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Inspection on 11/05/07 for Daniel Close, 16

Also see our care home review for Daniel Close, 16 for more information

This inspection was carried out on 11th May 2007.

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.

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

One of the people living at 16 Daniel Close explained, "I like it here, this is my home, I don`t want to move." Throughout the site visit it was evident that the people living at 16 Daniel Close view it as their home and have confidence in the support they get from the staff team. People are able to spend their time alone or in company as they prefer and have a number of activities and hobbies, which they enjoy whilst at home. There are two staff working in the house at times which gives both people the opportunity to go out or stay at home and have 1-1 support from staff, engaging in doing the things they enjoy. Care plans are in place for both of the people living at 16 Daniel Close, these are up to date and provide clear information for staff to follow on the support the persons needs and likes as well as the things they can do independently. These are written with the person and help to ensure that their needs and choices are identified and met on a daily basis. The house is an ordinary `family style` house and provides enough space for people to spend time alone or in company, as they prefer. Staff are well supported and receive training to help them support people with their individual needs and choices. There is a small staff team who know the people living at 16 Daniel Close well and are able to communicate with them in the way they prefer.

What has improved since the last inspection?

16 Daniel Close continues to provide a good service for the people living there.

What the care home could do better:

Staff have not had recent training in fire awareness and prevention. This could be a risk in the event that a fire occurred. Information provided for the people living at 16 Daniel Close is not always available in an easy to understand format. This may mean that people are not as fully aware of their rights as they could be.

