Inspection on 19/02/08 for 9 Allenby Road

This inspection was carried out on 19th February 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

9 Allenby Road 02/06/06

9 Allenby Road 06/09/05

9 Allenby Road 13/06/05

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Hillview Farm

Dalewood Respite Care

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REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 9 Allenby Road 9 Allenby Road Maidenhead Berkshire SL6 9BF Lead Inspector Jill Chapman Unannounced Inspection 19th February 2008 10:20 9 Allenby Road DS0000062384.V357600.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 9 Allenby Road DS0000062384.V357600.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. 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 9 Allenby Road Address 9 Allenby Road Maidenhead Berkshire SL6 9BF 01628 781261 01628 781261 jennifer.olotu@rbwm.gov.uk 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) Royal Borough of Windsor and Maidenhead Mrs Jennifer Maureen Olotu Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 2006 Brief Description of the Service: 9, Allenby Road is a respite care home operated by the Royal Borough of Windsor and Maidenhead. The home is a purpose built bungalow and can accommodate up to four adults with a learning disability, some of whom have additional physical disabilities. The home is situated in a residential area of Maidenhead and is in easy reach of the town centre, local shops and transport. Current fees are from3.70 to 5.40 per night. Fees quoted above are the clients charge for residents of the Royal Borough of Windsor and Maidenhead. There are separate funding arrangements for clients funded by the Health Authority or out of Borough residents. 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10:20 am and was in the service for 4 ¾ hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Information was taken from the Annual Quality Assurance assessment (AQAA) that was filled in by the manager prior to the inspection. Information from service users, families, staff and care manager surveys was received prior to the inspection site visit. The inspector spoke with staff on duty, the manager and deputy manager. Four service users staying in the home gave their views abouit the service. A tour of the house and garden was carried out. Records relating to care , staff and health and safety were sampled. What the service does well: Service users are fully assessed prior to being offered a place in the home. Written information and introductory visits help service users decide if they wish to stay at the home. Staff meet service users needs in the way they prefer and support them to take responsible risks as part of an independent lifestyle. Service users are supported by staff who are trained to meet their diverse care or health needs 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 6 and any religious or cultural needs. Staff are trained to support service users to take their medication. Service users benefit from a variety of house based and community activities and staff are committed to making stays enjoyable and varied. Occasionally outings at weekends can be limited due to the mixed needs of the group or lack of a driver on shift. The home liaises well with families and other agencies. Service users have a choice of healthy eating options at mealtimes and some enjoy helping to prepare meals. Service users know their concerns are dealt with and know who to speak to if they have a concern. Staff are trained to protect service users from potential abuse. Service users know they can personalise their rooms during their stays and can influence decisions about décor. There are enough trained staff to meet service users current needs. Recruitment checks make sure suitable staff are employed to work with vulnerable service users. Service users and their families know that the home is well managed. The views of service users and their families help develop the service. Health and safety systems keep residents safe. A relative survey said ‘I think it is a very welcoming place and it has a homely feel to it, whilst respecting peoples privacy’ Staff surveys said ‘We listen to our service users, we allow them to grow and develop in a safe environment always promoting independence. We spend time with outside agencies passing on relevant information and liaise closely with all professionals’ ‘Tailor the service to service users needs’, ‘Support independence for service users’ ‘Provide needs for the service users especially during an emergency. The service users feel at home at 9 Allenby’ ‘All training is encouraged relevant and detailed as our policies and procedures. We take into account all the above re service user individual needs and requirements, also close liaison with parents/carers.’ A care manager surveyed said ‘They are flexible and approachable and will always try to fit in requests i.e., if someone needs respite as an emergency’ 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 9 Allenby Road DS0000062384.V357600.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 9 Allenby Road DS0000062384.V357600.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. Service users are fully assessed prior to being offered a place in the home. Written information and introductory visits help service users decide if they wish to stay at the home. EVIDENCE: Service users surveys confirmed that they were consulted about whether they wished to have respite stays at 9 Allenby Road and that they received enough information about the home to help them decide to use the service. Four service users files sampled show that a full assessment is undertaken by the care manager and the home to make sure the service can fully meet their needs. Staff confirmed that introductory teatime visits are arranged to help service users get the feel of the home prior to deciding to stay there. Service users are given a pictorial copy of the Terms and Conditions of the service to help them know what to expect from the service. Copies of these were seen on service users files sampled. 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 10 9 Allenby Road DS0000062384.V357600.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 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff meet service users needs in the way they prefer and support them to take responsible risks as part of an independent lifestyle. Service users are supported by staff who are trained to meet their individual diverse care or health needs and any religious or cultural needs. EVIDENCE: Five service users files were sampled and show that up to date care plans are in place. Copies of in house reviews were seen on file and the manager said that where possible these are being held in conjunction with other services attended by the service user, e.g. day centres. Daily notes sampled show that care plans are carried out. Care plans show that service users diverse care and health needs are assessed and met. Staff have attended Equality and Diversity training and staff training records show that staff are trained to meet specific individual needs, including any religious or cultural needs. 