Inspection on 19/01/06 for 8 Chestnut Road

This inspection was carried out on 19th January 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

8 Chestnut Road 31/10/06

8 Chestnut Road 23/09/05

8 Chestnut Road 22/03/05

8 Chestnut Road 14/01/05

8 Chestnut Road 30/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 8 Chestnut Road Downend South Glos BS16 5UN Lead Inspector Grace Agu Announced Inspection 19th January 2006 09:30 8 Chestnut Road DS0000020300.V270788.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 8 Chestnut Road DS0000020300.V270788.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. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 8 Chestnut Road Address Downend South Glos BS16 5UN 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) 0117 9572687 0117 9709301 admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Miss Claire Maine Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 5 persons aged 18 - 35 years with Learning Disabilities May accommodate one named person aged 16 - 18 years with Learning Disabilities 23rd September 2005 Date of last inspection Brief Description of the Service: 8 Chestnut Road is a care home operated by Aspects and Milestones Trust. The home previously provided nursing care for a mixed Service User group of up to five adults with learning disabilities. The home closed in it’s previous capacity on 31 March 2005 and reopened in July 2005 following refurbishment and redecoration and variation in the category of Service Users and type of service provided. The home is currently registered to provide personal care only for five people aged between 16 and 32 with learning disabilities. The home is set in a residential location in the middle of Downend, and is within close walking distance of local shops and amenities. The home is a converted bungalow, which has been extended and provides accommodation all on one floor. Bedroom accommodation is provided in five single rooms. Whilst there is no en-suite provision, all rooms have a wash hand basin. There is an open plan lounge and a dining room, which is fully utilised. Bathrooms and toilets have been fitted with adaptations to meet the care needs of service users within the home. There is appropriate provision of equipment to assist staff and clients. The home is set within its own grounds, and there is level access to the gardens. The home supports residents to use public transport, access day care and social activities. Car parking is available. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is an announced inspection which took place over six hours and was undertaken to review the care practice to ensure that it is in line with the legislation and that best practice is being followed at the home. This inspection also reviewed the requirements made at the last inspection to ensure that they have been met. It was pleasing to note that the home had made tremendous efforts to ensure that five requirements made were met. This is commendable. Residents looked well cared for and were noted interacting with staff in an informal and friendly manner. A tour of the building was undertaken; two residents and three staff members were spoken with. A number of records were reviewed. What the service does well: What has improved since the last inspection? At the last inspection the home had limited information to enable it to provide care plans to meet the needs of residents. The manager stated that the home had gathered more information about the need of the resident and had used this to develop Person Centred Planning. It was evident that the house was cleaner; staff have developed skills and confidence in supporting the resident. The residents feel more comfortable and confident in living at in the house. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 6 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. 8 Chestnut Road DS0000020300.V270788.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 8 Chestnut Road DS0000020300.V270788.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, 5. The home provides information to prospective residents and their representatives and ensures that the admissions process provides safeguards to meet the assessed needs of the resident. EVIDENCE: At the last inspection, a requirement was made for the home to ensure that a Service Users’ Guide was made available for the prospective residents and for those living at the Home. This requirement was met. The Service Users Guide noted was written in a picture format and contained information about people who live here, to enable a prospective resident to make a choice of moving to the home. The document also has information about the home’s operations and services provided. Furthermore, the Service Users Guide contained information about the expectations of the residents. The Manager stated the Service Users Guide is discussed and explained to the resident at meetings to ensure that individuals understand as much as possible what it contained. Prospective families and social workers are sent the Service User’s Guide when they make enquiries by phone or planned visit. The document is also sent to the Care Management Team at the Social Services’ to enable them to provide information for referrals made through their offices. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 9 The home has one vacancy at present and is looking to fill this vacancy as a compatible resident is found. A Statement of Terms and Conditions was noted in the care files reviewed. 8 Chestnut Road DS0000020300.V270788.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 are supported with risk assessments to participate in the running of the Home with the assurance that information about them will be kept confidential. The Home provides individualised car plans to meet the assessed needs of the residents. EVIDENCE: The four care files reviewed contained comprehensive and detailed information about each resident. This information was obtained from families, representatives and Social Services before and during admissions. The information gathered enabled the Home to provide each individual with a person centred plan. Some information noted on the files included things the individual likes, essential things, likes and dislikes, how to communicate with the individual. One resident spoken with stated that staff support them to clean their rooms, get up in the mornings and go to bed. ‘Staff help me to have a bath’. Guidelines were noted on how to communicate with a particular individual and 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 11 measures to be taken in the event of behavioural difficulties. The manager at discussions stated that she recently received important information about an individual’s medical conditions and has consulted relevant authorities to ensure that measures are in place in the event of emergency. These measures were seen and were noted to be comprehensive and satisfactory. One staff member spoken with showed an in depth knowledge of an individual living at the Home. The staff member stated that the skills and consistent approach by all staff had enabled the individual to overcome fear; lack of trust and that this had lead to a better relationship. As stated in the previous inspection report, two individuals with complex needs continue to receive 30 hours and 10 hours per week from Community Services due to their high level of needs. The residents were noted going out with their Day Services Carers on the day of inspection. The manager and the support workers spoken with stated that there is a noticeable improvement in general and mental health of the individuals due to the extra hours provided by staff from Community Services. All care files reviewed contained individual risk assessments and were regularly reviewed and when needs change. Residents are encouraged to participate in the running of the Home through residents’ meetings and one to one interactions and are enabled to make personal every day choices. Information about the residents are kept securely locked away and staff demonstrate knowledge in relation to keeping all residents’ information confidential. 