Inspection on 13/12/06 for Hillview

This inspection was carried out on 13th 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 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hillview 13/08/09

Hillview 20/08/08

Hillview 07/02/06

Hillview 10/10/05

Hillview 14/02/05

Hillview 31/08/04

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Insight - Eastchurch

Southfields

Thorndene

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33 St John`s Church Road

Dovedale Court

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hillview 213 Eastbourne Road Polegate East Sussex BN26 5DU Lead Inspector Lucy Green Key Unannounced Inspection 13th December 2006 10:45 Hillview DS0000046904.V321361.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 Hillview DS0000046904.V321361.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. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillview Address 213 Eastbourne Road Polegate East Sussex BN26 5DU 01323 488616 01323 487508 polegate@regard.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Regard Partnership Limited Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated will be six (6). Only service users diagnosed with a learning disability to be accommodated. Service users will be aged between eighteen (18) and sixty-five (65) years on admission. 7th February 2006 Date of last inspection Brief Description of the Service: Hillview is a purpose built bungalow, situated just off the main A22 Polegate/Eastbourne Road. The home shares the same site and Manager as Oak Lodge, another service owned by this organisation. Local shops and public transport links are a short walk away. The home is registered to accommodate six younger adults with learning disabilities. Resident accommodation provides six single bedrooms, a communal lounge and kitchen/diner. Two bathroom facilities are fitted with the necessary adaptations. The site provides a large garden and parking. The Registered Providers of the service are The Regard Partnership. This organisation owns a large number of homes across England and Wales. Information received from the Manager details that the current fees at Hillview range from £938.38 to £1276.56 per week. More detailed information about the services provided at Hillview can be found in the home’s Statement of Purpose and Service User Guide – copies of these documents can be obtained directly from The Regard Partnership. Latest CSCI inspection reports are on available on request from the home. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Hillview are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, feedback from a range of representatives and an unannounced site visit which lasted four and a half hours on Wednesday 13 December 2006 between the hours of 10:45am and 3:15pm. The site visit included discussion with all parties, a tour of the premises and an examination of medication, care and staffing records. There were six residents living at Hillview at the time of this inspection visit. During the visit, the Inspector met with all of the six residents. Due to the complex needs of the residents at Hillview, verbal feedback was only able to be obtained from two residents. The Inspector therefore made judgments about the quality of care received by the other residents based on observation and feedback from other stakeholders. The Inspector spoke individually with the Manager and three staff members, including a Senior Carer. Comment cards were sent to relatives and General Practitioners as part of this inspection. Feedback from one relative and one General Practitioner had been received at the time this report was produced. What the service does well: The residents at Hillview benefit from being supported by a team of staff that enjoy their work and who are committed to meeting the needs of the people they support. It was pleasing to observe the positive relationship between staff and residents on the day of inspection. The atmosphere at the home is one that is relaxed and friendly. Staff know and understand the residents well enough to be able to recognise when their needs change and how this impacts on their lifestyles. This is reflected in the feedback received from one relative who commented “a big thank you to all the wonderful staff at Hillview for the help, love and care they give to our very special people”. Residents are supported to access a range of activities that are fulfilling and meaningful to them. The standard of planning and provision of holidays at Hillview is excellent, with each of the residents having had two holidays this year. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 6 The quality of care planning is good with sufficient information to enable staff to support residents with their healthcare and personal routines in a sensitive and appropriate way. Feedback received from one General Practitioner stated that Hillview is “one of the best care homes that I have dealings with”. 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 be made available in other formats on request. Hillview DS0000046904.V321361.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 Hillview DS0000046904.V321361.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from an admission process that ensures their individual needs and aspirations are assessed prior to moving into the home. EVIDENCE: There are currently no vacancies and there have been no new admissions to Hillview since the last inspection. This standard therefore could only be assessed in respect of the admission systems in place. The admission policy details two stages of assessment. The Regard Partnership has a central referrals department who undertake an initial assessment of all prospective residents. A copy of the prospective resident’s social care assessment would be obtained and then a representative from Hillview would meet the individual and conduct their own assessment. The second stage of the assessment covers more specific issues such as the home’s Statement of Purpose and compatibility with the other residents living at the home. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 9 The Statement of Purpose and Service User Guide both reflect that prospective residents are encouraged to visit the home and undertake trial stays before deciding to move to the home on a permanent basis. Hillview DS0000046904.V321361.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 good. This judgement has been made using available evidence including a visit to this service. Residents benefit from care plans which provide staff with the necessary information and risk management strategies to support them safely and effectively. Residents are offered choice and the opportunity to make their own decisions wherever possible. EVIDENCE: The interaction between staff and residents observed throughout the inspection was positive and the atmosphere at Hillview was found to be friendly and happy. Staff practices demonstrated a good understanding of the residents and their needs. Care and support was seen to be provided in a sensitive, dignified and respectful way. One of the residents spoken with individually told the Inspector that staff provided support and care in a sensitive and appropriate way. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 11 The Inspector viewed a sample of two care plans and it is pleasing to report that these have been updated and that improvements have been made in this area. The Manager reported that care plans were still in the process of being worked on and that a new format was being considered. There is however, evidence that residents have a plan of care that provides the necessary information about their health and welfare needs. One requirement has been made in this area in respect of further reviewing the care plan and risk assessments for a resident who has recently been registered blind. The home has also introduced person centred plans with residents and these were found in residents’ bedrooms. One resident showed the Inspector his person centred plan, although it was not possible to gauge how meaningful this document was to him. It was evident from the two plans viewed that care plans are now regularly updated. Service users have a multi-disciplinary review at least every six months and the minutes from these were in evidence. As part of the review process, service users and their keyworker identify goals which are then monitored for the next six months. It was discussed with the Manager that work on goals needs to continue to develop to ensure that they are truly meaningful to the individual and encompass the long term aims for each person. The Manager has reviewed and updated the range of risk assessments for each resident and risk management strategies are now in place that link to the care plans and goals. The Inspector spent time talking and observing residents and it was clear that residents have the opportunity to make choices about their lives. Staff were observed giving residents choices about what they eat, drink and whether they wished to participate in activities. Conversations with the Manager and three staff members confirmed their commitment to offering choice and ensuring that residents are empowered to make their own choices and decisions. Hillview DS0000046904.V321361.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, 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. Residents are supported to lead healthy and fulfilling lives. The quality and range of meals is good, although those residents on specialist diets would benefit from extra consideration being given to the presentation of their food. EVIDENCE: The weekly activity schedules for the two individuals case tracked provided documentary evidence that residents participate in a range of appropriate activities. For one resident this included attendance at a local day service provision four days each week, music, aromatherapy, sensory and arts and crafts. The three staff spoken with all reported that some of the residents’ needs at Hillview have changed significantly and it is encouraging that they have recognised that this has impacted on the types of activities that people enjoy. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 13 One resident told the Inspector that he loves trains and it was pleasing to see that this interested was not only reflected in his care plan, but also that this interest had been taken into account with the planning of activities and holidays for this individual. Residents continue to access a wide range of community based activities, including swimming, shopping and theatre trips. Staff reported that a lot of external activities have occurred and are planned for the Christmas period. These include, pantomimes, theatre productions and a Christmas lunch on the Lavender Line. Conversation with the Manager and staff revealed that all residents have been on two holidays this year. All residents went to a holiday resort in Minehead for one week. Second holidays included two residents flying to Scotland. One of the residents showed the Inspector photos from his holiday which he said was “very good”. On the day of the inspection, it was observed that the routines of the home were reflective of individual needs. It was evident that residents are enabled to choose where to spend their time and make informed choices about their daily lives. With one resident having attended college in the morning, but had requested to come home again, a request that was respected. Hillview has a positive approach to enabling residents to maintain contact and relationships with families and friends. There was evidence in the care plans that the home supports residents to meet with and receive visits from their families. Feedback from one relative stated “I am very grateful to staff for the great help they give to me by bringing my son home to me every Tuesday”. One resident was observed chatting with staff about her family during the inspection and staff were aware of when the next family visit would occur. Meals are generally prepared according to a rotating menu, although it was expressed that the menu was a ‘guide’. The menus viewed were found to be varied and well-balanced. Through conversation with staff it was identified that those residents on soft diets sometimes have their whole meal liquidised together. Not only does this make the meal look unappetising, but it also does not allow for residents to experience different tastes and textures. It is therefore recommended that each food type is blended separately. Hillview DS0000046904.V321361.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 good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the provision of flexible and respectful personal and healthcare support and are protected by the systems in place to manage medication. EVIDENCE: It was observed during the inspection that personal care is provided with dignity and respect. The two care plans viewed contained detailed support plans to guide staff in the delivery of care. In addition to the main care plans, each resident now also has a person centred plan that is kept in their bedroom. Staff support residents to ensure their health needs are met, with care plans containing a record of any visits or contact with professionals external to the home. There was evidence of current involvement from General Practitioners, Psychiatry, Chiropodists, Optician and the local Community Learning Disability Team. Feedback received from one General Practitioner stated that Hillview is “one of the best care homes that I have dealings with”. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 15 The storage and administration of medication were found to be generally satisfactory. Records were accurate and current. Staff receive appropriate training in the management of medication. As a matter of good practice however, it is recommended that the home implement consent forms in respect of the medication that is held on behalf of residents. It was also identified that there should be protocols in place for all medication that is prescribed on an ‘as required necessary’ basis. Hillview DS0000046904.V321361.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. Residents and visitors to the home benefit from and are protected by, the open culture at Hillview. EVIDENCE: The home has a complaints procedure in place and a pictorial format has been produced for residents. The Manager stated in information submitted both before and during the inspection, that the home has not received any complaints about the service in the last twelve months. The home seeks to operate an open culture where issues are openly discussed and opinions shared. Positive interaction was observed between residents and staff during the inspection. Various systems are in place to protect residents from abuse. The two recruitment files inspected at the Oak Lodge inspection the previous week showed that the Manager of this site ensures that new staff are employed subject to robust checks. In line with a requirement of the last inspection, the adult protection policy and procedure has been reviewed and updated to reflect recent changes in legislation and best practice guidance. The three staff members spoken with confirmed that they had attended training in the protection of vulnerable adults and demonstrated that they were clear of their responsibilities in this area. Hillview DS0000046904.V321361.