Inspection on 18/12/06 for Harestock Hostel

This inspection was carried out on 18th December 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Harestock Hostel 30/09/08

Harestock Hostel 10/10/07

Harestock Hostel 01/11/05

Harestock Hostel 27/06/05

Harestock Hostel 14/12/04

Harestock Hostel 09/07/04

Harestock Hostel 19/01/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Harestock Hostel Upton Grey Close Winchester Hampshire SO22 6NE Lead Inspector Laurie Stride Unannounced Inspection 18th December 2006 11:00a Harestock Hostel DS0000040578.V322554.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 Harestock Hostel DS0000040578.V322554.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. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harestock Hostel Address Upton Grey Close Winchester Hampshire SO22 6NE 01962 886361 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) bernie.kern@hants.gov.uk Hampshire County Council Mrs Bernadette Marie Kern Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01/11/05 Brief Description of the Service: Harestock Hostel is a residential service in Upton Grey Close, Winchester for people with a learning disability managed by the local authority. The home is comprised of three purpose built houses accommodating fifteen service users. Two of the houses provide long-term placements and one is used for respite and assessment. The current fees are £7.22 per night for respite and £48.25 per week for longterm placement. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection visit, which lasted approximately seven hours. During this time five service users, a service users’ relative and four members of staff were spoken with. The registered manager was also present at the end of the visit. A partial tour of the premises was undertaken and samples of the home’s records were seen. There was no contact with other stakeholders prior to this visit and a pre-inspection questionnaire was not available for this key inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. Harestock Hostel DS0000040578.V322554.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 Harestock Hostel DS0000040578.V322554.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 & 2 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users have their needs assessed prior to, or at the point of admission, depending on the nature of the placement. The home is not acting in accordance with its Statement of Purpose, which is misleading for service users and relatives as short and long-term service users are mixed together, which is also not recommended. EVIDENCE: The home has a Statement of Purpose and Service User Guide, which provide service users with information to make an informed choice about the home. The registered manager was advised that these documents must also inform prospective service users and their representatives that emergency admissions sometimes occur, which can have an impact on the provision of long-stay and/or respite services (see also section on Environment). New service user contracts were seen and senior staff confirmed these had been distributed to service users. Procedures are in place to ensure that prospective service users are assessed before being offered a place in the home. As mentioned, emergency admissions sometimes occur, in which case the home conducts an ongoing assessment of the person’s support needs and goals, in conjunction with Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 9 obtaining relevant information from the previous placement, care manager or representative. The home had admitted into long-term care a service user who had initially been placed as an emergency admission. Records showed that ongoing assessment and care planning were taking place and extra staffing arrangements had been made. The assessment flat is planned for short-term accommodation, during which time service users’ independent living skills can be assessed and arrangements made for moving to suitable accommodation. The registered manager confirmed that one service user has been living in the flat for over three years, and was now sharing with another more recently admitted service user. The registered manager said she was aware that the assessment flat is not suitable for long-term accommodation, as the situation there changes with other service users coming and going and this can also have an impact on service users who wish to move in for short-term stay and assessment. The respite unit was also currently being used to provide long-term accommodation to a service user whose identified needs do not require registered residential accommodation. The placement is therefore unsuitable although the service user said s/he was very happy staying at Harestock. The registered manager reported that suitable alternative accommodation was being sought and the service user confirmed knowledge of this fact. Harestock Hostel DS0000040578.V322554.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 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported to make decisions about their lives, but care plans and risk assessments need to reflect all service users’ current needs and activities. EVIDENCE: A sample of three service users’ person-centred care plans was seen. In general the care plans were detailed and reflected the individuals life style and care required. Whilst there was some evidence in care plans of reviews taking place, elements of those seen had not been updated to match the current needs, activities and support being provided. A requirement has been made in relation to this. How service users like to make choices is recorded in their care plans, including guidance on communication and any assistance required. Discussion with a service user confirmed that staff respect service users’ right to make decisions and give appropriate assistance. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 11 Risk assessments were mostly in place for the service users whose care plans were seen. These contained information and guidance to assist staff and enable service users to take risks as part of independent lifestyles. For example a risk assessment had been written in respect of a service user being alone in the house for short periods of time and was signed by the service user’s representatives. Risk assessments are generally reviewed and updated as part of the overall care plan, however one had May 2005 as the last review date. Another risk assessment for a new activity had not been completed although the service user had started doing the activity. Harestock Hostel DS0000040578.V322554.