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Inspection on 09/01/08 for Barn Park Residential Home

Also see our care home review for Barn Park Residential Home for more information

This inspection was carried out on 9th January 2008.

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

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.

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

What has improved since the last inspection?

The literature about the home has been updated and is now a truer interpretation of what the home has to offer. This helps people, or the person who represents them, make an informed decision as to whether the home will suit them. The handling of medicines is now done in a professional way which improves safety for people who use the service. Recruitment is now more robust ensuring each potential member of staff has been checked as safe to work with the people who use the service. The home environment is safer now that the servicing of equipment and effectiveness of maintenance checks have improved. The staff rota now includes the registered manager so staff know when he will or will not be at the home. People who use the service, their representatives and health care professionals associated with the home, are now having their opinion sought about the service. Mr. Scantlebury, the registered provider, should now have an audit of how well the service/home is performing and areas for improvement can be identified. Plans have been started towards improved safety and access to the gardens.

What the care home could do better:

Despite ongoing improvements in the standard of planned care at the home one person had no plan at all despite being at the home for five weeks. During this time his health varied to the point where he had been critically ill. The care should have been thought through, recorded and reviewed when changes occurred. Care planning ensures people receive person centred support that meets their needs. Risk is still poorly considered at the home. Having already fallen over a bed rail a person still had no assessment of the risks to him from having bed rails in place. This puts both the person and staff at risk. We issued an Immediate Requirement that this assessment been completed by 11th January. Some staff do not feel they have a voice; are not listened to. This has been an ongoing complaint from staff. They want better communication (which includes care planning), meetings, better leadership and support. We havealso received a repeated request from staff to put people first, and the care of the home`s cat second.