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 12 Care plans are person centred and show that service users had been consulted about how staff could meet their needs. Cross gender care preferences or needs are clearly documented. Staff spoken with were familiar with the likes and dislikes of service users staying in the home There is a system of risk assessment for individual service users in place and those sampled were up to date and clearly showed how risks are reduced. Bathing risk assessments sampled showed that the risks of falling and scalding have been considered but did not explicitly show that the risk of drowning has been assessed. The manager agreed to review all bathing risk assessments immediately. Manual handling risk assessments were in place in service users files sampled. In discussion with staff on duty it was clear that staff were familiar with the manual handling and other needs of the service users staying in the home on the inspection day. 9 Allenby Road DS0000062384.V357600.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): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a variety of house and community activities and staff are committed to making stays enjoyable and varied. Occasionally outings at weekends can be limited due to the mixed needs of the group or lack of a driver on shift. The home liaises well with families and other agencies. Service users have a choice of healthy eating options at mealtimes. EVIDENCE: The majority of respite care service users have structured day opportunity programmes and service users on the day returned from their day centres late afternoon. One service user attends day care at 9 Allenby Road Monday to Friday. A written activity plan is in place and staff confirmed that this is flexible to the wishes of the service user and family. Service user surveyed said they can make decisions about what to do each day. Service users in residence described activities and outings that they 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 14 choose during stays. An activity record book is kept and shows outings to Pizza Hut, drives to the countryside, shopping in Maidenhead town centre, Monday Club, Christmas lights at Henley and lunch in Marlow. The home has an adapted minibus and staff said they make use of it regularly. Staff said that on occasion’s outings can be limited depending on the care needs mix of service users or if there are no drivers on shift. Service users spoken with on the day confirmed said that they had enough to do when staying in the home. There is a good selection of craft materials and games and each bedroom now has its own television. One service user said they prefer to spend time alone in their room but others like to mix in the lounge. There is evidence of good liaison with families, a number of telephone calls were made to and received from families during the day. There is a communication diary that accompanies service user between their own home and Allenby Road to help both parents and staff keep up to date with information about service users. Activities and outings are included in this record. Service users were seen to move freely around the house and were treated with respect by staff. The home provides a healthy option menu and this shows that varied and appetising meals are on offer. Service users were positive about food on offer and several said they like to help prepare meals. This includes helping prepare the evening meal and sandwiches for packed lunch the next day. Staff described the hygiene routine for the kitchen and cleaning rotas and food safety checks seen were up to date. 9 Allenby Road DS0000062384.V357600.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 care and health needs are met while at the home. Staff are trained to support service users to take their medication EVIDENCE: Care plans and guidelines show how service users like to be helped with their personal care. It was observed that service users preferences are taken into account in house routines and they are asked which gender of staff they prefer to help them with their personal care. Staff are trained in Person Centred Thinking, the Mental Capacity Act and using Communication Passports to assist them in helping service users be more independent. Health needs are well documented and monitoring tools are used for certain health needs. Some service users have Nursing Health needs and agency nurses provide this support. Staff receive training to support service users with specific health needs, e.g. epilepsy, MRSA, infection control. 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 16 Service users bring their own medication to the home and this is checked and booked in and out by staff. Some service users self medicate and staff have an observation role only. Staff receive medication training in house and from the organisation. Their competency is reviewed annually. The storage and recording of medication was seen and found to be satisfactory. A concern from a care managers’ survey about problems of communication about a service users medication was discussed with the manager who has already looked into the situation. 9 Allenby Road DS0000062384.V357600.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 know their concerns are dealt with and know who to speak to if they have a concern. Staff are trained to protect service users from potential abuse. EVIDENCE: The Commission has not received any information about complaints made about the service. The complaints record shows that the home has received two complaints since the last inspection and these have been dealt with appropriately. Service users and their families surveyed said they know who to talk to if they have a concern. Most knew about the complaints procedure but two relatives did not. A care manager surveyed said ‘they have been open to concerns raised and have listened and investigated. They have tried to put things in place to avoid the same situation happening again. The managers are always willing to explore ways of doing things and are always willing to meet with care managers and/or families if there are any concerns.’ The Commission has not received any information about safeguarding adults’ issues relating to the service. There have been no safeguarding adults issues occurring in the home but staff have attended Vulnerable Adults meetings relating to service users who stay at the home and are aware of their role in 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 18 this setting. The manager has attended Protection Of Vulnerable Adults level 2 training and all staff have POVA level 1. 9 Allenby Road DS0000062384.V357600.