Inspection on 04/04/07 for Earlham House

This inspection was carried out on 4th April 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Earlham House 07/10/08

Earlham House 11/05/06

Earlham House 06/12/05

Earlham House 09/12/04

Earlham House 24/06/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Earlham House 7 Earlham Grove London N22 5HJ Lead Inspector Tom McKervey Key Unannounced Inspection 4th April 2007 09:50 Earlham House DS0000010706.V333325.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 Earlham House DS0000010706.V333325.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. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Earlham House Address 7 Earlham Grove London N22 5HJ 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) 020 8881 3064 F/P 020 8881 3064 earlhambridie@btinternet.com Dr Peter Theodore Clayton Mrs Bridie Clayton Mrs Bridie Clayton Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specified service user who is over 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as the specified service user vacates the home. 11th May 2006 Date of last inspection Brief Description of the Service: Earlham House is a registered care home for seven adults, male and female, with mental health needs. One person currently living at the home is over 65 years of age. The home is privately owned and by the registered manager and her husband. The home is a large converted, detached property, which is suitable to meet the needs of the current service users. The accommodation is spread over three floors with the first and second floors being on split-levels and referred to below as front and back on each floor. The ground floor has recently been extended to provide a lounge/diner, a separate kitchen, and a toilet. The ground floor also provides two bedrooms as well as the home’s laundry facilities. The first floor front contains three service user bedrooms and the first floor back contains one service user bedroom and a toilet and a bathroom with an adapted bath. The second floor back contains one service user bedroom and a shower room/ toilet. The second floor front contains the office and staff facilities. The home has a new raised patio and an accessible rear garden. The home is located close to public transport and within easy walking distance of the multi-cultural amenities and shops in Wood Green. Information about the home including service users’ guide and the CSCI inspection reports are available from the home by contacting the providers. The fees for the service range from £650 to £900 per week. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out as part of the Commission’s inspection programme to check compliance with the key standards. The inspection took place over a period of four-and-a-half hours. The registered manager, business manager and deputy manager were present and fully assisted with the inspection process. The inspection consisted of a tour of the home, discussions with the manager and staff and several residents, two of whom had been admitted very recently. At the time of this inspection, the home was fully occupied and there were no staff vacancies. I also examined residents’ files, staffs’ records, and other documents pertaining to the management of the home. What the service does well: There is a relaxed and friendly atmosphere in the home and the manager is approachable and well regarded by the staff and the people who live in the home. The standard of accommodation is very good, particularly following completion of the new extension to the property. All people referred to the service are thoroughly assessed before moving in. The residents are encouraged and supported to be independent in how they live, including travelling away from the home. This is enhanced by each person having their own keys for their bedroom and for the front door. The people who live at the home have opportunities for accessing day centres, community based resources and activities within the home. The home organises residents’ regular care reviews by the Community Mental Health Team. The staff are knowledgeable, experienced, committed, and have a positive attitude towards their work. The location of the home is good for shops, cafés, cinemas and public transport facilities. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? The four requirements made at the last inspection have all been complied with. These include: • • • • • Assuring that appropriate health and safety measures were in place to protect people during the building works. Obtaining a second reference for a care worker. Consulting the residents about their views of the quality of the service. Ensuring that the gas boiler was serviced. Provision of more bedrooms with en-suite facilities. Since the last inspection, a business manager has been appointed to support the manager in the running of the home, and the manager has completed her Registered Managers Award training 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. Earlham House DS0000010706.V333325.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 Earlham House DS0000010706.V333325.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 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents have a thorough assessment of their needs before being admitted to the home. Prospective service users are able to visit the home before deciding to move in. The service to be provided is clearly detailed in the residents’ contracts. EVIDENCE: The home had a condition of registration that permitted two residents to be accommodated who were over 65 years of age. Since the last inspection, one of these residents had died, and the registration certificate had been amended to state that one person over 65 can live in the home. I examined the case files of two people who had recently been admitted to the home. The files showed that comprehensive assessments of their needs had been carried out by the Community Mental Health Team and the manager of the home before being admitted on a trail basis. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 9 I spoke to the new residents and they confirmed that they visited the home before coming to live there. One person said that they would like to move to another care home to be nearer their relative. The manager told me that she was aware of this and it was to be discussed with the appropriate care manager within the next few days at the person’s care review. There were signed service level agreements by the funding authorities for the these residents in their case files. The manager stated that the fees for the service cover residents’ holidays, however, this is not stated in the contracts and a recommendation is made for this to be included. Earlham House DS0000010706.V333325.