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Inspection on 22/09/05 for Bellerose Residential Home

Also see our care home review for Bellerose Residential Home for more information

This inspection was carried out on 22nd September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Service users said that they were content living in the home and praised the accommodation, the quality and choice of food provided and the attitudes and empathy of staff. The manager is very experienced and he and the staff have a good understanding of the individual needs of service users and the processes of encouragement and negotiation over lifestyles, money management, rights and responsibilities and so on. All the service users spoken with accepted that staff had their best interests at heart. Everybody had enjoyed a recent holiday in Cornwall. Care plans drawn up in conjunction with individual service users provide simple, clear goals and are regularly reviewed. All other documentation examined including staff recruitment records, premises risk assessments, medication records and the Service User`s Guide, had been completed correctly and to a high standard. Staff said they enjoyed working in the home, felt very well supported and had access to relevant training including NVQ qualifications. Good communications and teamwork were maintained by means of handovers between shifts, regular staff meetings and individual supervision. The most recently recruited member of staff confirmed that she had received a thorough induction upon starting work. The premises were in excellent decorative order, with standards maintained through regular attention and monthly documented risk assessments. This ensures that the environment stays comfortable, homely and well presented with obvious benefits for service users.

What has improved since the last inspection?

The addition of the smoking shed (cleaned by the service users) in the garden has been most positive and enables the house to remain safer and cleaner. The manager stated that work was due to commence very soon to upgrade the heating system, with two boilers to be installed to run the hot water and radiators separately. This should considerably improve the heating performance in the home. The home had given notice to a former resident some months before the inspection due to the inability of the service to meet her needs. Her departure had reportedly improved the atmosphere in the home and there had been a marked reduction in the number of untoward incidents recorded. The manager reported that he had now completed most of the units for the Registered Manager`s award and the deputy manager was starting NVQ level 3.

What the care home could do better:

Apart from one unsubstantiated complaint about his restricted money supply made by one service user no service users offered any criticism of the home. A recommendation has also been made that all care staff should given training on the protection of vulnerable adults and the associated procedures for dealing with allegations of abuse.

