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Inspection on 05/07/05 for Albert Road (8b) (Hightrees)

Also see our care home review for Albert Road (8b) (Hightrees) for more information

This inspection was carried out on 5th July 2005.

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 12 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This is a home that is improving and the inspector found that the home was performing well in all the areas inspected. The range of activities available to the men who live in the home continues to grow, and improve. Much effort is being put into improving the garden area of the home, and in developing an allotment. This is something the men who live in the home report enjoying. The home has helped the men that live in the home to plan and undertake holidays of their choice. This has included holidays abroad, on a boat, and in the UK. People who live in the home reported being very happy with the holidays and showed the inspector photographs of these. The environment at Hightrees had improved substantially in the past year. All the communal areas were clean, well presented and very homely. The home has one vacancy for a person to move into the home. The work undertaken to ensure the correct person is placed was very detailed. The existing service users are very involved in the process. The people that live at Hightrees all looked very clean, and well dressed. It was apparent people are supported and encouraged with their personal care, in a way that they chose.The staff team at Hightrees has become more stable. The people who live in the home are generally supported by people they know, and who are trained and supported to meet their needs.

What has improved since the last inspection?

The inspector found that all areas of the home had improved since the last inspection. At the time of the inspection it was clear that the service users, staff and the manager have worked hard to improve the home.

What the care home could do better:

The kitchen had been refitted prior to the inspection. Work to finish this off, such as attending to the floor, tiles, and overall finish is still required. Some areas of the home need to be improved, by cleaning or replacing carpets, undertaking decorating (ground floor bathroom) and ensuring that fixtures and fittings such as door handles are secure and robust.

