Inspection on 30/01/06 for Cameron House

This inspection was carried out on 30th January 2006.

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

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

Other inspections for this house

Cameron House 03/03/09

Cameron House 09/05/07

Cameron House 27/06/05

Cameron House 30/11/04

Cameron House 20/04/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Cameron House Cameron Road Chesham Bucks HP5 3BP Lead Inspector Barbara Mulligan Unannounced Inspection 30 January 2006 10:00 th DS0000022955.V281336.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 DS0000022955.V281336.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. DS0000022955.V281336.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cameron House Address Cameron Road Chesham Bucks HP5 3BP 01494 793290 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) admin@fremantletrust.org The Fremantle Trust Mrs Jackie Burke Care Home 10 Category(ies) of Learning disability (10) registration, with number of places DS0000022955.V281336.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Cameron House is a two-storey home, owned by The Fremantle Trust, and is home to ten adults with learning disabilities. The home provides all single room accommodation And all service users rooms have been decorated and personalised for each individual. Cameron House is situated in a residential area approx two miles from Chesham town centre. The home is close to local amenities which include shops, pubs, restaurants, library and cinema. The service users in the home also have access to the local leisure centres and swimming pool. The home supports service users to access local transport such as taxis and buses. DS0000022955.V281336.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Monday, 30th January 2006, at 10am. The visit consisted of discussions with the manager and care staff. Records, policies and procedures were examined. The registered manager is Jackie White. The inspection officer was Barbara Mulligan. The inspector assessed twenty-three of the National Minimum Standards for Younger Adults, all of which were fully met. As a result of the inspection the home has received one recommendation. The inspector would like to thank the service users, the staff team and the registered manager for their cooperation during the inspection. What the service does well: The Service Users Guide is excellent. This is in the form of a C.D. and is suitable for service users with a sensory impairment and for those who are unable to read. The home is to be commended on the Service Users Guide. The home provides a very pleasant and comfortable environment in which service users can live. Individuals are encouraged to personalise their own rooms with their own furniture and personal belongings. Meals are of a high standard and always presented in an appealing way. Service users are able to choose their own menus and take part in meal/food preparation and shopping for food. Care planning documentation is of a good standard and each service user’s plan contains a detailed action plan. There is an effective complaints procedure with all complaints and concerns being acted upon promptly within stated time scales. There is a motivated and established staff team that consists of care/support staff. There is good support for the home by the provider organisation, with effective monitoring and quality assurance systems in place. There is an extensive range of policies and procedures, providing care staff with relevant information about all aspects of care and the home/organisation. The health and safety policies and procedures are clear and informative and care staff receive the relevant training to make certain safe working practices are maintained. All records for health and safety matters are accurate, up to date and well maintained. DS0000022955.V281336.R01.S.doc Version 5.1 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. DS0000022955.V281336.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 DS0000022955.V281336.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, 4 and 5. The homes Statement of Purpose and Service Users Guide are detailed and informative. The Service users Guide is particularly user friendly being available on a CD to provide service users with details of the services that the home provides. Potential service users receive a thorough needs assessment undertaken by staff trained to do so ensuring that the home can meet all the care needs requirements of service users. Service users receive care services from staff who have the skills and competencies to meet their care needs. The opportunity to visit the home prior to admission is an integral part of the admission process, which means that service users are orientated to the environment and have met and are familiar with staff and other service users beforehand. All service users have a written, individual service contract ensuring that there is an understanding of the homes terms and conditions. DS0000022955.V281336.R01.S.doc Version 5.1 Page 9 EVIDENCE: The Statement of Purpose is comprehensive and informative and contains all the necessary information as detailed in Schedule 1 of the Younger Adults Care Regulations. The Service Users Guide is excellent. This is in the form of a C.D. and is suitable for service users with a sensory impairment and for those who are unable to read. The home is to be commended on the Service Users Guide. All specialised services offered are accessed through the service users G.P. Surgeries or through the Endeavour Day Centre that many of the service users attend. The home uses a detailed pre-assessment tool and it is pleasing to see that assessments have been updated for all service users. Prospective service users are invited to visit the home on an introductory basis before making a decision to move there. The Fremantle admissions policy states that