Inspection on 11/02/06 for Bede`s View

This inspection was carried out on 11th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 17 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bede`s View 26/08/08

Bede`s View 20/09/07

Bede`s View 19/03/07

Bede`s View 10/05/06

Bede`s View 22/08/05

Bede`s View 01/03/05

Bede`s View 01/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Bede`s View St Bede`s Close Wasdale Avenue Wivern Road Kingston upon Hull East Yorkshire HU9 4HZ Lead Inspector Kishon Dee Unannounced Inspection 11 January 2006 09:30 Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 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 Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bede`s View Address 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) St Bede`s Close Wasdale Avenue Wivern Road Kingston upon Hull East Yorkshire HU9 4HZ 01482 788078 01482 788098 Kingston upon Hull City Council Position Vacant Care Home 11 Category(ies) of Learning disability (11), Physical disability (11) registration, with number of places Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd August 2005 Brief Description of the Service: Bedes View is managed by Hull City Council Social Services Department and provides accommodation for eleven service users who present challenging behaviour as a result of their learning disability. The home is located to the east of Hull and is located within a residential area. Shops are close by and several buses travel to the city centre. Personal care is provided to all residents along with meals and laundry provision. Accommodation is in single rooms although none of these are en-suite. Although all on one site the home is split into two units (phases). Each phase has its own kitchen and dining room/lounge area. The home has a well-equipped sensory room. A secured garden area is available for service users to utilise. The home has parking facilities. A variety of aids and adaptations are available to meet the needs of those residents with mobility problems. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out with the acting manager, staff and residents of Bedes View. The inspection took 6 hours and included a tour of the premises, examination of staff and resident files and records relating to the service. Five members of staff on duty were spoken to and their comments and viewpoints are included within this report. The current service users are unable to communicate verbally and therefore the inspector used direct and indirect observation. Several service users were seen during the course of the inspection. There are concerns about the number of requirements that remain outstanding and have done so for some time and the CSCI must consider the issuing of improvement notices to ensure the health, Safety and welfare of residents and staff. What the service does well: What has improved since the last inspection? What they could do better: The staffing structure needs to be reviewed within a short period of time. The current staffing arrangements are not satisfactory and do not meet the needs of the home. This is a vital aspect of improving the service and ensuring that the home reaches the required standard. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 6 Medication records needs to be improved to ensure that all signatures are in place for medications received and administered by staff, so that there is no mishandling of medication and the residents health is looked after. Care plan records do not always accurately reflect the care being given on a daily basis and reviews of care plans and risk assessments must be reviewed on a regular basis. The quality of the food purchased needs to be reviewed to make sure that the diet provided is nutritious, varied and well balanced. The main gate to the grounds is locked and the inspector has concerns about this. It takes a long time to access the grounds and the registered person should consider other options. The current arrangement is not satisfactory. Regular recorded supervision of staff needs to be carried out at least six times a year to ensure that the staff receive the support and guidance they need All of these are outstanding requirements from previous inspections and the registered person has been asked to meet all of these more than once with no evidence of action been taken to do so. These must be met. 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. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2&3 Residents are given sufficient information about the home and its facilities prior to admission, to enable them to be confident that their needs can be met by the service. EVIDENCE: Admissions to the home are usually planned over a period of time and prospective service users are provided with the information they need to make an informed choice about where they live. Each resident has their own individual file and the three of those looked at had a full needs assessment completed by the funding authority and also one from the home. Staff members on duty were knowledgeable about the needs of each resident and had a good understanding of their specific problems/abilities and the care given on a daily basis. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&7&9 Progress needs to be made to the way in which staff record, review and risk assess the care needs and expectations of the residents. These shortfalls have the potential to place people at risk. EVIDENCE: All residents have an individual plan of care and risk assessments on file. These require work to ensure that all records are of the same standard. Some risk assessments are out of date and require review. None of the service users are able to sign to say they agree their plan of care. Relatives or representatives are asked to sign when involved and if there is no signature a reason is entered. Discussion with staff suggested that some needs were being addressed even though there was a lack of clear plans and guidance. This approach is dependent on staff memory and good verbal communication systems. Residents are at risk of not having their care needs met if these informal systems break down. This has also been noted at previous inspection and a requirement made for the individual plans to be well completed, and maintained and reviewed on a regular basis, the home must take action to meet this. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 10 The majority of the residents in Bede’s View are dependant and would have limited capabilities of contributing to the development of the service and associated documentation. However, talking to three members of staff throughout the day indicated that residents are included wherever possible. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 13 & 15 & 16 & 17 The current staffing levels reduce the number and range of activities provided. Although there has been some progress with menus further work is required. . EVIDENCE: Residents are able to take part in a limited range of activities, both in-house and within the community. The staff take residents out into the community on day trips with the home’s minibus. Of the files inspected an activities timetable is on file. When this was matched up against activities undertaken the timetable was not been followed. A large proportion of the activities carried out at this time are outings in the local community or to the local shops. Discussion with three members of staff indicates that activities have reduced since the last inspection. This is as a result of changes to the rota. Staff had a period of two hours in the afternoon when the early and late shift worked together and it was often at this time that residents could go out. This has stopped and staff do not have as much time to take residents out of the home. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 12 Discussion with two members of staff indicates that family and friends are able to visit the home and can use any of the communal facilities or the resident’s bedroom. There is no restriction on visiting times. Staff do also assist residents to maintain contact via mail and telephone. The majority of the current residents use non-verbal communication to express their choices and wishes and promote their independence. Any restrictions are documented within their individual plan. One member of staff discussed how one resident uses his eyes to look at things to indicate he wants you to so something. This was seen when he wanted to go onto his bed, he looked at the clock several times and the member of staff. The member of staff asked if he wanted to lie on his bed and he indicated that he did. Inspection of the menu’s and food stores indicate that although some work has being done and menus have improved further work is needed in this area. In looking in the food stores a lot of the products were basic or value range. Discussion with two members of staff indicate that there is no choice at mealtimes although they have a good understanding of individual residents likes and dislikes and provide an alternative if there is something on the menu they do not like. The care staff currently do all of the cooking, as one of the kitchens is out of use they have employed a member of staff on a short-term basis to do the cooking. All staff said that the standard of food provision has gone up as a result of this and residents are benefiting from freshly prepared food. This arrangement was due to end the week of the inspection. The menu’s and provisions need to be reviewed to ensure they provide a balanced, varied and nutritious diet. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 & 20 Not all service user’s health, personal and social care needs are being fully met. These shortfalls have the potential to place residents at risk. EVIDENCE: Of the three files looked at the health, personal and social care needs of residents were documented within the plan of care. The staff have a good understanding of the residents support needs. This is evident from the positive relationships, which have been formed between the residents and staff. Medication records were checked against the records held for three people, none of this was accurate and some recording systems are not clear as to the number of tablets administered. The medication policy and procedure has been updated and is comprehensive but is clearly not being followed. There has been deterioration in this area since the last inspection. The medication practices have been identified during previous inspection visits and a requirement was made requiring the systems to improve. Urgent action is needed to meet this requirement the practice fails to protect people and leaves them at risk. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 22 & 23 The home has a satisfactory complaints system. Service users are now protected from abuse whilst in the care home. EVIDENCE: The home has a satisfactory complaints system. Staff are confident about reporting any concerns and t he acting manager acts quickly on any issues. The home does have an Adult Protection Procedure and staff have undertaken protection of vulnerable adults training. There have been instances of issues arising during the last two years that have required referral to the police/social services for investigation. All the members of staff involved in this investigation are no longer working at the home and the investigation has concluded. The location of the home and access, the service being provided in two separate bungalows and the lack of a shift leader in one of the bungalows does cause some concerns. (These areas are discussed in environment and staffing.) The home has policies and procedures to cover adult protection and prevention of abuse, whistle blowing, aggression, physical intervention and restraint and management of service users money and financial affairs. The manager and all staff have had Protection Of Vulnerable Adults (POVA) training. The staff on duty displayed a good understanding of the vulnerable adults procedure. They are confident about reporting any concerns and certain that any allegations would be followed up promptly, and the correct action taken. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 24 & 25 & 28 & 30 The environment does not provide service users with safe and comfortable surroundings in which to live. EVIDENCE: Generally the home is presented in a pleasant manner. The decoration is varied and bright, offering stimulation to residents. The improvements to the communal areas have continued since the last inspection. The kitchen in one bungalow has been completed and the work was in progress in the other kitchen. Some of the furniture, carpeting and décor are showing signs of wear in residents bedrooms and a plan of maintenance and renewal to address these areas needs to be developed. There is only one small office for the manager and staff to use. This covers both bungalows and is not sufficient for the needs of the home. There is nowhere for staff and managers to meet for meetings or supervision. If they need to discuss things in private with relatives or visiting professionals there is nowhere for this to happen. The inspector was with the manager in the office for part of the morning and each time the inspector asked for a document she Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 16 had to leave the office and the chair had to be removed to enable the manager to gain access to the records, this also poses a health and safety risk. The only space available to look at records was on chair near the rear exit where the wheelchairs are stored. Discussion with two members of staff indicate that staff meetings have to take place a t the dining table in the residents lounge, this is not acceptable for either residents or staff and a suitable office/meeting room needs to be addressed as a matter of urgency. The home was found to be free from offensive odours. The home only has a limited number of cleaning hours and the cleaning staff work hard to try and ensure the home is clean and odour free. The current cleaning hours does not allow any time for areas to be deep cleaned and the provider should review the hours to ensure that they are sufficient. This was a requirement of the previous inspection and there is no evidence that any work has been done to meet this requirement. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 & 33 & 36 The current staffing structure is not sufficient to meet the needs of the residents. Staff are not adequately supervised. EVIDENCE: The current service users have a high level of care needs and the staff spend the majority of time carrying out these tasks, this impacts on other activities and limits the amount of time staff can spend doing other tasks. Senior care staff who along with the manager take responsibility for all of the paperwork, reviews etc also spend all of their time on shift working on the floor and are part of the care staffing calculation. There is no time allocated to senior staff to undertake activities or to complete the necessary paperwork associated with the senior care role. This does have an impact on a lot of areas in the home such as medication, supervision, care planning and health and safety. There is also only one senior on duty after the manager goes off shift and on weekends. The senior covers the management of the two bungalows but is part of the staffing calculation of one bungalow. This means that if there is a problem on the bungalow they are not rota d to work on then they have to go to that bungalow. It is also the same if a member of staff rings in sick they then have to spend the time trying to find cover reducing the number of staff on the floor. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 18 For a trial period of three months the senior’s were given one shift a week off the rota to complete their senior tasks. Discussion with the manager and inspection of the records show that when this happened there was an improvement in the areas such as supervision, paperwork etc. This was stopped and the standards deteriorated again. The registered person was requested at the last inspection to review swiftly to ensure the staffing levels and structure meets the needs of the residents and the home. Although the manager had provided evidence that senior’s need to be given the time to manage and to meet necessary standards this has not being implemented. Discussion with the management confirms that this is the only council home with a registration of LD that includes senior care hours in the care staffing calculation. This manager and staff all feel this is preventing the home from moving forward in meeting requirements and needs to be addressed urgently. This practice must be improved on to ensure that staff receive the support and guidance they need to carry out their jobs to a high standard. Staff supervision was previously identified as not occurring as often as required and this remains the situation. It is vital given the events in the home that this practice be improved on to ensure that staff receive the support and guidance they need to carry out their jobs to a high standard. Discussion with the staff indicated that the manager or senior care are around on a daily basis to offer informal advice and help where needed. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 39 & 42 EVIDENCE: The acting managers have a good understanding of the areas in which the home needs to improve. Progress in some areas has been limited due to the restrictions the current staffing structure and levels and this must be addressed urgently. Staff have meetings with the managers on a regular basis and everyone is encouraged to join in with discussions and voice their opinions. The home does not regularly review sufficient aspects of their performance through a good programme of self-review via a quality assurance system and this needs to be done. The registered manager ensures safe working practices including moving and handling, fire safety, health and safety, first aid, infection control and food hygiene, staff have received the appropriate training. The manager has provided information that regular maintenance checks are carried out and Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 20 certificates are held at the home. There are risk assessments carried out for all safe working practice topics and these were recorded. Not all of them are reviewed as regularly as they need to be. All accidents and injuries or communicable diseases are reported and recorded. Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 X 28 2 29 X 30 3 STAFFING Standard No Score 31 2 32 X 33 1 34 X 35 3 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 1 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 2 X 2 X X 2 X Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 22 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6YA9 Regulation 14, 17 Timescale for action The registered person must 01/11/05 ensure that care plans are developed and agreed with service users and these must describe the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations, and achieve goals. Where appropriate. Risk assessments must be updated and evaluated regularly. TIMESCALE NOT MET The Registered person must 01/05/06 ensure that activities are provided in line with resident’s activity programmes. The registered person must 01/10/05 ensure that residents receive a nutritious, varied and balanced diet that is attractively presented. TIMESCALE NOT MET The registered person must 10/05/05 ensure that the medication records are completed accurately and that medication held matches the documentation. TIMESCALE NOT MET DS0000041450.V263506.R01.S.doc Version 5.1 Page 23 Requirement 2 YA12 16 3 YA17 16 4 YA20 13, 15 Bede`s View 5 YA24YA28 16, 23 6 YA24 16, 7 YA25 16, 8 9 YA30 YA31YA33 23 18 10 YA33 18 11 YA36 17, 12 13 YA36 YA39 26 17, 14 YA42 13, The registered person must ensure that there is a meeting room/office fit for purpose that is private and separate to the resident’s communal space. 23 The registered person must find an alternative system for main access gate to the home. 01/06/05 NOT MET 01/11/05 TIMESCALE NOT MET NEW DATE 23 The registered person must ensure that there is a programme of maintenance and renewal of the furniture, furnishings and decoration to resident’s bedrooms. The registered person must ensure that the home is clean and free from malodours. The registered person must ensure that the current staffing levels and structure are reviewed and are sufficient to meet the needs of the residents. TIMESCALE NOT MET The registered person must ensure that cleaning staff are employed in sufficient numbers to enable the home to be cleaned thoroughly. 18 The registered person must ensure that staff receive the support and supervision required and must include all of the areas specified in 36.4 of this standard. TIMESCALE NOT MET The registered person must carry out monthly regulation 26 visits. 24, 26 The registered person must ensure that the home implements a quality assurance system. TIMESCALE NOT MET 17 The registered person must ensure that there are individual and generic risk assessments available that are maintained DS0000041450.V263506.R01.S.doc 01/06/06 01/04/06 01/06/06 01/03/06 31/10/05 31/03/06 01/09/03 01/04/06 01/05/06 01/05/06 Bede`s View Version 5.1 Page 24 and reviewed. 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 Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Bede`s View DS0000041450.V263506.R01.S.doc Version 5.1 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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