Inspection on 28/09/07 for Autumn Lodge

This inspection was carried out on 28th September 2007.

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

Autumn Lodge 23/05/06

Autumn Lodge 23/01/06

Autumn Lodge 17/10/05

Autumn Lodge 21/02/05

Autumn Lodge 10/08/04

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

CARE HOMES FOR OLDER PEOPLE Autumn Lodge 35-39 Rutland Gardens Hove East Sussex BN3 5PD Lead Inspector Elizabeth Dudley Key Unannounced Inspection 28th September 2007 10:00 X10015.doc Version 1.40 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 Autumn Lodge DS0000014177.V346892.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 Older People. 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. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Autumn Lodge Address 35-39 Rutland Gardens Hove East Sussex BN3 5PD 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) 01273 271786 01273 245191 braverycare@yahoo.co.uk Mrs Sheila Clare Bravery Mr Christian Gerald Bravey Care Home 35 Category(ies) of Dementia (35) registration, with number of places Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Dementia (DE). The maximum number of service users to be accommodated is 35. Date of last inspection 23rd May 2006 Brief Description of the Service: Autumn Lodge is a private care home registered to provide care and accommodation for up to 35 older people with a dementia type illness; there is also a respite flat available for couples where a person with dementia can be cared for by their relative. The home does not provide nursing care. The conditions of registration of care homes are currently being reviewed by the South East Registration Team as part of the Modernising Registration Agenda The home is located in a residential area close to the centre of Hove, with all local amenities and the seafront close by. The area is well served with bus and rail services, and parking is available on the private forecourt and in the street outside. The property comprises three converted houses that have been linked together, and service user accommodation, including 23 single and five shared bedrooms, plus the respite flat, is arranged on three floors that are accessed by a passenger lift. There is also a stair lift to an area on the first floor The fees vary from £409 to £600 a week depending on the room occupied and the package of care required. Extra services such as hairdressing and chiropody are charged separately and this information is available from the home. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 28th September over a period of seven hours. It was facilitated by the registered manager, the provider and the care manager. Other staff participated in the inspection by giving their views on the running of the home and the daily lifestyle of the residents and by giving information relating to their training and expectations. Prior to the inspection ten comment cards were sent to relatives or representatives of residents, ten to residents and two to health care professionals. Eight residents questionnaires were returned and most of these had been completed with the aid of their relatives, and further comment cards were returned from a health care professional and two relatives. Two social care professionals were contacted by telephone to gain their views. Generally comments received were very positive “I am happy with my mothers care and happy to have found Autumn Lodge”. “Autumn lodge provides excellent care in an appropriate manner”. ‘This is the first time I have had to use a home, I am impressed and happy with the one chosen’. During the inspection a tour of the home took place, documentation was examined which included care plans, medication charts, health and safety records and personnel files. Six residents were spoken with and their care plans looked at in depth. Because of the nature of the various conditions that affect the residents, some were unable to give their views, but most were spoken with on a general basis during the day. Views gained from residents were that ‘ The home is nice and I am very happy’ ‘ The food is good’ and ‘ I like my room’. ‘ The inspector thanks residents, staff and management for their help and courtesy over the day, and those who returned comment cards, which gave valuable insight to inform the inspection. What the service does well: The home provides personal care to older people with a dementia type illness in a comfortable and well maintained setting. Great emphasis is placed on providing stimulating and interesting activities, which are suitable for the varying abilities of people living in the home. These include visiting entertainers, theatre groups, crafts, and formal outings. Afternoon walks, when weather permits, are a regular feature in the day. The standard of catering is very good, with the chef able to provide meals, which suit both ethnic and personal preferences, and meals seen were Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 6 attractively presented. All residents spoken with were very positive about the food provided. The training provided to care staff is good, with staff attending ongoing training in the care of the residents including dementia care. What has improved since the last inspection? What they could do better: The current care manager has no qualification in delivering personal care although she has previous practical knowledge and experience in care home management. It would be beneficial to her training of care assistants and delivering personal care if she were to obtain a relevant formal qualification. The registered manager is commencing the National Vocational Qualification level 4 in care and the registered managers award, but does not at present take part in the care aspects of the home. Management also need to attend a formal training by a recognised body in the reporting protocols around safeguarding adults. Ancillary, catering and maintenance staff would be better protected if they had training in moving and handling. Residents should be given a service user guide on entering the home as this includes useful information about the life in the home. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 7 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. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 People who use the service experience adequate quality outcomes in this area. Residents have the necessary information to enable them to decide whether the home can meet their needs and expectations. Existing residents do not have a copy of the service user guide, which provides information on the daily running of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide contain the information as required by the regulations and the National Minimum Standards. Prospective residents or their representatives receive a copy of the above documents when considering being admitted to the home. The Statement of Purpose should Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 10 include details of any restrictions the home may put on admission of residents with limited mobility. Once residents are in the home they do not have a copy of the service user guide, which contains important information for the residents about the life in the home. Whereas it is recognised that some residents would be unable to use this information, this would not generally be the case and individual copies should be made available to all residents on admission. Two preadmission assessments were examined and these were seen to address the psychological, care and social needs of the resident. Care plans are formed from the preadmission assessment. The manager states that residents are assessed by the care manager or a suitably qualified carer, prior to admission, other than in the case of an emergency admission. Residents in this category are admitted and then assessed at a later stage. Residents and their relatives or representatives can visit the home prior to them deciding over whether they wish to live at the home, and residents are admitted for a four week trial period. The home provides a small self contained flat suitable for a resident with a dementia related condition and for their relative or representative who should be cognitively able and not require care. At present the residents living in the flat meet the above category. All residents are issued with a contract or terms and conditions following their admission, this meets the regulations and the National Minimum Standards. The home admits residents for respite care but not for intermediate care. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good quality outcomes in this area. Care plans give clear information on how care is to be delivered to meet the health, personal and psychological needs of the residents in a manner, which suits the preferences of the individual. Some aspects of medication storage and recording do not completely safeguard the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of five care plans were examined (14 ) these addressed psychological and general health and social care needs in a person centred manner. The instructions to care assistants identified the actions required to ensure the correct care was given whilst encompassing the preferences of the resident. Care plans had been reviewed regularly, included risk assessments and incorporated any visits or advice from district nurse, community Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 12 psychiatric nurses, the mental health liaison nurse and other health care professionals. Adequate information was included on the specific mental health disorder with actions to be taken to avoid triggering this and instructions on dealing with challenging behaviour. Community nurses have recently been involved in treatment of pressure damage and the continence specialist has assessed all residents and results of these assessments and the relevant continence products to be used were in individuals care plans. The home does not have suitable lifting equipment to care for residents who cannot weight bear. Comments from relatives or representatives of residents were positive about the care given and a health care professional said ‘ The care is generally good’. Staff who are responsible for administering medication have received the appropriate training. Some medication was not being stored at the optimum temperature, and it was noted that the total amount of controlled drugs in the home was above the amount recorded. The care manager informed the inspector, following the inspection, that these have been accounted for and returned to the dispensing pharmacist. The registered manager should ensure that all medication, particularly controlled drugs, is regularly audited. Other aspects of medication administration fully safeguarded the residents. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience excellent poor quality outcomes in this area. The home puts emphasis on providing activities, which meet the varying abilities of the resident. A varied menu is provided which caters for the ethnic, religious and preferred dietary requirements of those living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a great emphasis put on providing suitable activities for the residents of the home, there are visiting entertainers and people bringing opportunities for craft activities into the home, this is supplemented by outings on a formal basis and also by the care assistants taking people out if weather permits. Care assistants instigate activities within the home including board games and quizzes. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 14 The care plans show the social preferences and the preferred times of rising and retiring of the individual resident and records of their participation in activities. Residents have the freedom to wander around the home which has three lounges all of which are decorated in a different style to facilitate residents knowledge of their whereabouts, bedroom doors are kept locked but unlocked on request and those residents who are able to do so have the means to open their room doors, these residents were seen to be accessing their rooms at will. Relatives and friends of residents may visit at any time, and residents also have their ministers of religion visiting in addition to the monthly religious service provided by the home. The standard of catering is good. The day’s menu is displayed in the dining room and residents are told what is on the menu and of the alternative options available. The cook regularly cooks a separate vegetarian meal for a resident and enables another resident to follow his ethnic and religious dietary requirements. On the day of the inspection both the lunch and supper meal was attractively presented, including meals that were pureed, and residents made very positive comments about the food served in the home. Staff assisted residents in an empathetic and dignified manner. The kitchen has been awarded five stars by the Environmental Health Authority. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good quality outcomes in this area Residents and visitors to the home are able to make complaints and know that these are addressed in an open and transparent manner. Staff have received training in safeguarding those in their care but management are not fully aware of the procedures required to ensure the residents are safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy is displayed in the home and included in the Service User Guide; four complaints have been received by the home including one that was referred by social services to the CSCI. Complaints received by the home were minor concerning domestic and care matters and these were dealt with and responded to by the provider. The provider responded to the complaint referred to CSCI. Records of minor complaints are kept in the staff reception area, whilst others are kept in a locked office. There has been one adult safeguarding alert since the last inspection, which was investigated by the Community Mental Health Team, the CSCI have not been made aware of the result of this at the time of inspection but the home stated that it was partially substantiated. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 16 Whilst the community mental health team said that the manager had been fully co-operative prior to, and during, the investigations, there was evidence of lack of knowledge of the correct protocols and procedures to be used. The Annual Quality Assurance Assessment received by the CSCI from the home identified the training of management of the home in ‘safeguarding adult’ protocols is required, and stated that this would be addressed. The provider said at inspection that this is arranged to take place in the next two months. Both the chiropodist and hairdresser have had a full Criminal Records Bureau check in respect of the home. Relatives of residents and some residents said that they believed that any complaint they may make would be investigated thoroughly and in a fair and professional manner, and that they would feel comfortable in making a complaint. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22, 24,25,26. People who use the service experience good quality outcomes in this area Residents live in an attractive, well maintained and clean home. Practices within the home generally promote the control of infection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well furnished and decorated and has its own maintenance staff. Communal accommodation consists of three lounges and two dining rooms and a small courtyard garden. Following concerns made previous inspections about the lounges appearing cramped and health and social care professionals identifying that the environment can limit residents’ mobility; the management have moved some Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 18 of the larger items of furniture such as the piano out of the home. Although the large lounge appeared crowded there were few residents using the other lounge or the conservatory areas. Carpets in one of the lounges and some bedrooms have been replaced with laminate flooring and whilst the management may feel this is necessary in some areas it does not contribute to the homely feel of the home or individual residents rooms. Residents’ bedrooms have been furnished to a good standard with appropriate furniture, and residents are encouraged to bring personal possessions in with them, with some residents bringing in furniture. The maintenance person is responsible for monitoring the temperature of the hot water in outlets accessible to residents. His records showed that these were maintained within recommended parameters. Care staff also test the bath water temperatures prior to bathing residents. Six bedrooms have ensuite bathing facilities and a further ten have ensuite consisting of a toilet and washbasin. Other rooms have a washbasin only. The home has four communal bathrooms with assisted bathing facilities and an assisted shower room. The home provides grab rails, assisted bathing and some moving and handling equipment. There are no hoists in the home and the manager stated this was a management decision to ensure that the home only admits residents with a fair standard of mobility. This should be emphasised in the Statement of Purpose. Practices in the home generally promote good infection control but care staff were seen going into the kitchen without wearing protective clothing which is not in line with the home’s own policies. All areas of the home were in a clean condition and free from odour. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good quality outcomes in this area. Staff are employed in sufficient numbers to meet the assessed needs of the residents. On going training is encouraged to ensure that residents receive a standard of care delivery, which reflects current research. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rota and observations on the day of the inspection confirmed that the number of care staff on duty over a twenty four hour period to meet the needs of the residents in the home. Deputy managers work on an internal rotation covering both night and day duties. Care staff are supported by catering staff, domestic and laundry staff, administrative staff and a maintenance person. Staff spoken with said that there were sufficient staff on duty over a twentyfour hour period and if there were shortages these were replaced by agency staff. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 20 Staff undertake a recognised induction course at commence of work at the home and further training is encouraged. Six (35 ) members of staff have the National Vocational Qualification level 2 or 3 in Care and four further members of staff are studying for this qualification. Other training includes mandatory training, safeguarding adults and dementia training. Training also takes place in staff meetings. It is recommended that ancillary staff including catering and maintenance staff receive moving and handling training commensurate to the work that they perform. Five personnel files were examined and these included all the documentation as required by the regulations. One member of new staff was working with a Protection of Vulnerable Adults check only having being received, prior to the full Criminal Records Bureau Check; the manager gave assurances that this member of staff is working under supervision. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38, People who use the service experience good quality outcomes in this area. Management systems within the home protect the residents, staff and visitors, and monitor the services offered to ensure that they meet residents’ expectations. Managers do not at present have any qualifications in care, and gaining these would benefit residents by having the delivery of care given to them, being monitored by qualified personnel. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 22 The home has a registered manager and a care manager, the registered manager Mr C bravery is a member of the family that owns the home, has been manager for four months and is registered with the CSCI. He is to undertake the National Vocational Qualification level 4 in Care and Registered Managers Award, but has not yet commenced this. At present he does not get involved in the care of the residents, but concentrates on overseeing the administration of the home. A care manager is employed to oversee the care in the home. The care manager, a qualified social worker and a previous registered manager, has worked in care homes for a number of years but has no care qualification, she commenced in the home in February 2007. Discussions were held with the provider relating to this but no conclusion reached. Staff spoken with said that they enjoyed working at the home, staff turnover is moderate and visitors to the home spoken with said that the atmosphere within the home was good, with staff consulting them on any issues they may have. The home completed the Annual Quality Assurance Assessment, required by the CSCI to provide an overview of the current status of the home, and this accurately reflected current practice within the home. The management in the home is currently using this to inform the home’s own quality monitoring process. Staff meetings are held on a three monthly basis, as are residents and relatives meetings, minutes were seen of these. Provider visits take place on a monthly basis and reports on these are kept in the home with appropriate action taken if there are any concerns raised. The home has a financial controller who deals with residents’ money. The home acts as appointee for one resident only, whilst holding personal monies for other residents, all records were seen to be in order. A business plan is in place in the home, which details the financial expenditure and future plans for improvement. The Annual Quality Assurance Assessment stated that servicing of utilities and equipment had been undertaken and that staff have attended mandatory health and safety training. Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 3 3 2 x 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 3 3 3 3 3 Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 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 OP1 Regulation Reg 4 (1)(b) Reg 5(2) Reg 18(c) Requirement That the statement of purpose identifies any limitations to admission of service users That all service users receive a copy of the service user guide. That members of staff that are responsible for supervising care obtain a relevant qualification in care. Timescale for action 30/11/07 2 OP28 01/03/08 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 Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Autumn Lodge DS0000014177.V346892.R01.S.doc Version 5.2 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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