Inspection on 01/11/06 for 74 Sir Evelyn Road

This inspection was carried out on 1st November 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

74 Sir Evelyn Road 22/02/08

74 Sir Evelyn Road 01/02/06

74 Sir Evelyn Road 28/09/05

74 Sir Evelyn Road 24/03/05

74 Sir Evelyn Road 12/05/04

74 Sir Evelyn Road 03/12/03

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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 74 Sir Evelyn Road 74 Sir Evelyn Road Rochester Kent ME1 3LZ Lead Inspector Graham Cummings Key Unannounced Inspection 1st November 2006 10:00 74 Sir Evelyn Road DS0000040213.V317903.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 74 Sir Evelyn Road DS0000040213.V317903.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. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 74 Sir Evelyn Road Address 74 Sir Evelyn Road Rochester Kent ME1 3LZ 01634 828779 01634 828779 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) The Robinia Care Group Ltd Mrs Helen Elsie Gardner Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two residents under the age of 18: (1) 6/4/1985 (2) 13/11/1985 Date of last inspection 1st February 2006 Brief Description of the Service: Sir Evelyn Road provides a specialist service for young adults with Autistic Spectrum Disorder. The home is registered to offer residential care for a maximum of six service users. The home is situated in a quiet residential area near to Rochester Town Centre, and has easy access to the local bus route. The home also has its own transport which is used for the benefit of the service users. The accommodation comprises of a large communal lounge/dining area, dining room, spacious kitchen, laundry room, toilets, bathroom, office. It has six bedrooms (four of which are en-suite). There is a large private garden that can be accessed from either the dining area or a separate door. The home offers high levels of staffing so as to enable 1:1 support to service users so that they have access to community, leisure and educational amenities. The weekly fees range from £1,400 to £1750. The overall quality of the service is good. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was carried out as the final part of the home’s first Key Inspection. The Inspector had looked at previous inspection reports, the completed Pre Inspection Questionnaire, informal discussions with Service Users, the Team Leader and Registered Manager. The Inspector also had a tour of the home and viewed paperwork. The home is registered for 6 and has a current occupancy of 5 Service Users, 3 female and 2 male. There are 3 staff on duty between 7 am and 10pm with the Manager working 8 – 4 able to assist where necessary. On Thursday afternoons there is a 4th member of staff to help take Service Users swimming. The nights are covered by 1 wake night and 1 sleep in staff. The Inspector was informed that the staff team provided a high standard of care with a reasonably stable staff team. On the day of the inspection interviews were being held to fill 2 vacancies. The home has a number of long standing bank staff who have been covering the permanent staff vacancies. The Team Leader informed the Inspector that Service Users participate in a lot of activities, with most Service Users out everyday even if just walking to the local shops. An area of work that the home would like to improve on is encouraging some of the Service Users further out into the community than the local shops on a more consistent basis. The company Robinia Care provide a lot of training from their head office in Dover with both internal and external providers. Recent courses have included 1st Aid, Infection Control, Health and Safety, Autism, De-escalation of Behaviour and Physical Intervention. The home has fitted a new kitchen and redecorated a Service Users bedroom to a colour of their choice, a new conservatory is being built and almost finished. A large trampoline with a safety net has been purchased and risk assessments carried out. Pottery and reflexology sessions are held weekly with Service Users on an individual basis. The home went to Centre Parcs at Elvenden Forest for their holidays in 2 groups with the females going together and then the males. The Manager is due to leave in a weeks time and at present there is no replacement, it is expected that the Team Leader will become Acting Manager in the interim. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The Inspector asked to see that Regulation 26’s were being carried out and found the most up to date one was July 2006. The Inspector was informed that later ones had been carried out but they had not received a copy from the Area Manager yet. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 7 At the last inspection the issue regarding more than 1 bottle of the same medication being open for a Service User was raised. The Inspector was informed that monitoring was taking place but there was a bottle in the cabinet that had been opened before the old one was completed. The Manager was looking back through the rota to find out who was responsible. The monitoring of medication administration needs to continue and the importance of issue raised with all staff that administer medication. The Pre Inspection Questionnaire states that staff have received Medication Handling training in the last 12 months. An action plan outlining medication processes has not been sent to CSCI and this needs to be done. The Manager is leaving in early November and it was not clear whether a new Manager had been found or even if the position had been advertised. The company need to ensure that a good support package is in place until a Manager is appointed. 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. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 8 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 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 9 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): 1,2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective Service Users have their needs assessed and are able to visit the home prior to placement. Service Users can be confident that they will have their own individual contract. EVIDENCE: The Inspector looked at the home’s Statement of Purpose, although the home runs in the way stated in the document it has not been reviewed for some time and should be reviewed yearly. The Inspector discussed the admission of the last Service User who arrived in January 2006. The Inspector was informed that the Manager carried out a pre placement assessment to ensure that their needs could be met at the home. The Service User also visited on 2 further occasions for lunch and tea, they also had 2 overnight stays before the placement became permanent. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 10 The Inspector saw evidence of the pre placement assessment and there was a Statement of Terms and conditions on the individuals file. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 11 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): 6,7,8,9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Users changing needs are assessed and wherever possible make decisions about their lives. Service Users participate in all aspects of life in the home and are supported to take risks. EVIDENCE: The Inspector looked at 2 Service User plans and found them to be easy to read and containing information that was informative and relevant to the individuals concerned. There was a Physical Intervention sheet that recorded when a Service User had been restrained, however, when cross-referencing against the daily notes nothing had been recorded. The inspector informed the Manager that if deescalation was used this should be in the daily notes and not put on a physical 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 12 intervention chart. The Inspector informed the manager that any record of physical intervention should be sent to CSCI as a Regulation 37. The home/company need to make a decision about what they are going to class as physical intervention how they are going to record it. The care plans included the input from Service Users, care managers and family members. The home communicates with Service Users through speech and signing using Makaton and Picture Exchange Communication System (PECS). A board is placed in the dining area where staff can go through options let individuals make informed choices. The home has risk assessments in place to protect individuals and deescalation strategies to assist staff in supporting Service Users who become anxious. The staff complete risk assessments for every outing that takes place, even if it is an activity that takes place regularly. Key workers complete a monthly review that the Team Leader checks. The Manager has implemented individual monthly newsletter to family members about the progress and activities that the Service User has carried out. The front consists of a picture of one of the events that the Service User has participated in and the Service User has the option to colour it in. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 13 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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users have opportunities for personal development and take part in appropriate leisure and activities within the local community. Service Users have appropriate family contact and have their rights respected. Service Users are offered a healthy and nutritious diet. EVIDENCE: A Service User currently attending an art and craft group has been put forward an application to a local college for a place on arts and craft course. The home uses the local post office and petrol station shop and activities include swimming, bowling, soft play, cinema and trampolining. The home has 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 14 purchased a large garden trampoline with safety net as Service Uses enjoyed it so much. The home works closely with families and all 5 have contact, 2 have overnight stays with their family and 2 have day visits, 1 Service User has minimal contact. Service Users are involved in as much as possible in making the 5 weekly menu. Service Users have one of their favourite meals at least weekly. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 15 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. Service Users receive support in ways that they prefer. Service Users health needs are met and they are protected by the home’s medication procedures. EVIDENCE: Service Users have set out in their care plans their likes and dislikes and preferred care. The information has been gathered from Service Users, family and care managers. All Service Users are registered with a local Doctor, Optician and Dentist. No Service User self medicates but the home does have a policy to cover this should it ever be required. There is a list of staff signatures for those trained in dispensing medication. Medication is dispensed by 1 staff and checked by another. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 16 At the last inspection a requirement was made that a monitoring system should be put in place to ensure that medicines are stored, administered and disposed of appropriately. At staff handover, the new Team Leader checks that medication has been correctly given on the previous shift. The home has arranged that 1 member of staff deals with the ordering and returns of medication to ensure safety. Another Requirement from the last inspection related to new medication being used before the old one was finished. The Inspector was informed that a new bottle of medication had been opened and used before the previous bottle is finished. This is being investigated to try and find who was responsible. This is to be added to the Team Leaders shift handover checks so that new medication is not started and if it is who was responsible for it happening. Medication Administration Records are now separated and have a photo of the Service Users attached and any changes are signed by 2 staff. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. Service Users and their Families can be confident that their views will be listened to. Service Users are protected from abuse by the home’s policies and procedures.. EVIDENCE: The Inspector looked at the complaints book and found that it contained a letter of concern rather than a complaint about a staff member. The Manager investigated the concern within the procedures guidelines 28 days. The outcome was related to the family who fully accepted the findings. However, the documentation was not signed or dated. There was a Physical Intervention sheet that recorded when a Service User had been restrained, however, when cross-referencing against the daily notes nothing had been recorded in them. The Manager informed the Inspector that it may be that some staff are recording de-escalation wrongly on the Physical Intervention chart. The inspector informed the Manager that if de-escalation was used this should be in the daily notes and not put on a physical intervention chart. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 18 The Inspector informed the manager that any record of physical intervention should be sent to CSCI as a Regulation 37. The home/company need to make a decision about what they are going to class as physical intervention and how they are going to record it. The Inspector also looked at the Regulation 26’s and found that the last one on site was for the 26th July 2006, the Inspector was informed that further Regulation 26’s had been carried out but the typed copies had not been received from the Area Manager. The home has recently completed POVA and Adult Abuse training. The company that carried out the training has now been changed to another provider. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 19 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): 24,25,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users live in a clean, homely comfortable and safe environment. Service Users benefit from bedrooms that suit their needs. Shared spaces complement Services Users’ individual rooms. EVIDENCE: The Inspector toured the home and found it to be clean and safe. A staff member carries out Health and Safety checks weekly. The home consists of 4 en-suite bedrooms and 2 bedrooms that share a bathroom. The bedrooms seen were well decorated and, if Service Users wanted to, furnished with personal belongings. Some Service Users did not like anything on the walls and preferred their bedroom to be plain. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 20 The home is having a conservatory built onto the rear of the property that will increase the large amount of communal space that Service Users already have. Staff are responsible for the cleaning of the home and also do the cooking, Service Users are encouraged to participate in these activities. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 21 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): 31,32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from the staff’s clarity of roles and responsibilities. Service Users are supported by a staff team that is, competent, qualified, effective and supervised. Service Users are protected by the home’s staff recruitment and training. EVIDENCE: The staff structure is Manager, 3 Team leaders and 12 Support workers. The Manager Supervises the Team leaders who then supervise the 12 Support Workers. The Inspector looked at 2 staff files and all contained Job Descriptions, development plans, annual performance reviews, induction, working time directive, supervision agreement and notes. Both staff files had photo and written identification, CRB, application form and contract. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 22 Although supervision notes were seen, the Inspector noted that on 1 file 5 supervisions had been recorded since the 1/1/06 but the last one was dated 22/6/06. On the 2nd file seen only 2 supervision records were found for a member of staff who had started employment in January 2006. The Inspector was told that the staff team was competent and strong with 4 staff with an NVQ level 3 and 2 further staff waiting for funding. The home now has over 50 of the staff team with an NVQ level 2 or higher. Over the last year the staff have been able to attended 17 training courses, some were internal but the majority were externally provided. Courses included, Autistic Spectrum Disorders, POVA, Medication handling, Infection Control, Physical Intervention, De-escalation, Makaton, Handling of monies, Epilepsy, Ist Aid, Health and Safety, Managing People, Food Handling and NVQ levels 3 and 4. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 23 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): 37,38,39,41,42,43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from living in a well run home. Service Users benefit from the ethos, leadership and management of the home. Service Users views are listened to and taken into account in the development of the home. Service Users benefit from the home’s record keeping and competent management. Service Users’ health, safety and welfare are protected. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 24 EVIDENCE: The evidence from past inspections and from the information gathered during this inspection indicates that the Service Users benefit from a home that is run in their best interest. The Inspector looked at the home’s Statement of Purpose, although the home runs in the way stated in the document it has not been reviewed for some time and should be reviewed yearly. Service Users and/or their families are consulted on the running of the home with input on the menu and the outings and activities they wish to participate in. The home encourages Service Users to try new experiences and venues for outings but they have some difficulty in getting Service Users to agree and move outside of their comfort and safety zones. The Manager has implemented an individual monthly newsletter to family members about the progress and activities that the Service User has carried out. The front consists of a picture of one of the events that the Service User has participated in and the Service User has the option to colour or paint it in. The records seen by the Inspector were clear and well written. The daily notes were recorded twice daily by the Senior staff member on duty and contained information about food eaten, activities, mood and behaviour. The Manager was leaving her employment on the 9/11/06 after approximately 5 years with the company. Staff spoken to said that the Manager was extremely supportive and approachable and always available. The Inspector was a little concerned that the future management and support for staff in the home was unclear, also that CSCI had not been informed of the Managers departure. The home has an allocated member of staff that carries out weekly Health and Safety checks on the environment in and around the home, the recording and outcomes were seen by the Inspector. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 25 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 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X 3 3 3 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? YES 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 home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13 (2) Requirement New boxes/bottles or courses of medication must not be opened and used prior to the original box/bottle or course being completed and disposed of appropriately. On any occasion a Service User is subject to physical restraint, the registered person shall record the circumstances, including the nature of the event. In that the home need to record actual physical restraints on the Physical Intervention chart and cross reference in the daily notes. The registered person shall ensure that persons working at the care home are appropriately supervised. In that all staff should receive a minimum of 6 formal supervision per year. The Registered person shall give notice to the Commission without delay of the occurrence of – any event in the care home which may adversely affects the well being or safety of any service user. DS0000040213.V317903.R01.S.doc Timescale for action 31/12/07 2. YA23 13(8) 31/12/06 3. YA36 18(2) 31/12/06 4. YA42 37(1)(e) 31/12/06 74 Sir Evelyn Road Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA1 YA39 YA41 Good Practice Recommendations That the home’s Statement of Purpose be reviewed and updated where required. That the company complete their Regulation 26 visits and provide the home with a copy. That all records should be signed and dated by the person writing them and where appropriate countersigned by the Manager. 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 74 Sir Evelyn Road DS0000040213.V317903.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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