Inspection on 18/10/05 for Fen House

This inspection was carried out on 18th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fen House 30/08/07

Fen House 17/08/06

Similar services:

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

15 Bramble Close

Dolphin Court

Fen Road

Wakes Hall

165 Putnoe Lane

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

CARE HOME ADULTS 18-65 Fen House 143 Lynn Road Ely Cambridgeshire CB6 1DG Lead Inspector Nicky Hone Announced Inspection 18th October 2005 09:55 Fen House DS0000061337.V267264.R01.S.doc Version 5.0 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 Fen House DS0000061337.V267264.R01.S.doc Version 5.0 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. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fen House Address 143 Lynn Road Ely Cambridgeshire CB6 1DG 01353 667340 01353 653155 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) The Disabilities Trust Deborah Rice Care Home 25 Category(ies) of Physical disability (25) registration, with number of places Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2005 Brief Description of the Service: Fen House is a new, purpose built home, in a residential area on the outskirts of Ely. The home opened in February 2005 and is divided (by double doors) into two units: a 10-place unit for short-term rehabilitation, and a 15-place unit for longer-term rehabilitation. All service users who live at Fen House have an acquired brain injury and all are supported by their local authority. All service users bedrooms and living accomodation are on the ground floor. The first floor has offices, staff facilities and therapy rooms. All bedrooms are single and have an ensuite toilet, wash-basin and shower. There are three dining rooms, three lounges, a games room and a smoking room as well as a main kitchen and laundry. Two of the lounges and the games room open onto a large enclosed central courtyard which has been attractively landscaped in a modern style. There is a domestic-style kitchen in each unit, which includes a washing machine and tumble dryer, for rehabilitation, and one of the therapy rooms contains physiotherapy equipment. The staff team consists of the manager, deputy manager, care staff and anciliary staff, as well as a team of qualified therapists who are linked to the Princess of Wales hospital which is over the road. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection of Fen House for the 2005/6 inspection year, and was announced: an unannounced inspection was carried out on 9th May 2005. An additional visit was also carried out, on 12th September 2005: any issues raised during the additional visit will be reflected in this report. An inspection by the CSCI pharmacist of all aspects relating to medication was carried out on 9th August 2005: there were seven requirements and three recommendations arising from that visit. On the day of the inspection there were seventeen service users in residence: there have been twenty-one admissions since the home opened in February 2005, with four people successfully completing their rehabilitation programme and moving on. At the start of the inspection the inspector joined service users at their daily community meeting. The rest of the day was spent in discussion with service users, staff and the managers, carrying out a tour of the building, and inspecting some records. This report includes information given by the manager in a pre-inspection questionnaire (received by the CSCI on 16/11/05), and responses from service users and relatives to a questionnaire sent by the home on behalf of the CSCI. The inspector also had a telephone conversation with one relative. What the service does well: This home is new and purpose built, so the environment is of a very high standard. The assessments of service users carried out before the person is admitted to the home are thorough and there is detailed information in care plans. Personal support is offered in the way the service users prefer, and everyone spoken to commented on the high quality and choice of meals. Six of the ten relatives who responded to a CSCI questionnaire said that they were satisfied with the overall care provided: one person wrote “I have been greatly impressed at the standard of accommodation and care my relative has been receiving from thoughtful and dedicated staff”. Seven service users responded to the questionnaire, and generally expressed satisfaction. Comments, both positive and where improvements could be made, were shared anonymously with the manager. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 6 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. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 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 Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 Information available for prospective service users is not accurate enough to give them a true picture about the service being offered. Thorough assessments ensure the home is able to meet service users’ needs. EVIDENCE: It was a requirement following the last inspection that an updated statement of purpose and service user guide must be sent to the CSCI. Although these were received, they were not satisfactory as they did not include all the information required by the regulations. For example, the complaints procedure does not include information about residents’ rights to contact the CSCI if they wish to do so and the service user guide does not contain a copy of a contract. Assessments seen on service users’ files were detailed and thorough. The manager said that prospective service users are encouraged to visit the home as many times as they wish to before moving in. Sometimes, if people are coming from a distance, this might not be possible, especially if they are in hospital: staff from the home were currently visiting a person in hospital to work with the person and make sure they know as much about them as possible. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Care plans now contain sufficient information, arranged in an organised way, for staff to meet service users’ needs. The opportunities for service users to make decisions about their lives should be improved. EVIDENCE: At the additional inspection on 12/09/05 it was identified that service users’ care plans were not satisfactory. All the paperwork was muddled and loose sheets were falling out of the file. There was not adequate information for staff to know how to meet the person’s needs. Numerous forms on file were either only partially completed or not completed at all. The inspector was pleased that at this inspection (18/10/05) there had been a great improvement in the care plans. Two files were inspected: these files had been sorted, indexed and dividers were being used. The information contained in the files was relevant and up to date, giving staff a much clearer picture of each individual’s needs and the ways in which the person prefers to have their needs met. Risk assessments are completed. Service users are encouraged and supported to make decisions about their lives, within the structure of the home. However, there are areas where this Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 10 structure is very restrictive: one service user has decided there are too many restrictions, for example the no-alcohol policy, and the locked doors, as well as not enough physical therapy, so has made arrangements to move. The manager felt that staff were beginning to get the balance right between ‘care’ and ‘support’, developing an understanding that adults need to make decisions which staff might not be completely comfortable with (for example, deciding not to shower or change their clothes daily). Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14, 17 Service users are not given sufficient opportunity to lead full and active lives. Menus offer service users a choice of healthy, nutritious and satisfying meals. EVIDENCE: It was disappointing that evidence was found to indicate that service users do not have adequate opportunities to lead full and active lives. Each service user has an activity programme which is completed at the beginning of each week, with support from the staff. One person’s programme only had two activities listed during the day for the whole week, and no activities in the evenings. A whiteboard in the duty office indicated that a range of activities is organised: on the evening of the inspection three people were due to play indoor boules; three to have foot and hand massages; and two to have a ‘pamper evening’. Five of the seven service users who completed the CSCI questionnaire said the home does not always provide suitable activities. The home has a no-alcohol policy, and there is a statement in each care plan, agreed by the service users, that they will not bring alcohol into the home, nor have a drink anywhere when they are out. The inspector was told that this limited the activities that could be arranged as the majority of places (for Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 12 example the bowling alley) had a bar. The inspector was disappointed that this was a blanket policy, not based on individual need and choice, and not equipping anyone for rehabilitation into the community. This was discussed with the manager who agreed to reconsider the policy. Menus are discussed at the community meeting each Monday morning, for the following week, with service users making suggestions and requesting alternatives to the menu if preferred. At the meeting attended by the inspector, the day’s meals were discussed and choices for the main meal in the evening made. Service users said they were happy with the menus and the choice of food available. The manager said the menus are based on a healthyeating range of choices, with fresh fruit available at all meals, and fresh produce used whenever possible. The kitchen was clean and tidy and had been re-arranged to create more work-surface. The cook explained he writes the menus, with input from the service users, does all the ordering and is responsible for all aspects of the running of the kitchen. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Support with personal care is offered in the way service users prefer, and their healthcare needs are met. The administration of medication has improved so service users are at less risk than previously. EVIDENCE: Care plans included detailed information about the support needed by each person with their personal care and are now reviewed regularly. Service users are supported to make sure their healthcare needs, such as hospital visits, doctors’ visits and appointments with the optician, dentist and chiropodist, are met. An inspection of all aspects of medication administration was undertaken by the CSCI pharmacist on 09.08.05. The following requirements and recommendations were made as a result of that inspection: No 1. Regulation 13(2) 17(1)(a) Sch 3(3)(i) REQUIREMENTS Required Action Records of the receipt, administration and disposal of medicines must be maintained accurately and consistently. Timescale for action Immediate and ongoing Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 14 2. 3. 4. 5. 6 37 (1)(e) 13(2) 13(2) 13(2) 13(2) 7. 13(6) Any event which adversely affects the wellbeing or safety of a service user must be reported to the Commission without delay. Investigate the continued use of a medication beyond the time indicate by the prescriber’s instructions. Keys to medicines storage areas must be securely kept by the person in charge. Service user’s consent to treatment must be retained on file. Develop a procedure of risk assessment and risk management to enable those service users who wish to do so to handle their own medicines. Provide documentary evidence that all staff authorised to administer medicines have been trained and assessed as competent in line with the National Minimum Standards (Adults 18-65) 20.10 Immediate and ongoing Immediate and ongoing 31/08/05 30/09/05 30/09/05 30/09/05 No 1. 2. 3. Standards 20.6 20.4 20.6 RECOMMENDATIONS Good Practice Recommendations Monitor and record the temperatures of medicines storage area to ensure it is consistently below 250C. Records of medicines awaiting disposal should be maintained contemporaneously. Retain a copy of the original signed prescription. At the inspection on 18/10/05 the manager stated that the requirements and recommendations made above had all been met and all service users now have the opportunity to have control of their own medication, following a risk assessment: this was not checked. Lockable bedside cabinets are available for service users to store their medication. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The complaints procedure available to service users and relatives is incomplete and not all staff have undertaken training in protection of vulnerable adults, so service users could potentially be at risk of harm. EVIDENCE: The complaints procedure had been revised and forwarded to the CSCI prior to the inspection. However, the procedure still did not meet the regulations: timescales and details of the way in which complainants can contact the CSCI had been omitted. Eight of the ten relatives who completed the CSCI questionnaire said they were not aware of the home’s complaints procedure. Three of the seven service users who completed the questionnaire said they did not know who to speak to if they are not happy with their care. The home has robust procedures in place to ensure that service users have as much control of their money as possible, and any money and valuables are kept safe. A banking system is operated by the administration staff. Not all staff have received training in the protection of vulnerable adults. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28, 30 The home is decorated and furnished in a modern style to meet the needs of the younger adults who will be living there, giving them a spacious, light and airy place to live. EVIDENCE: The home is purpose built and has been decorated and furnished in a modern style, with the needs of younger adults in mind. The building is still new, so all areas were well decorated, clean, smelt fresh and were free from clutter. Service users confirmed that they had been able to bring their own possessions into their bedroom, and this was clear in the rooms seen. It was felt that in some ways the home feels very clinical and not homely: there are a range of notices at the entrance which give this impression, including the request to use sanitizing gel before entering the building. The manager discussed how difficult it is to keep service users safe, yet maintain a homely ambience. Each bedroom has its own shower, wash-basin and toilet, and there are bathrooms and toilets in each unit. There are several shared spaces: lounges, dining rooms, games room, smoking room, and therapy rooms as well as seating areas in the corridors. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 17 The home is built round two enclosed courtyards which have been attractively landscaped, and there is a very large grassed area at the back of the home. It was noted during the inspection on 12/09/05 that this garden was very overgrown and full of large weeds: on 18/10/05 the grass had been cut and the garden beds tidied up. There is a large car park at the front of the building. One service user, in a questionnaire sent by the CSCI, said the shower in his room did not work: the inspector contacted the manager prior to the inspection to discuss this, and the problem was resolved to the service user’s satisfaction. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34, 36 Staffing levels must be closely monitored to ensure there are enough staff to meet the needs of the service users. Robust recruitment practices ensure service users are kept safe. EVIDENCE: The manager said that the staffing situation at the home has improved: several staff left during the first four months of the home opening, but none had left since May. Six more staff had recently been employed, completed their induction and were now on the rota. The manager described the staff team as a “competent bunch” and was full of praise for the progress they had made, both individually and as a team. Two of the staff spoken to said the home had been very short-staffed: this was now improving, with the appointment of several new staff. The assistant manager has had to spend the majority of her time working hands-on in order to support the care team: she was happy about this and feels she now knows the staff, the service users and the work involved very well, but is looking forward to having more time to learn the management role and give greater support to the manager. Therapists have been available to work with the service users and staff, other than the psychologist post which has been difficult to fill. The manager was Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 19 appreciative of the support received from the therapists. The home is still having difficulty in appointing team leaders. Staff files were checked at the inspection on 12/09/05 and were found to contain all the information and documentation required by the regulations. Staff training is ongoing, with five staff undertaking a National Vocational Qualification in care level 2. Supervision is carried out, but not as regularly as the manager would like. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 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, 41, 42 A strong management team needs to be developed to provide leadership which is supportive to the staff and ensures a good quality service is offered to service users. Some aspects of health and safety have been neglected, potentially putting service users at risk. EVIDENCE: The manager, Mrs Deborah Rice, had announced that she was leaving prior to the inspection. An assistant manager was appointed in September and had fitted in well with the team, but shortage of staff and not being able to appoint team leaders had meant Mrs Rice did not have a senior team to support her with the management of the home. One relative spoken to was very critical of the quality of leadership. Not all records required by regulation were inspected. The record of tests of the fire alarm system showed that tests were carried out weekly until 21/07/05, but only five tests (in thirteen weeks) had been done since then. Only one test of the emergency lighting system had been carried out (on Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 21 11/02/05) since the home opened: these must be done monthly. An immediate requirement notice was left at the home regarding this. Records of visits carried out by the registered provider, as required by regulation 26, are now being sent to the CSCI. Information given by the manager in discussion and on the pre-inspection questionnaire, indicated that all other tests (for example of portable electrical equipment, electrical wiring, the heating system for legionella and the lift) have been completed as required by health and safety legislation. Data sheets relating to the Control of Substances Hazardous to Health (COSHH) were said to be available. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 X 3 X Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 2 2 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 2 13 X 14 2 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 2 3 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fen House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 X X X 2 2 X DS0000061337.V267264.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4 and 5 Requirement An up to date statement of purpose and service user guide, which meet the regulations and standards, must be sent to the CSCI. This requirement is carried forward: the timescale of 30/06/05 was not met Service users must be enabled to make decisions about their lives, and supported to be as independent as possible Service users must be offered a full range of meaningful activities and leisure pursuits The registered person must produce a complaints procedure which meets the requirements of the regulations The registered person must ensure that a copy of the complaints procedure is supplied to all service users and their relatives/representatives All staff must receive training in Protection of Vulnerable Adults The registered person must ensure that an adequate number of suitable staff are working in the care home at all times DS0000061337.V267264.R01.S.doc Timescale for action 31/01/06 2 YA7 12 31/01/06 3 4 YA12 YA22 16(2)(m) & (n) 22 31/01/06 31/01/06 5 YA22 22 31/01/06 6 7 YA23 YA33 13(6) 18(1)(a) 31/01/06 30/12/05 Fen House Version 5.0 Page 24 8 YA36 18(2) 9 10 YA41 YA42 17 23(4) All staff must receive supervision at least six times a year. All staff to have one session within the timescale, and at least bimonthly following that Records must be kept as required by regulation Tests of the fire alarm and emergency lighting systems must be carried out and recorded as required. An immediate requirement notice was left at the home regarding this 31/01/06 30/12/05 18/10/05 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 YA37 Good Practice Recommendations The home must have a manager who is qualified and competent to run the home. Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Fen House DS0000061337.V267264.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!