Inspection on 20/09/07 for Four Winds

This inspection was carried out on 20th September 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Four Winds 10/12/05

Four Winds 18/04/05

Four Winds 10/11/04

Four Winds 29/09/04

Four Winds 08/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Four Winds 32A Church Road Brightlingsea Essex CO7 0JF Lead Inspector Ray Burwood Key Unannounced Inspection 20th September 2007 10:00 Four Winds DS0000017821.V351280.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 Four Winds DS0000017821.V351280.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. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Four Winds Address 32A Church Road Brightlingsea Essex CO7 0JF 01206 308176 01206 308961 gam@careconsortium.com 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) Community Care Mission 2000 Limited Miss Elizabeth Ikeolumwa El-Schaeddhaei Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 6 persons) 13th October 2006 Date of last inspection Brief Description of the Service: Four Winds is a detached six-bedroom bungalow offering care to six adults with learning disabilities. It is situated in a residential area of Brightlingsea, close to shops, post office, G.P. surgery and the seafront. Public transport is available, with the home having their own transport; a people carrier or car. Accommodation is in single rooms, with en-suite wash hand basins and toilets. Shower and bathing facilities are found in the bathroom, with a separate shower room. In addition there is a separate toilet. Staff have a shower room off of the office/staff room. Service users have the use of the dining room and communal lounge. There is a television and music centre in this room. Both the kitchen and separate laundry/utility room are domestic in character. There are gardens at the rear and in the centre of the bungalow. The centre quadrangle is an enclosed patio area, with garden seating and the rear garden is laid to lawn with a paved patio area, fruit trees, flowers and bushes. A summerhouse and garden sheds are used for storage. There is off the road parking at the front of the bungalow. The range of monthly fees supplied to the Commission for Social Care Inspection (CSCI) on the 12/10/07 and charged by the home is currently between £1,717:75 and £3, 082:45. Information about the service, including inspection reports, are made available to prospective residents through the Statement of Purpose, Service User Guide and a current newsletter. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited Four Winds on the 20th September 2007 without telling the person in charge of the home he would be visiting. The inspector spent a total of 5 hours at the home. A total of 23 standards were inspected with 21 being met. 2 standards were partially met. He also: • • • • • Spoke to staff that work in the home. Looked at a number of files and paperwork. Examined information about what services the home provides. Spoke to the person in charge of the home and the deputy. Looked around different parts of the home and the gardens with the help of two people who live at the home. To help the inspector to write the report, the manager had sent the inspector information about the home. The manager also wrote to the inspector and told them what they thought the home did well and what improvements had been made. The inspector also used other information that they already knew about the home from reports completed by the area manager. If you would like to know how the home is looking after people who live there, you can read the inspectors report. You can ask the manager of the home for a copy, or contact the inspector. The person in charge of the home will give you the inspectors’ telephone number and address. What the service does well: These are some of the good things that the inspector found out about the home: • • Four Winds is a well-run home with a good manager and staff. The manager meets with care workers on their own to make sure that they are happy working at the home, and what they need to do and how to do it, so that they can give the best support to people living in the home. The home provides some people with additional staff to meet their assessed needs. DS0000017821.V351280.R01.S.doc Version 5.2 Page 6 • Four Winds • The home provides a clean, comfortable and happy environment in which people living at the home can feel safe. What has improved since the last inspection? • The home’s information documents have been made better and include the training and experiences of the people who manage the home, and are written in a way that people can understand them. Care plan documents have been changed to include pictures to help people living at the home to have a say and make decisions about their care and support • 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. Four Winds DS0000017821.V351280.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 Four Winds DS0000017821.V351280.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): 1 and 2. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home’s assessment process is well managed and ensures that admissions are not made to the home until a full needs assessment has been undertaken. EVIDENCE: The home’s Statement of Purpose and Service User Guide has been updated to reflect the changes in ownership, the name and qualifications of the Responsible Individual and the new management structure. All information has been produced in a format that enables people living at the home to understand the documents. The client group currently residing at Four Winds has remained the same since 2004. Care plans inspected contained appropriate and sufficient information to ensure that a plan of care was generated and staff were aware of the needs of the people living at the home. Any new people considered for a place at Four Winds would be admitted after a comprehensive referral process involving the service users, care managers, relatives (where possible) advocates, community nurses, transitional key workers, etc. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 9 The home has six residents and therefore has full occupancy. Four Winds DS0000017821.V351280.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 and 9. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People who use the service are involved in decisions about their lives, and where possible, play an active roll in planning the care and support they receive. EVIDENCE: The care plans of two people were sampled and inspected during this visit and were found to contain sufficient information that people living at the home are supported in developing their social and interpersonal skills and assisted in taking control of their lives within a risk management framework. Individual risk assessments were noted and included behaviour and intervention management programme covering all aspects of behaviour with steps in place to help prevent aggressive and disruptive behaviour. Information contained in care plans was in a pictorial format that people could understand and person centred. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 11 There was evidence seen in plans to confirm that some of the people living at the home and their relatives/representatives had been consulted and had been involved with developing their support plans. Care plans provided sufficient information and guidance for staff in addressing individual needs; choices and aspirations, during the inspection visit staff were observed to be assisting residents with decisions and choices about their daily living routines. Care plans were seen to have been reviewed at six monthly intervals, or sooner if individual needs changed. Four Winds DS0000017821.V351280.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): 12,13,15,16 and 17. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Links with the community are well managed, support and enrich the social and educational opportunities of people living in the home. The meals are good with evidence that people living at the home are involved in the process and are offered quality meals and choice. EVIDENCE: People living at the home who have complex needs have individualised activities with a one to one staffing arrangement. At the time of the site inspection, no employment or voluntary work was being undertaken by people living at the home. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 13 From records examined each client has a flexible timetable of activities available which reflects their individual needs and choices. Residents are involved in a range of activities, mostly in the community and include fishing trips, visits to pubs and walks by the sea. A weekly visit to a local club takes place where people at the home can meet up with friends. Some participate in further education as well as leisure activities available locally, these are through visits to the communal gym, the communal playing fields, attendance at church on Sundays, visit to the cinema, bowling,swimming, and attendance at the adult community college. The home has a minibus vehicle which allow the residents to enjoy trips out both locally and further a field. One resident spoken with had completed a course in computer training and proudly showed the inspecter their certificate of completion. In the future they hoped to progress onto the next stage of the course. Also, this resident had been involved in voluntary work for a furniture recycling company and was hoping to recommence the work when it becomes available again. In the meantime, they occassionally look after the gardens at Four Winds and at their sister home Whiteheather. During the inspection visit, preparations were underway for all people living at the home to go away on a one week group holiday with staff. The manager confirmed that people living at the home had participated in the launch of the new company and its policies and procedures. This was done in the form of an accessible day of presentations, activities and music etc. It also provided service users with the opportunity to express their ideas and aspirations. The manager also said they hope to access the services of advocates and/or a befriender service for people living at the home. Contact arrangements with parents, relatives and friends are well managed with the home encouraging visits through the provision of the home’s transport and staff. Records relating to meals taken within the home provided the evidence that dietary and nutritional needs are being met. Menus seen at the home provide a range of meals that reflect choice and a dietary need and had been produced in a pictorial format. Care plans seen contained information about two residents who were either on a special weight reducing diet or were being supported by a dietician. Four Winds DS0000017821.V351280.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 and 20. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service The health care needs of residents are managed effectively, ensuring that their wellbeing is supported. EVIDENCE: Observations undertaken during the inspection visit to this service provided good evidence that residents’ privacy; dignity; independence and control over their lives was encouraged and supported by the management and care provided by staff. Information relating to how personal support for people living at the home is provided was noted in their individual care plans. Support plans can be seen to show that each service user has in place, procedures to show that personal support is delivered in a personalised and sensitive manner. Residents’ care plans examined provided the evidence that appropriate healthcare services are available, accessed, and fully recorded following referrals/outcomes. Access to health care professionals such as Opticians, Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 15 Dentists, hospital services and routine health checks were provided and well documented. All residents have their Health Action Plans recorded on file and appropriate referrals made to the local Learning Disability Community Health Team as and when the needs arises. These needs include incontinence, dietiary support, speech and language and occupational therapy support. The management of medication was found to be the same as previously reported at the home’s last inspection. Medication practices are good with appropriate ordering, administration and the recording of medicines by staff. The deputy manager oversees the disposal of medication. The home operates the Monitored Dosage System (MDS) and is supported by the local Pharmacist. PRN protocols were in place with staff having access to information about why medicines had been prescribed and their uses. No controlled drugs are used in the home. Four Winds DS0000017821.V351280.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 and 23. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People living at the campus can feel confident that any concerns they have will be dealt with and they are protected. Arrangements for the protection of people using the service and staff training are good and help protect residents from abuse. EVIDENCE: The home’s Complaints and Adult Protection Policies, including Whistle Blowing, was comprehensively detailed and available in a pictorial format that is appropriate to the needs of people with complex needs. The complaints register was examined and found to be up to date. The manager provided the evidence that they had responded to two incidents since the last inspection of the service relating to the environment and one resident. Both issues were dealt with appropriately and the complainants were notified of the outcomes. The home’s Adult Protection policies and procedures, including Whistle Blowing, remain the same as the last inspection visit and meet the standard for protection. Staff training for the Protection of Vulnerable Adults (POVA) has been completed and refresher courses booked for later this year. Also, training has been completed in recognising challenging behaviour and dealing with issues through de-escalation practices. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 17 The home now have a good working relationship with the local Adult Protection team and has often received support and advice when concerning issues was referred to them. Since the last POVA investigation, management team have worked hard to rebuild relationships with all concerned and ensure that the team atmosphere that exists was not threatened. Four Winds DS0000017821.V351280.