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, 27, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know they can personalise their rooms during their stays and influence decisions about décor. Redecoration and better care and use of the garden have improved the environment for service users. EVIDENCE: The house and garden were seen and were well kept. The home has been completely redecorated since the last inspection and some service users were consulted on the choice of colours. New pictures and curtains have been purchased. There is a new patio and some new garden plants. Since the last inspection a gardener has been hired to cut the grass on a regular basis. Some service users choose to bring in belongings to personalise their rooms while they are staying in the home. Due to a charitable donation, residents can now choose to watch TV in their bedrooms as well as the lounge or dining room. 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 20 The home has a variety of mobility aids to assist service users. These include ceiling hoists in each bedroom, special beds, an assisted bath with a Jacuzzi facility and chair extensions. The home was very clean and staff showed that regular cleaning rotas are adhered to. Staff are trained in Infection Control and there are disposal facilities for clinical waste. 9 Allenby Road DS0000062384.V357600.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): 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. There are enough trained staff to meet service users current needs. Recruitment checks make sure suitable staff are employed to work with vulnerable service users. EVIDENCE: Staff on duty were motivated, confident in their role and attentive to service users needs. They managed the differing needs of the service users well. During the course of the day they liaised with other professionals and families in an appropriate manner. From speaking to staff and information from the majority of staff surveys it was found that morale is good and that the team work well together. There is a programme of National Vocational Qualification training underway. All staff either have NVQ 2 0r 3 or are in the process of taking this. There are two staff on duty during daytime shifts and one waking night staff. When service users with health needs are in situ agency nursing staff are also on duty. The manager and deputy operate an on call system for the waking 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 22 night staff and can deploy extra staff in an emergency. There was no evidence to suggest that staffing levels do not meet current service users needs. The home operates in accordance with the Recruitment policies and procedures of the Royal Borough of Windsor and Maidenhead. Two recruitment files were sampled and were complete except for an up to date photograph. The manager agreed to add these to all staff files. A previous requirement about staff references has been carried out. Staff files were sampled and training certificates were seen. Staff benefit from an in house and corporate induction and a new member of staff was beginning induction on the inspection day. Staff confirmed that they receive a variety of training relevant to their role and a list of booked training was seen on the notice board. The manager has access to a system that give her an overview of staff training needs. There is a system of regular 1-1 supervision in place and records of these were seen on staff files sampled. Annual staff appraisals have also been carried out. 9 Allenby Road DS0000062384.V357600.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, 40, 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 and their families know that the home is well managed. The views of service users and their families help develop the service. Health and safety systems keep residents safe. The Responsible Individual is not being informed monthly, under Regulation 26, about the conduct of the service. EVIDENCE: An experienced and qualified manager manages the home. She has NVQ level 4 /Registered Managers Award, Chartered Institute of Management qualification and is an NVQ Assessor. The deputy has worked in the home for many years. 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 24 Feedback about the managers’ style from the majority of staff surveys and from speaking to staff was positive. She is described as having an open, caring and enabling style. This was witnessed during the course of the inspection. Some feedback from two staff surveys suggests that some staff have a less positive view of how the home is managed. The home carries out surveys annually to seek the views of service users and relatives and the results of this help form the Annual Development Plan for the home. The home operates in accordance with the policies and procedures of the Royal Borough of Windsor and Maidenhead. The AQAA information shows that there is a comprehensive range of these. Some of the dates for these quoted on the AQAA were very out of date, in discussion with the manager it was found that up to date copies are now accessible to be printed off from RBWM intranet. These were printed off during the inspection. From information supplied on the AQAA and from sampling records, it is clear that good attention is paid to health and safety in the home. The servicing of equipment and health and safety checks were up to date. Weekly health and safety audits are carried out. Some daily and weekly checks are highlighted in the handover diary, where they are signed as carried out. It was noted that some checks signed off in the diary that should also be recorded in another record are not being filled in. The manager agreed to address this issue straight away. The Responsible Individual has designated a Senior Manager to carry out Regulation 26 visits and report on the conduct of the home. In looking at the visitors’ book and copies of reports kept in the home it shows that they are not being carried out a minimum of monthly as required by the regulation. Reports generally cover two months visits but mostly only one monthly visit occurs. There are some months where a report is not available. The registered persons need to review this situation to make sure the regulation is met. 9 Allenby Road DS0000062384.V357600.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 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 X 3 2 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 26 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 YA43 Regulation 26(3) Requirement The registered persons must ensure that visits under paragraph (1) or (2) shall take place at least once a month and shall be unannounced. Timescale for action 19/04/08 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 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 9 Allenby Road DS0000062384.V357600.R01.S.doc Version 5.2 Page 28 - 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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