prospective service users will be offered a trial visit, and a review will be held one month after their admission. A key-worker will be allocated to a prospective service user at the start of the trial visit. The home does not accept emergency admissions. The inspector looked at service users contracts/statements of term and conditions. These cover all areas detailed in Standard 5 and are signed by either service users or their representative. DS0000022955.V281336.R01.S.doc Version 5.1 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 the following standard(s): 7 Service users make decisions about their lives, with assistance and communication support, that allows them to influence their lifestyle and how the home is run. EVIDENCE: DS0000022955.V281336.R01.S.doc Version 5.1 Page 11 Following the previous unannounced inspection it was recommended that serious consideration is given to finding a new advocate for R.L. The registered manager stated that the Freemantle Trust are presently working with the advocacy group, Peoples Choice, and they will be visiting Cameron House in the near future with a view to providing advocates for individuals who require this service. Homes policies were not in a suitable format for service users in the home, and there is no evidence that service users were involved in policy groups and other forums. It is recommended that serious consideration is given to providing service users with comprehensive, accessible, understandable and up to date information, in a suitable format about policies, procedures, activities and services. Finance training for service users is provided via the college and the day centre. The staff encourage and support service users to manage their own finances. Each individual has a tin that contains their money and is kept by service users. Two service users hold the keys to their own tins and the staff hold the keys to the others. If a service user requires any money they bring their tin to the staff to open for them. Each service user has a Building Society account and benefits are paid into this by direct debit. If they wish to withdraw money this is done with supervision from staff. Records are kept of all financial transactions and the inspector looked at these. DS0000022955.V281336.R01.S.doc Version 5.1 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 the following standard(s): 11, 13, 14, 15, 16 and 17. Care planning documentation demonstrates how service users have opportunities for personal development and independence training. Service users are presented with ample opportunities for social inclusion and benefit from good staff support to do so. Service users engage in appropriate leisure activities inside and outside of the home, allowing individuals to pursue their own interests and hobbies. The home promotes ‘flexible’ visiting, which enables service users to maintain contact with their friends and family. Service users rights are respected and the daily routines of the home promote individual choice and providing service users with the ability to be as independent as their needs allow. Service users are supported to develop their own menus and participate in some cooking tasks, which promotes independence and choice while at the same time reinforcing independent living skills. DS0000022955.V281336.R01.S.doc Version 5.1 Page 13 EVIDENCE: One service user has weekly one to one sessions where he undertakes personal shopping, visits to the local town or any other requested activity. This is carried out with a male staff due to difficulties relating to female care staff. Service users are encouraged to continue with activities engaged in prior to entering the unit. Several service users work at the Endeavour Nursery and this is open to the public. Other activities undertaken by service users are the local college, art classes, two voluntary groups twice a week in the evenings, youth club and the nearby nursery. There is evidence in care plans that service users access local pubs, shops, the cinema and local restaurants. Other facilities accessed by service users include The Gateway Club and Art Classes at a nearby school. The home is on a site that contains a care home and a school. The service users have access to the swimming pool at the school. The service users at the home travel using the local buses, trains, dial a ride and taxis. Taxi tokens are used by the service users and are always supported by the homes staff when travelling. During the last local elections all service users had chosen not to vote. However if a service user did request to vote then the home would be able to facilitate this request. Service users have personal televisions, videos, music systems and a large selection of videos and music. There is a hobbies room where service users can listen to music, undertake puzzles and there is a karaoke machine that service users enjoy. Service users enjoy an annual holiday and photographs are on display in the home from different trips and holidays. Family and friends of service users are welcomed into the home. There is a policy for Personal Relationships that includes the rights of service users. The home operates an open house policy and there are no restrictions on visiting. Service users can see visitors in the privacy of their own rooms or the activities room. DS0000022955.V281336.R01.S.doc Version 5.1 Page 14 The inspector saw evidence of staff knocking on bedroom, toilet and bathroom doors to ensure privacy of the service users. All service users have a key to their own bedrooms. Locks can be over ridden from outside by the staff. Mail is delivered to the home and then distributed to the service users. If they require help to read or understand their mail then the staff will support them. Staff were observed interacting with service users and this was done with respect and in a manner that was appropriate to the service users. The service users have access to