8 Chestnut Road DS0000020300.V270788.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 have opportunities for personal development and are supported to maintain links with the community, families and friends. Their individual rights are respected whilst providing healthy diets at chosen times. EVIDENCE: Evidence from the care files showed that residents are assessed and depending on their abilities and motivations are supported and encouraged to participate in activities in and out of 8 Chestnut Road. On the day of inspection, one individual was noted going out with a Day Service Worker to an exercise session. The resident stated that they enjoy the session every time; the Day Service Worker stated that the exercise is a way of releasing stress and help to stretch the muscles. They would also go to another Local Community facility after the exercise session to practice ceramics and pottery. This activity helps concentration. The individual participates in other activities including going out for lunch, shopping and to the bank. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 13 Another individual attends college and had an individual learning programme from the college in the care file viewed. The manager stated that another individual is finishing school this year. One of the care files viewed evidenced that one individual attends day services Monday to Friday and has different activities in the evenings depending on the resident’s choice. Evidence from the comment cards received showed that residents are enabled and encouraged to maintain links with families and friends. One comment card received before the inspection stated that “our relative has been resident at 8 Chestnut Road since last July and in the last five months we have visited regularly”. The atmosphere was relaxed and positive with maximum interaction with staff and high degree of support from staff members. One resident spoken with stated that they are supported to choose what they want to eat. The manager stated that residents are supported to draw up the menu and are consulted when the menu is changed. The menu viewed had nutritious meals and evidence of participation in preparing the menu was noted in the diary. Residents spoken with on the day said that they enjoyed their meal. 8 Chestnut Road DS0000020300.V270788.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. Residents receive support for health and personal care including wishes in the event of death. Medicine administration practices are safe and offer protection to residents. EVIDENCE: At this inspection, four care files were viewed. There was evidence from information on the care files that residents are supported with their personal care. One resident spoken with stated that they are supported to have a bath, make their bed, get up when they wanted. “I choose my own clothes and choose where I want to go”. One staff member spoken with stated that the level of support given to a resident is based on individual risk assessment and that this information is clearly documented in the care plan to ensure consistency and continuity. There was evidence in one resident’s care file in relation to providing care in private and the wishes in terms of personal care by a male staff member. One staff member spoken with gave detailed information in relation of how they support a resident with complex needs. The staff member stated that staff have regular discussions to review the care plans and make changes when they occur. Two residents receive extra support from Community Services due to their complex needs. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 15 There was evidence that residents are supported to access National Health Service facilities locally including General Practioner Surgeries (GP), dentist, opticians, chiropodist and other relevant service. The Manager during discussion confirmed that one resident was recently reviewed by a specialist nurse due to a medical condition. Medication administration was reviewed and was noted to be satisfactory. There was evidence of death and dying policy and resident’s wishes in the event of death will be discussed with the residents and their families and decision made when the occasion arises. 8 Chestnut Road DS0000020300.V270788.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 are protected from abuse and harm through robust policies; however, the Home fails to provide detailed information for residents to complain. EVIDENCE: Staff are aware of the Home’s policies and procedures in relation to reporting incidents of abuse and have received training on Protection of Vulnerable Adults from Abuse (POVA). There is also a copy of the South Gloucestershire Council policy on POVA at the home to ensure awareness of the protocol to be followed if incidences of abuse occur. Whilst the complaint procedure noted in the residents’ files had meaningful information explaining how to complain, it had incomplete information on how to contact the Commission for Social Care Inspection if a person was unhappy with the outcome of their complaint to the organisation. A requirement was made to ensure that this is implemented. No complaint was recorded in the complaint book. The Manager stated that the Home was in regular contact with relatives and issues are quickly resolved. One relative comment care reviewed stated, “If we have any concerns at all we speak to the Manager who quickly resolves the issue”. Evidence from staff records showed that satisfactory references and Criminal Records Bureau disclosures were obtained for all staff working at the Home. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27,30. The Home provides residents with a warm, clean and comfortable environment where they feel safe to live in. EVIDENCE: As stated earlier in this report, 8 Chestnut Road is set in a residential location in the middle of Downend. The Home is a converted bungalow which has been extended and provides accommodation all on one floor. The premises was noted to be homely, warm, clean and tidy. The Home was pleasantly furnished and in good decorative order. The Manager had requested an alternative flooring in the hallway, this will be implemented in the new financial year. The Manage stated that all staff are aware of each resident’s individual needs in relation to accessing different parts of the Home and a generic risk assessment had been undertaken to ensure safety of the residents. Whilst touring the building, it was noted that the bathroom hoist had flaking paint from the base of the hoist. This is hazardous and could cause potential 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 18 injury to the residents and staff. A requirement had been made for this to be replaced or repaired. The kitchen and laundry were noted to be clean. Staff demonstrated knowledge of infection control. Control of substances hazardous to health poster and guidelines were noted pasted in the laundry to help staff recognise and act quickly in the event of emergency. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36. Residents enjoy good warm relationships with skilled and competent staff and are protected by the Home through staff supervision. EVIDENCE: Staff training records viewed showed that staff have attended various training including First Aid, positive response, manual handling and person centred planning. The manager stated that two support attended conference on working with different people on 30/11/05. One support worker attended training on person relationships and sexuality on 18/12/05; one support worker attended sign language training on 30/10/05 and 01/11/05. Training planned for 2006 includes half day training on Bi-Polar Mood Disorder introduction, Positive Response, Makaton training for support workers, medication competency training review for all staff. Person centred planning dates from ‘People First’ (self advocacy group) was noted on staff notice board. The manager stated that the criteria is discussed at supervision and booked by the individual staff member. The Manager stated during discussion that four staff members have completed National Vocational Qualification (NVQ) at Level 3 and that three staff member s are working towards NVQ Level 3. This would enable the home to work towards achieving above the required minimum ratio of 50 trained members of care staff. This is commendable. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 20 On the day of inspection there were three staff members on duty to support two residents. It was evident from the staff/residents interactions that there are good relationships within the home. One staff member spoken with that there is a good team spirit and that all staff work together to ensure that residents’ needs are appropriately met. The Manager stated that there is a planned Team Day for all staff, day services staff and family members of one individual to discuss the person centred planning and to review the care and services for the person. The home has a recruitment policy to ensure that suitably staff are recruited at the home. Staff records seen contained the required information to include two satisfactory references, proof of identity and Criminal Record Bureau (CRB) disclosures. There was evidence of staff supervision in the staff records viewed. The manager stated that senior staff supervise two staff members and the home manager supervises four staff members and that supervision is carried out on a monthly basis, to ensure that all areas in relation to the roles and responsibilities are appropriately addressed to meet the residents’ needs. This is clearly documented in the staff files viewed. Residents spoken with stated that staff look after them well and support them to make choices in their daily routines. One of the comment cards stated, “Every member of staff we have met are friendly, approachable and nothing seems too much trouble”. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 43 The Manager is supported well be the Registered Provider and staff to provide clear leadership throughout the home. All staff demonstrate clear awareness of their roles and responsibilities in relation to protection of the health and safety of residents. EVIDENCE: A well-qualified and competent manager manages 8 Chestnut Road. Claire Maine is a registered nurse has attended many training courses to enable her to provide quality care for all the residents. The manager stated that she is supported and supervised on a one to one basis by the immediate line manager on both clinical and management issues. The organisation provides her opportunity to ‘act up’ which had helped with her career progression. The monthly managers’ meeting enables her to network with other Managers and to share ideas of good practice. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 22 The manager stated that the good team at the home has helped and supported her in meeting the challenges in the day to day running of the Home. Staff and residents spoken with commented positively on the Manager’s ability to manage the Home. One staff member spoken with stated that the manager is approachable and you can feel relaxed around her. One resident stated, “Claire is good!” Another staff member stated, “we work well as a team, our Manager is very good”. The home’s quality assurance system was reviewed. During a discussion the Manager stated that the Home was recently conducted relatives questionnaires and the questionnaire for the health professionals will be sent out shortly. Other ways used to monitor the quality of service includes resident activities plan audit, checking resident personal allowance twice a day, residents care plan reviews and monthly visits by the organisation. There are regular staff and residents meetings to ensure that the needs are adequately met. The manager stated that the organisation recently commenced a ‘quality network’ which involves a designated person to work with a resident at the home for 3 months and review every aspect of the individual’s life at the home and provide a feedback to the organisation. The fire logbook is well maintained as well as the maintenance book. There is evidence that staff have attended fire lectures and regular fire drills. There is a service record for the hoist, fire alarm systems and portable appliance (PAT) of all electrical appliances. Accidents are recorded individually, followed up and reviewed. All residents’ information is securely locked away and monies checked tallied with the balance in the book. Policies and procedures noted at the home include Adult Protection, Accidents to Residents and staff, missing persons, concerns and complaints and fire safety. There were regularly reviewed. The home is financially viable; Current liability insurance was noted displayed at the entrance of the home. 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 X 3 Standard No 22 23 Score 2 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 X X 2 X 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 3 3 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 8 Chestnut Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000020300.V270788.R01.S.doc Version 5.0 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 22 Regulation 22(6) Requirement Include full details of the Commission for Social care Inspection in the Complaints procedure. Ensure that the bath hoist with flaking paint is repaired Timescale for action 19/03/06 2 27 23 19/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 8 Chestnut Road DS0000020300.V270788.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!