding requirement that staff files comply with Schedule 2. It was confirmed that head office of CMG deals with the processing of applications for all new employees. The organisation must implement steps to ensure that applications and information required in Schedule 2 is provided to the home prior to an individual commencing employment. Recruitment information must be available for inspection at all times. The home has commenced working towards the required 50 ratio of NVQ level 2 or equivalent trained staff. There is one carer who has NVQ level 2 qualifications and another with NVQ level 3. One staff member has nearly completed their NVQ level 3. It was confirmed that an additional four care staff are registered to commence their NVQ level 2 studies. This has not been reflected as an outstanding requirement as there is evidence that the home is working towards compliance. This will be reassessed at the next inspection. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 22 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): Residents and staff benefit from clear leadership within the home. Residents are safe guarded by the systems in place to monitor the health, safety and welfare of residents. EVIDENCE: The manager is registered with CSCI and has the relevant skills and experience to run the home. The registered manager is currently undertaking Registered Manager Award (RMA) studies. Residents and staff spoken with were complimentary about the management at the home and find them approachable and supportive. CMG head office sends out their own quality assurance documentation to residents’ families/representatives/visiting health professionals. An overall analysis of this survey is forwarded to the home. The home has monthly resident meetings and has a comment book for families/visitors to write in. Not all policies and procedures were inspected. Any shortfalls in policies and procedures have been highlighted in the relevant section of the report. The home receives policies and procedures from the head office of CMG. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 23 Inventories of residents’ personal belongings have been updated as required from the last inspection. It is recommended that these be updated following the Christmas period. Records are kept securely at the home and used in accordance with the Data Protection Act 1998. The deputy manager confirmed that all relevant health and safety checks are regularly undertaken. Residents confirmed that they are involved in fire drills and staff regularly walk them through the procedures to follow in the event of a fire occurring. It was confirmed that the home had recently had a fire inspection undertaken. A report had not yet been provided to the home. There were no problems noted at the fire inspection. There is appropriate insurance in place. Financial viability was not assessed on this occasion. The home is one of many within a growing organisation and has given no concern regarding financial viability to date. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 2 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 1 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 72/74 Walsingham Road Score 3 3 3 2 Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 X DS0000014208.V267159.R01.S.doc Version 5.0 Page 25 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation 17 Requirement That the home has a copy of each individual’s contract/terms and conditions available for inspection. That the whistle blowing policy is amended to state that it refers to any practice in the home and not just abuse issues. (Timescale 31.01.06 not met) That assisted bathing or showering facilities be provided in the home for service users who require this. (Outstanding from last three inspections) That all staff working with a POVA First check are supervised until a full enhanced CRB check is returned. (Immediate requirement) That staff files comply with Schedule 2. Information must be available for inspection at all times. (Timescale 31.10.05 not met, see content of report) Timescale for action 30/04/06 2. YA23 Appendix 2 30/04/06 3. YA27 16.2(c) 30/04/06 4. YA34 19 Schedule 2 19 Schedule 2 10/02/06 5. YA34 31/03/06 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 26 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 YA41 Good Practice Recommendations That inventories for service users personal belongings are updated following the Christmas period. 72/74 Walsingham Road DS0000014208.V267159.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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. 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