CARE HOMES FOR OLDER PEOPLE Barn Park Residential Home Barn Park Halwill Beaworthy Devon EX21 5UQ Lead Inspector Anita Sutcliffe Unannounced Inspection 10:00 9 January 2008 th 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 Barn Park Residential Home DS0000003646.V354941.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. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barn Park Residential Home Address Barn Park Halwill Beaworthy Devon EX21 5UQ 01409 221201 01409 221602 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) Mr William Derek Scantlebury Mrs Anna Patricia Scantlebury Mr William Derek Scantlebury Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22), Old age, not falling within any other category (22), Physical disability over 65 years of age (22) Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th November 2007 Brief Description of the Service: Barn Park is a large Victorian House on the edge of Halwill village. It is registered to provide personal care to 22 elderly people, who may have physical disabilities, dementia or mental disorders. It is privately owned and managed. District nurses and local GP’s provide any medical care. The home has been extended but still retains many of the features of the original house. The property is set in extensive grounds. On the ground floor the home has a dining room, lounge leading to a conservatory, an additional private lounge, six single bedrooms, a bathroom with toilet and two other toilets. There is a stair lift to the first floor where there are twelve bedrooms, two of which may be used as double rooms, four of the single rooms have ensuite toilet facilities - one has an en-suite bathroom. There are two stair cases to the second floor, both with a stair lift, where there are two bedrooms with en-suite toilets and a staff sleep in room. The home has equipment to aid residents’ mobility. Current fees charged are: £300 - £450 Additional charges, as stated in the home’s contract are: ‘Medical requisites, hairdressing, chiropody, newspapers, clothing and other items of luxury or a personal nature, and transport. The latest inspection report is situated in a drawer in the entrance hall of the home. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. Since the last key inspection was completed on the 16th August 2007 a Random Inspection was carried out on 12th November. This was to check compliance with Legal Notices which had previously been served against the home regarding the handling of medicines and standard of care planning, both which were considered unsafe at the time. We also looked at health and safety within the building. The report from this Random Inspection is not published but is available on request from the Commission. Reference to the findings of the Random Inspection is made within this report. The purpose of this inspection was to assess the homes compliance with Key National Minimum Standards for Older People. It included one unannounced visit to the home. Most people who use the service (residents) were met. Ten staff had the opportunity to provide anonymous information through survey. We received three responses. Care, recruitment, medicine and complaints records were examined. Most areas of the home were visited. The registered manager was not available but discussion was held with the senior care staff known as matron and deputy matron. What the service does well: Staff say: • “Provides a friendly, caring service to give clients a happy home environment. Giving clients support and high standards of care and help where needed. Proves a healthy diet using a good choice of foods”. • In the main, Barn Park encourages the service users to feel they are ‘at home’ and not like they are just people filling rooms. They are given choices where possible and safe to do so. Matron shows great understanding and care to the service users”. • “The staff and management manage to work well with all residents in the home and are always very quick to form good relationships with new clients”. We feel this staff comment is a good reflection of what Barn Park does well. We also find that the registered manager is keen to provide a good home for the people in his care and that he and senior staff try extremely hard to comply with requirements that the home receives. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 6 Barn Park is a homely, relaxed environment. Staff are friendly and have fun when they are at work. People using the service are treated with respect and staff try hard to provide choice, a good standard of care and a fulfilled life for them. What has improved since the last inspection? What they could do better: Despite ongoing improvements in the standard of planned care at the home one person had no plan at all despite being at the home for five weeks. During this time his health varied to the point where he had been critically ill. The care should have been thought through, recorded and reviewed when changes occurred. Care planning ensures people receive person centred support that meets their needs. Risk is still poorly considered at the home. Having already fallen over a bed rail a person still had no assessment of the risks to him from having bed rails in place. This puts both the person and staff at risk. We issued an Immediate Requirement that this assessment been completed by 11th January. Some staff do not feel they have a voice; are not listened to. This has been an ongoing complaint from staff. They want better communication (which includes care planning), meetings, better leadership and support. We have Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 7 also received a repeated request from staff to put people first, and the care of the home’s cat second. 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. Barn Park Residential Home DS0000003646.V354941.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 Barn Park Residential Home DS0000003646.V354941.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): 3 (Standard 6 does not apply to Barn Park) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are admitted to Barn Park following thorough assessment of their needs. EVIDENCE: Updated information provided by the home now better represents what the service has to offer and what people can expect at Barn Park. We looked at the assessments of two people who were recently admitted to the home. It was clear that they, or their representatives (in both cases family) had been able to provide information they considered important so that staff at Barn Park could understand the person and their needs properly. The information provided a good overview of the person as a whole. One contained an excellent social/family history. Physical and emotional care Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 10 needs were also identified. These provide the basis for planning the care to be delivered. We also saw that information had been provided from both Local Authority and specialist mental health teams who had been involved in the admissions. We spoke with a third person at Barn Park, admitted for a short stay. She said she would be happy to return again and was happy with what the home had to offer. She commented that Mr. Scantlebury, the registered manager, had made a point of asking if everything was alright, saying to let him know if it wasn’t. Barn Park Residential Home DS0000003646.V354941.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs but not always properly planned or risks thought through. People are treated with respect and dignity. EVIDENCE: There have been repeated requirements at Barn Park to manage medicines in a safe way. This is now achieved. The home has medicines policies and procedures, which protect both the people who use the service and the staff. Staff are following those procedures and working as competent professionals when handling medicines. We looked at the care records of three people who live in the home. These included the care plans, which should inform staff how care is to be delivered. Each followed a similar format providing important information in a clear way. Staff said: “Although the new plans took some getting used to”, they are useful Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 12 to them. We were therefore very disappointed to see that one person, admitted to the home on 30th November, had no plan of care at all. Staff said that, because he was only admitted for a short period of time, they did not believe one was necessary. This is not the case. He has now been resident for five and a half weeks. During this time his health and care needs have fluctuated greatly; staff must have a plan of care to follow to ensure safe and consistent care is provided. We found that plans of care include an assessment of possible risks to the individual, so that any risk identified can be managed so that people who use the service are as safe as possible. However, where bedsides had been used (and the person had already fallen trying to climb over) there was no assessment of the risk of using bedsides. We served an Immediate Requirement for an assessment of risk to be completed. Where people had a plan of care it had been regularly reviewed and updated so that information is current and of use to staff. Staff say they: “really do care” about people at the home. There was good evidence to support this and it was clear that the physical and emotional health care needs of people are properly met. Staff take time, are considerate and kind. A newly admitted person to the home said: “We are treated with respect and, from what I’ve observed, care staff treat everybody well”. Barn Park Residential Home DS0000003646.V354941.