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 good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a clean, comfortable and well maintained home. The physical adaptations enable service users to move safely and independently around their home. Residents would however benefit from improved access to the garden. EVIDENCE: One of the residents showed the Inspector around the home and it was evident that this individual loves his home. The home was found to be clean and tidy throughout. Hillview is a large purpose built bungalow that is well maintained and provides residents with sufficient private and communal space to meet their needs. Level access is provided inside the home, although it is again highlighted that Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 18 residents are unable to independently access the garden. The requirement to improve access to the garden is again highlighted at this inspection. Resident accommodation is provided in six single bedrooms which have been decorated and furnished to reflect individual tastes and preferences. Communal space comprises of a large lounge and a kitchen / dining area. Bathroom facilities are appropriately adapted. There is a separate laundry and sluice and it was evident that correct infection control procedures are followed. Hillview DS0000046904.V321361.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. Residents benefit from a dedicated and competent team of staff and are protected by the robust recruitment procedures. Staff have both the skills and support to enable them to perform their roles effectively. EVIDENCE: The Manager reported that staffing levels provide a minimum of three staff during the waking day. The rota was found to be reflective of this. At night, the home is covered by one waking and one sleep-in person. The latter is shared with Oak Lodge. The atmosphere in the home was observed to be calm and relaxed on the day of the inspection and there were sufficient staff on duty to meet the needs of the residents. There have been no new staff recruited to Hillview since the last inspection. As the home shares its site and Manager with its sister home, Oak Lodge the evidence for Standard 34 was obtained by looking at two recruitment files for two new staff members who have recently been employed to work at Oak Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 20 Lodge. These files were found to contain the required information, thus demonstrating a robust system of recruitment. There was documentary evidence that new members work towards completion of approved induction and foundation programmes. The training audit was viewed and it was evident that there has been a recent increase in the provision of training at Hillview. The Manager reported that in addition to updating mandatory training, staff were also working towards more specialist courses including supporting people through bereavement and dementia. In information submitted to the Commission as part of the inspection process, the Manager stated that currently eight (90 ) staff members have completed National Vocational Qualifications to at least NVQ Level 2. Hillview DS0000046904.V321361.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 good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a safe and well run home that has effective systems in place to self-audit and improve. EVIDENCE: The Manager now in post transferred from another service within The Regard Partnership earlier this year. It is pleasing to report that this individual has worked hard over recent months and made significant improvements to the quality of care at Hillview in the short time she has been in post. Whilst, the Manager is not yet registered, the CSCI has received an application which is currently being processed. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 22 All staff spoken with were complimentary about the Manager. One staff member told the Inspector “if you have a problem you can go to her [Manager], no matter what time of day”. Another staff member commented “she has made a big impact for the better”. The Regard Partnership has implemented robust systems for monitoring quality assurance and there a number of checks by the organisation to ensure that the home is performing. Monthly monitoring visits are carried out on behalf of the Registered Provider and copies of these reports were viewed during the inspection. In addition to these, The Regard Partnership now undertakes ‘mock CSCI inspections’ which generate a list of improvements for the home to action. The home has a number of systems in place to gain feedback from residents and these were evidenced by way of monthly 1-1 meetings between residents and their keyworker. In line with the organisation’s policy, monthly residents’ meetings are also conducted at Hillview, although it is recognised that not all the residents at Hillview can fully engage in this process. At the current time, the home does not have a mechanism in place for gaining formal feedback from other stakeholders, including, relatives and Care Managers. It is therefore required that the home introduce a method of seeking this feedback. Various systems are in place to ensure the Health and Safety of the home are maintained. The information submitted by the Manager provides evidence that safety audits are being conducted on a regular basis. On arrival at the home one staff member informed the Inspector of the fire procedures for the home. Hillview DS0000046904.V321361.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 X 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Hillview DS0000046904.V321361.R01.S.doc Version 5.2 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 YA6 Regulation 15 & 13(4) Requirement The Registered person must ensure that the care plan discussed is reviewed and updated in light of a recently identified change in need Timescale for action 01/02/07 2. YA24 23(1)(a) That action must be taken to 01/02/07 provide level access to the garden. (Previous timescales of 01/04/06 and 01/04/06 not met) That the Registered Person must 01/02/07 introduce a system of obtaining formal feedback from all relevant stakeholders. 3. YA39 24 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. Hillview Refer to Standard YA17 YA20 Good Practice Recommendations That any food which needs to be liquidised is done so separately. That the Registered Person should implement a recorded DS0000046904.V321361.R01.S.doc Version 5.2 Page 25 3. YA20 system of obtaining consent from those service users whose medication they hold. That the Registered Person should implement written protocols for all medication that is ‘prescribed as required necessary’. Hillview DS0000046904.V321361.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Hillview DS0000046904.V321361.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!