Inspection on 03/08/06 for House 2 Slade House

This inspection was carried out on 3rd August 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

House 2 Slade House 28/08/07

House 2 Slade House 23/02/06

House 2 Slade House 30/11/05

House 2 Slade House 16/02/05

House 2 Slade House 11/11/04

House 2 Slade House 09/03/04

House 2 Slade House 09/12/03

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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 House 2 Slade House OLD NHS Trust Horspath Driftway Headington Oxford OX3 7JH Lead Inspector Nancy Gates Unannounced Inspection 3rd August 2006 10:00 House 2 Slade House DS0000013162.V306525.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 House 2 Slade House DS0000013162.V306525.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. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service House 2 Slade House Address OLD NHS Trust Horspath Driftway Headington Oxford OX3 7JH 01865 228135 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) paul.tossi@oldt.nhs.uk Oxfordshire Learning Disability NHS Trust Mrs Catherine Sarah Baker Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 3 23rd February 2006 Date of last inspection Brief Description of the Service: The Step Down Service (House 2, The Slade) is a three bedroomed house situated on The Slade site in Oxford. It provides a transitional placement for individuals who have a learning disability and have moved from secure in-patient environments. The service falls within the remit of the specialist health services at the Oxfordshire Learning Disability NHS Trust (OLDT). The house provides short-term accommodation and outreach support for up to three people who are assessed to subsequently move into the community within a timescale of two years. Clinicians and the management team, before acceptance into the service, formally assess individual’s needs. Service users identify their own needs through a ‘life planning’ process/tool and are supported by staff to gain the skills required to achieve goals and eventually achieve independence in the community. The current range of fees for this service is unavailable due to funding being received through the National Health Service. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. From the 1st April 2006 the Commission for Social Care Inspection (CSCI) has developed the way it undertakes the inspection of care services. The inspection of this service was an unannounced ‘key inspection’. The inspector arrived at the service at 10.30am on the 3rd August 2006. The total number of hours spent at the home was five. The time spent at the home allowed for a thorough look at how well the service is doing. The inspection took into account detailed information provided by the service manager, inclusive of information that theCSCI has received about the service since the last inspection. The inspector asked for the views of the people who use the service. The inspector also asked the views of others who support the needs of the people who use the service via a questionnaire that the CSCI sent out. Two members of staff were on duty. The members of staff and the residents were very welcoming. The inspector looked around the home, including the bedrooms of the residents, at their invitation. A number of records were viewed including a resident’s care plans, staff recruitment records, staffing rotas and maintenance records. The inspector looked at how well the service was meeting the standards set by the government. The report includes judgements about the standard of the service. What the service does well: The home completes a clear and detailed assessment of need before a resident moves to the home, giving assurance that care needs will be met. A good standard of support is provided to residents following identified support needs highlighted within care plans. Records are written clearly and are maintained to a good standard. Consultation with residents regarding their support plans is conducted on a regular basis, allowing for the support provided being consistent, clearly relating to residents’ changing needs and wishes. Clear risk assessments/risk management strategies and guidance are tailored to the individual support needs of residents. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 6 Residents’ personal and healthcare needs are appropriately supported, and the guidance of healthcare professionals also supports residents’ needs. Needs and wishes are respected. Medication is stored securely and administration is accurate, ensuring residents’ safety. From the evidence seen the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural backgrounds. People who support the needs of residents offered positive views of the home; the views were received within anonymous questionnaires. The staff on duty were experienced and knowledgeable. Responses to residents were respectful and clear, demonstrating commitment to provide a good standard of support in line with written plans. Residents gave very positive opinions of the staff team - “The staff are really good….good at listening…I go out with staff to the cinema, go to the shops, swimming, but I also do my own thing…I’m okay, I can talk to people when they are available…I’ve started looking at, and staff are helping me to look at, different jobs.” A manager has been appointed at the home to provide leadership, guidance and direction to staff to ensure that residents receive consistent quality care. An application for registration must be submitted. Monthly visits to the home assess the quality of support offered to residents. What has improved since the last inspection? What they could do better: The home would benefit from redecoration; at present it does not create a pleasing and pleasant environment to live in. The kitchen facilities must be in good working order for both residents and staff to use safely. Recruitment documentation was not available and could not be confirmed, therefore the protection of residents cannot be guaranteed. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 7 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. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 8 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 House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality of the outcomes in this area is good. This judgement has been made using available evidence including a visit to the service. The home completes a clear and detailed assessment of need before a resident is admitted, giving assurance that care needs will be met. Information gathered before an admission to the home provides a good understanding of needs and individual’s aspirations. EVIDENCE: The manager and team leaders assess suitability for placement at Step Down (2 The Slade). Assessment is completed before discharge from hospital and follows the Care Programme Approach (CPA) format, Mental Health Act (1983). Restrictions are included within CPA documentation. Assessment information clearly describes an individual’s support needs. The assessments take into account risk management strategies, detailing how the strategies can ensure that a resident is supported. The current range of fees for this service are unavailable due to funding being received through the National Health Service. House 2 Slade House DS0000013162.V306525.