Inspection on 12/04/05 for Hyman Fine House

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hyman Fine House 18/07/07

Hyman Fine House 29/06/06

Hyman Fine House 23/01/06

Hyman Fine House 03/02/05

Hyman Fine House 11/10/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Hyman Fine House 20 Burlington Street Brighton BN2 1AU Lead Inspector Penny Bailey Unannounced 12 April 2005 10:00 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 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 Older People. 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. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hyman Fine House Address 20 Burlington Street, Brighton, East Sussex BN2 1AU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01273 688226 01273 688226 Jewish Care Mrs Margaret Stanbridge Care Home with Nursing 51 Category(ies) of Old age, not falling within any other category OP registration, with number (51) of places Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is fifty-one (51).2. The service users accommodated must be aged sixty-five (65) years and over on admission.3. Twenty-two (22) service users in receipt of personal care only are to be accommodated.4. Seventeen (17) service users in receipt of nursing care only are to be accommodated.5. Twelve (12) service users in receipt of personal care, with a dementia-type illness only are to be accommodated.6. One named service user aged under sixty-five (65) years on admission only to be accommodated. Date of last inspection 3 February 2005 Brief Description of the Service: Hyman Fine House is situated in Kemptown, Brighton. It is close to the sea front, local amenities and bus routes to the centre of Brighton and the surrounding area. Accommodation is provided in fifty-one single rooms, thirty of which have en-suite facilities that include a shower. A number of assisted bathing facilities are also provided. There is a large communal lounge, sunroom, activities room and dining area. The home also has an enclosed central courtyard, with seating for residents. Hyman Fine House has its own synagogue, and Rabbis visit the home regularly. A full-time Activities Coordinator is employed by the home, and there are computer facilities for the use of residents.Hyman Fine House provides personal care for twenty-two residents, and nursing care for up to seventeen residents. The home also provides personal care for up to twelve residents with a dementia-type illness, in a separate unit on the first floor. This unit provides communal space in a large lounge and dining area. The home is owned by Jewish Care, and is purpose built with a passenger lift to enable residents to access all areas of the home. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken by two Regulation Inspectors, and took place over six and a half hours. A second visit to the home was also undertaken on the 3rd of May, in order to inspect the first floor unit providing specialised care for residents with a dementia-type illness, that was opened on the 13th of April 2005. A tour of the home took place, and the Inspectors spoke with fourteen residents, seven staff members and two visitors. Staff and care records, menus and documentation relating to health and safety were examined. A discussion with the Manager took place around progress since the last inspection. The focus of the inspection was on the quality of life for people who live at the home. In order that a balanced and thorough view of the home is maintained, this inspection report should to be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their hospitality and assistance during the inspection. What the service does well: Hyman Fine House provides care and accommodation for those of the Jewish Faith. The home works hard to ensure that Jewish holidays and observances are followed, and also provides a private synagogue. Staff are trained to provide care in a culturally sensitive way, and the home ensures that the food provided for residents remains kosher. The home provides both prospective and existing residents, with a good level of information about what services are provided and what to expect when living at the home. Contact with families and friends are actively encouraged and visitors are made to feel welcome. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 6 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. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4,5 The home provides both prospective and existing residents, with a good level of information about services at the home. Prospective residents are assessed before they move in, to ensure that the home is able to offer the care needed. EVIDENCE: The home provides detailed information for residents regarding the services offered. The Manager or a senior member of staff visits prospective residents either at home or in hospital to tell them about Hyman Fine House, and make an assessment to ensure that their care needs can be met. The needs assessment then forms the basis for each resident’s plan of care. Prospective residents or their relatives are able to visit Hyman Fine House, and talk to people living in the home before deciding whether they wish to live there, and residents are admitted for a month’s trial period to ensure that they are satisfied with their placement. A unit has recently been opened on the first floor of the home, to provide care for up to twelve residents who suffer from a dementia-type illness. Jewish Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 9 Care have provided a specialist who is experienced in the care of people with dementia-type illnesses to advise and assist staff during the early weeks of the unit’s opening. Staff have received initial training on providing care for residents with such specialist needs, and further training is planned regarding the provision of stimulation and activities. Plans are in place to provide signs, and notice boards that will help to orientate residents who have memory problems. The Manager reported that this unit will be fully operational in approximately two to three months. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11 Staff must ensure that every time a change of care is identified, or a particular need is assessed, that this information is written in the care plan and reflects all of the residents physical, psychological and social needs. The social needs part of the care plan must be updated regularly to reflect the resident’s current interests and their abilities to take part in their preferred activities. The home also needs to ensure that residents receive dental, optical and hearing assessments and treatment as promptly as possible. EVIDENCE: An individual plan of care is in place for each resident, and these provide a comprehensive assessment and plans for meeting each residents physical care needs. Five individual plans of care were inspected. These comprised of many documents including needs assessments, personal information, daily notes and a plan of care, and provided the basic information necessary to guide staff to meet the needs of residents. Not all care plans were being regularly reviewed and updated to reflect any changes in needs and preferences, and did not indicate that the resident or their relatives have been involved in their care Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 11 planning, therefore the Manager has been required to address this. An example of this was that one resident had been assessed as being anxious and agitated at times, but a plan had not been put in place to provide guidance for staff on addressing this. An assessment of residents social care needs is completed by the home’s Activities coordinator, and it is recommended that a copy of this assessment is kept within each resident’s file. Records showed that residents are registered with a General Practitioner, and residents’ physical needs are closely monitored. The home calls in specialist services for advice and support when necessary. Two residents commented that the home had taken some time to arrange a hearing test or hearing aid appointment, and one visitor mentioned that the arrangements for obtaining spectacles and dental care also took some time. This was discussed with the Manager, who agreed to investigate the reasons for this. Medication charts were seen to have been signed following administration of medicines. The home has a range of medication policies and procedures. It was noted that the medicines refrigerator demonstrated a temperature above the recommended maximum on several occasions, which could affect the medicines being stored. A nebuliser machine was also in need of servicing, as this had not been done since 2003. The Inspectors noted that practices to maintain residents’ privacy and dignity had noticeably improved since the last inspection, and this was confirmed by residents. Inspectors spoke with the relative of a resident receiving palliative care, who reported that he had received excellent support from staff at the home during this difficult time. They were currently staying at the home in order to be close to their relative, and felt that the staff demonstrated “the patience of saints”. It was noted that residents individual wishes regarding terminal care, and their requirements after death were not generally recorded in their plan of care. However staff were knowledgeable regarding the specific religious observances of those of the Jewish faith, and the need to ensure that these were followed according to individual wishes. The home also maintains good links with the local hospice, who provide advice, training and support for staff providing terminal care to residents. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Flexible routines are part of daily practice at the home. There is clearly more work needed to ensure that opportunities for occupation and stimulation are improved, to take into account residents wishes. Links with families are valued and supported by the home. EVIDENCE: The majority of residents consulted felt that they were not suitably occupied, and reported that no activities were provided at weekends. Although an Activities Coordinator is employed by the home, a number of residents commented that the activities provided “were not suitable”, or were not what they would choose. Residents also felt that the Activities Coordinator was often asked to undertake other tasks, such as escorting residents to hospital appointments. One resident reported that they were not always made aware of activities that were taking place, and had therefore missed taking part. This was fed back to the Manager, who has since made arrangements to ensure that residents are kept informed about planned activities in advance. Rabbis visit the home on a regular basis, and a Hairdresser, Aromatherapist and Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 13 Chiropodist also visit. The home has an open visiting policy and welcomes visitors at any reasonable time. Variable feedback was received from residents on the standards of food, with some saying how nice the meals were. Mealtimes remain an important social function of the home, with residents observed to enjoy interacting with one another in a relaxed atmosphere. The dining room is decorated and set to a good standard with much thought given to providing a comfortable and pleasant environment in which to eat and socialise. A new catering and hotel services Manager has been employed at the home, and has developed a quality assurance system to enable service users to comment daily regarding the food provided. Great care is taken to ensure that the food provided remains Kosher, and a process of deep cleaning was planned in preparation for Passover. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 Complaints are handled objectively by the home, and residents rights are generally promoted and safeguarded. EVIDENCE: The home has a detailed complaints procedure, and the complaint records demonstrated that this is followed. No complaints have been received directly by CSCI since the last inspection. The complaints policy is available in the service user guide and contains information about how complaints will be investigated. Arrangements are in place to enable residents to participate in the political process. This is mainly facilitated through postal voting, or residents can be supported to attend the polling station if desired. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, 26 Residents live in a clean and homely environment with parts of it decorated and furnished to a very good standard. The home ensures that residents private accommodation is equipped to provide comfort and privacy, and to meet the assessed needs of those people residing in the room. The home must seek guidance on controlling odours, and also ensure that the building is regularly risk assessed, with maintenance issues identified promptly, in order to maintain the safety of residents. EVIDENCE: Residents are accommodated in fifty-one single rooms, thirty of which have en-suite shower facilities. These are decorated and furnished in a homelike way, and residents are provided with a key to their doors if desired. Residents Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 16 are encouraged to bring their personal possessions into the home, and many rooms were seen to be personalised. Each bedroom is fitted with a call point, those tested were in working order. The home provides a number of communal facilities, including a lounge and sunroom, a pleasant dining area, an activities room and enclosed courtyard garden that is accessible to residents. There is a further lounge and dining area on the first floor, and Hyman Fine House has its own synagogue. In addition to en-suite facilities, there are a number of assisted bathrooms and communal w.c.’s located close to communal areas. A range of adaptations are provided to assist residents in moving around the home, such as grab rails and lifting equipment. There are also two passenger lifts enabling access to the upper floors. The general standard of cleanliness had greatly improved since the last inspection, following the employment of a new Hotel and Catering services Manager. The decoration in some corridors was noted to be in poor repair, but residents rooms were decorated to a good standard. Laundry services are provided, and no concerns were expressed by residents regarding these. The Inspectors noted that there were strong odours in some areas of the home, and stained blankets were seen on some residents’ beds. These issues were fed back to the Hotel Services and the home’s Manager. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 The numbers and deployment of staff are sufficient to meet the aims, objectives of the home and the individual needs of service users. The staff group includes a core group who have worked at the home for many years. EVIDENCE: The majority of residents and visitors consulted spoke positively about staff at the home, with particular reference to their caring attitude, gentleness, patience and understanding. The home was well staffed on the day of inspection, however, some residents commented that during the busiest times of the day they sometimes had to wait for assistance. The Manager reported that NVQ training is ongoing, with two staff having completed their training and eight staff enrolling on the course in the near future. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34, 35, 36, 37, 38 Hyman Fine House generally provides the residents living in the home with safe, comfortable surroundings. Some work is needed to ensure that residents safety is maintained by identifying maintenance work to be carried out, and making sure this is completed promptly. Resident’s financial interests are safeguarded, and good standard of administration continues to be maintained. The home needs to ensure that residents feel comfortable expressing any concerns or suggestions, enabling them to feel confident that these will be acted on. EVIDENCE: Quality monitoring visits of the home are carried out monthly by a representative from Jewish Care. Reports of these visits were provided to CSCI. The majority of residents consulted reported that they were able to Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 19 address any concerns they may have with the Manager. One resident stated that she did not like to bring concerns to the Manager or Administrator, as they felt that the management team were very busy, but was looking forward to attending residents meetings that are held every three months. Fire safety checks are carried out, and all fire doors were seen to be closed in line with requirements from a previous inspection. Incidents and accidents are recorded, with forms being checked by a member of the organisation to identify where safety improvements could be made. There is a short flight of steps in the corridor on the first floor unit, which could present a risk to residents who have difficulty walking. The Manager is planning ways to improve this, and make it safer for residents. Whilst the door to the first floor lounge is provided with a keypad lock that can be overridden, two residents were able to lock the door manually, which could restrict access for some residents or present a safety risk. The maintenance issues that had been noted at the last inspection have generally been completed, with the exception of replacing a grab rail in a ground floor toilet. The Inspectors were concerned to find broken window restrictors in the corridor, and two rooms on the first floor. These were reported to the Manager, who ensured that replacement restrictors were ordered immediately. During the Inspectors’ visit on the 3rd of May, not all of the broken restrictors had been replaced, and the window restrictors on a window in the lounge were also too wide for safety. An immediate requirement was made for the work to be completed. Safety issues that were identified at the last inspection had been addressed. The Manager reported that all staff have received lifting and handling training, however, the Inspectors noted that an ‘under-arm’ lift was used when staff were assisting a resident. This type of lifting is considered to be unsafe, and should not be used. It was also noted that foot-plates were not always used when transporting residents in wheelchairs. This is unsafe, and staff must ensure that foot plates are used at all times. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 3 2 2 2 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x x 2 x 3 3 3 3 3 Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 21 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 7 Regulation 15 (2) (b) & (c) Requirement That service user care plans are reviewed at least once a month, or more frequently, are updated to reflect changing needs and current objectives for health and personal care, and provide clear guidance for staff on meeting each service users physical, psychological and social care needs. That, unless it is impractible to do so, the service user must be consulted in the preparation and review of their plan of care. That the home ensures that prompt referrals are made for service users to receive advice and treatment in relation to audiological, optical and dental care. That medicines are stored at the correct temperature at all times, and medical equipment is adequately maintained serviced annually. That a programme of activities be developed based on the preferred activities and wishes of service users. That regular risks assessments of the environment are carried Version 1.40 Timescale for action Immediate 2. 8 13 (1) (b) Immediate 3. 9 13(2) Immediate 4. 12 16 (2) (m) 13(4) 30.09.05 5. 19 Immediate Page 22 Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc 6. 25 13 (4) (a) (c) 7. 8. 9. 24 26 32 16(2) 16 (2) (k) 12 (2), 12 (3) 10. 38 13 (4) (b) & (c), 13 (6) out, and all maintenance issues are identified and addressed promptly to ensure the safety of service users and staff. That broken window restrictors in the first floor bedrooms and corridor are repaired or replaced, and that the window in the first floor lounge is risk assessed, and if required the opening be reduced to the maximum of four inches, to ensure safety. That worn, and stained bed sheets and blankets are replaced. That advice is sought regarding the control of odours in the home. That the home ensures that strategies are put in place to enable service users to feel comfortable expressing any concerns or suggestions, and enabling them to feel confident that these will be acted upon. That the ‘underarm’ lifting technique is not undertaken by staff. That foot plates are used at all times when transporting service users in wheel chairs. Immeidate 03.09.05 Immediate Immediate Immediate 11. 12. 13. 14. 15. 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 Good Practice Recommendations v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 23 Hyman Fine House Standard 1. 2. 3. 4. 5. 6. 7. Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Hyman Fine House v215856 h59_s14003_hymanfinehouse_v215856_120405_stage 4.doc Version 1.40 Page 25 - 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. 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