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Inspection on 14/09/05 for Condover College

Also see our care home review for Condover College for more information

This inspection was carried out on 14th September 2005.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service has a well-organised and supportive management team. There is an enthusiastic and dedicated staff team. The home is responsive to the individual needs of the residents with a high ratio of staff in support.

What has improved since the last inspection?

Everyone is working hard to continually improve and develop systems, procedures and good working practices. The organisation is continually making improvements over the whole range of buildings. Major works during the past six months include a new kitchen extension at 34 Harley Road and the addition to the service of a three-person accommodation at 25 Harley Road.

What the care home could do better:

Everyone spoken to at the home has the same desire to continue to improve the service in terms of the environment, procedures and good practice issues. At a specific level more attention could be given to addressing health and safety issues, such as those identified in the environment section requirements, as a matter of routine maintenance.

CARE HOME ADULTS 18-65 Condover College Condover House Condover Shropshire SY5 7AA Lead Inspector Terry Woods Announced 14 September 2005 09.30 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Condover College Address Condover House Condover Shropshire SY5 7AA 01743 872250 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Condover College Vicki Pryce Care Home 19 Category(ies) of 19 Learning Disabilities registration, with number of places Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a total of 19 persons who have learning, sensory and physical disabilities. Date of last inspection 3rd March 2005 Brief Description of the Service: Condover College is a Care Home, registered with the Commission for Social Care Inspection to provide accommodation, personal care and education for up to nineteen young adults with Profound Learning Disabilities and Visual Impairment. Service users are aged 18 – 24 years and are offered a transition between education and adult life. Condover College Ltd operates the home. Ms Vikki Pryce, the current manager, is responsible for the home’s day-to-day management. The College is located in the village of Condover some three miles from Shrewsbury town. The main building is a three-storey house standing in its own spacious grounds. It is complemented by three dormer bungalows situated in close proximity and accessed through a walkway from the main garden. The Home seeks to provide a positive homely environment for service users affording the appropriate levels of support required to meet their needs and aspirations. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on the 15th September 2005 over seven hours and was carried out as a routine announced visit. A full tour of the premises took place and a sample of two staff files and three residents’ care records were inspected. Five of the staff on duty and 8 of the residents were spoken to during the course of the day. What the service does well: 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. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4 & 5 The home has a satisfactory and functional admissions procedure providing an effective needs assessment and suitability evaluation for prospective service users. EVIDENCE: The College carries out its own needs assessment for all prospective service users. This together with the admissions procedure has been redesigned. A comprehensive tool that is person centred, outcome focused and with effective methods of recording is now in place and will be implemented in respect of all new applications. The process includes input from care managers, parents, current provider, service users, medical input and complements the existing educational assessment. All potential residents have the opportunity of a two-day over night initial visit. A joint meeting is then convened to ensure suitability and that the individuals needs can be met in terms of staffing, the environment and adaptations required. All placements are reviewed formally after three months. Formal contracts covering all areas of the service’s provision have been sent out to all residents’ parents or representatives and a statement of terms and conditions has been given to all residents. The latter has been compiled in ‘inclusive writer’ format as an aid for staff to assist residents to understand its content. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 There is a clear and consistent care planning system in place, which provides staff with the information they require to meet residents’ needs Staff are sensitive to the individual needs of each service user and meet these in a professional manner EVIDENCE: The care planning process has been reviewed and the home now employs an effective and well-documented system of health, personal and social care planning for residents. Photographs are realistic of the residents’ current appearance. The home is keen to develop the system and promote Person Centred Planning to address the needs and aspirations of all residents. Consequently two members of staff have received six days formal training in ‘PCP’ and 20 staff had one and a half days input on ‘PCP’ / implementing valuing people. The latter is to be repeated for a further 20 staff during October 2005. The care plan documentation is physically in two parts comprising of one red and one blue folder. One records the care plan whilst the second is the working file that records its implementation. These were seen in operation throughout the home and staff referred to them whilst talking to the inspector. They Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 9 reported favourably about the system, which is identical throughout all four units. House meetings for residents are carried out regularly within each of the units and minutes taken are transcribed into ‘inclusive writer’ format. Conversations with staff further confirmed a culture at the home that continually consults and involves residents in all aspects of life there. Good quality and meaningful risk assessments were seen in individual files. It was reported that risk assessment and risk management training had been completed by some staff and that this is an on going training need As a result of ‘PCP’ training three ‘champion’ groups of staff have been formed. These are concerned with Person Centred Planning, Advocacy and Community Participation. A team leader reported that these groups are just getting started and that both staff and management are keen to develop these particular areas for the benefit of all residents. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 & 17 Links with the community are good, which support and enrich service users’ educational, leisure and life experience opportunities. Activities and routines around the home are stimulating and well organised which provides service users with a pleasurable and fulfilling lifestyle. EVIDENCE: All residents have links to some degree with their families and although there were no visitors on the day there was recorded evidence in care plans of the use of the telephone for this purpose. It was reported that one lady had pleasantly surprised her parents after developing these skills and being able to contact them in this way. Written feedback from another relative praised the high standards set and the high level of care and support shown to her son by the staff at the home. Another resident was observed was being advised of the appropriateness of her dress to go bowling on the afternoon and was clearly very enthusiastic about her trip out. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 11 A further resident spoke well of some of her community activities. She reflected on her mornings shopping in Telford and of her lunch at McDonalds restaurant. Charts are posted around the home identifying the day’s activities and those residents and staff involved. This included dance and drama at the village hall, tenpin bowling, hydro pool access in the evening and community shopping. Activities cross-referenced favourably with what residents were actually doing and staff confirmed that new sheets are compiled from their care plans ready for each new day. Holidays were provided for eight residents this year with the remainder choosing to visit their parents for the summer break. Holidays included a seaside caravan for two residents, a holiday cottage in Aberystwyth for a further two and four residents enjoyed a Pembroke National Trust holiday. Staff and residents are currently planning next years holiday, which has been requested to be more activity based. The loss of 25 Harley close as an education facility, which is now an additional residential unit, has resulted in a move to use North Shropshire College at Whitchurch as an alternative. This begins on 19th September and will provide experiences in dance, drama, music, craft and the use of a gymnasium. One resident particularly mentioned this and was clearly excited at the prospect of attending. The main cooked meal of the day each evening is prepared “off site” prior to being served in the homes. The lunchtime activity was observed in two units and residents were offered choices from the weekly menu. Three residents indicated that they enjoyed lunch whilst another spoke of her breakfast of rice crispies, toast and yoghurt. Menus are set a week in advance and vary weekly on a random basis driven by residents’ preferences with snacks and drinks being are available at all times. Halal food is provided for the two Muslim residents and a vegetarian option is always offered. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 & 21 There is a clear and consistent care planning system in place to adequately provide staff with the information that they require to satisfactorily meet residents’ personal and health care needs. A safe and effective system for the administration of medication is employed with correct records kept. EVIDENCE: Key workers are fully involved in arranging regular annual health checks for residents in liaison with the local GP. It is the homes intention to ensure that every resident has a full Physical examination. The services of other health professionals are requested as required. One resident’s file demonstrated the use of a Physiotherapist and contained guidance for staff in picture form in the use of techniques specific to the resident. Managing ongoing health care is a combination of service user reaction and staff knowledge of individual residents. Good notes and observations are being kept in a consistent manner by all staff members. All residents have been assessed as requiring assistance with the administration of medication. All staff involved in administering medication receive training in the Safe Handling of Medicines to ensure that the system is safe and efficient. Secure storage has been obtained for the safe keeping of controlled drugs should they be prescribed. Medication records were seen to be appropriately kept and to date. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 13 There is a sensitive and well thought out procedure covering an individuals cultural needs and issues of illness and death to ensure that each persons wishes are known to the home and are managed with respect. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 The home has a satisfactory and user-friendly complaints system. The arrangements for the protection of residents from abuse are satisfactory. EVIDENCE: There is a comprehensive complaints procedure in place that is produced in Braille, inclusive writer and moon formats to ensure that the document is accessible to all. The manager reported that the procedure had been circulated to residents and families, however feedback from three families suggested that they are unaware of the procedure. Assurances were given that a further mail shot would be undertaken to resolve this. No formal complaints have been received by the home or by the Commission for Social Care Inspection during the past year since registration. It continues to be recognised that this is, in part, due to staff being alert to dealing with issues sensitively and promptly before they develop into problems and complaints. There are robust procedures in place for responding to suspicion of abuse. This was demonstrated effectively on a previous occasion. The manager has completed the Protection of Vulnerable Adults training and similar input for all staff will be provided on a weekly basis at the home by Shropshire Partners in Care. Whistle blowing procedures are an integral part of the induction / foundation process. There is lockable storage in each resident’s room and one lady returning from a shopping trip was happy to show the inspector how she used this to ensure that her purse is safely locked away. A staff member demonstrated how residents are assisted to manage their personal allowances and how this is recorded. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 & 30 The standard of the environment within the home is good and is providing service users with a homely and comfortable place in which to live. EVIDENCE: The premises are in keeping with the local community and provide a homely yet spacious environment. The home comprises of a three-storey house standing in its own spacious grounds, complemented by three dormer bungalows situated in close proximity and accessed through a walkway from the main garden. One of the bungalows is a recent addition to the home providing accommodation for three further residents. A second bungalow is in the process of being upgraded and has been extended to provide large new kitchen. Condover College overall provides good quality accommodation for those in residence. Bedrooms are all fitted out with modern style furniture, which includes a lockable drawer. Soft furnishings, bedding and curtains are attractive and matching and were purchased new for registration in 2004. Residents were assisted to make choices about colour and design. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 16 The home is centrally heated and all radiators have individual thermostatic controls. All rooms have ample and safe electricity outlets, illumination and ventilation. All rooms have wash hand basins for service users’ convenience and eight rooms have an en suite toilet facility. An unguarded towel rail situated in a first floor bathroom in Condover House, which presented as a hazard to residents has now been removed. Similarly an unsightly overhead- suspended water pipe has been removed from the main kitchen. A number of minor health and safety issues with regard to the environment were noted. These are; an inappropriate device has been fitted to hold the fire door open in room 7. There is easy access to the back of the large television in the lounge presenting a potential shock hazard. The inspector was unable to determine the safe temperature of hot water outlets in the main building. This reached only 32-34 degrees centigrade due, according to the housekeeper, to the boilers being turned off during the daytime. Window restrictors have been removed from two first floor windows. Three bars of soap were left in the sinks of communal bathrooms presenting a potential infection control hazard. It is however noted that a programme to fit soap and paper towel dispensers to all communal bathing facilities is currently in progress. Full consideration has been given to providing a range of adaptations and equipment for service users’ convenience and to maximise their independence. These are provided in bathrooms, showers, en suites and around the home in the form of grab rails, hoists, visual aids, tactile symbols in the kitchen, the use of colour contrasts and additional lighting. There are bed monitors fitted with alarms to alert staff for use by service users with epilepsy. Three bedsides in use however were seen to be unstable and not fitted correctly. There is a stair lift to allow the less ambulant to access the first floor in the main house. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 There is an effective and well-supported staff group with the skills and knowledge to enable service users to enjoy a quality of life that meets their individual requirements and aspirations. EVIDENCE: A record of staff on duty is kept by the home. This includes a record kept in the staff office of whether the roster was actually worked. The ratio of care staff to service users is determined according to assessed need and exceeds DOH guidance by a considerable margin. During the day this is virtually 1 – 1. After 4.30 it never drops below 8 staff to 14 residents. There are two waking night staff and four or five sleeping in staff (depending on numbers of residents in situ). Each shift has a designated leader. A housekeeper, an administrative assistant and a contracted caterer support the staff. The home operates a thorough recruitment procedure. Two files of newly recruited staff were seen. Contents included an application form, two written references, Criminal Records Bureau check, a copy of the staff members birth certificate and passport where available and a recent photograph. All new staff receive a statement of terms and conditions, a copy of the code of conduct as issued by the General Social Care Council and a copy of their job description. Job descriptions have recently been reviewed and compiled Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 18 specifically to confirm roles and responsibilities within the Condover College function All care staff have received a Criminal Records Bureau check. The home reported that the production of a training and development programme has been completed and implemented and will be reviewed in January 2006 in light of experience. All staff have formal supervision on a monthly basis for which time “off shift” is provided. There is a supervision policy and individual contracts. Supervision skills training for all senior staff is being organised through an outside agency. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 40, 41, 42 & 43 The management team are approachable, supportive and present a clear vision for the home, which is having a positive impact on staff, residents and relatives. The home is nearing completion of the first year of business and currently reviewing all aspects of its performance. There are a number of environmental issues concerning health and safety, which are identified in Standard 24 EVIDENCE: Ms Pryce, the registered manager has over 19 years experience of working with people with severe and complex needs and a visual impairement. She has completed the NVQ Level 4 in care programme and the registered managers award, together with the vocational assessors award (D32 / D34). Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 20 Ms Pryce is a member of the board of management at Condover College and is responsible for the home’s day-to-day management function as the head of care and support. The management team is currently in the process of identifying the most appropriate monitoring system for the home. This involves joining the ‘BILD’ Quality Network and there is an expectation that a Quality Network review involving residents and their families will be completed before the end of the year. An outside consultancy has also been commissioned to evaluate the recently adopted care planning system and to advise on the effectiveness of the Person Centre Planning process. Records are kept in the administration area on the second floor of the main building. All sensitive information is kept in a locked cupboard / drawer system. Residents have access to their personal folders however due to their disability they lack the capacity to understand their function or content. Records viewed include supervision, training, recruitment, staff and residents’ files and health and safety. These are consistent, kept to a good standard and constantly improving following reviews of all documentation. Written feedback from family members indicated a satisfaction with the manager and staff and with the continuing care and welfare of their relatives. Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 4 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Condover College Score x 3 3 3 Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 2 3 E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 22 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 24 Regulation 13.4.a.c Requirement The home is required to cease the practice of securing the fire door open in room 7 unless a safe and appropriate device is installed The home is required to secure the wiring and access to the back of the large television in the lounge, which presents as a potential shock hazard The home is required to review the current practice of switching off the hot water boiler during the day The home is required to refit window restrictors, which have been removed from two first floor windows The home is required to carry out an audit of all bed rails in use and ensure that they are fitted correctly and that all staff are trained in their safe operation. Timescale for action immediate 2. 24 13.4.a.c immediate 3. 24 23.2.j immediate 4. 24 13.4.a.c immediate 5. 24 13.4.a.c immediate Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 23 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 Good Practice Recommendations Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn Shrewsbury SY2 5DE 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 Condover College E56 E01 S61651 Condover College AI V217023 140905 Stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!