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 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit through opportunities to take part in appropriate activities, access the community, maintain relationships and participate in the planning of meals. Service users’ rights and responsibilities are recognised in the daily routines of the home. EVIDENCE: Through observation, discussion with three service users and reading care plans it was evident that most of them have busy and structured lives. Individual timetables of activities were seen that reflected service users’ interests and choices. For example, one service user enjoyed an art group within the home and going to a theatre group. The registered manager reported a lack of structured activities for one service user, which the home was attempting to improve on and funding for additional support to access the community had been obtained. The manager and staff reported that the home was developing more in-house activities to make up for a recent Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 13 reduction in external opportunities for some service users, for example the art and music groups. Some service users are able to access a farm project and two service users work in a small industrial workshop. One service user talked about the theatre, swimming, and going to a day service in another area, which reflected a personal choice. The home now has its own car, which can be used to provide transport for service users but is not suitable for wheelchair users. During the visit service users were observed going out or returning with relatives or support workers. A service user talked about visiting relatives and also being visited by them. Relatives are encouraged to take part in the provision of suitable support and there is a relatives group who meet regularly. Service users are supported to take responsibility for various aspects of running the home, for example, cleaning their room, doing their laundry and deciding on the menu for the week. Healthy eating is encouraged and individual needs are recorded in care plans. Service users confirmed they are involved in shopping and the preparation of food and are able to help themselves to snacks and drinks as they wish. Service users said that they liked the food provided in the home. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users receive personal and healthcare support to meet their individual needs, although improvements could be made to recording how this is given. Service users are protected by the home’s medication policies and procedures. EVIDENCE: Some members of staff expressed concern that it is not always possible for service users to have choice about who delivers their personal care, as regular staff may be called to work in the other units, sometimes at short notice. However the registered manager reported that female-to-female personal care is given at all times. Some male service users have additional support with personal care provided through regular male agency staff. Service users confirmed they are able to get up when they choose and dress to suit themselves, although support is given if required. Service users said that staff supported them to do things for themselves. Care plans that were seen mostly contained information and guidance for staff in relation to service users’ abilities to self-care. One service user received support with oral hygiene but this was not clear on the person’s care plan, Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 15 which did not give guidance on how support should be given. Regular staff spoken with demonstrated knowledge of how support should be given, but there was not evidence to show that this information had been given to and was being followed by agency staff who were supporting the service user with oral hygiene. Comments from the service user’s relative also indicated that suitable support was not consistently given in this area. Evidence was seen of the involvement of external health and social care professionals to meet service users changing needs. Medical records and contact sheets showed when service users see a doctor, nurse, dentist or other specialist and the outcome of the visit. Staff are trained in emergency aid, medication and moving and handling. The home has policies and procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Medications are stored in a locked cabinet in each of the houses and one of these was inspected. The home operates a blister pack system where set dosages of prescribed medication are pre-packed by the local pharmacist. A sample of the administration records in one unit was checked and was up-to-date. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has systems for ensuring that service users’ views are listened to and responding to any complaints. Service users are protected by the home’s policies and procedures for responding to any form of abuse. EVIDENCE: The home has a formal complaints procedure and a pictorial version was displayed in the home. Service users said they felt safe and would talk to staff if they were worried or had concerns about anything. The commission had received an anonymous letter of concern about the staffing levels at the home (see also section on Staffing). A copy of this letter was forwarded for the service provider’s attention under the organisation’s complaints and concerns procedures. A response had been received from the service provider and the registered manager confirmed the actions that had been taken to assess the concern. Staffing levels had been checked in relation to individual risk assessments that indicate agreed times and intervals when service users can be in the unit without staff support. The registered manager agreed that a record would be made of the actions taken. Records showed that staff had received training in relation to the Hampshire adult protection policy and procedures. There had been no reported adult protection referrals. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home provides a clean and generally comfortable environment, however the organisation placing service users long-term in accommodation designed for short-term use, is not beneficial to all service users. EVIDENCE: The home is comprised of three purpose built houses, two for accommodating people in long-term placements and one used for respite and assessment. There had been no major changes to the premises since the last inspection. The registered manager explained how service users are now placed in one or the other of the long-term houses according to their assessed levels of independence. As mentioned in the first section on Choice of Home, emergency admissions sometimes occur, which can have an impact on the provision of long-stay and/or respite. Both the assessment flat and the respite unit were currently being used to provide long-term accommodation for two service users. While this arrangement might generally and temporarily benefit Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 18 the two service users, discussion with the manager and staff indicated there are difficulties when other people come to use these facilities. The home was well maintained, clean, bright and homely and Christmas decorations had been put up. Three service users rooms were seen and all were clean and comfortable and had been personalised with the service user’s belongings. One had specialist equipment to assist them with mobility. Service users said they take part in cleaning their own rooms and sometimes help staff in the kitchen and dining room. There are separate laundry rooms where service users are supported to do their own laundry. The laundry in one of the units was seen and was clean and suitable for its purpose with hand washing facilities and information about infection control. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. Service users are protected by the home’s staff recruitment procedure. EVIDENCE: The staff rota showed there to be a member of staff designated to cover each of the houses, although staff are used as one team across all the units. This is so that the service can respond to incidents where service users may have increased support needs. Through discussion with staff and the manager, the frequency of this occurring largely depends on the needs of people staying in the respite unit. Whilst acknowledging that this arrangement ensures all staff have working knowledge of all the houses, some staff expressed the view that the way staff are deployed means that service users do not always have regular staff to support them. Additional staff were seen to be employed through agencies to support some service users with specific activities. Where it was not always possible to get agency staff, for example to provide an hour of personal support in the Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 20 morning, the registered manager was working in a ‘hands-on’ capacity to support the service user. Staffing levels at the time of the visit appeared to be meeting service users’ needs. The home is in the process of advertising to fill two daytime posts and a night post. Staff were observed to be approachable and took time to deal with service users’ questions. Through discussion with staff members it was evident that they had the knowledge and skills to carry out their roles and responsibilities effectively. A service user said that they liked the staff and two others confirmed that staff supported them to do things for themselves. A sample of the home’s staff recruitment records was seen in relation to three staff members. The information seen demonstrated that the organisation carried out the required checks on staff before they worked with service users in the home, such as Criminal Records Bureau (CRB) and POVA (Protection of Vulnerable Adults). Also that new staff completed application forms with employment histories and two written references were obtained for each staff member. All staff members are employed subject to a probationary period. Evidence was seen that staff who are new to working with people with learning disabilities have a structured induction based on the Learning Disabilities Award Framework (LDAF). Staff records in the home showed that they had received training relevant to working with people who use the service. For example, mandatory training for staff includes fire safety, emergency aid, food hygiene, medication, moving and handling, adult protection, managing challenging behaviour and SCIP (Strategies for Crisis Prevention and Reduction). Training in supporting service users to take positive risks as part of an independent lifestyle had also been provided. Four members of staff were doing training on dementia in order to have the knowledge and skills to meet service user’s changing needs. Staff are also encouraged and supported to obtain relevant qualifications, such as NVQ and social work training. The home’s records showed that out of fifteen regular day and night staff, including two staff who are employed for eight hours a week each and excluding the registered manager, eight had obtained NVQ level 3. Two others had social work qualifications, another had a degree in learning disabilities, and two others were working on the LDAF induction. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from a generally well run home that seeks their views and promotes the health and safety of service users and staff. However, the organisation and the home’s quality assurance needs to ensure that the service is able to run in accordance with its Statement of Purpose, and the management must ensure that care plans reflect all service users’ current support needs. EVIDENCE: The registered manager was doing interviews on the day and met briefly with the inspector at the end of the visit. She has a Diploma in Social Work and the NVQ 4 Registered Managers Award. Staff spoken to confirmed they felt well supported by the management and their colleagues. The issues identified in the relevant sections of this report are linked to the organisation and running of the service. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 22 A corporate quality assurance system is in place, which includes policies and procedures relating to, for example, health and safety and the dignity and rights of service users. Quarterly reviews include discussion and sharing information with service users, their relatives and representatives, about health matters, activities and what’s gone well. Service users’ have house meetings or one to one talks with staff and management, depending on which approach is more suitable. There is a relatives group who meet off the premises. Staff meetings are also held and the minutes of one of these were seen, which included discussion of risk assessment and the respite service. Whilst the quality assurance system is in place, this does not appear to monitor how the home is achieving its aims, objectives and statement of purpose. Accordingly, it should seek and reflect feedback from service users and their representatives about the current organisation of accommodation. As identified in the relevant sections of this report, long and short-stay provision is mixed up and this is not necessarily beneficial to service users. Evidence was seen that safe working practices are promoted within the home. The fire safety records showed that regular fire alarm tests, fire drills and equipment checks were carried out and there were fire risk assessments for the premises. Cupboards containing cleaning materials were locked and infection control procedures and equipment were seen to be in place. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 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 2 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 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 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 2 3 3 X 2 X 3 X X 3 X Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4(1) (c ) Requirement The Statement of Purpose and Service User Guide must inform prospective service users and their representatives that emergency admissions sometimes occur, and of any impact this may have. Care plans and risk assessments must be kept up-to-date and detail how the care and support is given to protect service users and meet their needs. Timescale for action 12/03/07 2. YA6 15(2) 31/01/07 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 Service users on respite/emergency/short-term placements and those in long-term placements should occupy separate premises, unless benefits for both groups can be demonstrated. Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Harestock Hostel DS0000040578.V322554.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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