Inspection on 03/01/06 for Jasmine

This inspection was carried out on 3rd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Jasmine 08/10/09

Jasmine 14/08/07

Jasmine 12/09/06

Jasmine 29/06/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Jasmine 125 Regent Road Hanley Stoke on trent Staffordshire ST1 3BL Lead Inspector Jane Capron Unannounced Inspection 3rd January 2006 9:45 Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jasmine Address 125 Regent Road Hanley Stoke on trent Staffordshire ST1 3BL 01782 208590 01782 269187 chris@delamcare.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) Delam Care Ltd Miss Tracy Anne Baddeley Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6) of places Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2005 Brief Description of the Service: Jasmine is a six-bedded unit providing long term care services to residents with a learning disability who may also have mental ill health. The emphasis of the care is on providing support, supervision and monitoring. The residents assist with a range of household tasks associated with running a home including keeping their bedroom tidy, food preparation and shopping. The home is one of six homes in the neighbourhood owned by the same company, Delamcare that provides services to the same category of users. The homes have close links with each other. The care manager of Jasmine also has responsibility for two other neighbouring six bedded homes. The home’s premises are in a Victorian detached house that provides single bedded accommodation on the ground and first floor. The home has no off road parking and has a small front garden area, a side garden and a small rear yard. The home’s staffing level allowed for a minimum of one staff member on duty throughout the day although there were often two staff on duty during the day. One staff member sleeps at the home overnight. Residents have the opportunity to attend college several sessions a week and there are some activities organised. The residents have the opportunity to go on holiday and they fund this themselves. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over a three and a half hour period. All the residents were present during the inspection and discussions were held with five of the six residents. Several were spoken to individually and there was a group discussion with five residents. A discussion was held with the care staff member on duty and with the care manager. The inspection also included the examination of a sample of residents’ files, inspecting three of the bedrooms and all of the communal areas except the laundry. No complaints have been received by the CSCI since the last inspection. Over the last year the home has received five complaints relating to behaviours between residents. These had been responded to by the home and had led to the involvement of health and social care professionals to address the behaviours. There have been no additional visits made to the home since the last inspection. What the service does well: The residents spoken to stated that they liked living at the home and that they got on with each other most of the time. The home was meeting the health care needs of the residents. They received general and psychiatric health care screening and treatment and those that were subject to the care programme approach were being reviewed and monitored. Residents confirmed that they attended the doctor and staff supported them to attend outpatient appointments. They received dental and eye checks. The residents said that they received the support and assistance they needed with their personal care and those spoken to stated that they could have baths and showers when they wished. Several were supported by staff to have their hair washed and all confirmed that they had their haircut and styled. Nail care was being completed and several attended the chiropodist. The home included residents in some aspects of running the home. Several residents stated they went with staff to do the weekly shop and all stated that they cleaned their bedrooms and contributed to such tasks as laying the table, washing up and some meal preparation. The home’s routines were quite flexible with residents able to get up and go to bed when they wished and choosing whether to sit in the lounge or in their bedrooms. Choice was provided at mealtimes with residents able to have an alternative if they did not like the meal on the menu. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 6 Residents said that they had the option to go to college and several had taken up this opportunity undertaking courses in art and drama, communication skills and jewellery making. The home provided residents with suitable accommodation that was decorated in a domestic and homely manner. Bedrooms provided suitable private accommodation. All bedrooms were lockable. Bedrooms were suitably furnished and were well personalised with residents’ belongings. What has improved since the last inspection? What they could do better: The home was generally providing a good level of service and residents enjoyed living at the home. There were a few areas that needed to `be addressed to meet all the standards. Whilst the home had developed a range of risk assessments some did need to be reviewed to ensure that they were up to date. The home provided all residents with the opportunity to attend college but some residents preferred to remain in the home and the home needed to address the need of residents for some activities to take place in the home. There was scope for increased participation and consultation with the residents. Previously residents had resident meetings and weekly menu setting meetings. Since a staff change these have tended to lapse. The home needs to address this issue. The home provided fire training to staff but some training was overdue. The home needs to ensure that all staff received training in fire safety on a six monthly basis. The additional recommendations were made. The home was recommended to look at ways to further develop their system to assess and review the quality of the service and was recommended to consider training that was accredited through the Learning Disability Framework. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 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. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 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 Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 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): 2,4,5 The home ensured that residents were only admitted following an assessment that identified their needs and wishes and that they had the opportunity to visit before making a decision to move to the home. The residents were provided with a contract that showed them the rights and responsibilities of living at the home. EVIDENCE: Since the last inspection there had been one resident admitted. The examination of their file showed that the home had undertaken an assessment of their needs. This included personal and health care needs as well as social, education and leisure needs. Prior to being admitted to the home the resident undertook a series of visits to the home in order for her to make a decision over whether they wanted to move to the home. Another resident who had been admitted earlier in the year confirmed that she had chosen to move to Jasmine and that she was settled at the home and liked living there. Examination of files showed that residents had been provided with a contract by the home that identified the service to be provided and included their rights and responsibilities. The contract showed the room they were to occupy. The residents were provided with a written agreement by the funding authority. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Support plans had been developed that identified the needs of the residents ensuring that staff had the necessary information to provide residents with an appropriate service. The home encouraged and supported residents to take decision giving them more control over their lives. Although the residents were provided with some opportunities to participate in activities around the home there was scope for this to be further developed enabling residents to have more involvement in decision making over how the home was run. Whilst the home had developed a range of individual risk assessments the absence of some reviews could lead to residents being exposed to some unnecessary risks or restrictions EVIDENCE: A sample of two support plans was examined. The plans covered the necessary areas including health care and personal care needs, occupational and educational needs and social needs. Residents were involved in the care planning and review process. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 11 Residents were aware of their individual needs and the support they needed in respect of health and personal care. Support plans had been reviewed. The residents were encouraged to make decisions. Residents stated that they were able to choose whether to go to college, whether to join in with any activities organised and whether to spend time with the other residents or to spend time in their own bedroom. Residents were encouraged and where necessary supported to go shopping to buy clothes and personal items. All residents needed help to manage their finances and the level of support was recorded in the support plans. Residents stated that they were able to spend their money how they wished but were encouraged to save money for holidays etc. Limitations and restrictions, for example going into the community, were only implemented following discussions with the resident concerned and following a risk assessment. Residents participated in a number of activities related to running the home. Residents stated that they went shopping for food, helped with laying and clearing the table and washing up and cleaning their bedrooms. Residents stated that they used to have menu planning meetings and resident meetings where they could express their views about living in the home but this had dropped off recently. The home had developed a range of individual risk assessments that covered such areas as the use of hot water, the safety of hot surfaces, the use of kettles and accessing the community. Most had been reviewed but a few did need reviewing. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 All the residents had the opportunity to attend college to develop their skills and to take part in fulfilling activities. The home provided some activities but there was scope to provide further activities in the home to provide residents with a full and varied lifestyle. Residents were encouraged and supported to have contact with relatives and friends helping them to maintain and develop meaningful relationships. The home provided flexible routines providing residents with the opportunity to make choices and to make decisions over their lives. EVIDENCE: All the residents were offered the opportunity to take part in college courses. Three of the residents had chosen to attend college: attending courses such as communication, music, art and drama, jewellery making and healthy living. The other residents preferred to remain in the home. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 13 Some of the residents went into Hanley shopping wither independently or with another residents. Staff supported those not able to go alone. All residents used local health care resources and went on errands to get milk and bread from the local shops. All residents had the opportunity to go out on organised outings such as going to the theatre, going to a disco and meals out. Some preferred to remain in the home and residents did say that there were few activities organised in the home and there was scope for this aspect of the care to be developed. Over Christmas residents had been out for a meal, had the opportunity to go to a disco, go to the pantomime and to a carol service. The home organised a holiday to Blackpool and all the residents had been. The residents paid for the holiday themselves. Residents maintained contact with relatives and friends. Relatives visited the home and some residents visited family members. All the residents had friends living in other care homes in the neighbourhood and regularly visited them. The home provided flexible routines. Residents stated that they could get up and go to bed when they wanted and had the choice when to attend to their personal care. Residents reported that they could choose whether to spend time in their bedroom or to sit in the lounge. Breakfast was taken when a resident got up but other meals were taken together within a time framework. If a resident was out they could have their meal when they returned. Their was choice over meals with residents able to choose an alternative if they did not like the meal on the menu. All bedrooms were lockable and residents had a key to their rooms following an assessment. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 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 The personal care and health care needs of the residents were being well met with evidence of multi disciplinary working taking place. EVIDENCE: The health care needs of the residents were being met. The needs were fully documented in the files along with the list of health related treatments received. Residents confirmed that they saw the doctor when they felt ill and that staff took them for health checks with their psychiatrist. Two had been to CPA reviews recently. A resident with diabetes stated that her blood sugar levels were monitored and records showed she attended the diabetic clinic. Records showed that the home had involved CPN s and psychological services. Residents stated that they had dental and eye checks, one resident having had new glasses shortly before Christmas. Several attended the chiropodist. The residents stated that the staff attended to their fingernails and two were noted to have had their nails manicured and nail polish applied. The residents reported that they had their hair cut by the hairdresser although one chose to cut their own. The resident with a hearing impairment had the necessary hearing aids. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 15 Residents stated that the staff supported them to have their personal care needs met. Some required little practical assistance bit others needed some help with bathing and hair washing. Residents stated that they shopped for their own clothes although some needed some staff assistance. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 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 home had a satisfactory complaints procedure and residents felt that they were listened to and that their complaints were responded to. The home’s policy for adult protection along with the training provided to staff should lead to increased protection for the residents. EVIDENCE: The home had a complaints procedure and this was displayed in the hallway. The residents were able to identify how hey would raise any complaints and they said that the staff sorted them out. The home maintained a record of complaints and this showed that the staff dealt with any complaints. There were a number of complaints recorded and these related to behavioural issues between residents. This had led to a referral to psychological services. One resident had an advocate and the home had involved advocates in the past to support residents. The home had an adult protection procedure in place and had a copy of the local authority procedure. The staff were aware of the issues and had received training in adult protection either as part of their induction or through specific training. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,27,30 The standard of the environment was suitable to meet the needs of the residents and was providing residents with comfortable and homely accommodation. The residents benefited from suitably furnished and decorated bedroom accommodation, which they were able to personalise, and where they were able to enjoy privacy. The residents were provided with accommodation that was clean and tidy and where there were procedures on place to control the spread of infections. EVIDENCE: The home was suitable to meet the needs of the residents. It was located within a short walk of local shops and primary health care resources and within a twenty-minute walk to the resources of Hanley. The home was decorated and furnished in a domestic style throughout. The home was suitably decorated and furnished and satisfactorily maintained. Since the last inspection one bedroom had been decorated. The home had plans to improve the appearance of the rear yard with the involvement of the local college horticulture group. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 18 All bedrooms were for single occupancy. None were ensuite but all had a washbasin. They were of varying size but were all adequately sized for the residents. All bedrooms were lockable. Bedrooms had been well personalised with a range of personal belongings. Bedrooms had suitable furnishings and had seating. Those residents that wanted TVs in their bedrooms had one. One resident had provided their own furniture. All residents spoken to liked their bedrooms and had made them very homely. The home had a bathroom upstairs and the bath was very deep and was only used by one resident. The other residents used the shower downstairs and were happy with this facility. There were separate toilets up and downstairs. All washing and toilet facilities were lockable. The home was clean and tidy. There were cleaning schedules in place. The home had adequate supplies of aprons and clothes. The home had no need for a sluicing facility and washing was completed at a laundry that was shared with the two adjoining homes. The home had procedures in place for the control of infection. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 The homes staffing levels provided support to the residents to have their needs met and the home was flexible in changing staffing levels when residents’ needs changed. The residents benefited from staff that received training in areas relevant to the residents’ needs. EVIDENCE: The home had a minimum of one staff on duty throughout the day and one staff member sleeping at the home over night. There were usually periods during the day when there were two staff on duty to provide support to the residents both in the home, to access the community and to attend college. The level of staffing when there were two on duty enabled staff to provide regular individual practical support to those residents that needed it and to have one to one sessions with residents. This increase of staff had resulted from the changing needs of the residents. The care staff on duty were supported by senior staff available by telephone on a 24-hour basis. The home had regular staff meetings on average being held over couple of months. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 20 The company provided training to all staff. All new staff attended an induction programme at the college and then received a range of training from the company. This included the mandatory training and training in dealing with aggression and adult protection. Senior staff received training in care planning and supervision. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39,41,42 The home had systems in place to monitor and review the quality of the service and this included the views of residents but this could be further developed to include the views of professionals and relatives. The residents’ rights and interests were safeguarded through the homes’ record keeping. The health and safety procedures at the home were in the main providing residents with protection but the home needed to ensure that all staff received the required fire training. EVIDENCE: There have been no change in the Care Manager since the last inspection and this standard was well met at the last inspection. The home had some procedures in place for assessing the quality of the service provided. All residents were interviewed individually to ascertain their views on living at the home and to identify any areas for improvement. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 22 Additionally the home assessed aspects of the environment, checked records both relating to care practices and to health and safety. There was scope for the quality system to be further developed to include for example the views of professionals and relatives and for this to be used to develop an annual development plan. The home completed the necessary records both required for the protection of residents and for the efficient running of the business. Records included the services provided to residents including health and nursing care. Records were kept of accidents, visitors to the home as well as fire prevention checks. The records of residents were kept securely locked in the office. The home had a health and safety policy, and procedures for safe working were in place. The home was undertaking the necessary fire prevention checks including testing of the fire alarm and the emergency lighting. Boilers were serviced and the home had a valid gas safety certificate and an electrical installation certificate. Staff received training in health and safety, food hygiene, moving and handling and first aid. Most staff had received fire training. Staff had received basic infection control training as part of their induction training. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 2 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 X X X X 3 X 3 2 X Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 Standard YA14 YA9 YA8 Regulation Requirement Timescale for action 20/02/06 03/02/06 03/03/06 16(2)(m)&(n) To provide social and leisure activities within the home 13(4)(c) To ensure that risk assessments are reviewed 16(2)(m)(n) To increase the level of 12(3)(4) consultation and participation with residents 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 Refer to Standard YA35 YA39 Good Practice Recommendations To consider providing training that is LDAF accredited. To further develop the quality assurance system. Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Jasmine DS0000064033.V275928.R01.S.doc Version 5.1 Page 26 - 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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