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their life style and are supported to lead fulfilled and individual lives. EVIDENCE: People have fun at Barn Park. We were told that at Christmas there was a ‘sprout peeling’ party, where people helped in the kitchen and enjoyed a glass of sherry afterwards. Cook confirms that some people who use the service regularly help her with the vegetables. Staff were seen chatting and spending time in the lounge and the home is generally a happy place. It was confirmed that activities include: - Singer/entertainer once a month. - Tuesdays and Thursdays five or six residents attend a day centre. - Weekly visit by a hairdresser. - Karaoke alternative weeks. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 14 - A weekly visit by a professional activities worker who organises a quiz, games, music etc. We observed this. People were seen enjoying her dog performing tricks for them. Plans of care now include some information on how social needs, wishes and preferences are to be met. One person had an excellent social/life history record, very important as she has complex needs. We were told that currently there is nobody who wishes to follow any faith or visit church. However, the home keeps contact information for a local minister. There is a relaxed and supportive attitude by staff to people’s individuality. Routine is avoided where possible. One person, who has a head cold, was still in bed asleep mid morning. There is a pet dog in the home. Another confirmed that she is able to ‘keep the hours’ she wishes. Family are made welcome. All were invited to a Christmas coffee morning and visitors are often seen chatting with staff. One person, asked about the food said: “It’s very good and nicely cooked”. We saw that fresh vegetables are used. Cupboards were well stocked and the cook was preparing home made puddings during the visit. Staff monitor people’s weight, sometimes with help from District Nurses if there is concern. Barn Park Residential Home DS0000003646.V354941.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure and are protected from abuse EVIDENCE: There have been no complaints or concerns raised with the Commission about Barn Park. The home has not received any complaints. Staff were able to describe what they would do if they had concerns about people’s welfare. Matron and deputy matron knew how to respond properly should they believe that abuse might have occurred. Staff receive training in how to protect vulnerable adults from abuse as part of National Vocational Qualification (NVQ) in care training and each of the three who responded to survey said they knew what to do if they had any concerns. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 16 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 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service to live in a safe, adequately maintained, comfortable environment. EVIDENCE: We visited most areas of the home during the random inspection in November and during this key inspection. There has been ongoing improvement regarding safety. Equipment, for example call bells, are now regularly checked to ensure they are working. No maintenance concerns were identified during this inspection. The home is warm, fresh and homely in appearance. To help people who might have problems finding their way around the home, bedrooms have the person’s name and a picture of relevance to them on the door. We were told Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 17 that there are arrangements to paint toilet doors yellow so that they are easily identifiable. One person told us her bed was comfortable and the home has remained warm through the recent very cold weather. We found that, regardless of continence problems, bedrooms were fresh. Safety within the environment was considered; radiators have covers, first floor windows do not open too far and there is liquid soap and hand towels for staff use. Where a person using the service had complained a toilet was unclean this had been dealt with immediately. However, we found a dirty wheelchair in use. It was previously identified that the garden was difficult to people to get to and unsafe, as paving slabs were uneven. Matron said that work on the paving, and access to the garden, have already commenced and a wheelchair ramp and handrail have been commissioned. This will make the garden patio more accessible and safe for people to use. The home is not required to complete this until 1st. May 2008. The home’s second lounge, away from the television and a quieter area for people’s use, is currently unavailable as it is being used as a bedroom. Should this space be needed as a temporary bedroom again the manager will need to confirm that the amount of communal/shared space which remains meets the national minimum standard expected. It must also be clear within the home’s literature that there is no quiet space for people to use other than their bedrooms. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from a staff, which is properly recruited, trained and in sufficient numbers to meet people’s needs. EVIDENCE: We found, when visiting, sufficient care and support staff on duty to meet people’s needs. In addition, activities were provided by an outside organisation and a hairdresser was there. The matron had time available to her for necessary office administration. The registered manager was away, but his hours were clearly stated on the staff rota and he was in regular contact with the home should he be needed. Many staff at the home have achieved the National Vocational Qualification (NVQ) in care which is an indicator of their competence. Some staff are about to complete it. We confirmed that staff have had training in first aid and we were told all other necessary health and safety training is up to date. Some staff commented that there should be more refresher and update training available for them. Two of the three staff responses to survey said there are not always enough staff on duty, especially when there is illness or holidays. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 19 We looked at the records of the person last employed at the home. All necessary safety checks had been done to confirm that the person should be safe to work with the vulnerable people at the home. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 20 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, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management and administration of the home has improved but an appreciation of risk, and how to keep people at the home safe, remains weak. EVIDENCE: The home has improved a lot in the last year. The registered manager and staff have worked hard and now, as well as offering a caring home, also offer a more professionally run service to the people who live there. However, we find the same repeated complaints from staff as when their opinion was previously surveyed. These are: • Wanting improved communication. Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 21 • • Wanting regular staff meetings. Wanting improved leadership. When asked if they have the right support, experience and knowledge to meet different needs of people who use the service one staff member said always, and two said sometimes. They commented: “I feel we should have more support when dealing with client’s needs and any special circumstances should be discussed and we should be given advice to maintain high standards of care” and “Can be hit or miss sometimes, although matron is very supportive she cannot be there all of the time”. The registered manager Mr. Scantlebury has taken steps to ensure people associated with the home can comment about it. Staff receive regular supervision of their work and there are regular staff meetings. People at the home, their families and health and social care professionals associated with the home, have had the opportunity to give their opinion to him through surveys. Information from those surveys is still to be collated. We look forwards to seeing the results. Families were also invited to a coffee morning to meet staff and management. The home keep no money for people who use the service but instead invoices them should money be spent on their behalf. The home still lacks a management that fully appreciates how to manage risk. We found no assessment of risk where bed rails were in place although there had already been an accident. (Also see Standard 7). Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X X X X 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 2 3 X 3 3 X 1 Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15(1) Requirement All people using the service must have an up to date, detailed plan of care. This will ensure that their receive person centred support that meets their needs. Wheelchairs must be kept clean so they are pleasant to use and hygienic. All potential risks to people who use the service must be assessed so that steps can be taken to reduce or remove the risk as necessary. This assessment must always include equipment, which restricts people’s movements. An Immediate Requirement was issued. The paving stones in the garden, or any other surface used, must be evenly laid to reduce the risk of trips and falls. Timescale for action 18/01/08 2. 3. OP26 OP7 23(2)(d) 13 31/01/08 11/01/08 4. OP38 13 01/05/08 Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 24 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. 2. Refer to Standard OP19 OP20 Good Practice Recommendations People who use the service should have safe access to the garden so that they have the benefits from open air space and their independence is promoted. People who use the service should have access to a variety of communal spaces so that they can sit quietly, or receive visitors in private. A quiet lounge/space should be available for them at the home. The manager should provide the standard of communication, leadership and support, which staff continue to say they want. 3. OP32 Barn Park Residential Home DS0000003646.V354941.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Barn Park Residential Home DS0000003646.V354941.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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