CARE HOME ADULTS 18-65 Bellerose Residential Home 14-16 Westland Road Watford Hertfordshire WD17 1QS Lead Inspector Tom Cooper Unannounced 22 September 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bellerose Residential Home Address 14-16 Westland Road, Watford, Herts, WD17 1QS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01923 466630 01923 466630 Mastercare Residential Home Association Stephen John Holt CRH Care Home 9 Category(ies) of MD-9 registration, with number of places Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate a maximum of nine service users with mental disorder. Date of last inspection 4 November 2004 Brief Description of the Service: Bellerose is a three storey house located in a quiet street in a residential neighbourhood in Watford. The home is one of two operated by Mastercare Residential Homes Association, and provides accommodation and care for adults of both sexes who have mental health problems. The building has no lift therefore service users must be physically able to manage stairs. There are seven spacious bedrooms on the ground and first floors, a comfortable lounge and domestic style kitchen on the ground floor and adequate bathing and toilet facilities. Some bedrooms have en-suite showers. The second floor has been converted to provide a semi-independent flat with separate kitchen, lounge and bathroom for two service users planning eventually to move on to fully independent living. Outside to the rear of the building is a small, enclosed paved garden with a smoking shed and numerous potted plants. The home is within easy walking distance of Watford town centre with its abundance of shops and amenities, including bus terminals, two mainline railway stations and an underground station. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday over the late morning and afternoon. Seven service users were at home on the day, with the eighth away on holiday. Service users came and went during the day according to their own timetables, either on their own or accompanied by staff as arranged. Discussions were held with service users, the manager and the staff on duty. Documentation examined included service users’ care plans, medication, accident and complaint records, as well as minutes of staff and residents’ meetings. The inspector also toured the premises. The inspection indicated that the home was running smoothly, with excellent interaction observed between staff and residents and an evident spirit of cooperation between service users. The building was in a good state of repair providing a safe and comfortable environment that service users appreciated. What the service does well: Service users said that they were content living in the home and praised the accommodation, the quality and choice of food provided and the attitudes and empathy of staff. The manager is very experienced and he and the staff have a good understanding of the individual needs of service users and the processes of encouragement and negotiation over lifestyles, money management, rights and responsibilities and so on. All the service users spoken with accepted that staff had their best interests at heart. Everybody had enjoyed a recent holiday in Cornwall. Care plans drawn up in conjunction with individual service users provide simple, clear goals and are regularly reviewed. All other documentation examined including staff recruitment records, premises risk assessments, medication records and the Service User’s Guide, had been completed correctly and to a high standard. Staff said they enjoyed working in the home, felt very well supported and had access to relevant training including NVQ qualifications. Good communications and teamwork were maintained by means of handovers between shifts, regular staff meetings and individual supervision. The most recently recruited member of staff confirmed that she had received a thorough induction upon starting work. The premises were in excellent decorative order, with standards maintained through regular attention and monthly documented risk assessments. This ensures that the environment stays comfortable, homely and well presented with obvious benefits for service users. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 & 4 Service users have access to clearly presented information about the service provided in the home. Prospective service users’ needs are assessed and documented prior to admission so that the manager has adequate information to determine whether admission is appropriate. EVIDENCE: The home has a Satement of Purpose and a Service User’s Guide containing the required elements. The latter has been produced in a user-friendly format, with pictorial symbols used to clarify the text. The guide gives a detailed description of the service provided so that service users can know what to expect. Admissions are made following referral from social services, who provide an initial assessment of the individual’s status and needs. Bellerose staff then evaluate this to consider the candidate’s suitability for the home and then visit the client to make their own assessment and if appropriate commence the introduction and familiarisation process. The pre-admission assessment documentation for the most recent admission was examined. This contained all the relevant information to facilitate a professional decision. The assessment is used to draw up the service user’s initial care plan, which is reviewed after the three month trial period. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 9 If the placement is deemed suitable adjustments and updates are made as necessary in the light of changing needs and greater knowledge of the individual concerned. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 Each service user has an individual care plan agreed with the staff that details his or her needs and personal goals and how to work towards achieving them. Service users are able to make decisions for themselves subject to restrictions agreed with the manager and documented in their care plans. Staff encourage and support service users to act independently, including taking reasonable risks. Service users are involved in the running of the home and their views are consulted and taken into account in the decision making process. EVIDENCE: Individual care plans were in place for each service user, containing specific details of current needs with corresponding actions planned and agreed with the client for meeting them. The manager explained that a considerable amount of negotiation tales place to obtain the service user’s agreement to elements of the plan such as individual money supply and tobacco consumption. There is also involvement from consultant psychiatrists. Each person has a link worker who has special responsibility for assisting with achieving the goals set. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 11 A consistent standard of recording was noted in all examples seen and there was evidence that regular reviews had been carried out. Due to the nature of their disabilities, budgeting is a major issue for many of the service users, especially those who smoke. Therefore staff have to negotiate suitable control measures to ensure a reasonable continuity of money supply. Other issues concern timekeeping and considerate behaviour to residents and staff. One service user expressed dissatisfaction over the control of his money supply by staff, however this was fully documented in his care plan and appeared justified on therapeutic grounds. Other service users commented that they were able to live as they chose for the most part, although staff actively encouraged them to maintain acceptable standards of personal hygiene and tidiness in the home. One service user said that he would like a replacement for a former befriender and the staff were trying to find a suitable person. Regular residents meetings are held, with minutes taken. Typical topics discussed include food and holiday plans as well as domestic responsibilities. Within the restrictions agreed on care plans, service users said they were able to act independently and enjoyed a fair measure of personal choice. The two residents living in the flat on the second floor had greater autonomy and took more responsibility for shopping and cooking, although staff still supported them as necessary to develop the extra skills needed before they could move on to truly independent living. Responsible risk taking i.e. subject to realistic risk assessment is an essential part of the caring ethos of the home, and staff were aware of the particular issues affecting each individual service user. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14, 15, 16 & 17 Service users are active in the local community. Service users follow the lifestyles that suit them, including appropriate leisure activities, with staff support as necessary. Service users can maintain personal relationships as they choose. Policies and practices in the home promote and respect service users’ rights and encourage them to take responsibility for housekeeping tasks and social behaviour. Service users are offered a healthy diet and enjoy their meals and mealtimes, supported by staff as necessary. EVIDENCE: The service users spoken with said that they participated in activities in the local community, such as going to college or the various day centres nearby such as Ivy House and Henry House. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 13 They also use local shops, pubs and clubs. They each have a photo-id card, which offers extra reassurance when out and about. All the service users consulted said they were satisfied with the opportunities they had to experience life outside the home. Two service users had guitars that they played for pleasure, one said he occasionally did paintings (some of which were on display in the home) and one enjoyed playing chess on his computer. Most of the residents had been away with staff earlier in the month on a week’s holiday to Looe in Cornwall. This had evidently been a great success, following considerable efforts made by service users to save sufficient spending money to take with them. Service users confirmed that staff respected their privacy and for example normally only went in their rooms when invited. They can spend time alone or in company, although staff will encourage increased contact if deemed constructive. Staff spend much time talking to the clients and clearly see building relationships built on mutual trust and respect as a vital part of their work. Service users are expected and encouraged to keep themselves and their rooms reasonably clean and tidy. They also participate to varying degrees in cooking and shopping depending on their care plans. The two residents living on the second floor do their own food shopping, although staff assist them. There is a house rule that the service users clean the smoking shed in the garden themselves. In this way a reasonable balance is struck between rights and responsibilities. Service users all said that the food provided was acceptable and that they mostly enjoyed it. Care plans included reference to dietary factors and all service users’ weight had been regularly recorded in recognition of the fluctuations often associated with their medication packages. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 20 Staff monitor individual service users’ condition and progress to ensure that their physical and emotional needs are met. The medication management system is well organised and safely operated. EVIDENCE: Service user’s files contained detailed references to medical and emotional needs. Service users expressed confidence in the knowledge and commitment of staff to act in their interests. Outside health professionals such as GPs and consultant psychiatrists are involved as necessary and included in the ongoing review process. Medication is stored securely in a locked cabinet in the office. The Nomad weekly dosette container system is used. All movements of medication in and out of the home are recorded. No signature gaps were found on the medication administration record sheets examined. Only trained staff may administer medication. At the time of the inspection, apart from one cream handed over for self-application, no service users were deemed capable of safely selfmanaging medication, although the manager said that the home’s policy was to facilitate self-medication in appropriate cases subject to risk assessment and discreet monitoring from staff. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Service users felt that staff take their views seriously and would act on any complaint. Staff continuously monitor service users’ state of mind and condition. Staff are aware of the home’s whistle blowing policy. However the company should provide training in the protection of vulnerable adults. EVIDENCE: Service users were aware of the complaints procedure and how to use it. They expressed confidence that any complaint made would be listened to and acted on by the manager. No formal complaints were recorded in the complaints book, although a number of incidents involving a former resident were logged in the book. A copy of the Hertfordshire Inter Agency Adult Protection Procedure was in the office and the manager was familiar with the current procedure for responding to allegations of abuse against vulnerable adults. He was confident that staff would know what to do in his absence however no formal training in this area had been provided therefore a recommendation to do so has been made in this report. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26,27,28 & 30 The premises offer a suitable environment that is safe, comfortable, well maintained and homely. Service users’ bedrooms are spacious, well appointed and personalised. Sufficient bathrooms and toilets are provided. Adequate communal spaces are provided, including lounges and a separate smoking shed and garden. The home is clean, tidy and hygienic throughout. EVIDENCE: The building is suitable for fulfilling the home’s Statement of Purpose and provides a comfortable, safe environment. All the relevant space standards are met. There is a hard-wired fire alarm system and central heating. All areas inspected were well decorated and furnished in domestic styles that combined to create a comfortable and homely environment in which service users said they felt relaxed and at home. All bedrooms are singles, some with ensuite showers. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 17 Two bedrooms seen were decorated in colour schemes chosen by the service users and had been personalised to suit the preferences of the individuals concerned. All service users asked said they liked their rooms. The lounges on the ground and second floors are comfortable and nicely furnished. The kitchens were in good order, clean and well equipped. Adequate bathing facilities are provided. The smoking shed in the garden is a welcome new facility since the last inspection. The garden is paved, with numerous pot plants to lend colour and adequate space for service users to spend time outside the home. All areas inspected were clean, tidy and free from unpleasant smells. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 36 Adequate numbers of competent staff are provided at all times. The home has appropriate recruitment, induction and ongoing training policies and practices. Staff receive regular group and individual supervision that results in effective communications and teamwork and makes staff feel supported. EVIDENCE: On the day of the inspection there were three care staff including the manager available to provide care to the seven service users in the home. Staff and the rota confirmed that this was the typical daily picture. Night cover is by one person awake. These levels are considered adequate to meet the needs of the current residents. The personnel file of the most recent recruit was examined and found to contain a completed application form, two positive references and a Criminal Records Bureau enhanced disclosure taken up by the company prior to employment. The member of staff concerned was on duty and described a thorough induction process she had worked through, to a checklist of core competencies. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 19 Staff on duty said that communications and teamwork in the home were excellent. As well as handovers between shifts at which all developments are discussed, monthly staff meetings are held, with minutes taken. Each member of staff has regular supervision. Records were available for inspection. Topics covered include work practice matters, professional development and personal support. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 & 42 The manager is experienced and is working towards achieving the Registered Manager’s Award. The home has an effective health and safety policy involving risk assessments that ensure safe working practices. EVIDENCE: The manager, who has been registered by the CSCI since the last inspection, has had a wide range of care experience, has worked at Bellerose for eight years and has completed most of the units to obtain the Registered Manager’s Award. He has considerable insight into the differing needs of the service users and long experience of the care planning strategies and techniques to use in order to meet them. According to staff and residents he provides strong leadership and has the confidence of all. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 21 Evidence was seen of monthly environmental risk assessments and all records checked e.g. fire extinguishers, alarm tests, drill records and accident records were well completed and up to date. No fire doors were wedged open. The manager has been maintaining sound systems in the home. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bellerose Residential Home Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 23 No 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA35 Good Practice Recommendations All care staff should be trained in the protection of vulnerable adults and associated procedures for handling allegations of abuse. Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Hertfordshire Area Office Mercury House, 1 Broadwater Road Welwyn Garden City, Herts AL7 3BQ 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 Bellerose Residential Home I52 s19284 Bellerose Residential Home v247302 220905 Stage 4.doc Version 1.40 Page 25 - 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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