the home and the garden. There is a green house which one service user is able to use for her hobby of gardening. The garden was observed to have an extensive array of flowers and pots that the service users have completed, with the support of the staff. The home has a resident cat, cockatiel and goldfish that are looked after by the service users. At the time of the inspection there were no service users who smoked. Service users choose their own menus and this is done on a weekly basis Available to assist service users in choosing the menu are recipe cards and cookery books. The service user, who has chosen the menu for that day, with support from the staff, prepares the evening meal. Most service users have lunch at their place of work. Meals are offered three times a day and the home also offers drinks and snacks throughout the day in accordance with needs of the service users. Service users take part in shopping for food for the home. A lunchtime meal was observed by the inspector and found this to be relaxed, flexible and it was pleasing to see staff taking their lunch with service users. There was a lot of interaction observed during lunch between staff and service users. The nutritional needs of the service users are assessed and regularly reviewed and the inspector saw evidence of this in the care plans. DS0000022955.V281336.R01.S.doc Version 5.1 Page 15 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): 20 and 21. Medication procedures within the home are robust and staff training good, which ensures that service users’ property and any presented risks protected. There are good policies/procedures in place to ensure that the ageing, illness and death of a service user will be handled with respect and as the individual would wish. EVIDENCE: DS0000022955.V281336.R01.S.doc Version 5.1 Page 16 Service users at Cameron House are unable to self-administer their own medication, and this is reflected in the care plans. However, the manager stated that there was a possibility of some service users being supported to self medicate in the future. Records were looked at of all current medication for each service user and these are found to be accurate and up to date. There are PRN guidelines available for each individual in the home and the service users doctors have written these. The home uses the MAR system and the pharmacist visits the home approx twice a year. All medicines are stored appropriately There is a Fremantle medication policy and this covers all key areas such as storage of medication, security of keys, the administration of medications, homely remedies, errors in administration and the return of unwanted medicines. The supplying pharmacist undertakes staff medication training. The manager is aware of the need to retain for 7 days the medication of a service user who has died. There is a Fremantle policy called Dignity in Death dated March 2000. Service users wishes regarding dying and death are now recorded in the care plans where possible. If a service user became ill, an assessment would be carried out, with the involvement of their family, and the service users wishes regarding terminal care and death will be discussed, and carried out. Service users with deteriorating conditions or dementia would be referred to their G.P. or the Learning Disabilities Community Team for personal support or technical aids. DS0000022955.V281336.R01.S.doc Version 5.1 Page 17 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): 23 Vulnerable adults are protected through a range of policies and procedures and well-informed staff, which means that their human rights are protected. EVIDENCE: There is an organisational Adult Abuse Policy dated May 2004. The Fremantle Trust provides training for staff on challenging behaviour and this is also covered in the TOPPS induction. The homes policies and procedures regarding service users money and financial affairs ensure service users have access to their money, valuables and safe storage of valuables. Valuables are stored in the homes safe, but service users tend to keep their valuables in their own rooms, which are lockable and all service users have their own keys. Manager was aware of POVA register and stated that she would submit staff members for inclusion if it should be necessary. DS0000022955.V281336.R01.S.doc Version 5.1 Page 18 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): These standards were not assessed during the inspection. EVIDENCE: DS0000022955.V281336.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35 and 36. Service users benefit from clarity of staff roles and responsibilities. ensuring that their care and support needs are appropriately and effectively met. Service users benefit from a staff team who are appropriately trained to ensure that service users are cared for by skilled staff at all times. Recruitment procedures at the home are robust, which ensures that staff are compelled to apply for legislative clearances that render them appropriate for the post applied for and in turn suitable to care for and support service users with a Learning Disability. There is a staff training and development programme which ensures staff fulfil the aims of the home and meet the changing needs of service users. Service users benefit from having staff who are supervised and whose performance is appraised regularly. EVIDENCE: DS0000022955.V281336.R01.S.doc Version 5.1 Page 20 The manager told the inspector that she felt the staff team are aware of, and support the aims and values of the home. Staff are aware of the organisations policies and procedures and understand how their work, and that of other staff, promotes the main aims of the home. This is achieved through staff meetings, and supervision sessions. There is evidence in service users plans of care that individual needs are met, with particular attention to gender, age, culture and personal interests. New staff undertake an