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, 8 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ care plans cover all aspects of their needs, but they could be improved by more detailed descriptions of residents’ mental health needs, rather than using clinical diagnoses. The residents enjoy relatively independent life-styles. However, risk assessments have not been carried out in some cases, which could result in the health and safety of residents and staff being compromised. The residents say that the staff consult them about the running of the home, but this could be improved by holding formal regular meetings. EVIDENCE: Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 11 I examined two residents’ care plans. The assessments covered all aspects of physical and psychological needs. However, I noted that a clinical diagnosis of “schizophrenia” was used to describe the mental health needs. There was no guidance for staff about how this condition manifests itself; for example does the person hear voices, see things or have feelings of persecution, all of which can be a feature of schizophrenia. A better description of the person’s needs should help staff in their interactions with service users. A requirement is made to address this. There was evidence that the care plans were regularly reviewed in-house, and with the Community Mental Health Team. All of the residents are given a key to the front door and their bedrooms. The residents to whom I spoke, said that there very few restrictions on their movements and they had a relatively independent lifestyle. However, I noted that a risk assessment had not been recorded for a resident whose file I examined, and a requirement is made for this to be carried out. I observed that the staff interacted well with the residents, who confirmed that the staff regularly consulted them about the day-to-day running of the home. A survey of the residents’ views about the quality of the service was carried out, which showed a high level of satisfaction. There was also evidence of staff consulting with the residents in the daily records but the manager said that there were no regular formal meetings held with the residents. A recommendation is made for these meetings to be held. Earlham House DS0000010706.V333325.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): 11, 13, 14, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents engage in activities in the home and in the community that are stimulating and provide opportunities for personal development. The residents say the staff treat them with respect. The meals are well-balanced and varied, and the residents are able to choose what to eat. EVIDENCE: It was evident from observation and conversations with several residents that some of them access local leisure and social amenities. There were records of Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 13 people going into central London on social outings and a group of residents had been on holiday last year. The manager said that now the extension to the lounge is completed, she intends to purchase a pool table, which was requested by the residents. She also is recruiting a person to organise social activities and is considering buying a minibus for group outings. One resident has been supported by staff to gain employment, and some other residents attend day centres and workshops. There is a television, music centre and various board games available to the residents, and some have their own televisions in their rooms. The residents are responsible for cleaning their rooms and doing their laundry with support from the staff. The residents spoke highly of the staff and said they were always treated with respect and dignity. I observed that staff knocked residents’ rooms before entering, and residents have their own keys to their rooms. Staff spoke to residents in a courteous and friendly manner and there was a relaxed atmosphere in the home. The residents I spoke to said that they liked the food and were asked about their likes and dislikes. I observed a new resident being asked by a member of staff about their meal preferences. There is a new, well-appointed kitchen, which was very clean and well stocked with food. Fresh fruit was in evidence and the residents said that hot and cold drinks were available at any time. The menus showed that a good well-balanced and nutritious diet is provided. Earlham House DS0000010706.V333325.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 residents are supported appropriately by staff with their personal care needs. A range of healthcare professionals is available to the residents to assure their well-being. There is a safe system in place for the administration of medicines. EVIDENCE: All the residents are able bodied and provide for their own personal care. The residents said that the staff were very helpful if they needed any assistance. All the residents have mental health problems, which are documented in their case files. The records show that there are regular care reviews by the Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 15 Community Mental Health Team, which the residents and sometimes their relatives, attend. Some residents have their blood monitored frequently because of the particular medication they take. At the time of the inspection, one service user was in hospital for investigations. There were good records of hospital appointments, visits to the G.P and other health professionals. A resident had also been referred to and E.N.T specialist. There is a locked cupboard in each resident’s room for storing their medication, a sample of which, I examined. The medicines and medication administration record sheets were correct. All staff that are involved in the administration of medicines in the home, had been appropriately trained. At the time of the inspection, none of the residents were self-medicating. Earlham House DS0000010706.V333325.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. There are satisfactory systems in place to ensure that the residents are protected from abuse. The residents say that they are confident that any complaints would be properly addressed by staff and manager. EVIDENCE: The home has appropriate procedures about adult protection and the staff employed at the home have undergone satisfactory CRB checks. The staff to whom I spoke were knowledgeable about their responsibilities to report suspected abuse. The residents I spoke to praised the care that they received from the staff and the manager and had no concerns. There is a complaints book in the home, which showed that no complaints had been received. The residents said that they felt confident that if they expressed any concerns, they would be taken seriously and dealt with promptly. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in a clean and comfortable home and have bedrooms that promote their independence. The standard of accommodation is generally good, but there are some maintenance issues to be addressed for the comfort and safety of the residents. EVIDENCE: I carried out a tour of the premises, including visiting some bedrooms with the residents’ permission. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 18 Extensive refurbishment to the building, which included a new lounge/dining area and kitchen, had just recently been completed. The manager showed me several pictures, including one by a resident, which are to be hung in the lounge and corridor to enhance the appearance of the new lounge. The property appeared to be generally well maintained, with some residual decoration to be done after the refurbishment works. However, the stairs and hallway are in need of redecoration and two screws were sticking out of the wall in the downstairs toilet. A requirement is made to address these issues. There is a book for recording maintenance and repairs for attention by handyperson. There are sufficient toilet and bathing facilities on all floors to meet the residents’ needs, and there is a well-equipped laundry. The manager also informed me that she had plans to improve the front and rear gardens in the near future. Each resident has a single bedroom and they confirmed that they were happy with the accommodation and the facilities in the home. A total of three bedrooms now have en-suite facilities, and three bedrooms have recently been redecorated. I noted in one resident’s bedroom that the bottom drawer was missing from the chest of drawers and a requirement is made to address this. The home is located in a residential area within walking distance of Wood Green shopping complex. There are local shops, cafés and a bus stop very close to the home. The home was clean and tidy and there were no offensive odours on the day of the inspection. Residents are responsible for cleaning their rooms and a domestic is employed to clean the communal areas. The bedrooms were well furnished and comfortable. One resident has a hospital-type bed, which they said meets their physical needs. There is a locked cupboard in each bedroom for storing medication. All residents are provided with a key to the front door and their bedrooms, which promotes their independence. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 19 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, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff on duty to support the residents. The staff are well trained, on courses appropriate to the residents’ needs, and there are good recruitment procedures in place to safeguard the best interests of residents. EVIDENCE: At the time of the inspection, there were seven people living in the home and there were no vacancies. The staff rota showed that there are normally two staff on duty from 8am to 3pm, one from 10am to 7pm and one staff who sleeps-in at night. The deputy manager provides a mid-shift cover. The manager said that she attends at the home every day. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 20 The residents I spoke to, said that staff were always available for support if needed. The staff were able to provide information about training courses they attended, including mental health and adult protection. Several staff have also completed National Vocational Qualifications in care. One new person had started working at the home since the last inspection. This is the proprietor’s son who is employed as the business manager. A Criminal Records Bureau check had been done before he started his employment. At the last inspection, a requirement was made for a second reference to be obtained for a new staff. This has been complied with. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 & 43 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed by competent and experienced people and there is a good team spirit among the staff. The residents’ and other stakeholders’ views about the service have been sought and are complimentary about the service. However, a summary of this audit must be summarised and included in the Service User Guide as a reference for potential users of the service. There is a good standard of record keeping, and although there are generally good health and safety systems in place, fire alarms must be tested every week to protect residents, staff and visitors to the home. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager and her husband are joint proprietors of the service. The manager was a qualified nurse. However, she no longer practices. The manager has just completed her NVQ (Management) Level 4 training and at the time of the inspection, was awaiting her qualification. A business manager and a deputy manager who is also undertaking National Vocational Qualification level 4 training support the manager. There was a relaxed atmosphere in the home and the staff said there was a good morale among the team. I checked two residents’ personal finance records at random and found that good records were kept and that residents’ signatures were obtained for all withdrawals. There is a good standard of record keeping, including accident reporting and significant events pertaining to the residents. Since the last inspection, the views of the stakeholders in the home have been sought about the quality of the service, using a questionnaire. The feedback was very positive. However, it is a requirement that this audit is summarised and included in the Service User Guide as a reference for potential users of the service. All bedrooms are fitted with smoke detectors. However, the records showed that although the fire alarms had previously been tested every week, no tests had been conducted since February 07. The manager said that this was due to the building work going on at the time. Nevertheless, a requirement is made to ensure that fire alarms are tested every week. Certificates were seen to confirm that fire extinguishers were serviced and the call points were checked in the past year. The portable electrical appliances had also been tested. The water system had a satisfactory test for Legionella bacteria, and the gas boiler was last serviced in December 06 The home has been assessed for fire risks and there is an up-to-date certificate of employers liability insurance on display. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 23 All appropriate clearances had been obtained for the new extension to the home. Earlham House DS0000010706.V333325.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 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 2 2 X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 X 3 2 X Earlham House DS0000010706.V333325.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. 2. 3. 4. Standard YA9 YA24 YA24 YA24 Regulation 13(4) 23(2)(b) 13(4) 13(4) Timescale for action The registered person must 30/04/07 provide risk assessments for all people living in the home. The registered person must 30/09/07 redecorate the hallway and stairs. The registered person must 30/04/07 remove the protruding nails in the downstairs toilet. The registered person must 30/04/07 ensure that the fire alarms are tested on a weekly basis to protect the safety of those living, working and visiting the home. The registered person must 31/05/07 repair/replace the chest of drawers in a bedroom. The registered person must 31/05/07 summarise the feedback from the quality assurance audit and include it in the Service User Guide. Requirement 5. 6. YA26 YA39 16(2)(c) 24(1)(2) Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 26 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 2 Refer to Good Practice Recommendations Standard YA5 The registered person should amend residents’ contracts to include the fact that the cost of holidays is covered by the fees. YA8 The registered person should hold regular formal meetings with the residents to involve them in the running of the home. Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Earlham House DS0000010706.V333325.R01.S.doc Version 5.2 Page 28 - 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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