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Inspection on 29/08/07 for Clacton Family Trust

Also see our care home review for Clacton Family Trust for more information

This inspection was carried out on 29th August 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Clacton Family Trust provides a comfortable and homely place to live for people in Pathways and Archway House. They are spacious, well equipped and decorated to a good standard. People`s bedrooms reflect individual preferences and show they have been encouraged to personalise their rooms and to treat the home as their own. There home has a day care centre within the grounds that has excellent facilities, including a swimming pool, that are available for the use of those living in the home. Interactions between staff and people at the home were friendly; staff knew the people well and demonstrated an ability to support and meet their needs.

What has improved since the last inspection?

The provision of the Pathways bungalow has provided people with a wellequipped and modern place to live.

What the care home could do better:

There still remains a need for the service to develop information guides (service user guides) in formats that meet the needs of people living at the home. People living at the home should be given the basic opportunity of being enabled and supported to go shopping in the community for food. It is understood that 111 Pier Avenue will be demolished eventually, but there is a need in the interim to ensure some improvements to the facilities are made. The home must ensure that all staff are recruited in strict accordance with regulations and that the necessary checks are made prior to employment. Confirmation of all the necessary Health and Safety checks on equipment and services must be available to confirm the work has been undertaken. Evidence should be available of how and when the home carries out surveys to seek people`s views about the home.

