Inspection on 02/08/05 for Sign Health

This inspection was carried out on 2nd August 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.

Other inspections for this house

Sign Health 26/08/09

Sign Health 09/05/07

Sign Health 10/01/06

Sign Health 25/02/05

Sign Health 24/08/04

Sign Health 24/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Constance Way 2 Constance Way Leicester Place Leeds LS7 1HX Lead Inspector Stevie Allerton Announced 2 August 2005 nd 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. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service None Address 2 Constance Way Leicester Place Leeds LS7 1HX 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) 0113 2457991 0113 2457993 Minicom: 0113 2457992 constanceway@signcharity.org.uk Sign Miss Susan Gill Care Home Only 6 Category(ies) of Sensory Impairment Over 65 (6) Mental registration, with number Disorder Over 65 (6) Learning Disability Over 65 of places (6) Learning Disability (6) Mental Disorder (6) Sensory Impairment (6) Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25th February 2005 Brief Description of the Service: 2 Constance Way provides care and support in individual purpose-built flats for six profoundly deaf people, who have additional needs due to some learning disability or mental health problems. The service is managed by SIGN, a national charity which specialises in this area of care, whilst the building is owned and maintained by a housing association. The service is situated in a mixed residential/business area close to the universities in Leeds and within walking distance of key facilities, such as the centre for deaf people. The two storey building stands within a development of mixed housing and there is nothing from the exterior which identifies it as anything other than a complex of flats. However, internally the accommodation has been designed around the needs of deaf people and is fully equipped for this purpose. One of the ground floor flats is also equipped to accommodate a wheelchair user, although no-one with this type of disability currently lives there. This is a highly specialised service for culturally deaf people. The language of the house is British Sign Language (BSL). Service users are expected to use this form of communication, as are all of the staff team, the majority of whom are deaf themselves. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was arranged in advance with the Manager and was completed by one inspector over the course of one day. Posters and pre-inspection material had been sent to the home prior to the visit, so that service users, visitors and staff could be informed. Two letters from relatives were received in response to this. A British Sign Language Interpreter (Vicci Ackroyd) accompanied the inspector for the afternoon of the visit, to facilitate communication with deaf service users and staff. The service users at this project are known as “tenants” and will be referred to as such during this report. Three of the six tenants were seen during the course of the visit, one of whom was spoken to along with his visiting parents, and one other who was spoken to at greater length. Four staff as well as the Manager were spoken to over the course of the day. The purpose of this inspection was to examine a range of National Minimum Standards, to establish how well the home was continuing to maintain the levels of service user satisfaction expressed during previous visits. The next inspection will take place without prior announcement, before 31st March 2006. What the service does well: The home provides a high standard of communication support for deaf users of the service, 24 hours a day. Tenants are encouraged to improve their own communication skills, which in turn increases their confidence in dealing with the hearing community. Tenants have the opportunity to develop social and domestic skills in a supportive setting, so that they may be able to live more independently if they wish. Tenants are also allowed to learn by making mistakes, within the boundaries set through assessment of risk, such as living off “Pot Noodles” for the first two weeks after moving in, because they could. Tenants spoke to the inspector on the day about some of their ambitions and hopes for the future. Staff work well with tenants’ families, keeping them involved if that is their wish. Relatives spoke to the inspector and said how happy they were with the support that the staff can provide, as well as the high standard of accommodation and facilities. One relative wrote a letter to the inspector stating the ways in which the staff have helped her relative, not only with communication and signing skills, but Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 6 also with support and advice. She felt he had made “phenomenal progress” since going to live there and that the staff “combine professional standards with a flexible, common sense approach to all issues.” As a result, she said she felt “ secure in the knowledge that ……… is being both provided for and supported appropriately, which in turn allows me a greater peace of mind.” The service also provides a good standard of accommodation that is geared up to the needs of deaf people, with flashing doorbells, telephone and fire alarm, also vibrating alarm pads for use at night. There is good attention to health and safety in the house. 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. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 5 Prospective tenants are provided with a good standard of written and visual information, backed up by a comprehensive admission process, which ensures that they can make an informed choice about the service. The wording of the provider’s tenancy agreement is much better than the version supplied by the Housing Association, being easier to understand. EVIDENCE: The written policy on referrals and the admissions process was confirmed in discussion with the Manager and the tenants. Individual support plans also documented the process, including trial visits and overnight stays, so that an informed choice could be made. Each of the tenants is subject to a comprehensive assessment process, both prior to admission and within the first few weeks, establishing where their strengths lie and what aspects of their life they need staff support with. There are two versions of a Tenancy Agreement, which is a source of conflict between the service and the Housing Association that owns the property. The Housing Association’s own document is written in legal language and is not that easy to understand. SIGN’s version has been translated into basic language, much better for the tenants, but not approved by the Housing Association. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 & 10 Tenants’ support plans address all areas of their lives that they require some assistance with. Each individual is involved in the decisions about his or her own care and support and on how their home is run. There is a good balance between the promotion of rights and the management of risks. EVIDENCE: Each tenant has a support plan, drawn up in consultation with them and their key worker and signed by both. The written plans have been agreed as a result of the person’s support needs being assessed, as they come to live at the project and as their needs and abilities change afterwards. For example, one person has now agreed to have support with dealing with letters, as some important appointments had been missed. One tenant said that her review was coming up. It would be held in her flat and she would be saying who came to the meeting. It would be a chance to sit down and discuss what had gone well, or not, in the past few months and what goals she would like to aim for now. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 10 There are written agreements regarding confidentiality and the sharing of information, signed by the tenants; this is an example of good practice. Daily notes about tenants’ well-being are included in the staff handover file, which is used to communicate between shifts. This alerts staff to look in the tenant’s individual file if the information is of a confidential nature. The daily notes that were seen reflected the levels of assistance outlined in the support plans. The manager said that service user involvement is one of SIGN’s key principles. Tenants confirmed that to be so, when talking about their house meetings, house “rules” and the sharing of tasks like keeping the communal areas tidy, all of which have been decided between themselves. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 & 16 Tenants are supported with their communication needs, which encourages them to be as involved in all aspects of the community as they wish to be. Tenants continue to be involved in the running of their own home. EVIDENCE: Tenants spoken to during the inspection described what they were involved in on a daily basis, both in the house and in the wider community. Some continue to do voluntary work, or attend college courses, during term time, that provide the opportunity for supported employment. Two of the tenants had gone out on a day trip to Scarborough along with some former tenants. A holiday in Tunisia is also planned for later in the year. One of the newer tenants was spoken to in his flat, which he had been decorating with the help of his parents. They were all very happy with the support provided at the project, which enabled people to learn how to live an independent lifestyle, developing domestic and social skills. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 12 Support plans record specific skills that each tenant would like to achieve, including how to use modern technology to aid communication, such as text messaging and fax machines. One tenant told the inspector that she kept in touch with friends by fax. Support plans showed where tenants’ main interests and contacts are, in the deaf community and the hearing community. Links are encouraged with both cultures wherever possible, although it is acknowledged that accessing interpreters so that deaf people can take a full and active role in hearing organisations is a big problem. Local banks, pubs and shops are all used. One of the tenants spoken to had been to join the library in Leeds that morning. Staff had given her a map so that she could find her way unaccompanied, which had been successful. Tenants meetings continue to take place, but are much more user-led than before. One of the tenants takes the minutes, some of which were seen, showing greater involvement and responsibility for the running of their own house. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 The staff pay good attention to supporting tenants with their personal care, health and emotional care needs. There are appropriate systems in place to store, handle and record medication. EVIDENCE: The home’s Philosophy and Values statement links in to Standard 18, outlining the principles that staff must follow to ensure that personal support is given in the right way. There is also a policy on supporting tenants’ health needs, with an emphasis on education as well as the provision of support. These two policies were sampled in relation to the specific support plan for a tenant who has epilepsy. There was a written procedure for staff to follow, to keep the tenant safe and maintain their dignity. There was also a specific plan for support during periods of mental ill-health. There was evidence of staff seeking agreement for them to enter the person’s flat to check on their wellbeing every 2 to 3 hours, also good information and recording about medication used during these periods. The medication policy was looked at and the Team Leader went through the procedure, which appeared to be followed correctly. Only 2 tenants have their medication looked after by the staff. Another tenant is in the process of learning to look after his own drugs. He currently holds a week’s supply, which Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 14 he puts into his dosette box himself under staff supervision. Staff said that he is now confident about ordering his own prescription when stocks get low and can collect it himself. Staff do a weekly stock count of medications and the paperwork seen appeared to be in order. There was good information for staff regarding drugs and their effects, kept in a file for easy reference. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The complaints procedure is accessible by the tenants, being clearly worded and easy to use. EVIDENCE: Details of a series of complaints, made by tenants and people living in neighbouring houses, were seen. The complaints refer to the behaviour of one of the tenants. Recording was good, showing that the staff take such issues seriously and try to resolve them. It was clear what action had been taken and that a follow-up had been carried out with the neighbours to see if things had improved. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 27, 29 & 30 The philosophy and physical set-up of the scheme promotes independence, choice and freedom of movement, as every tenant has a self-contained flat that is their own private space, to decorate and arrange as they prefer. There is a good level of input from the support staff to ensure the environment is safely maintained. EVIDENCE: The Ridings Housing Association owns the building, but they are not responsible for routine repairs; SIGN buy in their own repairs and maintenance work, also some of the staff are skilled in D-I-Y and have made improvements within the house and garden. The ground floor communal areas were seen, as well as one of the flats, which had just been redecorated by the tenant who lives there. The communal areas are comfortably furnished and the individual flats are well equipped, according to each individual’s taste. Each person has their own external doorbell and post box and the key to their own front door. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 17 The staff carry out regular health and safety checks throughout the building, seeking agreement with the tenants to access their flats for this purpose. Responsibility for housekeeping tasks is agreed in the support plans. The house meeting minutes also show how decisions are reached regarding keeping the communal living areas clean and tidy. The garden area has continued to improve (a joint project between tenants and support staff) and provides a pleasant area to sit. Some new trees and shrubs have recently been planted, in memory of a former tenant who died this year. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 & 36 The staff team is a collection of individuals with a wide range of life skills, experience and training, who have been recruited for their personal qualities. Staff training is comprehensive and wide-ranging, reflecting the skills that staff need to do their jobs. Staff receive a good level of management supervision. EVIDENCE: There has been a significant turnover of staff during this year; two have gone to work with the Outreach team, two have left permanent employment but are still retained as bank staff, employed on a casual basis, two more longstanding staff have also left for employment elsewhere. Two support staff were recruited within the past 6 weeks, both of which were spoken to during the inspection, and two more are expected to start within the next week. Recruitment was discussed with the Manager and the personnel files for one of the new recruits was seen. This contained all of the necessary records, showing that proper checks had been carried out into the candidate’s background. As there has been such a turnover, the Team Leader has developed a three day induction course, delivered by her and another of the support workers inhouse. All of the staff team are taking part in this course. The course outline Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 19 and trainers’ notes were seen for the training that had been given last week; these covered such topics as staff roles, professional boundaries, confidentiality, policies and procedures, ways of working with tenants, the role of the key worker, support plans and report writing. Training is also obtained from external sources, such as community nurses, voluntary organisations and specialist providers of services for deaf people with mental health problems. The Manager has also found some free specialist training for deaf staff. National Vocational Qualifications (NVQ) at level 3 are being worked towards by some staff. Discussion took place with the Team Leader who takes the lead on NVQs, who is negotiating to try to bring NVQ training in to the home for the whole group. The staff have found that attending college has not always been productive for deaf staff, depending on how good their English skills are. There is a structured system of supervision in place, some records of which were seen. The frequency of formal supervision is dependent on how the individual staff member is performing in their work; this may be fortnightly for new staff, as was confirmed in discussion with the two new support workers. The support workers also confirmed that they felt comfortable to approach any member of staff to ask about tenants’ needs, etc., without having to wait for their next supervision session. It was clear that staff are not expected to take on the responsibility of being on call, without they have sufficient experience and training and feel confident to do this. One of the workers spoken to had been in post for 6 weeks but had not yet slept on the premises on call. He said that he felt he was able to learn a lot from the experienced staff; they were good role models, to observe and learn from. Another support worker had been in post for seven months and was able to confidently discuss his role as key worker for a particular tenant. He also discussed his responsibilities for well-being and safety when sleeping-in on call. The administrative worker felt that the team training has been very good. Although not working directly with the tenants, she had still been included in the in-house training on self-harm, etc. Part of her duties are to sit in on review meetings and take notes. She did express a view that the recent changes in the staff team had left a skills gap in places, but acknowledged that recent training was trying to address that. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 40, 41, 42 & 43 Tenants are very involved with the decision making processes in their home and feel confident that the staff act in their best interests. Policies, procedures and records are all in place and show that the home has an organised approach to administration. EVIDENCE: Tenants have been involved in re-wording policies and procedures so that they are more easily understood, for example, the Fire Procedure; the version on display is written in very simple language, whilst the version in the policy file is more detailed. Tenants’ meeting minutes show the depth of their involvement in day-to-day decisions. Tenants also, in discussion with the inspector, described how they come to a consensus agreement about all kinds of things, such as keeping their communal spaces clean and tidy or reminding people about house “rules”. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 21 There is a Policy File for staff reference. Many of the policies are being rewritten and linked to the National Minimum Standards; for example, the Staff Code of Conduct has a reference to the relevant standard. A sample of statutory and operational records were seen during the inspection, including tenants’ support plans, staff rotas, staff recruitment records, accident and incident records, fire safety records and medication records. All were kept in good order, information was easily accessible and all entries appeared to be up to date. The accident and incident forms recorded a lot of events for one particular tenant who self-harms. Recording was appropriate, as was the action taken by support staff at the time. The inspector was present during staff handover, which happens during the afternoon between shifts. The BSL interpreter relayed the discussion to the inspector. The support staff demonstrated a good level of awareness of some complex issues in relation to individual tenants. The expected workload for the evening shift was planned and agreed between the workers coming on duty, i.e., who would support which tenant with which task. The home is subject to regular monthly visits by a representative of the organisation, who reports on the conduct of the home and sends copies by email to the CSCI. Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 4 4 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 N/A Standard No 31 32 33 34 35 36 Score x 3 3 4 3 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Constance Way Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 3 3 3 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Constance Way 20050802 Constance Way AN Stage 4 S1439 V194433 J52.doc Version 1.30 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!