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 and 30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The standard of the environment within this home is good, providing people who live at the home with a comfortable, clean and homely place to live. EVIDENCE: A tour of the premises, communal areas and grounds was undertaken with two residents and found that all areas were accessible, generally furnished to a good standard and meet the requirements of the local fire service and environment health department. Currently the home receives maintenance support to rectify minor issues as they arise. However, due to the nature of the client group, this is often difficult to keep up with. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 19 The lounge and dining room area has been redecorated with new carpets, and laminated flooring fitted in the dining area. The bathroom and kitchen fittings have been refurbished and the home awaits delivery of new lounge furniture. One of the support workers at the home is currently working with a resident at repainting his en-suite toilet with a colour the resident has choosen themself. Some bedrooms seen appeared to be lacking in personal belongings and looked sparse and empty. The manager said it was difficult to ensure that items placed in some residents bedrooms remained in tact, but they would try to involve residents in trying to overcome the problem where possible. The home has a planned maintenance programme for the renewal of fabric and decoration following consultations with staff and people who live at the home through their respective meetings and through the home’s business plan forecast for the next year. Laundry facilities are domestic in nature and provide hand-washing facilities. Policies and procedures for the control of infection are in place and appropriate COSHH Records maintained on cleaning materials. Four Winds DS0000017821.V351280.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 and 35. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Staff at the home are trained, supported and employed in sufficient numbers to meet the complex needs of residents. The home operates a robust recruitment process that helps to ensure the safety of people living in the home. EVIDENCE: During the early part of the inspection visit, the home’s deputy manager described the staffing arrangements in place to ensure that all people living at the home had their assessed needs met by a sufficient number of qualified staff. Staffing levels were confirmed as per rota with six members of staff supporting residents during the mornings and afternoons, with a hand over period between shifts at 2.30pm. Some staff provided a one to one support for those residents whose needs assessment required such arrangements. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 21 The home has a full compliment of staff with any additional hours due to sickness, training and holidays being covered by existing staff. Where staffing levels fall below what is required, the management team ensure that a safe and effective service is maintained, by employing bank staff or staff from our sister home ‘Whiteheather’, who are known to the home and its residents. Staff training profiles provided the evidence that induction training follows the guidance contained in the Learning Disability Award Framework (LDAF), Skills for Care and the National Vocational Qualification (NVQ). 50 of the staff team are NVQ qualified and another 20 are currently working on theirs. All staff have undertaken the mandatory training and continually go on refreshers courses as and when required. One member of staff is provided for the night waking shift with another member of staff providing cover if required through sleep in arrangements. The files of the two most recent members staff were examined and contained all of the required information and checks before they commenced working in the home. These included two references, proof of identity and POVA/CRB clearance. Staff files also included relevant qualifications. The registered manager indicated in the AQAA report that the home hopes to encourage people living at the home who have the capacity, to be a part of future recruitment activity. Four Winds DS0000017821.V351280.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): 37,39 and 42. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. There is leadership, guidance and direction to staff to ensure that people who use the service receive a good quality of care and are safe. EVIDENCE: The Registered Manager of the home and another home owned by Consensus Support Services Limited is experienced and competent to manage both services in an effective and professional manner. Four Winds employ a deputy manager who deals with the day to day running of the home in the absence of the registered manager. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 23 The Registered Manager is qualified to NVQ Level 4 in Care and has completed the Registered Managers Award (RMA); the Registered Manager is also an NVQ Assessor for levels 2 and 3. Pre-inspection documentation was received from the home in good time and contained comprehensive information in readiness for the unannounced Key Inspection of the service. The home’s quality assurance system has not progressed since the last inspection visit and its new owner taking over earlier this year. However, a newsletter has been produced by the new owners outlining the new management structure and targets and plans to promote quality service goals. The registered company has provided opportunities for individuals to contact their local office and has provided a web site for comments about the services provided. The registered manager said they would be contacting Consensus about the quality assurance system and how it can be progressed in line with regulations and a report drafted. The Area Manager Mr.Vegting has carried out regulation 26 visits, with appropriate reports generated for the registered manager and copies for the Commission for Social Care Inspection (CSCI) if and when required. Certificates for gas appliances, electrical installations and insurance cover were seen to be in place and up to date. Staff training and development files included health and safety training in safe working practices. Four Winds DS0000017821.V351280.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 YA39 Regulation 24 Requirement The registered person must ensure that there is an effective quality assurance and quality monitoring systems in place to measure success in achieving the aims, objectives and statement of purpose of the home.(Previous timescale of 01/12/06 not met). Timescale for action 31/12/07 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 YA24 Good Practice Recommendations People living at the home should be encouraged to personalise their rooms with appropriate support from staff and management. Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Four Winds DS0000017821.V351280.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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