Inspection on 05/09/06 for Cranmer

This inspection was carried out on 5th September 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cranmer 08/11/05

Cranmer 05/07/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 28/10/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Cranmer Cranmer 237 Coleman Street Whitmore Reans Wolverhampton West Midlands WV6 0RG Lead Inspector Mike Moloney Unannounced Inspection 5th September 2006 09:45 Cranmer DS0000029983.V311210.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 Cranmer DS0000029983.V311210.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 Older People and 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. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cranmer Address 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) Cranmer 237 Coleman Street Whitmore Reans Wolverhampton West Midlands WV6 0RG 01902 747945 01902 712610 londonroad@tiscali.co.uk Milbury Care Services Limited Mr Kenneth Gofton Care Home 8 Category(ies) of Learning disability (8), Old age, not falling registration, with number within any other category (8) of places Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Maximum number of residents - 8 persons category MH/E Any Mix Date of last inspection 8th November 2005 Brief Description of the Service: Cranmer, 137 Coleman Street, is a care home providing accommodation and personal care to eight adults with learning disabilities. The ‘mixed category’ status of this home reflects the age range of the service users, the majority of who are either well passed retirement age or soon to be reaching it. It is one of a group of homes owned by Milbury Community Services Ltd. The home is located in the Whitmore Reans area of Wolverhampton. It is close to local amenities and on a main bus route into the city. All bedrooms are single occupancy and are individually decorated to a high standard. The lounge and dining areas are comfortable, homely and well furnished. Further information is available about the home in the form of a service user guide. The fees are currently £439 per week. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service 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 Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. Prospective service users have their needs assessed, have a chance to try out the service and have a contract which clearly tells them about the service the will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One new service user is currently in the process of being introduced to the home. He had already stayed overnight at the home to establish whether or not he likes it. An assessment of his needs had already been carried out and at the time of the visit a worker from the local social service department was visiting in order to pass on further information about the resident and to review his progress. A service user contract was seen to be in place for others Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 9 living in the home that outlined the ways in which their needs will be met and who by. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. Individuals are involved in decisions about their lives and play as active a role in planning the care and support they receive as their disabilities will permit. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the records of some of the service users showed that they have an individual care plan which is developed from an ongoing assessment process. The ways in which individual needs should be met are clearly outlined. The staff on duty at the time of the inspection as well as the deputy manager explained that the principle followed during the ongoing assessment process is to establish both strength and needs. The needs are then targeted so as to Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 11 develop the individual’s skills in order to reduce their dependence on the staff and others as much as possible. The records also contained reference to how much the individuals had been involved within this process and the staff explained that this varied according to the communication skills of each resident. Within those difficulties the deputy manager explained that more person centred plans had been developed for each of the residents and these were seen to be clear and informative. They also explained that they had developed a knowledge of each individuals likes and dislikes and documents were seen that demonstrated that they take into account such knowledge. Books were seen to be kept that provided reminders about who liked different types of outings and activities and who liked what as an alternative to meals that had been planned. During the inspection the staff were also heard talking to the residents offering the choice to undertake a variety of tasks and activities. Risk assessments were seen to be maintained both within personal files and the general home files that related to all of the activities undertaken. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. People who use services are able to make choices about their life style and are supported to develop their life skills. Social, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 13 EVIDENCE: The lifestyle aspirations of each of the service users files seen were clearly identified within their ongoing assessments and the person centred plans that had been developed. The files showed and the staff talked about how those wishes had been developed into such things as attendance at a variety of day services for individual sessions in which the service user shown an interest, tasks around the house, going to church, outings to do the shopping for the home or for personal items, day trips to a variety of tourist venues and holidays to such places as Blackpool and other coastal resorts. At the time of the inspection one of the staff was making the arrangements for a European coach tour for some of the residents who will be supported by staff from the home whilst away. Although those residents spoken to during the visit had communication difficulties it was clear from their reactions that they enjoyed the activities arranged for them and that time for relaxing was also acknowledged as necessary. The range of activities was also seen to be appropriate to the stage that each service user had reached in their lives, some of whom are in their eighties. Talking with the staff and looking at the records also established that menus are discussed with the service users on a regular basis. The staff reported that the choice is normally fairly conservative and that they often use their persuasive skills to get the service users to accept their choices in a slightly more exotic manner. The example given was that some service users would identify mince as a choice. This would then be served, after discussion, as cottage pie. Looking at the menus showed that this would be typical of the style of what was served and created a varied and wholesome diet. The staff also explained that if a service user did not like what was served an alternative that had been identified and recorded as one of their preferences would be prepared for them. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the records for the service users established that the healthcare needs of each of the service users are clearly identified. How these needs are to be met are outlined and contact with a variety of healthcare professional such as the GP, chiropodists and opticians are recorded. Medication records were seen to be appropriately maintained with storage being provided in an appropriate lockable steel cabinet or a dedicated fridge. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 15 Staff training records showed and the staff confirmed that training in the safe handling is an ongoing process within the home. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records showed and the staff confirmed that they receive training in the protection of vulnerable adults. The manager confirmed that no allegation of abuse had been made in relation to any of the people living in the home since the last inspection. The home has a complaints procedure and talking to the staff demonstrated that they had a good knowledge of this process. Due to the nature of their disabilities the service users are unlikely to be able to access these procedures in any formal way, however, talking to the staff showed that they would react to any signs that the resident gave of being unhappy with any issues in a positive way. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 17 The home manages the cash for each of the service users. Looking at the records and checking the cash showed that this is carried out in an open and accurate manner. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a comfortable and homely atmosphere at this home where the people in residence have clearly benefited from the environment they live in. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 19 All residents’ rooms are clean, personalised and decorated to individual taste. Talking with the deputy manager established that they are currently awaiting the return of quotes for the decoration of some of the communal areas of the home. The laundry area was seen to be well equipped and away from food preparation areas thereby reducing the possibility of cross infection. All areas of the home were seen to be clean, tidy and free from any unpleasant odour. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service and to ensure the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Talking with and observing the staff confirmed that enough staff are on duty at all times to meet the current needs of the service users. Whilst looking at the rota the manager explained and one of the staff later confirmed that extra staff are on duty at some points during the week to enable activities to take place away from the home. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 21 Looking at the records and talking with the staff confirmed that they receive all of the mandatory safety training and most were qualified to NVQ2 in care. They also confirmed that they receive regular and frequent supervision from the manager. The records of staff who had started at the home since the last inspection were looked at and appropriate background checks had been carried out. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. Although the arrangements for the managing of the home in the absence of the registered manager had not been communicated to the Commission for Social Care Inspection the management and administration of the home is acceptable as it is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 23 This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager was not present during this inspection as he had been seconded to another home within the group until the new year. The Commission for Social Care Inspection had not been informed of this as is required by regulation. The deputy manager was running the home at the time of the visit. She has obtained her Registered Manager’s Award but has yet to obtain the NVQ4 in care, both of which are the qualifications appropriate to running a service such as this one. The home is visited each month by a member of the senior management of the company who takes a critical look at various areas with a view to improving the service received by the residents. Reports are then produced and the Commission for Social Care Inspection are sent a copy. The results of resident satisfaction surveys that had been carried out in May were seen as were the minutes of the residents meetings that the staff had confirmed took place every two months. A variety of records were looked at that showed that fire precautions, portable appliances, water temperatures and suchlike are tested or monitored on a regular basis so as to safeguard the safety of the service users and the staff. Similarly records also showed and the staff available at the time of the inspection confirmed that there is an ongoing programme of safety training for them. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 24 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT Standard No Score 37 2 38 x 39 3 40 x 41 x 42 3 43 x 4 4 x 4 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cranmer Score 3 3 3 x DS0000029983.V311210.R01.S.doc Version 5.2 Page 25 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 YA37 Regulation 38(2) Requirement The proprietor must inform the Commission for Social Care Inspection if the registered manager of the home will be absent for more than 1 month and demonstrate that acceptable alternative arrangements have been made. Timescale for action 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate 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. Cranmer DS0000029983.V311210.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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