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The quality of the outcomes in this area is excellent. This judgement has been made using available evidence including a visit to the service. Care plans and personal information for residents is written and maintained at a very high standard. Consultation with residents regarding their support plans is conducted on a regular basis allowing for the support provided being consistent, clearly relating to residents’ changing needs and wishes. EVIDENCE: The inspector observed the files of three residents, which contained assessment information including Care Programme Approach (CPA) discharge documentation and care plans. The files continue to contain a number of clear and descriptive documents relating to the support needs of residents, for example CPA assessments, risk assessments/risk management plans, information regarding physical health, mental health, legal requirements and daily notes (recording significant events). House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 11 Review documentation was also held within the file, meeting the requirements of the CPA process. If an individual disagrees with a care plan this can be referred to the CPA team for review. Residents’ Essential Lifestyle Plans are descriptive and contain ‘need to know’ information. Residents’ decisions relate directly to information provided in care plans and risk assessments. Input is recognised from individual’s families. Self-advocacy is encouraged. It was demonstrated that individuals are encouraged to take responsibility for their decisions and any subsequent consequences (relating to risk assessments). Risk assessments/risk management plans are an essential part of an individual’s care plan. Assessments clearly relate to care contracts/agreements. Clear risk assessment and guidance is tailored to the individual support needs of residents. House 2 Slade House DS0000013162.V306525.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 The quality of the outcomes in this area is good. This judgement has been made using available evidence including a visit to the service. Residents continue to be supported to make lifestyle choices, which recognise their individuality. Support is provided to take risks within these choices. Residents have opportunities to take part in a variety of activities within their local community. Meals served are freshly prepared and the menu is varied. Residents said they remain very happy with the meals provided. EVIDENCE: Independence, individual choice and freedom of movement is linked to individual’s plans, guidance and discharge information. Respectful relationships continue between all house members, although it is recognised that behavioural issues can affect the maintenance of friendship. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 13 The daily individual routines continue to promote the independence of residents and each individual is expected to participate in housekeeping. Residents were very positive regarding the support provided - “The staff are really good…good at listening…I go out with staff to the cinema, go to the shops, swimming, but I also do my own thing…I’m okay, I can talk to people when they are available…I’ve started looking at, and staff are helping me to look at, different jobs.” Staff have made a clear commitment to supporting the leisure interests of residents and have arranged for one person to go to dance music/nightclubs. The outings are guided within risk assessments. All residents stated that they are happy with the food served and are involved in the planning, preparation and cooking. Appropriate records are held. House 2 Slade House DS0000013162.V306525.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The quality of the outcomes in this area is good. This judgement has been made using available evidence including a visit to the service. Service users’ personal and healthcare needs are appropriately supported. Needs and wishes are respected. Access to additional support from health care professionals is consistent and meets residents’ health needs. Medication is stored securely and administration is accurate, ensuring residents’ safety. EVIDENCE: Residents’ care plans clearly detail healthcare support needs. Essential Lifestyle Plans are used for residents to describe routines and preferences in order of importance. Visits to the doctor, the optician and the dentist are supported when needed and are recorded within care plans. A resident visited the optician within the day of the inspection; appropriate notes regarding the visit were made. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 15 The Ridgeway Partnership NHS Trust (formally Oxfordshire Learning Disability NHS Trust, OLDT) provides a responsible medical officer (consultant psychiatrist) for identified individuals. This relates to the requirements of the CPA process and the Mental Health Act 1983. The Ridgeway Partnership NHS Trust also provides psychology and occupational therapy services. Medication is stored in a wall mounted, lockable cabinet in an office. Medication administration records are completed by the psychiatrist written on an Oxfordshire Learning Disability NHS Trust Drug Administration and Prescription Record. Medication administration records were accurately completed by staff on a daily basis. Medication received and returned is accurately recorded. House 2 Slade House DS0000013162.V306525.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality of the outcomes in this area is good. This judgement has been made using available evidence including a visit to the service. The complaints procedure is easy to follow. Residents know how to make a complaint. Guidance and staff knowledge ensures that residents’ health, safety and welfare are protected EVIDENCE: No complaints have been received at the home since the last inspection. No information concerning complaints, concerns or allegations have been received by the Commission since the last inspection. The complaints procedure is clear and made easy for people who use the services to be able to make a complaint. The details and actions taken to resolve issues and complaints made have been made available to residents and the inspector. Guidance regarding the protection of vulnerable adults is available. Staff stated an appropriate understanding of the guidance. House 2 Slade House DS0000013162.V306525.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality of the outcomes in this area is poor. This judgement has been made using available evidence including a visit to the service. The standard of the décor in a number of areas in this home is poor. The kitchen facility remains in a very poor state of repair and is potentially dangerous, placing residents and staff at risk. EVIDENCE: Residents took the inspector on a tour of the building and garden and highlighted areas of concern. The shared areas of the home remain in need of redecoration and repair. Within the tour of the home the following issues were identified: • • A number of walls were grubby A number of radiator covers had peeling paint and were rusty in areas. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 18 • The downstairs bedroom contained appropriate furniture but the bed was unstable and a chest of drawers had the fronts missing or were loose. The resident stated that this furniture was made available upon admission to the home. A staff member stated that the individual’s own furniture would be transported to the home in the near future. Furniture available upon admission to the home must be of a good standard and not in need of repair or replacement. The downstairs shower room has a strong unpleasant smell, the grouting between tiles has become discoloured and the flooring is also grubby despite efforts to clean it. The lounge carpet is heavily stained despite numerous attempts to clean it. The carpet must be professionally cleaned or replaced to ensure that no staining is present. • • The acting manager at the previous inspection stated that this was planned for March 2006; all issues identified previously and at this inspection remain outstanding. The kitchen remains in a very poor state of repair with broken cupboards and flooring coming unstuck. Residents and staff remain frustrated that cupboard doors are unsafe. It remains an essential part of the aims in this home that residents are supported to be independent; this kitchen facility must be in good working order and safe for both residents and staff. Staff members stated that the housing provider has obtained quotes for the kitchen refit but have not provided a timescale for installation or completion. Following the inspection the proposed registered manager contacted the housing provider to establish whether there is a proposed date for installation. This issue remains outstanding. Whilst the home is a specialist service it remains important that the house is considered and respected as being the residents’ home. An inspection by an Environmental Health Officer is required throughout the house. The broken path slabs identified at the last inspection have been repaired; the garden path has been made safe. The garden shed, which was in a state of disrepair at the previous inspection, has been removed. The home was clean and tidy at the time of the inspection. House 2 Slade House DS0000013162.V306525.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 The quality of the outcomes in this area is adequate. This judgement has been made using available evidence including a visit to the service. A core of well-established staff provide consistency and commitment to support residents. Recruitment documentation was not available and could not be confirmed therefore the protection of residents cannot be guaranteed. EVIDENCE: Residents provided positive feedback about the staff team and they confirmed that staff generally understand their needs. The inspector spoke with two staff members who confirmed a strong commitment to providing good quality support for residents. Both members of staff stated that the recent appointment of a manager has brought stability to the team and that “team work is important.” The staff demonstrated throughout the inspection a commitment to ensuring that service users’ wishes are respected and acted upon within the remit of guidance and risk assessments. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 20 The staff team share delegated responsibilities based on their range of skills and qualifications. A comprehensive training programme is available to staff which includes NVQs. Previous inspections have highlighted the need for a staff recruitment checklist, signed by the registered manager, to be held at the home. Originals of the documentation are held at the human resources department of The Ridgeway Partnership (formally Oxfordshire Learning Disability NHS Trust). Access to the documentation for inspection cannot be guaranteed at all times. Staff were unable to confirm whether all information is available on file as access is restricted. A requirement is made for a checklist that is signed by the manager to be held at the home, which confirms that all required recruitment information/documents are present on file at the proprietor’s area or regional office and are available for inspection at any time. This requirement has been made within previous inspection reports and has not been completed. Enforcement action by the CSCI maybe taken if the requirement is not met within the identified timescale. House 2 Slade House DS0000013162.V306525.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The quality of the outcomes in this area is adequate. This judgement has been made using available evidence including a visit to the service. A manager has been appointed at the home to provide leadership, guidance and direction to staff to ensure that residents receive consistent quality care. An application for registration must be submitted. Monthly visits to the home assess the quality of support offered to residents. EVIDENCE: The acting manager has now been appointed as the manager of the home. The newly appointed manager has gained management experience whilst working at the home. The manager has numerous years of nursing experience supporting adults with learning disabilities, challenging support needs and mental health issues. House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 22 The inspector welcomes the appointment of the manager. An application for registration needs to be submitted to the CSCI to ensure that the day-to-day and ongoing development of the service is managed effectively. Monthly unplanned visits to the home are being completed to assess the quality of the service and to ensure that residents are supported appropriately. The health and safety records viewed are well maintained and up to date. A ‘Monthly In House Safety Inspection’ is completed by a member of staff ensuring that all areas within the home are checked. House 2 Slade House DS0000013162.V306525.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 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X House 2 Slade House DS0000013162.V306525.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 YA24 Regulation 23 (2) (b) Requirement Timescale for action 30/09/06 2. YA28 The registered person must provide an action plan detailing a reasonable timescale for the redecoration of the home. The lounge carpet must be cleaned or replaced. 16(2)(g),(h) The registered person must 30/09/06 provide an action plan detailing a reasonable timescale for the kitchen facility to be replaced or satisfactorily repaired so that it is safe for both residents and staff to use. Requirement from previous inspection. The organisation must ensure that the manager can demonstrate that all aspects of the regulations regarding the employment of staff are met. A checklist that is signed by the manager must be held at the home, which confirms that all required recruitment information/documents are present on file at the proprietor’s area or regional office and are available for inspection at any time. 30/09/06 3. YA34 19(1)(b) House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 25 4. 5. YA37 YA42 8 (1) (a) 23 (5) The manager must submit an application for registration with the correct fee to the CSCI. The registered person must contact the environmental health officer to assess the safety of the facilities offered within the home. 30/09/06 15/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations House 2 Slade House DS0000013162.V306525.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 House 2 Slade House DS0000013162.V306525.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. 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