CARE HOME ADULTS 18-65 Clacton Family Trust 111 Pier Avenue Clacton On Sea Essex CO15 1NJ Lead Inspector Brian Bailey Key Unannounced Inspection 29th August 2007 10:00 Clacton Family Trust DS0000017794.V349607.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 Clacton Family Trust DS0000017794.V349607.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. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clacton Family Trust Address 111 Pier Avenue Clacton On Sea Essex CO15 1NJ 01255 421676 01255 474363 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) Clacton Family Trust Mr Philip Firman Care Home 23 Category(ies) of Learning disability (23), Physical disability (23), registration, with number Sensory impairment (23) of places Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 18 years and over, who have a learning disability and may also have a physical disability and sensory impairment (not to exceed 23 persons) 19th September 2006 Date of last inspection Brief Description of the Service: The Clacton Family Trust has a residential care home providing long stay care for younger adults with learning disabilities, who may also have physical and/or sensory disabilities. The home is situated in the centre of Clacton on Sea and close to the town’s amenities. The service consists of three detached properties. A Victorian town house that accommodates seven people and two new purpose built properties, known as Pathway House and Archway House that accommodate ten and seven people respectively. All of the bedroom accommodation is for single occupancy and there is ample communal space available in each building. The site also has a purpose built ‘day services’ unit that provides facilities such as a sensory room and a swimming pool, which may be used by the people living at the home. The home has car-parking facilities, which are situated at the Old Road entrance. As at 30th August 2007, the manager informed us that the range of fees for accommodation is from £400 to £2500 per week. Extras to the fees include toiletries, hairdressing and personal items. Inspection reports are available from the home and from the CSCI website www.csci.org.uk Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection looking at the core standards for the care of adults. This report is based on a range of information that has been accumulated from our records since the last inspection, which includes a detailed assessment of the home completed in August 2007 by the manager, a site visit to the home that took place on 29th August 2007 at 10:20am, a tour of the three properties, discussions with staff and people that live at the home, observations, questionnaires issued by CSCI and a sample of many of the records kept at the home. Philip Firman, registered manager of the home, was at the home throughout the service visit and took an active role in the inspection process. It is evident from discussions with staff and from the home’s annual assessment that the past year has been difficult for some people in terms of the disruption caused by the building programme to create smaller separate houses, which is in its final stages. All those spoken with during the visit were positive about the new units, the home and the care provided, although concerns were raised about the poor condition of some of the rooms in the old building on Pier Avenue and the lack of progress to complete the building project. Interactions between staff and people living at the home were again observed as positive. Survey forms returned to us by health care professionals, staff and relatives show that in general the home is considered to provide a good service. What the service does well: Clacton Family Trust provides a comfortable and homely place to live for people in Pathways and Archway House. They are spacious, well equipped and decorated to a good standard. People’s bedrooms reflect individual preferences and show they have been encouraged to personalise their rooms and to treat the home as their own. There home has a day care centre within the grounds that has excellent facilities, including a swimming pool, that are available for the use of those living in the home. Interactions between staff and people at the home were friendly; staff knew the people well and demonstrated an ability to support and meet their needs. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Clacton Family Trust DS0000017794.V349607.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 Clacton Family Trust DS0000017794.V349607.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 and 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People considering whether to live at the home benefit from having an opportunity to visit to assess the home’s suitability but are not provided with an information guide about the home’s services and facilities that are available. The home completes thorough assessments of people so that they can be certain as to whether or not they can meet their needs. EVIDENCE: The home had an appropriate Statement of Purpose available for prospective individuals and/or their representatives. However, the Service User Guide has yet to materialise despite five previous inspections requiring a guide to be made available. The manager has stated previously that they were exploring ways in which a guide could be produced in different formats, but a written guide would be a start and a help to some people and/or their relatives. This is a requirement of the regulations and is not optional. The examination of service user records gave evidence of comprehensive assessments being conducted prior to an individual being admitted to the service and that these assessments formed the basis of the initial care plan as well as contributing to the on-going process of assessment within the home. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ assessed and changing needs were reflected in their individual plans and were involved in the decision-making process in most aspects of their lives. Service users were supported to take risks as part of an independent lifestyle. EVIDENCE: The care records of three people were checked and all contained evidence of a recent review of care plans. The home is in the process of transferring all care record data onto a computerised system although at this stage each house is at a different stage of the project. The manager demonstrated the system in Pathway House and in Archway House to show how the information is stored and how care plans and other relevant records are updated and information is retrieved. A staff member was observed to complete the daily record of one person and commented on how easy the system is to use. The system was clearly a comprehensive package that has been specifically designed for the purpose. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 10 Evidence showed that assessments had been undertaken and risk management strategies developed. People living at the home that were spoken with confirmed they were enabled and encouraged to make decisions and choices, and they felt they are consulted regarding activities and the day-to-day running of the home. However, the method adopted by the home for the purchase of food does not enable people at the home to make choices or the opportunity of selecting food at different shops. Staff spoken to stated that all food is delivered directly to the home from a supermarket. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 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. People benefit from being enabled to take part in appropriate social activities in the local community. People at the home are offered a healthy diet and were able to enjoy meals and mealtimes. EVIDENCE: Care records and discussions with staff and people at the home confirmed that opportunities to participate in educational and leisure activities inside the home, at the day service facility attached to the home and within the local community are available. The examination of records and direct observations provided evidence that activities were appropriate in terms of age and culture and that service users were supported to maintain appropriate personal and family relationships. Observation of interactions and conversations with service users and staff gave evidence that service users rights were respected and that all were treated in a dignified manner. The atmosphere in Pathways House was calm and relaxed and staff were observed to provide support to people in a reassuring and confident manner. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 12 Staff stated that relatives visit frequently. One relative confirmed they were able to visit and to come and go as they pleased. One person was observed to enjoy using the facilities at the home with their relative and both appeared to be having fun. Discussions with the manager, staff and service users showed that service users were offered a varied and nutritionally balanced diet and all enjoyed their meals. Good food stocks were available including fresh fruit and vegetables. People are able to participate in the preparation of meals. Surveys returned to us showed that some people consider the food purchased is of basic quality only. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home receive personal support in the way they prefer and require, and physical and emotional health needs are met. People are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: People at the home that were spoken with indicated they were happy with the way they are supported by the staff. Care plans identified individual needs as well as the choices made by individuals. Care plans were well detailed and most were regularly monitored and formally reviewed at intervals depending on individual need. There was an ongoing process of assessment to take account of the changing needs of individuals and the services of healthcare professionals such as community nurses, speech and language therapists or psychologists were accessed as necessary. Survey forms returned to us by health care professionals that attend the home considered that individuals’ health care needs are met. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 14 None of the service users retained, administered or controlled their own medications at the time of this inspection. Medication is retained in appropriate facilities in each of the three units. Medication in Pathways House was inspected. The Medicine Administration Record (MAR) sheets were up to date and staff were able to demonstrate that they had a good knowledge about procedures and they were appropriately trained in this area. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 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. 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. Arrangements were in place to help protect people from abuse, neglect and self-harm. EVIDENCE: The Home had a robust complaints procedure. The adult protection policies and procedures were adequate to protect service users from abuse and where service users presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People at Pathway and Archway House benefit from living in a homely, comfortable, clean and safe environment where the bedrooms, toilets and bathrooms are suited their needs. People living in 111 Pier Avenue however, are disadvantaged as the house is less welcoming and comfortable. EVIDENCE: The home is ideally situated on a bus route and within a few minutes walk of a supermarket and shops in the town centre. The home has its own transport facilities. A tour of the premises showed that people living in Archway House and the new unit known as Pathway House, are able to live in homely, well equipped, comfortable and safe environments and that bedrooms are personalised to meet the needs of individuals. Pathway House in particular is spacious, light, well designed and incorporates many features that assist staff and people living in the unit. Each house is self-contained with its own kitchen. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 17 Although Pathway House was completed since the last inspection, staff were of the opinion that building work had come to a halt on the conversion of the property next door (109 Pier Avenue) to office space for the management and administration team and a separate 5-bedded unit to be known as Norfolk House. This has resulted in the existing property at 111 Pier Avenue, which will eventually be demolished and be rebuilt as a new unit, looking scruffy and in urgent need of improvement. For the seven people in residence, they have to live in a house where there are several areas that have torn wallpaper, paintwork is scratched, carpets are worn and the plasterwork on walls and furniture is damaged and has poor laundry facilities. Staff spoken with commented that the building works seem to have come to a halt, which they find very frustrating. All three houses viewed were clean and no unpleasant odours were noticed. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 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 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 good. This judgement has been made using available evidence including a visit to this service. People at the home benefit from being supported by teams of experienced, trained and motivated staff that can meet their needs. People are protected by the home’s recruitment procedures, although they me at risk if the home does not obtain CRB disclosures for staff prior to their employment. EVIDENCE: From discussion with the manager and staff and the inspection of staff records, it was evident that support staff have a good understanding of their roles and responsibilities and that staff were experienced and provided with training opportunities. Staff were employed in sufficient numbers to meet the needs of the people at the home and had from observation clearly established excellent relationships. The manager stated that the home is served well by a team of advocates that attend the home on a regular basis. Staff records checked showed that training was readily available, all new staff receive an induction programme over the first 12 weeks of employments and annual refresher courses were provided in areas of health and safety, moving and handling, food hygiene and fire. Additional training in specific areas was made available in response to the changing needs of service users. Staff records continued to show that staff received regular support, supervision and Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 19 appraisal. Staff spoken with said they enjoyed working at the home and felt supported by their colleagues. The home has a staff recruitment policy. Staff files checked confirmed that although application forms had been completed and references and confirmation of identity obtained, evidence of a current Criminal Records Bureau (CRB) disclosure was not available on one file. This point was also made in a survey form returned to us by a staff member that certain checks were not made prior to employment, which is a basic requirement. However, other staff have confirmed that CRB’s were obtained but these had taken too long to obtain, which had created problems with maintaining staffing levels. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 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 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 adequate. This judgement has been made using available evidence including a visit to this service. The home is managed and run by a team of experienced staff and in the best interests of the people living at the home, although more work is needed to be done on quality assurance and the monitoring health and safety systems to ensure people are consulted and not placed at risk from accidents. EVIDENCE: The registered manager has good experience of working with adults with learning disabilities and has completed a National Vocational Qualification level 4, Registered Manager’s Award. Observation, discussion with the manager and staff and the inspection of service user records, showed that the rights and best interests of the service users were of prime importance. Conversations with people living at the home confirmed that they were happy with the home, the staff and opportunities available to them. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 21 The manager stated that independent assessors carryout regular quality assurance monitoring visits but the reports relating to these visits were not available for inspection. It was not possible therefore to assess whether the views of people, their relatives and health care professionals were being sought on a regular basis. Other records at Clacton Family Trust were well maintained although the home is clearly going through a period of transition with new buildings and the process of recording information and records on computer systems. Staff spoken with on the day of inspection were mainly positive about how the home is managed and said they felt able to raise to discuss issues, concerns with, or make requests to the manager or the senior staff on duty. A number of positive comments were made in the survey forms returned to us by staff, relatives and health care professionals, although one person felt there was a lack of communication and that staff turnover is too high, and another person considered there should be more opportunities for people to develop their independent living skills. One person felt that the delivery of food to the home is an opportunity missed by people to make choices and access the local community. Some records were available to show that the home arranges for equipment and services to be inspected as required by the Health Safety Regulations. The manager was however unable to find all the records such as when the heating system was last serviced. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 2 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 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 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 5 Requirement A guide(s) (Service User Guide) to the home must be made available to people so that they are aware of the services and facilities provided and have up to date information about the home. Previous timescales of 30/9/04, 28/02/05, 30/09/05, 30/06/06 and 31/12/06 not met. Improvements to the internal decoration of 11 Pier Avenue must be made to improve the quality of the environment for people. All recruitment checks including CRB’s must be obtained for all employees prior to their employment to ensure people at the home are safeguarded. The manager must be able to provide evidence of a Quality Assurance system that seeks to obtain the views of people and how these may influence the way the home is run Timescale for action 01/12/07 2 YA24 YA28 23(2) b 01/01/08 3 YA34 19(1) b 01/11/07 4 YA39 24(3) 01/12/07 Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 24 5 YA42 23(2)c The manager must have evidence of when equipment and services have been serviced to show that people at the home are being safeguarded from health and safety hazards. 01/12/07 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 YA17 Good Practice Recommendations People living at the home should be given every opportunity to be supported to visit shops to select and buy their food. Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Clacton Family Trust DS0000017794.V349607.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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