CARE HOME ADULTS 18-65 Albert Road (Hightrees) 8b Albert Road Harborne Birmingham B17 0AN Lead Inspector Alison Ridge Unannounced 5th July 2005 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 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 Stationary 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. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Albert Road (Hightrees) Address 8b Albert Road,, Harborne , Birmingham B17 0AN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0121 428 3410 0121 428 3423 Accord Housing Association Ltd Ruth Gavin Care Home 5 Category(ies) of Learning Disability (5) registration, with number of places Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years 2. That Ms Gavin successfully completes the Registered Managers Award or equivalent by April 2005. Date of last inspection 22nd February 2005 Brief Description of the Service: 8B Albert Road, Hightrees, is a purpose built care home, that accomodates five men, who require care and support as they have a learning disability and some behaviours that challenge the service. The home is situated within a residential area of Harborne, and is close to local amenities, and transport links. The home has three ground floor bedrooms, a communal lounge, dining room, kitchen, and shower room. On the first floor are a further two bedrooms, a staff sleep in room/office, and a bathroom. The home offers off road parking for approximately four cars. The first impression of the home is very positive, with many planters and floral baskets maintained by service users. This is a home that has steadily improved in the past year. The standards assessed at this inspection were all met or partly met. The home has a stable staff team who understand and can meet the needs of the men accomodated. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector undertook this unannounced inspection over the morning of one day. During the visit she was pleased to meet with three of the men that live in the home. One person was on holiday, and the home has one residential vacancy. Information was collected by talking to the men that live in the home, the staff on duty and the manager. The communal areas of the home and some of the bedrooms were inspected. Records of care, staffing and health and safety records were also assessed. What the service does well: This is a home that is improving and the inspector found that the home was performing well in all the areas inspected. The range of activities available to the men who live in the home continues to grow, and improve. Much effort is being put into improving the garden area of the home, and in developing an allotment. This is something the men who live in the home report enjoying. The home has helped the men that live in the home to plan and undertake holidays of their choice. This has included holidays abroad, on a boat, and in the UK. People who live in the home reported being very happy with the holidays and showed the inspector photographs of these. The environment at Hightrees had improved substantially in the past year. All the communal areas were clean, well presented and very homely. The home has one vacancy for a person to move into the home. The work undertaken to ensure the correct person is placed was very detailed. The existing service users are very involved in the process. The people that live at Hightrees all looked very clean, and well dressed. It was apparent people are supported and encouraged with their personal care, in a way that they chose. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 6 The staff team at Hightrees has become more stable. The people who live in the home are generally supported by people they know, and who are trained and supported to meet their needs. 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. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 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 standard(s) 2,3,4 The home assesses potential service users and provides opportunity for them to visit the home, and test-drive it prior to making a decision about moving in. EVIDENCE: The home has one residential vacancy. The work undertaken by the home and manager regards filling this was assessed. A detailed assessment had been undertaken by the home manager. Information had been collected from the potential service user, existing staff that work with the person, and through observation. The potential new service user had made numerous visits to the home, including staying overnight, and for the weekend. Notes had been made by care staff regarding their observations during these visits, which had contributed to the assessment of the person. Existing service users had had opportunity to get to know the new service user. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 Service users benefit from plans that detail their needs and how they are to be met. Their preferences are sought and recorded. Service users are involved in the running of the home, which they report and were observed to enjoy. Risks are generally well assessed and managed, and documents are used constructively to enable people to have new experiences. EVIDENCE: The individual plans of two service users were assessed. These contained up to date information regarding the service users needs and how these were to be met. The plans showed that staff had involved service users where possible. The plans were very individual to each person reflecting their preferences and choices. Life goals had not been identified in the documents read, and it is recommended that person centred, lifestyle planning be undertaken with the men accommodated. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 10 The home consults with service users formally, through group meetings and one to one meetings with their key-worker. Service users were also listed as attending staff meetings. One service user the inspector spoke with reported being involved in the running of the home and decision-making. Service users undertake a range of risks, and present a number of risks. These had been identified by assessment and plans to control the risk were in place. The inspector found the culture of the home to be such that service users were encouraged and supported to undertake new activities within a risk assessment framework. Risk assessments had been reviewed monthly, and evidence of changes following incidents or a change in needs were evident. One risk assessment regards accessing the community was identified as needing to be more specific, in respect of staff support. The experience and qualifications of the staff should be clear, and if other service users are also undertaking the activity any concerns regarding the mix of people should be made clear. Information regarding service users was securely stored. The interactions between staff and service users were friendly and respectful. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,16,17 Service users are offered opportunity on a frequent basis to undertake activities of their choice. Service users are offered a range of food that is both interesting, tasty and which meets their dietary needs. EVIDENCE: The range of activities undertaken by service users was assessed for the week prior to the inspection. It was evident that service users had been supported to undertake a range of activities individually or in small groups. The number of staff on duty appeared adequate to enable people to undertake the activity of their choice at a time of their preference on most occasions. The home continues to work with a local college, and certificates of achievement for the work undertaken by service users were on display in the home. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 12 Service users have opportunity within the home to undertake developmental activities that include home making, making drinks and snacks, and gardening. It was evident that activities are also undertaken in the evening and at weekends. The home was complimented on the way in which service users have been supported to undertake holidays of their choice. The preferences of the men regarding holiday destinations were very different, and this had been incorporated into the planning. The inspector was pleased to talk with one service user who had recently returned from a holiday. Another person was away at the time of the inspection. The home places some restrictions on the freedom and liberty of service users to ensure their safety. The impact of the restrictions must be stated in the care plan of all the service users affected, along with clear details of the action taken to reduce inconvenience caused, and development work being undertaken to help service users develop skills towards reducing or removing the restrictions in the future. The range of food in the home, menus, and discussion with service users and staff about food identified a lot of positive feedback. Service users reported being able to choose food they like and being able to chose another option if they don’t like what is served. One service user had assisted staff undertake the weekly shop, and to buy food and drink for himself. The home offers fresh fruit and vegetables regularly. Service users have access to the kitchen with staff support, and can have a drink in their room if they wish. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Service users appeared well presented, and plans of care detailed how to support service users meet their personal care needs in the manner preferred by them. Health care needs, and health action plans have been developed with service users to ensure healthcare needs are fully and consistently met. Medication was well managed ensuring service users receive the right medication at the right time. EVIDENCE: The service users at home during the inspection all appeared well presented. Care records detailed how the person preferred their care needs to be met, including guidance for staff regarding how to offer this to service users who prefer to get up later in the day, or require a specific routine to be followed in respect of their autism. Care records detailed that care had been offered each day. The home has commenced work on Health Action plans. In one of the records, appointments with the GP, dentist and optician were all evident. In the other file evidence of appointments being offered or attended were not all available. The plan of one service user regards weight loss was assessed. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 14 The service user has lost weight, and has been supported to attend a weight management group. The homes plan to underpin this was identified as requiring some further work. Foot care as identified by the Chiropodist was tracked. Records to evidence this had been undertaken were not found, and it was not apparent this had been provided. This must be addressed. The specific night care needs of one service user were assessed. The plan available contained clear guidance for staff, and showed regular review and development as needs have changed. The plan for one service user with epilepsy was assessed. The plan was identified to need some further work to ensure the person is safe in event of a seizure (Airway, breathing etc) and details of the individual way the person’s seizure usually presents, and is managed. Service users all have some difficult to manage behaviours. The reactive management plans in place regarding these were assessed. They were found to be detailed, to contain pro-active measures, and very practical advice for staff regards distracting the service user and de-escalating the situation. Medication was generally very well managed. The process for checking received medication was robust. All administrations had been signed for. Medications not blister packed and creams were also well managed. Staff had been working towards accredited medication training. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards were not assessed. EVIDENCE: These standards were not assessed. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 16 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 standard(s) 24,25,26,27,28,30 Hightrees is domestic, homely, and able to meet service users assessed needs. EVIDENCE: In the past year the premises at Hightrees have been subject to significant development and upgrading. The premises now present as well maintained, homely and comfortable. The inspector met with two service users who reported being involved in choosing décor and furnishings for the home. The inspector considered the development of the front and rear garden, including the provision of a canopy to be very positive. This is clearly an area service users enjoy. The home had been refitted with new kitchen cupboards shortly before the inspection. It was unacceptable to find broken tiles, and an ill-fitting floor covering remaining, that had not been addressed in the refurbishment. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 17 The home’s ground floor shower room was clean and functional. The appearance of the room is very barren and institutional. Arrangements for the development of this room must be made. The homes flooring was generally improved in cleanliness. Concern remains regarding the carpet in the hallway and dining room. The manager had arranged to meet with representatives from the Housing association to address these matters. The standard of cleanliness in the home was very good. Odour control in the ground floor WC remains outstanding. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,35,36 The home has an adequate number of trained, and supervised staff to ensure service users needs are well and consistently met. Recruitment procedures were generally robust, ensuring service users are protected, and that staff employed can meet their needs. EVIDENCE: The rota, and the number of staff on duty at the time of inspection identified that adequate staff are provided. During the inspection the number of staff on duty enabled service users to undertake individual activities of their choice. The home uses regular bank staff or existing staff that will work additional hours to cover vacancies which promotes continuity to service users. Staff training appeared to be well managed. New staff the inspector spoke with had undertaken the Learning Disability Award Framework (LDAF), and a wide range of both mandatory and service user specific courses. The home continues to train staff to NVQ level 2 and 3. Supervision of staff has been undertaken frequently. Records of supervision identify care practice, training and support is covered. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 19 The recruitment records of two staff were assessed. These contained all the required documents. It has been required that the trust review who can give references, as in the files sampled some references had been supplied by people described as “friends”. The recruitment process is generally undertaken by staff external to the home. It is recommended that questions asked regards gaps in employment and work visas for example be included in the file to evidence that robust procedures have been utilised. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38, 41,42 Hightrees is a well run home, that ensures outcomes for service users are positive. Administrative systems are robust and ensure service users welfare and interests are protected. The health and safety of the home is well maintained for the benefit of service users and staff. EVIDENCE: The manager is a registered nurse, and she has recently completed the Registered Manager’s Award. All areas of the home inspected were well organised, and records were clear and auditable. The inspector chatted with service users and staff over lunch, and feedback regarding the manager and Hightrees as a place to live and work was very positive. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 21 The team at Hightrees had just been awarded team of the month by Clinical Governance. Staff and service users the inspector spoke with reported finding the home an inclusive and supportive place in which to live and work. Meetings of staff and service users are undertaken regularly. Service users money was found to tally with records, and receipts to underpin purchases were available. Current certificates of Insurance and Registration were on display. Records of fire alarm testing identified this had been undertaken as required. Action identified as being required during the gas system service must be undertaken, or evidence provided to the CSCI that this work has been addressed. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 22 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 x 3 3 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 3 3 3 x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 2 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Albert Road (Hightrees) Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 2 x Version 1.40 Page 23 E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation Requirement Timescale for action 15/8/05 2. YA16 3. YA19 4. 5. YA19 YA19 6. 7. YA24 YA24 8. YA26 13(4)(a-c) The risk assessment regards community access and the staff support required must be developed. 12(1)(a)( The restrictions made on service 4)(a) users must be detailed in the careplan, along with the measures in place to minimise disruption, and to support the service user develop the required skills. 12(1)(a) The epilepsy careplan must be further developed to detail ensuring the person is safe, and that personal details regards their seizures are included. 12(1)(a) A care plan to underpin a low fat diet and healthy eating regime must be developed. 12(1)(a) Evidence that healthcare needs are being met as required by the multi disciplinary team must be available. 23(2)(b)( Kitchen tiles and flooring must d) be made good. 23(2)(b)( Carpet in dining room and d) hallway must be cleansed to a satisfactory standard or replaced. 23(2)(b)( Lino floor in one service users d) bedroom must be replaced with E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc 1/9/05 1/9/05 1/9/05 1/9/05 1/9/05 1/10/05 1/10/05 Page 24 Albert Road (Hightrees) Version 1.40 carpet. 9. 10. 11. YA27 YA30 YA34 The ground floor shower room requires refurbishment. 16(2)(K) The odour in the ground floor toilet must be effectively managed/removed. 19(1)(a)(c A review of who provides ) references must be undertaken, and policy and practice reviewed accordingly. Evidence that gaps/queries in employment history have been addressed must be provided. 13(4)(b-c) Confirmation that work on the gas supply has been undertaken must be provided. 23(2)(d) 1/10/05 15/8/05 1/9/05 12. YA42 1/9/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations It is recommended that Person Centred Plans as identified in the Government white paper Valuing People be developed with service users. Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor , Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Albert Road (Hightrees) E54_S16966_AlbertRdHighTrees_V237856_050705UI stage 4.doc Version 1.40 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. 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