induction to the home and the organisation. This covers areas regarding understanding physical and verbal aggression and self harm, cultural and religious needs and the role of the multi-disciplinary team. Further training for staff includes First Aid, Basic Food Hygiene, Moving and Handling and Fire Awareness. The use of agency staff is kept to a minimum. There is one staff vacancy for thirty hours and the manager uses these for relief hours. During the previous unannounced inspection staff rotas were looked at and showed that at times, mostly at weekends, staff are left on their own at certain times of the day. This is an unsafe practice and unacceptable and a requirement was made for at least two members of staff to be on duty at all times during the day. It is pleasing to see that that this has been complied with. A random selection of staff files were looked at. These contain all the necessary documentation as detailed in Schedule 2. All staff appointments are subject to a twenty- week probationary period. The manager told the inspector that she would meet with new members of staff after ten weeks in post, to review their performance and again following their twenty-week probationary period. Training needs are identified during staff supervision and their annual appraisal. All staff receive a TOPPS induction and a Fremantle induction programme. This covers equal opportunities training, recognising discrimination and multi cultures training. The Topps induction covers fire safety, moving and handling techniques and core skills training. Training and development are linked to service users’ needs and individual care plans. Following the previous unannounced inspection a requirement was made for all staff to receive up to date Moving and Handling training and it is pleasing to see that this has been complied with. Formal staff supervision is undertaken by the registered manager and the assistant manage. Each staff member has an annual appraisal, where training needs are identified and the line manager reviews performance against the individual’s job description. The inspector saw the homes grievance and disciplinary procedures, and was told that all staff are given copies of these. There is a procedure in place for dealing with physical aggression towards staff. DS0000022955.V281336.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38 and 39 The registered manager is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. The management approach of the home creates an open, positive and inclusive atmosphere. Various methods of measuring quality assurance are in place ensuring that the quality standards that apply to service provision are maintained to a prescribed standard and, in relation to service users requirements, are not compromised. EVIDENCE: DS0000022955.V281336.R01.S.doc Version 5.1 Page 22 The registered manager has been in post as manager at Cameron House since February 2003. Prior to this she was manager at Mill House, which is another Fremantle home. Her experience ranges from working with older people, children, adults with learning disabilities, people with mental health problems and working in a supported living scheme. The registered manager has completed her Registered Managers Award and is due to undertake NVQ level 4 in Health and Social Care. Examples of further training undertaken by the registered manager are infection control, first aid, PCP facilitator training and is due to undertake dementia training and effective supervision training in March. , The registered manager has the overall responsibility for ensuring the homes written aims and objectives are achieved, the homes budget is properly managed, policies and procedures are implemented, and certificates are displayed and that the home complies with the Care Standards Regulations. The manager communicates a clear sense of direction and leadership to the staff team. The homes aims and objectives are included in the service users guide. Service users and other stakeholders can voice their concerns via service users meetings, individual key sessions and by using the organisations complaints procedure. Staff have fortnightly meetings, four weekly supervision and an annual appraisal. The inspector observed the organisations policy for Equal Opportunities and was told that the organisation has a commitment to ensuring equal opportunities. Feedback from service users is gained via house meetings and key sessions. Families, friends and representatives of service users are invited to reviews if the service users wish and so are any health care specialists involved in the care of service users. Service user reviews take place annually. Feedback is also obtained via staff meetings and staff supervision. The inspector looked at a Fremantle Quality Audit Process Policy dated Jan 1999.This is detailed and comprehensive and contains a service user questionnaire. However it is not used regularly in the home. It was evident from the homes policy and procedure manual that policies, procedures and practices need to be updated regularly in light of changing legislation, and of good practice advice from the Department of Health, local authorities and specialist/professional organisations. DS0000022955.V281336.R01.S.doc Version 5.1 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 4 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 3 3 3 3 X X X x DS0000022955.V281336.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 8.2 Good Practice Recommendations It is recommended that serious consideration is given to providing service users with comprehensive, accessible, understandable and up to date information, in a suitable format about policies, procedures, activities and services. DS0000022955.V281336.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 DS0000022955.V281336.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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