CARE HOME ADULTS 18-65 Daniel Close, 16 16 Daniel Close Bootle Liverpool Merseyside L20 4UJ Lead Inspector Ms Lorraine Farrar Key Unannounced Inspection 11th May 2007 10:30 Daniel Close, 16 DS0000005243.V333632.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 Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Daniel Close, 16 Address 16 Daniel Close Bootle Liverpool Merseyside L20 4UJ 0151 933 7791 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) Expect Limited Mrs Eleanor Dowling Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to included up to 3 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 18th October 2006 Date of last inspection Brief Description of the Service: 16 Daniel Close is registered to support up to three adults who have a learning disability, however in practice a maximum of two people live there, which provides both with more privacy and access to staff time. Expect LTD run the home, they are a local organisation who provide services for people who have a learning disability or who need support with their mental health. The house is a semi-detached located in a residential area of Bootle. It is similar in style to other family properties nearby and is well located for getting to local shops, facilities and public transport. There are three single bedrooms, one of which is used as an office, two lounges and an enclosed back garden with limited car parking available. There is one member of staff in the home 24 hours a day, at night this member of staff sleeps in. During the week there is sometimes an extra member of staff working for several hours a day, giving the people living there the opportunity to get out and about if they wish. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. This included an unannounced site visit where time was spent reading records, meeting with the people living there and with staff, observing life in the home and looking at the environment. The Inspector met with both people living there and two members of staff, including the manager. In addition comment cards were sent out before the visit. Both of the people living at 16 Daniel Close returned these and their views are incorporated within this report. The Manager was given the opportunity to provide information about the service prior to the inspection. This information and any other relevant information the CSCI has received about the home, since the last full inspection in October 2006, is included within this report. Fees for living in the home are £318 per week. An easy to understand summary of this inspection report is available. If you would like to see a copy please ask staff working at Daniel Close. What the service does well: One of the people living at 16 Daniel Close explained, “I like it here, this is my home, I don’t want to move.” Throughout the site visit it was evident that the people living at 16 Daniel Close view it as their home and have confidence in the support they get from the staff team. People are able to spend their time alone or in company as they prefer and have a number of activities and hobbies, which they enjoy whilst at home. There are two staff working in the house at times which gives both people the opportunity to go out or stay at home and have 1-1 support from staff, engaging in doing the things they enjoy. Care plans are in place for both of the people living at 16 Daniel Close, these are up to date and provide clear information for staff to follow on the support the persons needs and likes as well as the things they can do independently. These are written with the person and help to ensure that their needs and choices are identified and met on a daily basis. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 6 The house is an ordinary ‘family style’ house and provides enough space for people to spend time alone or in company, as they prefer. Staff are well supported and receive training to help them support people with their individual needs and choices. There is a small staff team who know the people living at 16 Daniel Close well and are able to communicate with them in the way they prefer. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided to and obtained about, people wanting to move into 16 Daniel Close. This enables everyone to decide if the home can meet their needs. Information given to people is not always as easy to understand as is could be. EVIDENCE: Nobody new has moved into 16 Daniel Close since the last inspection. However the organisation have procedures in place for supporting people considering moving into the home. This includes getting sufficient information about their needs and choices and offering them the opportunity to visit and stay overnight if they wish. This planned approach to supporting people considering living at Daniel Close helps to ensure that the service can meet their needs and wishes and that they can be reasonably confident they will like living there. Both of the people living at Daniel Close said that they were asked if they wanted to move there and that they received sufficient information before moving in, to help them make a decision. The people living at Daniel Close have a contract, which gives them information about the terms and conditions of staying there. They have been offered the opportunity to sign their agreement with this. However the Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 9 contracts are not written in a way that makes them easy to understand. The writing is very small and some of the language used may be too technical for people to easily understand. For example information regarding medication states there is a “clear policy and stringent procedures”. This may mean that some people are not as fully informed of their rights, as they could be if the information was in an easier to understand format. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at 16 Daniel Close are supported to make choices and decisions and lead the lifestyle of their choice. EVIDENCE: Comprehensive care plans are in place for both of the people living at 16 Daniel Close. These give information and guidelines on the things the person likes and does not like, the way they communicate, the things they can do independently and the things they need staff to support them with. Plans are written with the person and their family and are updated monthly with a full review taking place every six months. Up to date risk assessments form part of each care plan. These identify the level of risk to the person in different areas of their life such as their health and social life and provide guidelines to minimise any risks identified. The amount of detail in the plan along with the regular reviews helps to ensure that people get the support they need. It also helps to ensure that any Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 11 changes to their support needs or chosen lifestyle are quickly noted and acted upon and that staff are fully informed about how to support the person. The people living at 16 Daniel Close said they can do the things they want to do and make decisions about how to spend their time. One of the people living there said she would like to go out in a car more. Transport is not provided by the service, however staff will support people to use public transport and one member of staff supports people to go out using her own car. Throughout the inspection the people living at Daniel Close were engaged in activities of their choice with or without staff support, as they needed it. Staff spent time talking with people and establishing with them the things they wanted to do that day. Information about how people like to manage and spend their money is recorded in their care plan. People have their own bank accounts and are supported to have all or part of their benefit money paid into their account. This provides them with the opportunity to have more control over their lives and increase their independent living skills. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at 16 Daniel Close are supported to live the lifestyle they choose. EVIDENCE: During the site visit the people living at Daniel Close were engaged in a number of different activities of their choice. On lady went out with a member of staff for a walk, shopping and lunch. The other lady was watching a favourite TV programme and planning to go out with a member of staff later in the day. Records showed that the people living there had been supported to become involved in a number of different activities as identified in their care plan. These ranged from going out to spending time at home reading, doing craftwork or puzzles and undertaking household tasks. Staff also support people to either visit their family or have visitors on a regular basis. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 13 As there are two lounges in the house, the people living there can have their privacy and spend time at home engaged in their chosen activities. One lounge was well stocked with one lady’s hobbies, including her books and craftwork. The other provided a comfortable room to sit and watch TV in. Staff engaged with the people living there throughout the visit. They spent time communicating with people in the way that the person prefers and either engaged in activities with them or gave them privacy to spend time alone. Records of menus showed that people are offered a variety of meals and one of the people living there explained that staff discuss with her the things she likes and would like to eat at mealtimes. Food is bought at local shops and supermarkets and the people living at Daniel Close go shopping to choose this with staff support. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at 16 Daniel Close receive good support with their personal and health care whilst being encouraged to be as independent as possible. EVIDENCE: Care plans provided clear information about the support people need with their personal and health care and also inform staff about the things the person is able to do independently or with little support. This ensures that people receive the support they need whilst enabling them to become and remain as independent as possible. A yearly health planner is maintained within the care plan. This lists regular health appointments such as the optician and dentist and helps to ensure that people receive regular support to monitor their health. Information is recorded about how to identity when the person is feeling well or unwell. In addition a monthly summary of the persons health is completed. This includes information on their mental and physical health and activities they have engaged in. This level of support ensures that any issues the person may develop with their health are quickly noted and acted upon. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 15 Records showed that people are able to get up and go to bed when they choose and that they receive the support they need with their personal care. Information about the medication people take, what it is for and possible side effects is recorded in their care plan. This helps to ensure that staff are fully informed and can support the person to note and act on any difficulties that may arise quickly. Medication is safely stored with clear records kept of the medication people take and when they received it. Written guidelines inform staff of how they need to support people to take their medication and when to identity if they need ‘as required’ medication. These practices help to lessen the risk of mistake being made with the person’s medication and ensure they are supported to take it when needed. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at 16 Daniel Close feel safe living there and there are clear systems in place to ensure they are protected. EVIDENCE: Both of the people living at 16 Daniel Close said in their comment cards, that they know who to speak to if they are unhappy. One explained, “If I would like to make a complaint tell Mum and Dad and staff”, the other that,“ I would speak to staff”. No complaints have been received about the service since the last inspection. However there are clear procedures in place for dealing with complaints or any adult protection issues that arise. Staff have all had training in adult protection. This helps to ensure that in the event of a complaint or allegation staff are aware of how to respond and the action they need to take. Care plans provide information on how to support people who challenge the service and it was evident in talking with staff that they are aware of how to calm any situations that arise. Systems in place for supporting people to manage their money help to ensure this is done safely. Leaflets on how to complain are provided to the people living at Daniel Close. However these are not always easy to understand. For example when explaining the time it will take to look into a complaint the leaflet states, “If the issues are to complex to complete the investigation …”. Although the Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 17 people living at Daniel Close are aware of how to raise concerns, the information should be made available in an easier to understand format for anyone considering moving into the home in the future. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 16 Daniel Close provides a comfortable, safe home that meets the needs and choices of the people living there. EVIDENCE: 16 Daniel Close is an ordinary house in a residential area of Bootle. Both inside and outside it has the appearance of a family home and is nicely presented, appearing warm and comfortable throughout. One of the people living there said in their comment card that, “Our home is fresh and clean” and during the site visit the house appeared clean, tidy and well cared for. The people living at 16 Daniel Close both have their own bedroom, which has been decorated according to their taste. A third bedroom is used as an office and sleep in room for staff. Bedrooms are not en-suite however a bathroom on the first floor provides bathing and showering facilities. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 19 Downstairs there is a domestic kitchen and two lounges. This provides people with space to spend time alone and with visitors or in company, as they prefer. There is a cleaning schedule in place, which was filled in to show when household tasks had been carried out and records showed that the people living there are as involved as possible in this work. This ensures that the house is kept clean and tidy and that people are supported to be as independent as possible. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at 16 Daniel Close are supported by and experienced staff team who are aware of and able to meet their needs and choices. EVIDENCE: The people living at 16 Daniel Close both said in their comment cards that staff treat them well and listen and act on what they say, with one explaining, “The staff are always nice to me” There are four staff who work in the home permanently, most of whom hold a qualification in care. They have also had training in specific areas such as medication, mental health awareness and protection of vulnerable adults. This helps to make sure staff know about and can meet peoples individual needs and choices. Not all staff had up to date training in fire awareness. This could affect the action they take in the event of a fire and put people at risk. There is a member of staff in the home 24 hours a day, at night this person sleeps in. Several days a week there is another member of staff for part of the day. During the site visit this was seen to give the people living there the Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 21 opportunity to spend time being supported 1-1 with staff doing the activities they enjoy. Regular meetings are held with staff and the people who live there. These cover different subjects, including, supporting the people living there, health and safety and the quality of the service and help to make sure everyone is fully aware of what is happening in the home. Staff files showed that the organisation follow good practices for recruiting new staff, including carrying out checks such as police checks and references. This helps to make sure any new Staff are suitable to work with Service Users. Throughout the site visit staff displayed a good knowledge of the needs and choices of the people living there and communicated with them in the way they prefer. Time was spent with people establishing the things they wanted to do, engaging in activities and chatting. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 16 Daniel Close provides a safe, well managed home for people to live in. EVIDENCE: Mrs Eleanor Dowling is the registered Manager at 16 Daniel Close. She has qualifications in care and management and is experienced in supporting adults who have a learning disability. Discussion with Mrs Dowling and records in the home showed that she undertakes regular training to keep up to date and improve her knowledge. This helps her to identity and support staff to meet the individual needs of the people living at 16 Daniel Close. The manager, staff and the organisation check the quality of the service they provide regularly. This is carried out in a number of different ways such as, regular care plan reviews, house meetings, regular unannounced visits by a manager from the organisation and a yearly plan for the service. Daniel Close, 16 DS0000005243.V333632.R01.S.doc Version 5.2 Page 23 A plan was drawn up for the service in February 2007 at a house meeting. This covers a variety of areas such as communication, staff training and finances. These different methods of checking the service help to make sure that everyone’s views are taken into account and that any issues are quickly identified and acted upon. Records and certificates showed that regular health and safety checks are carried out on the environment, to make sure it is safe. This includes, testing the fire system, main electrics and the temperature of hot water. Daniel Close, 16 DS0000005243.V333632.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. 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 2 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 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 3 Daniel Close, 16 DS0000005243.V333632.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 YA35 Regulation 23(4)(d) Requirement Training in fire awareness must be arranged for all staff. This will help to ensure that they are aware of the action to take to prevent or deal with an outbreak of fire. Timescale for action 20/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA4 Good Practice Recommendations Information provided for the people using the service should be in an easy to understand format. This will ensure they are as informed as possible about their rights and the terms and conditions of living in the home. 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