Inspection on 31/01/07 for Blandford Lodge

This inspection was carried out on 31st January 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Blandford Lodge 23/11/05

Blandford Lodge 30/06/05

Blandford Lodge 02/11/04

Blandford Lodge 15/07/04

Blandford Lodge 27/02/04

Blandford Lodge 03/07/03

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Blandford Lodge 4a Blandford Waye Hayes Middlesex UB4 0PB Lead Inspector Davina McLaverty Unannounced Inspection 31st January 2007 10:00 Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 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 Blandford Lodge DS0000027125.V322660.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 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. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blandford Lodge Address 4a Blandford Waye Hayes Middlesex UB4 0PB 020 8573 0129 0208 573 0129 blandfordlodge@yahoo.co.uk 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 Poucarshing Luchmun Mr Poucarshing Luchmun Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Blandford Lodge is a care home for four service users with mental health needs. It is a detached family house with a garden, in a quiet residential area on the Hayes/Southall border, close to the Uxbridge Road. It is within reach of local shops and bus routes to larger neighbouring shopping centres. The home has four single bedrooms, two downstairs and two upstairs, a lounge/diner, kitchen, two toilets, bathroom and shower room. Outside there is a patio that acts as a smoking area. The Registered Provider is also the Registered Manager and he is supported by his wife as deputy manager, and nine other support staff. There is a minimum of two staff on duty during the day, with one sleeping in at night. The Registered Provider and his wife live close by. The fees start at £605 per week and will vary depending on assessed need. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 31st January 2007, and was conducted by one regulation inspector. The inspector met two of the three residents, the manager, deputy manager and one support staff. A number of records were examined, which included a resident’s care plan, medication records, staff and residents meeting minutes, health and safety and staff records. A tour of the premises took place. The inspector spoke at some length to the residents in the home, both of whom said that they “liked living at Blandford Lodge”, “staff are kind and the food is good”. Both residents were appropriately dressed, relaxed and at home. A good rapport was observed between residents and staff. Prior to the inspection-taking place, the Commission sent out questionnaires to the three residents (the home currently has one vacancy). All three were returned and no concerns were raised. What the service does well: What has improved since the last inspection? What they could do better: The manager must ensure that no staff begins work in the home until a POVA First check has been carried out and then the staff member must be supervised. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 6 All staff must undertake external training in the administration of medication. Written protocols must be in place for medication that is to be given as and when required (PRN). 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. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 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 Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective representatives of residents are provided with information about the home to help them to make a decision about its suitability. The needs of prospective residents are assessed prior to admission to make sure that the home will be able to meet these. EVIDENCE: A Statement of Purpose and Service User Guide are available in the home. The Service User Guide require updating to show the increase in the number of residents and should refer to The Commission For Social Care Inspection throughout not the National Care Standards Commission. Copies of the revised documents must be forwarded to the Commission. The manager stated that new residents would be given a copy of the revised Service User Guide. Adequate information is available to assist a resident’s representative to make an informed choice as to whether the home can meet the prospective residents needs. The homes assessment and admissions policy includes visits to the home for the prospective resident and their representatives. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 9 The home currently has a vacancy and is in the process of considering applications for new referrals. The manager said that a prospective resident was due to visit the home next week. Initial discussion and information exchange had taken place and following the visit if it is agreed that the resident wishes to reside there a full assessment report including Care plan Approach (CPA) documents, risk and needs assessment as well as background history will be sought. Visits to the home by the resident and their representatives enables them to see the premises and meet the other residents as well as make an informed choice as to whether they could live there. Two of the three residents have lived in the home for many years; original assessment documentation was seen on the file examined. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individualised care plans and risk assessments are in place and are regularly reviewed. Resident’s choice continues to be respected and they are supported by staff to retain their independence. EVIDENCE: One care plan was examined and this was satisfactorily maintained and reviewed in consultation with and signed by the resident, as well as the key worker. The care plan focused on particular areas of need for the individual e.g. Smoking, inappropriate behaviour, and diet. Care staff monitor care plans monthly with their key clients. Care Plan Approach (CPA) reviews also take place, where new goals may be identified and risk assessments updated. Risk taking is encouraged. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 11 Residents are encouraged and supported to make their own decisions as to how they wish to live their lives. House meetings were seen to be taking place with resident recording parts of the meeting. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to lead their life as they wish. They are supported to be part of the community by engaging in activities in the local area. EVIDENCE: In discussion with two residents individually, both told the inspector that they liked living at Blandford Lodge. One spoke of his days at Day centre, which he enjoyed and participated in activities, which he liked e.g. gardening, social group and playing pool. He stated at home he enjoyed playing board games e.g. scrabble, dominoes, as well as drawing. He also said that staff accompany him to the local pub as he enjoyed a drink. Local facilities are easily accessible and residents are encouraged to visit the local shops. The other resident spoke of his contact with his sister and his visits to the church, which he enjoyed. He stated that he enjoyed listening to his radio in his room but often watched TV with staff in the evenings. He reported that he did not want to do anything more. Both stated that the food was good as were the staff. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 13 Staff reported that residents are encouraged and supported to do some household chores e.g. hoovering in the lounge and are responsible for keeping their bedrooms clean. Staff reported that the third resident attends a computer course and has his own computer in his room. He also attends Tai chi. This resident has a lot of family contact most weekends. Residents were aware of the homes no smoking policy and said that they went outside to smoke. A canopy has been erected over the back door to provide a degree of protection from the rain. Barbeques and meals out in the garden occur regularly during the summer months, which are enjoyed by residents and staff. Throughout the day, staff were observed to treat residents with respect and encouraged discussion. Visitors are encouraged and residents can entertain them in their own rooms if they choose. The manager stated that he is in the process of refurbishing the room in the back garden, which will become the activities room. He stated that this could possibly double up as an area friends and residents can use if they wish. Meals are produced according to a four-weekly cycle, with service user substitutions possible on the day. The rota was seen and a record is maintained of substitute meals eaten. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support, which meets their physical and emotional needs. EVIDENCE: A record is maintained of resident’s health needs and of any appointments with GP’s, dentist, opticians etc. Residents are registered at a local GP surgery and all three residents are subject to the Care Programme Approach, with support given by the Community Mental Health Team, including a psychologist. None of the current service users are able to manage their own medication and staff take responsibility for administering medication to residents. A monitored dosage system is used which helps to ensure that medication is administered accurately. The Medication Administration sheet examined showed no errors. Boots pharmacist who dispenses the medication has in the past provided training in the administration of medication. However, several staff have not received this training and administer medication after in-house training by the homes manager. Medication training must be provided by an external accredited source. A requirement was made to address this. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 15 On examination of the medication of the resident being case tracked, the inspector noted that one of his medication was to be given as required (PRN). The manager was advised that a written protocol should be in place, which details signs and symptoms when the medication should be given. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy with time frames as to how complaints will be addressed. There are also adequate procedures in place to protect residents. EVIDENCE: The manager has rewritten the complaints procedure and given residents a copy. A copy of the procedure is also displayed on the notice board in the lounge. The procedure makes reference to residents referring concerns direct to the Commission for Social Care Inspection. Since the last inspection no formal complaints have been made to the home or to the Commission. Staff records indicate that there has been recent training in Adult Protection to minimise the risk of abuse to residents. Policies and procedures are in place which details action to be taken in the event of abuse being identified. The home has a copy of the London Borough of Hillingdon’s ‘Safeguarding Adults’ booklet. The staff member spoken to was aware of the procedure and could discuss action to be taken in the event of abuse being identified. Both residents said that they felt safe in the home and liked the staff. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been made to make the environment more comfortable for the residents. The home was seen to be clean and tidy and met residents needs. EVIDENCE: The premises are in keeping with the local community. The manager reported that since the last inspection he has endeavoured to improve the environment for the residents. Work is on-going and a builder was on site for some of the inspection. All four bedrooms have been redecorated, as has the lounge/dining area. This work is on going in that the upstairs bathroom was due for refurbishment and the summerhouse in the garden is to be refurbished and made into the activities room. Work in the garden will continue. A new brick fence had been put up but was not completed as a trellis is to be added and plants put in to enhance the garden area for the summer when it is well used by residents. The inspector was shown pictures of various garden events e.g. BBQS, meals eaten outside which took place last year. Garden furniture is Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 18 available and a gazebo. The manager is said that he was in discussion with staff and residents about maximising this area for everyone’s benefit. Residents were seen smoking out in the garden during the inspection. Three of the four bedrooms were seen and they were clean and comfortable although not personalised a great deal. However, in discussion with the resident who showed his room to the inspector he said that he did not want to put up any pictures but could if he wanted. The communal areas were seen to be satisfactory. The dining room /lounge was appropriately furnished with adequate seating. Appropriate appliances were seen in the nearby kitchen. There are adequate bathing and toilet facilities for residents although access for one resident (currently the vacant room) will be through the lounge. On the day of the inspection the home was found to be clean and hygienic. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate recruitment checks are carried out on staff to minimise risks to residents. Staff are able to support residents in meeting their needs however, this must be kept under frequent review. EVIDENCE: The staff rota demonstrated that sufficient staff were employed. There are currently nine staff plus the manager and deputy manager. All work various hours. The home aims to have a minimum of two staff on duty during the waking day, although at weekends this may go down to one as one of the current residents goes home. At night there is a sleep in staff. The manager and staff member spoken with stated that this was adequate although in discussion with the manager he is currently in negotiation with the Primary Care Trust for additional funding due to the changing needs of one of residents. Staffing must be reviewed to ensure that residents needs can be met at all times particularly when a fourth resident is admitted. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 20 The registered person is still the Registered Manager despite working full time elsewhere. His wife submitted her application to the Commission for approval as the manager but withdrew it due to personal circumstances. She is currently completing her NVQ level 4 and is planning to apply again. The manager reported that he works a minimum of 20 hours in the home and he and his wife, who is the deputy, are in regular contact with staff at the home. They live locally and one or the other can be there within minutes in an emergency. The manager said that there are three senior staff who are very familiar with the service users and their needs. From discussion with one of the senior staff he did not raise any concerns and reported that in his view the residents received a high standard of care and support. However, the previous inspector was concerned that the home did not have a full time manager due to his substantial work commitments elsewhere and recommended that the Proprietor ceases to be the Registered Manager or work full time in the home. The inspector would support this particularly as a new resident is likely to be admitted which will impact significantly on the home and current residents. The situation will be reviewed at the next inspection and the recommendation made at the previous inspection has been re-stated. Examination of two staff files identified that the required checks were being carried out, however, on one of the files the staff member had started employment without her CRB check being returned or a POVA first check being carried out. No staff must start work in the home without a CRB check being sent off and then a POVA first check being carried out. A requirement was made to address this issue. The manager stated that staff are encouraged to undertake NVQ 2 qualification in care. Currently three staff had the qualification one was on it and two staff were studying for degrees in Health and Social Care. He stated that the two new employees had been sent to an open morning re the NVQ qualification and would be encouraged to study for it. The manager was aware of the need for a minimum of 50 of his staff to achieve the NVQ 2 or its equivalent qualification. An induction programme in place and copies of core staff training was seen. This included manual handling, infection control, fire awareness, food hygiene and Safeguarding of Adults from abuse. Medication training must be carried out ideally from an external accredited source prior to staff being allowed to administer medication. A requirement was made to address this. The staff member spoken to reported that he received regular supervision and that staff meetings took place weekly. Staff meeting records were seen and focussed on the residents and their well being. Consideration should be given to extending these meetings to look at wider issues e.g. practice issues, current developments in the field of mental health. A communication book was seen and is used for day-to-day sharing of information. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate health and safety systems are in place to ensure the safety and welfare of the residents. EVIDENCE: The inspector noted an open and positive atmosphere in the home. The staff member spoke warmly about the residents, management and staff team maintaining that they worked very well together to meet the residents. They also stated that there was a lot of good will within the team. Health and Safety systems are in place. A number of records were examined and found to be in order. These included the weekly fire alarm tests and fire drills. Fridge and Freezer temperatures, the portable appliance tests and hot Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 22 water tests were all seen to be order. The manager stated that he was in the process of having the electrical re-wiring checked. A copy of the Employers Liability Insurance was seen and found to be in order. The current fire risk assessment must be updated, particularly as the home has increased its registered number by one. A requirement was made to address this. The inspector noted that the means of escape from the garden was not clear due to building rubble. This was pointed out to the manager who acknowledged and immediately took steps for it to be cleared which was done before the inspection ended. The home is small and the quality assurance system in place reflects this in that questionnaires are given to residents annually and any issues discussed and rectified. Forms seen were dated January this year. Questions focused on decision making, food, activities, whether the resident felt safe and complaints. No issues of concerns were seen to have been raised. However, consideration should be given to sending questionnaires to purchasers and involving relatives as they may have views as to how the service could be improved. Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 2 3 3 3 4 3 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 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 6(a) (b) Requirement Timescale for action 30/05/07 2 YA20 13(2) The Registered Person must update the Service User Guide. A copy of which must be sent to the Commission. The Registered Person must 30/08/07 ensure that all staff receive training from an external source in the administration of medication. The Registered Person must ensure that written protocols are in place where medication is prescribed to be taken PRN The Registered Person must ensure that no staff starts employment in the home without a enhanced CRB check being returned or a POVA first check which allows the staff to work under supervision. The Registered Persons Quality Assurance System must provide details of consultation with Commissioners and other relevant ad involved stakeholders. The Registered Person must ensure that the fire assessment is updated. DS0000027125.V322660.R01.S.doc 3 YA20 13(2) 30/04/07 4 YA34 18(1) Schedule 2 31/01/07 5 YA39 24(1) ( 3) 30/08/07 6 YA42 4(5) 30/05/07 Blandford Lodge Version 5.2 Page 25 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 YA37 Good Practice Recommendations A new manager should be put forward to become the Registered Manager as soon as possible as the existing Registered Manager has other work commitments. Staffing levels must be kept under review to ensure that residents needs can be met. 2 YA33 Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West London Area Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Blandford Lodge DS0000027125.V322660.R01.S.doc Version 5.2 Page 27 - 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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