Inspection on 05/01/06 for Grove (The)

This inspection was carried out on 5th January 2006.

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 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grove (The) 02/02/07

Grove (The) 19/07/05

Grove (The) 28/02/05

Grove (The) 24/08/04

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

CARE HOME ADULTS 18-65 Grove (The) 72 Grove Road Walthamstow London E17 Lead Inspector Rob Cole Unannounced Inspection 5th January 2006 10:00 Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 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 Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 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. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Grove (The) Address 72 Grove Road Walthamstow London E17 020 8520 3510 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) aidonspence@hotmail.com Mr Aiden Spence Ms Lisa Goldwater Mr Aiden Spence Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2005 Brief Description of the Service: The Grove is a care home registered to provide accommodation and support to three adults with mental health needs. The home is located in the Walthamstow area of the London Borough of Waltham Forest. The home is in a residential area, close to shops and other local amenities, and to transport networks. The home is in keeping with other properties in the vicinity. The home is jointly owned by two proprietors who are both qualified psychiatric nurses. One of the proprietors is the registered manager of the home. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 5/1/06 and was unannounced. The inspector had the opportunity of speaking with service users, staff and the homes manager was present for most of the inspection. Overall the inspector was satisfied that this is a well run home, and that service users receive high levels of individual care and support. Service users spoken to informed the inspector that they were very happy with the care provided by the home. There are some issues that must be addressed, as highlighted within the report. What the service does well: What has improved since the last inspection? What they could do better: There are, however, some areas that still need to be addressed. The home must ensure that thorough pre admission assessments are carried out on all prospective service users, and that pre employment checks are carried out on staff. Staff should receive regular supervision, at least six times a year. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 6 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. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 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 Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 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): 1,2,3,4 and 5 The inspector was satisfied that service users are provided with sufficient information about the home to be able to make an informed choice as to move in or not. This information is provided through written documentation and the opportunity of visiting the home. However, the home must ensure that pre admission assessments are carried out on all prospective service users. EVIDENCE: The home has both a Statement of Purpose and Service User Guide in place. The Statement of Purpose outlines the philosophy of care in the home, stating “We endeavour to create and maintain an environment that is both physically and emotionally safe…by forming positive and supportive relationships that are based on mutual trust and respect.” The Service User Guide, or “Residents Handbook” is more detailed, and includes all information required by the Care Homes Regulations 2001. All service users are given their own copy of the Guide. Both documents are written in plain English, and are accessible to all service users. All service users have a written contract/statement of terms and conditions, which have been signed by both the manager and the service users. The home retains a copy and service users have their own copy. The contracts are in a format that is accessible to service users. They include details of fees charged, what they cover and what is extra, periods of notice required, the rights and obligations of each party and all information required by National Minimum Standard 5. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 9 The home has an admissions procedure, and this states that service users are able to visit the home, including for overnight stays, before making a decision as to move in or not. Due to the nature of the home and the client group, existing service users have the opportunity to meet with prospective service users, and their views are taken into account when deciding whether the person would be suitable for the home. Initially service users move in for a three-month trial basis, after which their placement would be reviewed. There has been an admission to the home since the last inspection. However, there was no evidence that a thorough pre admission assessment was carried out on this service user prior to them moving into the home, and it is required that pre admission assessments are carried out on all prospective service users before they move into the home. From observation and discussion with staff and service users, there was evidence that the home is able to meet the assessed needs of service users. Staff are able to communicate with service users in their preferred language. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 The inspector was satisfied that the home is able to meet service users individual needs. Care plans were of a good standard, and service users are able to make choices over their every day lives. EVIDENCE: Care plans are in place for all service users, these are drawn up with the involvement of the service user and staff from the home. Since the last inspection there was evidence that plans are regularly reviewed. Plans were clear and comprehensive, and of a good standard. Plans covered medical issues, mental health issues and social and leisure issues. All service user also have a risk assessment in place. These not only identify risks, but also include strategise to manage and reduce the risks. There are also guidelines in place around managing any challenging behaviours that service users exhibit. However, risk assessments are not comprehensive, for example one service user has a history of leaving the home without informing staff, although they have been identified as posing a risk to themselves and others by been in the community without staff support, and there was no risk assessment in place around this. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 11 The manager informed the inspector that no restrictions were in place on service users choice. From observation and discussion with service users the inspector was satisfied that service users do indeed have a large degree of control over their daily lives, for example they are free to get up and go to bed as they choose, and mealtimes were seen to be flexible and based around individual service users. Service users are regularly consulted over the running of the home, for example the home has recently undergone a considerable amount of building and decoration work, and service users were consulted over this. The home holds service user meetings, these are minuted and evidenced discussions on holidays and health issues. However, the last meting was held on the 18/9/05, and it is recommended that these meetings are held more regularly, at least once a month. The home has a confidentiality policy in place, which makes clear under what circumstances a confidence may have to be broken in the health, safety and welfare interests of service users and others. The inspector was informed that staff and service users can access confidential records as appropriate. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None The standards in this section were not tested on this occasion, but will be tested as part of the next inspection. EVIDENCE: The standards in this section were not tested on this occasion, but will be tested as part of the next inspection. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 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 and 21 It is the inspector’s judgement that the home is able to meet the personal and health care needs of service users. Medications are stored, recorded and administered appropriately, and service users have access to relevant health care professionals. EVIDENCE: Service users are responsible for their own personal care, although some need encouragement in this area, and guidelines are in place around this in their care plans. On the day of inspection staff were observed to knock and wait for an answer before entering bedrooms. Service users are able to get up and go to bed when they wish, and choose their own clothes to wear. All service users were appropriately dressed on the day of inspection. All service users are registered with a GP, and other health professionals as appropriate, including dentists and opticians. Records are maintained of medical appointments, but these are basic, merely stating the date and who the appointment was with. There is no information on what the appointment was for, or of any follow up action necessary, and this must be addressed. The home has a mediation policy in place, and all staff receive training before they are able to administer medications. The inspector was pleased to note Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 14 that the storing, recoding and administering of medications has improved since the previous inspection. Medications are stored in a locked cabinet, and all medications are now appropriately labelled. Records are maintained of medications entering the home and of those that are returned to the pharmacist. Medication Administration Record charts are maintained, those examined by the inspector appeared to be accurate and up to date. The manager informed the inspector that service users would be able to remain in the home with a terminal illness, as long as the home was able to meet their medical needs. One of the service users recently passed away, and the other service users were able to be involved with making the funeral arrangements, and have been able to retain contact with the family of the deceased service user. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 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 and 23 The inspector believes that more needs to be done in the home to safeguard service users from the risk of abuse. All staff must receive training in adult protection issues, and the home must ensure that service users money is spent appropriately. EVIDENCE: The home has a complaints log, although the manager informed the inspector that the home has not received any complaints within the past year. The home also has a complaints procedure, this included timescales for responding to any complaints and makes appropriate reference to the CSCI. Since the previous inspection this procedure is now on display within the home. The home has a copy of the Local Authorities adult protection procedure, and also its own policy on adult protection. This appeared to be in line with current legislation. Staff spoken to informed the inspector that they had not received any training in adult protection, and those spoken to demonstrated only a limited understanding of their roles and responsibilities in this area. It is a repeat requirement that all staff receive appropriate adult protection training. The home holds money on behalf of service users, this is kept in a locked cabinet. Records and receipts are kept of transactions involving service user’s money. The inspector checked service users monies held in the home, records indicated that on several occasions there money had been used to buy milk, which was in general use in the home for all service users, staff and visitors. The manager informed the inspector that such items should be covered by service users fees, and that they should not be buying this out of their own personal allowance. It is required that the home spends money on behalf of Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 16 service users in an appropriate manner, and that any monies that have been spent inappropriately are refunded to the service user. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 The inspector was satisfied that the home is suitable to meet its stated purpose with regard to the physical environment. There is adequate private and communal space to meet service users needs, and the home is generally well maintained both internally and externally. EVIDENCE: The home is situated in the Walthamstow area of the London Borough of Waltham Forest, and is close to shops, transport links and other local amenities. The home is in keeping with other homes in the area. As a result of recent the building work, there is now more communal space available to service users. Communal space consists of a sitting room, dining room, kitchen and garden. The dining room is a new room, previously the dining room and kitchen had been combined. Service users spoken to informed the inspector that they were happy with the extra space. All bedrooms are ensuite, with a toilet, shower and hand basin. At the time of inspection one of the bedrooms was been redecorated, and the service user has been involved in choosing the new décor. There is a separate bath/toilet, with a suitable lock fitted, and a separate toilet for staff. On the day of inspection all bathrooms were clean, tidy and free from offensive odour. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 18 All service users have their own ensuite bedrooms. Bedrooms have been decorated to service users personal tastes, and service users are involved in keeping their own rooms tidy. Bedrooms had adequate furniture, including table and chair, wardrobe and chest of draws, while bedding, carpets and curtains were all well maintained. Service users had televisions and music systems in their rooms as they wished. Bedrooms had adequate natural light and ventilation, and meet National Minimum Standards on size requirements. The home has a designated laundry room, which is domestic in scale and suitable to meet service users needs. COSHH products were stored securely. The home has introduced a policy on infection control. Hand washing facilities were situated throughout the home. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36 The inspector was satisfied that the home is staffed in sufficient numbers to meet service users needs, and that staff are sufficiently competent and experienced to carry out their duties. However, staff would further benefit from regular formal supervision, and access to training as appropriate. Further, the home must tighten up its recruitment procedures. EVIDENCE: The home provides 24-hour care including an emergency on-call procedure. The home had a staffing rota on display, however, as at the last inspection this did not record the hours worked in the home by the manager, and this must be addressed. For much of the time the home operates with one staff member on duty, the inspector was satisfied that this is currently sufficient to meet service users needs. However, as the home has two vacancies, staffing levels would need to be reviewed if there were any further admissions to the home. Since the previous inspection the home now holds regular staff meetings, these are minuted and evidenced discussions on health and safety and service user issues. The home has policies in place on equal opportunities and recruitment and selection. The inspector checked several staff employment files at random. For the most recent recruit to the home there was no evidence that satisfactory pre employment checks had been carried out. There was no evidence of a CRB check, employment references or proof of ID. It is required that employment Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 20 checks are carried out on all staff in line with the Care Homes Regulations 2001. All staff have received a copy of their job descriptions, and also a copy of the General Social Care Council codes of conduct. Through observation and discussion staff demonstrated a good understanding of their roles and responsibilities, and a high level of knowledge around individual service users. Staff were observed to interact with service users in a relaxed and respectful manner, and there was evidence that good relationships have been built up with service users. All staff undertake a structured induction programme, which covers general house and service user issues. The manager of the home is a Registered Mental Health Nurse, and they provide in-house training on mental health awareness, epilepsy and substance misuse. Staff also undertake formal training, recent training has included working with dual diagnosis, breakaway techniques and confidentiality. However, as at the last inspection the home must ensure that all staff receive appropriate training in fire safety and first aid. At present none of the care staff has a relevant care qualification, and it is required that at least 50 of the care staff have such a qualification. Staff receive formal supervision from the homes manager, which includes discussions on service user issues and training needs. However, not all staff receive regular formal supervision, for instance one staff member has not received any formal supervision since September 2005, and has only had two supervisions within the past twelve months. It is required that all staff receive regular formal supervision, at least six times a year. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43 It is the judgement of the inspector that the homes manager is suitably experienced to competently carry out their roles and responsibility. The Grove appears to be a well run and managed home. EVIDENCE: The manager is a Registered Mental Health Nurse and has twenty years experience of working with adults with mental health issues, including fifteen years in a managerial capacity. They informed the inspector that they are planning to start the Registered Managers Award qualification in the near future. Staff and service users informed the inspector that they found the manager to be approachable and accessible, and on the day of inspection staff were observed to interact with the manager in a relaxed manner. Through the homes polices and practices their was evidence that the manager makes a commitment to equal opportunities within the home. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 22 Care plan reviews and staff meetings contribute to the quality assurance within the home. Copies of previous inspection reports were available to view in the home. The home issues questionnaires to service users and relatives to gain their feedback on the running of the home. Those questionnaires seen by the inspector were generally very positive. However, the home does not always notify the CSCI of significant events as appropriate, for example a service user passed away in October 2005, and the CSCI was not notified of this. The home has policies in place in line with National Minimum Standards, those checked by the inspector included adult protection and complaints, and these appeared to be satisfactory. Records maintained within the home were generally satisfactory and up to date. Staff and service users can access their confidential records as appropriate. The home has in date employer’s liability insurance cover. The home has various health and safety policies in place, including on fire safety and infection control. Fire fighting equipment was situated throughout the home, and last serviced on the 18/5/05. Fire exits were free from obstruction. The home holds regular fire drills, and since the last inspection now tests fire alarms on a weekly basis. Fire alarms were last serviced on the 25/5/05. Records are kept of fridge/freezer and hot water temperatures, and COSHH products were stored appropriately. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 23 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 2 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 2 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 3 3 3 2 3 3 3 3 Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 24 Yes 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 YA23 Regulation 13 Requirement The registered person must ensure that all staff who work at the home receive appropriate adult protection training. (Timescale 30/11/05 not met) The registered person must ensure that the staff rota accurately records the hours worked in the home by all staff, including the homes manager. (Timescale 30/11/05 not met) The registered person must ensure that the home has a full written employment history in place for all staff, which includes an explanation of any gaps in employment. (Timescale 30/11/05 not met) The registered person must ensure that staff receive any necessary statutory health and safety training as appropriate, including fire safety training and first aid training. (Timescale 30/11/05 not met) The registered person must ensure that thorough pre admission assessments are carried out on all prospective service users prior to them DS0000007318.V275519.R01.S.doc Timescale for action 30/04/06 2 YA33 17 30/04/06 3 YA34 19 30/04/06 4 YA35 13 and 18 30/04/06 5 YA2 14 30/04/06 Grove (The) Version 5.1 Page 25 moving into the home. 6 YA9 13 The registered person must ensure that comprehensive risk assessments are in place for all service users, covering all areas of potential risk to themselves and others. The registered person must ensure that clear and comprehensive records are maintained of medical appointments, including any follow up action necessary. The registered person must ensure that all monies spent on behalf of service users is spent appropriately, and that if any monies are inadvertently spent inappropriately then they must be reimbursed to the service user. The registered person must ensure that at least 50 of the care staff employed at the home attain a relevant care qualification. The registered person must ensure that all necessary employment checks are carried out on all staff, in line with the Care Homes Regulations 2001. The registered person must ensure that all staff receive regular formal supervision, at least six times a year. The registered person must ensure that the CSCI is appropriately notified of any significant events. 30/04/06 7 YA19 13 30/04/06 8 YA23 13 30/04/06 9 YA32 18 30/04/06 10 YA34 19 30/04/06 11 YA36 18 30/04/06 12 YA39 37 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 26 No. 1 Refer to Standard YA8 Good Practice Recommendations It is recommended that the home holds regular service user meetings, at least on a monthly basis. Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Grove (The) DS0000007318.V275519.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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