Inspection on 15/09/05 for Ashleigh House [Taunton]

This inspection was carried out on 15th September 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 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

Ashleigh House [Taunton] 30/04/07

Ashleigh House [Taunton] 17/01/06

Ashleigh House [Taunton] 10/12/04

Ashleigh House [Taunton] 20/07/04

Ashleigh House [Taunton] 11/03/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Ashleigh House 20 Chip Lane Taunton Somerset TA1 1BZ Lead Inspector David Kidner Announced 15 September 2005 th 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. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ashleigh House Address 20 Chip Lane Taunton Somerset TA1 1BZ 01823 350813 01823 257914 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) Voyage Ltd Emma Eveleigh Care Home 17 Category(ies) of 1. People aged 18 - 64 years with learning registration, with number disabilities. of places 2. People aged 18 - 64 years with physical disabilities. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 17 persons in categories LD and PD. Date of last inspection 10th December 2005 Brief Description of the Service: Ashleigh House is registered as a care home to provide personal care (PC) to seventeen people with a Learning Disability (LD) and Physical Disability (PD). The home comprises of two areas of accommodation known as Ashleigh House and Westleigh House. Both areas have bedrooms located on the ground and first floors. Each area has adequate communal living space. Ashleigh House and Westleigh House are located within walking distance of Taunton town centre in a residential and semi industrial area. Both areas are situated on the same site and have individual managers and staff teams. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector conducted the Inspection over one day (8.0 hrs). This Inspection report is made in relation to Ashleigh House. However, this service currently covers two main areas of accommodation; Ashleigh and Westleigh House. Voyage Ltd owns the home. Voyage Ltd has been committed in improving the environment in both living areas and has made an application to register Westleigh House as a separate registered service. This is viewed as very positive. The Commission for Social Care Inspection (CSCI) will then inspect Ashleigh House and Westleigh House as two separate services. Future inspections will then focus on each individual area with separate inspection reports that will reflect the services provided at each home. This is very positive for both services. The Registered Manager is Emma Eveleigh. Due to the needs of the service two Registered Managers previously managed the home. A vacancy exists for a Registered Manager. As previously stated Voyage Ltd have made an application to register Westleigh House as a separate service. An application has been made for a Registered Manager to complete this process and there will then be two Registered Managers. The CSCI is processing the application. At the time of the Inspection major building works had almost been completed at Ashleigh House, with only a few minor cosmetic improvements outstanding. Internal decoration and reconfiguration had commenced on Westleigh House. In light of the imminent changes in the service not all standards were assessed. The Inspector viewed all areas of Ashleigh House and most areas of Westleigh House, viewed records in relation to care and support plans, staff recruitment, health and safety and medicines records. The Inspector met a number of service users and spoke to a large number of staff, three in private. The Inspector observed the staff team interacting with service users in a very professional, caring and supportive manner. The Inspector did not receive any comment cards from the service users. Voyage had notified all parents/relatives, Care Managers and Placing Authorities of the inspection and invited comments that would then be forwarded to the Inspector. The Inspector received 5 comments from parents in relation to Ashleigh House. On the whole comments were very positive. Comments were not received from any Care Manager/Placing Authorities. In relation to Westleigh House the Inspector received 5 comments from parents/relatives, 1 comment from a Care Manager and 1 comment from Day Centre Staff. Comments received were extremely complimentary of the services at Westleigh House. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 6 The Inspector would like to thanks the service users, staff and managers for making the Inspector welcome at the home. This was a very positive Inspection. The Inspector looks forward to Westleigh House becoming a separate registered service. There were no requirements and one recommendation identified at this Inspection. What the service does well: What has improved since the last inspection? All areas of Ashleigh House have undergone major refurbishment and redecoration since the last Inspection. Westleigh House is in the process of major refurbishment and redecoration. All areas of Ashleigh House are decorated and furnished to a very high standard with attention paid to detail. The home now has a separate dining Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 7 room, kitchen and laundry facilities. This is a vast improvement in the services provided. Westleigh House is currently undertaking major improvements to the environment. The Inspector viewed progress that has been already made. It is expected that the environment will also duplicate the improvements as viewed at Ashleigh House. This will be reflected in the Inspection of Westleigh House as a separate registration. All bedrooms in Ashleigh House have been re- decorated and furnished to a very high standard and reflect personal preferences and needs. Again, attention has been paid to detail and service users have been involved as much as possible in choosing the colours and soft furnishings. All bedrooms now have full en-suite facilities. Some have Jacuzzi baths fitted. Again, this is a major improvement in services. Bedrooms viewed in Westleigh were also decorated and furnished to a high standard and the majority have full en-suite facilities. Again, improvements in these facilities for some service user are currently being implemented. The shared bathroom and toilet facilities in Westleigh are very well presented and have specialist equipment installed where needed. All staff personnel files were available at the home at the time of the Inspection. This was a requirement at the last inspection. It appears that there has been an improvement in staff recruitment at the home. Therefore, staffing levels have improved. 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. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 2 3 4 5 Ashleigh House has a clear Statement of Purpose and a user friendly Service User Guide. The home conducts a detailed pre-admission assessment prior to prospective service users being admitted to the home. EVIDENCE: The home has a comprehensive Statement of Purpose and a Service user Guide that is written in Somerset Total Communication (STC). The fee charged depends on the individual assessed package of care. The Inspector viewed the documentation in relation to the pre-admission assessment that had been conducted by the Registered Manager prior to the most recent service user being admitted to the home. The service user moved from another home within the Company. The Inspector also viewed the transition plan. The service user visited the home on a number of occasions prior to moving to the home. These were all documented and brief entries as how well the visits went. All records were well maintained. Service users access a variety of health care professionals as and when needed. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 standard(s) 6 8 9 The home has detailed care plans that also include individual risk assessments. The care plans and risk assessments are reviewed on a regular basis to ensure a high quality service is delivered. EVIDENCE: The Inspector viewed four care plans. Including the care plan of the most recently admitted service user. All care plans contained very detailed information in relation to the care and support needs of the individual service user. There was evidence of protocols developed in relation to the management of behaviours and protocols to manage epilepsy. The Inspector recommended that the epilepsy management protocol for one service user should be signed by their GP. The care plans are reviewed on a monthly basis by the key worker and a formal annual review takes place. The Registered Manager and other appropriate persons have signed the care plans. The care plans were very well presented and user friendly. Following discussions with staff members and through direct observation it was evident that the home provides service users with opportunities to participate with the running of the home as much as possible. Service users and staff use photos and symbols of activities to aid decision making and informal chats are Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 11 held with service users. Service user meetings are also held. Records are kept of all meetings. The home has a policy on Risk Management. The care plans viewed contained detailed risk assessments for each service user. The risk assessments had all been reviewed, signed and dated. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 standard(s) 11 12 13 14 16 Ashleigh House supports and encourages service users to access a variety of activities both in the local and wider community and at the home. EVIDENCE: The home is to provide service users with access to professional/specialised services if required. Some service users attend Somerset College of Arts and Technology, (SCAT) and the local resource centre based on individual assessed need. No service users are currently able to partake in work experience or paid employment. The home has sufficient transport to support service users to access a variety of leisure and social activities including horse riding, swimming, bowling, trampoline and sailing. Service users access the local community and visit local shops, restaurants, cinema and theatre and are able to pursue their personal hobbies and interest in the home. In-House activities include massage, cooking, music, TV and DVD. At the time of the Inspection three service users were bread making and appeared to be enjoying the activity. Records are kept of all activities that are undertaken. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 13 Service users have access to all communal areas. Keypads are fitted to the front door of the property including all bedrooms. Smoking is not allowed in the home. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 standard(s) 18 19 20 The home provides technical aids and equipment to promote independence and ensures that service users have access to all appropriate health care professionals. The home maintains good records in relation to the administration of medicines. EVIDENCE: Care and Support plans clearly identify the support that service users require in relation to their moving and handling needs. The home provides the specialist equipment and aids that are needed based on individual assessed need. There are no set times for getting up and going to bed and staff encourage service users’ individuality and personal identity. This is evident in how staff support service users in choosing clothing, hairstyles and make up. All staff were observed in interacting with service users in a very professional manner. The home operated the key worker system. The care and support plans that were viewed contained documentation of the visits made to health care professionals. These included visits to the GP, dentist, chiropodist, optician, speech and language therapist, physiotherapist and Consultant Psychiatrist. Records are kept of all visits and consultations. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 15 The Inspector has received very positive feedback from one health care professional. The home uses the Monitored Dosage System. The Inspector viewed the arrangements in relation to the storage and administration of medicines. This was satisfactory. MAR sheets were very well maintained. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 standard(s) 22 23 The home has a detailed complaints procedure and there are policies and procedures in place to safeguard vulnerable service users. EVIDENCE: A record is kept of complaints that are received at the home. There have not been any complaints since the last inspection. The home has a number of systems to safeguard vulnerable people. There is a copy of the Safeguarding Vulnerable Adults procedure. The Inspector spoke to a number of staff including recently appointed staff members. All staff were aware of the home’s Whistle blowing Policy and Complaints Policy. All prospective staff have a POVA first check and an Enhanced CRB clearance before being employed to work at the home. Physical Restraint is not used at the home. The Inspector did not inspect service users finances at this inspection. However, all service users need support in managing their finances. The Registered Manager is the appointee for some service users. All service users have building society accounts, however, the Inspector was advised that the home is in the process of opening bank accounts for all service users. The home maintains records of all financial transactions, balances are checked regularly and records are available for audit purposes. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 standard(s) 24 25 26 27 28 30 Ashleigh House is fully accessible and designed to meet the needs of the service users as stated in the home’s statement of purpose. Ashleigh House has undergone major refurbishment and redecoration and provides a very high standard of facilities and accommodation. Bedrooms are furnished and decorated to a very high standard, with full ensuite facilities. The shared space is well maintained and is fully accessible to all service users. On the day of the inspection the home was very clean and tidy. EVIDENCE: All areas of Ashleigh House have undergone major refurbishment and redecoration since the last Inspection. All areas of the home are beautifully decorated and furnished to a very high standard with attention paid to detail. The home now has a separate dining room, kitchen and laundry facilities. This is a vast improvement of the services provided. Westleigh House is currently Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 18 undertaking major improvements to the environment. The Inspector viewed progress that has already been made. It is expected that the environment will also duplicate the improvements as viewed at Ashleigh House. This will be reflected in the Inspection of Westleigh House as a separate registration. The Inspector viewed all bedrooms in Ashleigh House. They were all decorated and furnished to a very high standard and reflected personal preferences and needs. Again, attention has been paid to detail and service users have been involved as much as possible in choosing the colours and soft furnishings. All bedrooms now have full en-suite facilities. Some have Jacuzzi baths fitted. Again, this is a major improvement in services. Bedrooms viewed in Westleigh were also decorated and furnished to a high standard and the majority have full en-suite facilities. Again, improvements in theses facilities for some service user are currently being implemented. The shared bathroom and toilet facilities in Westleigh are very well presented and have specialist equipment installed where needed. On the day of the inspection all areas of the home were clean and hygienic but still retained a very homely atmosphere. Ashleigh House now has much improved laundry facilities. All cleaning agents are always kept in a locked cupboard in the laundry room. The home has a cleaning schedule. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 32 33 34 35 36 On the day of the inspection the home appeared appropriately staffed to meet the needs of the service users. Voyage has a commitment to provide staff with the knowledge and skills to promote and maintain a well-trained workforce. The home has a robust recruitment process and staff receive formal supervision and appraisals. EVIDENCE: All staff have job descriptions and are familiar with their roles and responsibilities. The Managers confirmed that there has been an improvement in the recruitment of staff. There are currently two full time vacancies at Westleigh House staff team and once trial shifts for recently appointed staff to Ashleigh House team have occurred there will not be any vacancies within the Ashleigh House team. Staff that the Inspector spoke to felt that they have adequate staff on duty to meet the needs of the service users. On the day of the Inspection both accommodation areas appeared to have adequate staff on duty. The duty rota is amended to reflect the needs of the service users and Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 20 that staff will inter-change and staff from other home’s in the Company will provide support if needed. Staffing levels do not fall below minimum safety levels. The Inspector viewed the recruitment files of recently appointed staff members. The files contained the required documentation and were well maintained. The home has a Training and Development Plan for 2005/2006. Individual staff records are kept of training that has been undertaken. Any gaps in training are noted and staff will undertake required training as soon as possible. Newly appointed staff undertake the Learning Disability Award Framework training and staff are undertaking NVQ2 and NVQ3 Qualification. Training that staff have attended include, Food Hygiene, First Aid, Manual Handling, Rectal Valium, Protection of Vulnerable Adults, Stress Management, and Health and Safety Training. Some staff have also received training in Somerset Total Communication and Intensive Interaction. Some members of staff commented that they would like to receive training in epilepsy and the management of challenging behaviours. The Inspector fed this information back to the Managers at the time of the Inspection. The Managers and staff that the inspector spoke to confirmed that Voyage has a commitment to provide staff training and that courses are readily available. Staff that the Inspector spoke to confirmed that they receive regular supervision with records kept of discussions and outcomes. The Inspector did not view documentation in relation to this at the time of the inspection. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 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) 40 41 42 The Inspector did not assess all outcomes for these standards due to the imminent changes in the management of Ashleigh and Westleigh House. However, the Inspector received very positive comments from staff in relation to the management of the home. Voyage has a clear management structure and comprehensive Policies and Procedures. All policies and procedures are available in the home. The home strives to promote all matters relating to health and safety. EVIDENCE: The Inspector has received very positive comments from staff in the manner in which Ashleigh and Westleigh Homes are managed. The home has comprehensive Policies and Procedures. The Inspector viewed documents and records relating to health and safety. The home has developed and maintained good recording and filing systems. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 22 All appropriate checks are undertaken including weekly checks of the fire alarm system, emergency lighting, fire equipment and torches. Records are kept of fridge and freezer temperatures and hot water temperatures. Environmental Risk Assessments are conducted and reviewed when needed. The home keeps records of all incidents and accidents and monthly reports are complied by the Registered Manager and sent to Voyage Head Office in Taunton for further audit. This is considered as good practice. Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 4 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashleigh House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x 3 3 3 x D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 24 Are there any outstanding requirements from the last inspection? NO 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 Regulation Requirement Timescale for action 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 Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier, Taunton TA1 4AL 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 Ashleigh House D53_D02 S59617 Ashleigh House V232761 150905 Stage 4.doc Version 1.30 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!