CARE HOME ADULTS 18-65
Francis House Dennington Swimbridge Barnstaple Devon EX32 0QG Lead Inspector
Jo Walsh Unannounced Inspection 19th October 2006 10:00 Francis House DS0000022184.V307770.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 Francis House DS0000022184.V307770.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. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Francis House Address Dennington Swimbridge Barnstaple Devon EX32 0QG 01271 830030 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) info@francishouse.com Assisi Community Care Limited Mr Michael Crumpton Care Home 40 Category(ies) of Past or present alcohol dependence (40) registration, with number of places Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Age range 25 years plus Date of last inspection 24th January 2006 Brief Description of the Service: Francis House is an inter-denomination Christian home providing care for up to 40 men who have problems relating to the use of alcohol. The homes philosophy of rehabilitation is based on an abstinence model where service users are offered an opportunity to explore an alcohol free future. All service users are expected to contribute to community living with personal skills and commitment. Accommodation is offered in two buildings, Francis House and Clare House and is mainly single occupancy. The grounds comprise of nearly seven acres, and include trout ponds, vegetable gardens, greenhouse and lawned areas. Frances House are unable to offer places via court orders. The range of fee are from £335 to £750 and do not include, chiropody, hairdressing, transport, magazines and paper, toiletries and some external activities. A copy of the inspection report in kept in the office for individuals to see. Francis House DS0000022184.V307770.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 by two inspectors during a weekday in October and lasted for 6.5 hours. The focus of the inspection was to seek the views of the residents and all residents were sent a survey prior to the inspection date. A total of 14 were returned. The inspectors’ case tracked 4 residents, meaning these individuals were spoken to at length about their experiences of living at the home, and their records of care and medications were also looked at. Four other residents were also spoken to during the day. Time was also spent with the registered providers and staff and some key documents were looked at, these included care plans, medication records, staff files, residents’ finances and the fire logbook. A tour was completed in both houses and grounds, including most of the residents’ bedrooms. The home were asked to complete a pre inspection questionnaire, which includes details of safety and maintenance as well as information about staff training. Six staff were also asked to complete surveys prior to the inspection and 2 were returned. Four social service/health care professionals returned comment cards and their views have been included in the report. This information helped to inform the inspection process. The inspectors would like to thank the residents, staff and management for their helpfulness during the inspection. What the service does well:
Potential new residents are given good information to help them decide if Francis House would be suitable for them. The home has systems in place that ensures all needs have been assessed to ensure that Francis House can meet needs. Staff have worked hard to ensure that all individuals have a plan of care that covers all aspects of their needs, identifies risks and outlines any restrictions.
Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 6 Good records are kept of individuals personal, healthcare and emotional well being so that all staff are aware of any changes to needs. This helps to provide consistent care. Residents’ personal, health care and emotional needs are well met. Comments from placing authorities included ‘The staff have worked really well with many of my very difficult service users who have been homeless and chronic drinkers, they have supported them to change their lives and greatly increase their quality of life.’ ‘A very good service’ One care manager spoken to said ‘I can’t believe how well (they) are, the home have really improved their health, it’s like a different person.’ The home provides a good range of activities including accessing the local community and college courses. One resident said ‘the peacefulness of this place has helped me focus and allowed me to be able to work (on my college course).’ The home has a number of communal rooms available and set up for different activities. These included several TV lounges, both smoking and non smoking, computer room, large gym area with badminton court marked out, an equipped gym area, a snooker room, chapel, and a games room with darts. There are also extensive and well-maintained grounds including a trout lake and vegetable garden that residents can use. Several residents spoken to said how much they appreciated the peace and quiet of the home and its grounds. One commented ‘This is a clean well run house, all the staff are helpful and I find it a good place to stay.’ There is a good range and choice of meals offered that ensures residents have a balanced diet. Although residents are unable to access the main kitchen, facilities are available to make drinks and snacks throughout the day. Good systems are in place to ensure that medications are safely stored administered and recorded. The staff group are experienced and have training and support to do their job effectively. Comments from residents included ‘ All the staff are very kind and understanding’ ‘Absolutely wonderful’. ‘The staff are fantastic, couldn’t ask for better.’ A few residents commented in their surveys that staff were not always available as they had the cleaning to do. A comment card returned from an independent NVQ assessor said ‘Francis House has a positive attitude towards both service users and staff. I have always found an encouraging involvement philosophy. They welcome feedback and ideas. The management encourage and promote staff development.’ The registered providers are qualified and experienced and run the home ensuring the views of staff and residents are listened to. They have very good systems in place to ensure that quality of care is monitored and all health and safety issues are addressed to ensure that the home is safe and well maintained. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better:
To ensure that residents have privacy and to fully comply with the National Minimum Standards, it is recommended that all bedroom doors be fitted with locks of a type that can be easily accessed by staff in an emergency. The registered providers should look at how they can ensure that all residents are able to contact on call staff after 10pm should they need assistance in an emergency. Currently there is no internal phone and residents in Clare house would need to walk to the owner’s accommodation to seek help if needed. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 8 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. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 9 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 Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 10 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential new residents can be assured that their needs will be fully assessed prior to moving into the home. EVIDENCE: Assessment information was viewed for those individuals who were case tracked. The information on file includes good details of the persons past history, length of time they have had an alcohol problem, what other services have been tried. The manager said that where possible they try to obtain a care management assessment and care plan and that potential new residents are always invited to visit prior to moving in and during that visit assessment information is checked with them. Three residents spoken to said they had visited the home prior to moving there, one said they had lived there before and that the home knew what issues and problems they had. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 11 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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are well documented plans of care for each individual that enables staff to understand their assessed and changing needs. Residents are supported to make decisions about their everyday lives within a risk management framework. EVIDENCE: As part of case tracking 3 care plans were looked at and discussed with the manager. The plans are currently being reorganised and it was clear that staff have worked hard to ensure that plans are detailed and recording is kept up to date. Plans of care include identified goals and overall objectives as well as records of individuals’ personal and health care needs. The home keep separate clinical notes which detail all health care appointments such as dentists, optician and any hospital appointment. These records also detail any counselling given by the registered provider in relation to alcohol issues.
Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 12 The home keeps records of all dietary intake and any outings and activities the individual participates in. This information helps to show how individuals’ needs are being met. Staff record daily observations in a daily recording sheet and risk assessments have been completed for all areas of health and safety. Each care plan file has a signed contract of residence, which includes house rules and some key policies and procedures as well as an alcohol education programme. Residents spoken to confirmed that they are able to choose how to spend their time, that they have regular residents meetings and that they are asked to complete surveys about the quality of care and support. One resident said that residents can get involved in decorating their own room, and on the day of the inspection one resident was being assisted to redecorate their bedroom. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a good range of activities that includes some access into the local community. Residents can be assured their rights will be respected. The home offers a well balanced diet with choices. EVIDENCE: The home has a number of rooms available and set up for different activities. These included several TV lounges, both smoking and non smoking, computer room, large gym area with badminton court marked out, an equipped gym area, a snooker room, chapel, and a games room with darts. Residents spoken to confirmed that these rooms were used during the evening, although one did say they didn’t think they could use the gym equipment. The home is set in seven acres of landscaped grounds included some lakes that residents can course fish from. Two residents spoken to said they really
Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 14 enjoyed fishing and several others mentioned they liked the setting of the home and the peaceful surroundings. One commented ‘I love the peace and quiet here, it has helped me a lot’ One resident spoken to said they were attending college to complete fine arts degree. They said that this had really helped to feel they could achieve something in their life. They said ‘the peacefulness of this place has helped me focus and allowed me to be able to work on my art’. Residents spoken to said that a mini bus trip was available into Barnstaple the main local town three times per week. Residents have to book a place as there is a limit on numbers. Trips to places of interest and activities such as go carting are also organised on a regular basis. Residents have an opportunity to make suggestions for activities at regular residents meeting, usually held weekly. Minutes of these meeting are recorded and made available for residents. Residents spoken to and those who returned surveys felt that on the whole they were treated with respect by staff. One survey returned said that ‘ staff are good, but never have enough time as they are always too busy doing the cleaning’. Another said ‘all staff are very kind and understanding- absolutely marvellous!’ As part of the information given in the pre inspection questionnaire details of menu plans were provided. The home offers a cooked breakfast, a main meal at lunch and a selection of choices for evening meals. The lunchtime meal was observed. A bell rings to inform residents the meal is being served and residents get their meals from a serving hatch. The dinning area for all residents is based at Francis house and tables are set out in fours. One resident said that the chef comes round once a week and runs through the menu choices with each person. Resident surveys returned indicated that overall residents were happy with the meals and menu choices. The chef tries to include plenty of choice and healthy options, and is ware of individuals likes, dislikes and any special dietary requirements. Although residents are unable to access the main kitchen there are small kitchen areas in each house so that drinks and snacks can be made at any time. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and health care needs are well met. Robust medication procedures are in place to protect residents. EVIDENCE: The routines of the home are flexible to suit individual needs and preferences. Most residents are able to attend to their own personal hygiene and where support of guidance is needed this is clearly identified in their care plan. Residents spoken to confirmed that they can choose what time they get up and go to bed and how they spend their days. Recreational activities on site are not usually used until the afternoons. The registered provider said this was to encourage a work ethic, that residents are encouraged to attend college, go on outings and be involved in group work or counselling during the day, and recreational activities are then available for the afternoons and evenings. Residents spoken to said that staff ensure they get to see their GP or other health care appointments as needed. One resident said that their health had greatly improved and that ‘without Francis House I wouldn’t be here’. Two
Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 16 residents said their health had significantly improved and that they had gained weight since being at Francis House. A comment card from a care manager stated ‘the staff have worked hard with some of my very difficult service users. They have supported them to change their lives and greatly improve their quality of life’. The home keeps all medications in a locked cupboard in a locked office. Residents are encouraged to take some responsibility by coming to the office when medications are due. Medications are dispensed once the individual is in the office and only signed for once it has been observed as taken. There is fresh water available for residents to take with their medication. The recoding sheets were well organised and no gaps or errors were seen. One staff member confirmed that only staff who have received training have responsibility of administering medications. There is a separate fridge for any medications that need to be refrigerated and records are kept to ensure it is within appropriate temperature. Individuals who wish to self medicate are risk assessed and provided with lockable storage to ensure medications are kept safe. These procedures ensure residents are protected by a robust medication system. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ views are listened to and acted upon. Policies and procedures are in place to protect residents. EVIDENCE: Resident surveys were generally positive about their views being listened to, although two did say that it was difficult to get hold of the provider and you needed to make an appointment well in advance. Residents spoken to on the day said they could speak to their key worker or other staff about any concerns they have. The home has a written complaints procedure that residents are aware of and there are weekly residents’ meeting where issues can be raised. There have been no new complaints since the last inspection. The home has policies in place relating to the protection of vulnerable adults and their system for handling residents’ finances is well recorded, with a clear audit trail. The home is registered as a limited company so these records are independently audited. Francis House DS0000022184.V307770.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents with a clean comfortable and safe environment. EVIDENCE: As part of the information needed to achieve the Investors in People Award, the registered providers have produced a plan of maintenance and renewal of the fabric of the building. The communal areas are clean and comfortable and can be used for a variety of uses and activities. There are separate smoking and non-smoking lounges available, one of these is currently being refurbished. During this inspection all communal areas and most of the residents bedrooms were viewed. The home was found to be clean, comfortable and safe. Residents are able to personalise their bedrooms, but do not have locks on their bedroom doors. Several residents said they had lockable storage, but one said this was a tin, which was not secured anywhere. This could compromise residents’ rights to privacy. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 19 The home is now ensuring that each bathroom has soap dispensers and paper towels to reduced the risk of cross infection. Following an in house quality assurance programme some resident surveys had highlighted that the toilets were not always clean, the home are now providing cleaning material to encourage residents to take some responsibility for keeping toilet and bathroom areas clean and tidy. The home has extensive well-maintained grounds for residents to enjoy and make use of, including a trout pond and vegetable garden. Francis House DS0000022184.V307770.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a staff team that are trained, competent and well supported to do their job. EVIDENCE: The registered provider ensures staff have access to complete training in areas of health and safety as well as specialist training in alcohol dependency. Staff are encouraged to complete NVQ training and the home has over 80 with NVQ 2 or above. Six out of the 8 care staff have first aid training, which ensures that a qualified first aider can be on shift at all times. Staff surveys returned said that there was good opportunities for training and a comment card returned from an independent NVQ assessor said ‘Francis House has a positive attitude towards both service users and staff. I have always found an encouraging involvement philosophy. They welcome feedback and ideas. The management encourage and promote staff development.’ Two staff files were looked during the inspection. Both had two references and all relevant checks completed. This demonstrates that the home have a good recruitment procedure that ensures residents are protected.
Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 21 One area of concern raised with the providers during the inspection process is that after 10 pm there are no staff on duty. ‘On call’ staff are provide but residents have no way of contacting them unless they go to the providers house, adjacent to Francis House. The only other option would be to use a mobile phone to call the providers. This raises two issues. Not everyone may have a mobile phone and one resident pointed out that reception is not good in the area the home is situated. The registered providers agreed to look at whether they could install an internal phone to ensure that during the on call period, all residents would be able to contact them in an emergency. Francis House DS0000022184.V307770.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home, where their views are taken into consideration and health and safety issues are taken seriously. EVIDENCE: The registered provider and manager are qualified and have many years experience of running the home. One staff member described them as ‘so approachable’ and another said that ‘they made time to ensure I understood the residents needs and are always happy to discuss new ideas.’ The providers have good systems in place to ensure that the views of residents are taken into consideration. They have weekly residents meetings, where individuals are encouraged to make suggestions or raise any concerns and they have now formalised their quality assurance programme. This means that any surveys completed by residents or health care professions are collated and
Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 23 the results are made available to the residents and copies sent to the Commission. The providers use this information to improve their service and include in their reports what steps have been taken to make any improvements. The home have also achieved the Investors in People Award, which demonstrates that they ensure staff are well trained, included and supported to do their job effectively. The pre inspection information that the providers completed prior to the inspection provides details to show that the home ensures equipment and facilities are regularly checked and serviced, that key policies and procedures are in place in respect of all areas of health and safety and that staff have training in all core areas that relate to health and safety. During this inspection the fire logbook was seen to be well maintained and all checks completed. This shows that the providers take health and safety seriously. Francis House DS0000022184.V307770.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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 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 4 X X 3 X Francis House DS0000022184.V307770.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. Standard Regulation Requirement Timescale for action 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 Standard YA26 YA33 Good Practice Recommendations In order to ensure residents privacy, the home should fit locks to all bedrooms of a type that is easily accessible to staff in an emergency. The registered provider should ensure systems are in place so that all residents are able to call for staff support during the on call hours of 10pm to 7 am. Francis House DS0000022184.V307770.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Francis House DS0000022184.V307770.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. 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!
