Inspection on 14/03/06 for Landau Lodge

This inspection was carried out on 14th March 2006.

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 found no outstanding requirements from the previous inspection report, but made 24 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Landau Lodge 30/06/09

Landau Lodge 04/06/08

Landau Lodge 28/11/07

Landau Lodge 06/06/07

Landau Lodge 30/06/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Landau Lodge Triton Road Kingston upon Hull East Yorkshire HU9 4HU Lead Inspector Simon Morley Announced Inspection 14th March 2006 09:00 Landau Lodge DS0000064712.V263683.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 Landau Lodge DS0000064712.V263683.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. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Landau Lodge Address Triton Road Kingston upon Hull East Yorkshire HU9 4HU 01482 781042 01482 781062 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) Milbury Care Services Ltd position vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This was the first inspection of the service. Brief Description of the Service: Milbury Care own and manage Landau Lodge. The home is registered to provide care and accommodation for up to 6 adults between the ages of 18-65 who have a learning disability. The home is located to the east of Hull city centre and is purpose built. It is a six bedroom bungalow. All bedrooms are single with ensuite facilities. Two of these have additional cooking facilities and can be used more as bed sits to promoter independence. There is an office, large hallway, kitchen / dining room, laundry, quiet room and lounge. There is a sleep-in room for staff. There is wheelchair access throughout. The home has a large garden to the side and rear. Building work was underway to develop a smaller building in the grounds to provide additional facilities – what they were to be used for was not known. There is a car park area to the side with additional street parking. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted for seven hours. The inspector talked to two residents, three staff and the acting manager, about the home. The inspector had a look around the home to check the quality of the accommodation, looked at some care records and other documentation in relation to running a home. The person who was the registered manager left the home in January. There is an acting manager in place until a new manager starts in April. There were three residents living at the home at the time of inspection. The inspector spoke to two of these, the third being unavailable. Residents’ verbal communication skills were limited and feedback was limited to general comments about the service. This was the home’s first inspection since opening last July. The inspection covered all the key national minimum standards. What the service does well: What has improved since the last inspection? Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 6 This was the first inspection of the home since it was registered. What they could do better: The home must be able to clearly show that there are at all times, suitably qualified, competent and experienced staff in sufficient numbers on duty. This is to make sure all the personal, social and healthcare needs of residents will be met. Prospective service users must be informed about advocacy schemes when deciding to choose Landau Lodge as a place to live. This is to give them the opportunity of some help in deciding where to live. There must be a written and costed contract / statement of terms and conditions agreed between the home and each resident. This is so that residents know what they can expect to get from the home in return for the money spent to live there. Individual care plans must clearly describe how services and facilities at Landau Lodge will meet the current and changing needs of residents and help them to achieve their goals and aspirations. And individual plans must cover all aspects of personal, social and health care needs as listed in national minimum standard 2. This is to help ensure all the needs of each resident will be met. Residents must be given more opportunities for making decisions about: taking part in meaningful activities, becoming part of and participating in the local community and having access to and choice of a range of appropriate leisure facilities. This is to help ensure that residents are supported to make as many decisions about their lives as they can and have their independence promoted. Old and unused medication must be returned to the pharmacist, a signed receipt must be obtained for any medication returned. And the controlled drugs cabinet must be made secure before any controlled drugs are stored in it. This is to help safeguard residents’ health. Damage to the home’s décor must be repaired and decorated to make a more homely feeling. Formal application must be made to the Commission to register the new buildings being built in the grounds. This is to ensure the health and wellbeing of any prospective residents who may live there. 50 of care staff must have achieved the NVQ level 2, care qualification, to help ensure residents are supported by competent staff. Staffing levels must be increased so that residents are able to follow their chosen lifestyles. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 7 Appropriate references must be obtained before new staff start to work in the home to help safeguard the welfare of residents. Staff must be suitably trained to meet the needs of residents and help safeguard their welfare. The new manager must apply for registration with the Commission. Fire drills should be completed monthly to help safeguard the safety of residents. 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. Landau Lodge DS0000064712.V263683.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 Landau Lodge DS0000064712.V263683.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, 3, and 5. Some of the admission procedures need to improve to assure prospective residents their needs will be met if they move into the home. EVIDENCE: Staff reported that people have their care needs assessed before moving into the home. Two sets of care records looked at had good evidence of assessments. Some staff had the skills and experience to provide a service that met peoples needs but nearly half did not. This meant that there was a limited number of staff that could communicate well with one resident who used signs as a major part of his communication. A lot of staff had not yet been trained in managing challenging behaviour. All three residents had some degree of challenging behaviour and helping them manage this is a large part of the service. This depends on having well trained staff. There was a guide for residents about the home and what they could expect for the fees that are paid. It was reported that this guide, and the terms and conditions of living at the home are not explained to, or agreed with residents and their relatives or representatives before they decided to move in. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 10 It was also reported that three out of four people that had moved in had not been given any information about possible advocates who might help them to chose a home. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 11 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 and 9. The arrangements to make sure that people’s needs and choices are met must improve to ensure a good quality of life. EVIDENCE: Residents spoken to were unsure about what their individual plan of care was. Of two sets of records looked at both had care plans. The layout of these was complicated and they were not easy to understand. They did not describe how the care service at Landau Lodge would meet all of some one’s current and changing needs, and how it would help them to achieve their aspirations and goals. No attempt had been made to put care plans into a format that the residents may understand. Staff and the acting manager acknowledged that improvements to care plans were needed. Residents were able to make some of their own decisions for example about their appearance, clothing, when they got up, went to bed, what they ate and how they spent their time in the home. Some of these choices were recorded Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 12 in daily notes. Residents were able to tell the inspector they could make these choices and were seen to be doing so. Use of local community amenities was limited and residents had little say in what they could do outside of the home. Choice was limited to the occasional shopping trip, visits to and from relatives and the odd social event. This was because there was not enough staff to support residents to go out more frequently. One resident was being charged for damage to property in the home. It was not evident that the resident knew this neither had it been explained that this was a potential consequence. A range of potential risks to residents was considered as part of the care planning process. These are recorded as risk assessments and include the measures needed to reduce any danger whilst still allowing residents to take risks to promote their independence. A lot of the required measures needed 1 to 1 staffing for residents whilst in the home, due to their challenging behaviour. Sometimes two staff. And two staff needed when a resident went out. The majority of the time there is only 3 staff on duty. As a result resident’s opportunities are severely limited. Without additional staffing the promotion of independent lifestyles for residents does not take place but is actually limited. Staff and the manager acknowledged this was an issue. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 13 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 and 17. Current staffing levels severely limit positive lifestyle outcomes for the residents at the home. EVIDENCE: Support for residents to engage in meaningful activities, become part of and participate in the local community and have access to and choice of a range of appropriate leisure facilities is severely limited. Care plans do not adequately describe how the service will meet these needs and there are not enough staff to support residents to use local community facilities. Daily records rarely refer to people going out other than to shop for necessities or visit relatives. One resident complained to the inspector that there was never enough staff on duty to go swimming. One of the residents spoken to talked about his visits to his relatives and when they came to see him. There was good evidence in daily records of residents keeping in touch with their relatives. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 14 Residents were seen to come and go freely from their rooms and use the lounge. Access to other communal areas, e.g. the kitchen and quiet rooms is restricted. These rooms are usually locked unless staff are able to accompany a resident. Although the inspector did see one resident in the quiet room, alone. Staff were seen to be spending time in the home interacting with residents. Residents spoken to said they liked the food and could choose what they ate. Staff said they plan menus/meals with residents and they shop together. Staff spoken to said they promote healthy eating and were aware of any special dietary needs of the residents. Peoples’ dietary intake and weight are monitored and significant changes would be referred to appropriate community health services for support. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 15 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 and 20. The arrangements of personal and healthcare support were good; some improvements were needed to the medication procedures. EVIDENCE: One resident spoken to said that staff were nice and personal support was good another made positive and negative comments dependent on mood. Staff spoken to were aware of residents individual need and preferences and were able to respond accordingly. There were detailed care records that indicated residents received good help and support with their personal and health care needs. Residents were registered with a GP and received regular health checks including dental visits, hearing and eyesight tests. There was good practice in administering medication for residents. Improvements were needed to the storage of medicines; the controlled drugs cabinet although not in use was not secure. It must be secured if any controlled drugs are to be stored in it. Old and unused medication must be returned to the pharmacy. There must be an accurate signed receipt / record of medication returned to the pharmacy. Landau Lodge DS0000064712.V263683.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 and 23. Staff listen to residents views but procedures for protecting residents need some improvement. EVIDENCE: Residents were able to tell staff their views and concerns on a daily basis. There were no formal complaints recorded in the complaints book. There had been two recent allegations of physical abuse by staff and the appropriate procedures were followed by the home for this to be investigated and ensure residents are free from harm. Training records and discussion with staff revealed that about half the staff had not been trained in either or both adult protection procedures and managing challenging behaviour. Staff must have this training to help protect residents from harm. Landau Lodge DS0000064712.V263683.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 and 30. Landau Lodge was comfortable and safe, damaged décor detracted from having a homely feel. EVIDENCE: Landau Lodge is purpose built, spacious, accessible and safe. Residents all have a single room with ensuite facilities, including a bath. Two rooms benefit from cooking facilities to promote more independent living. There is a communal lounge, kitchen/dining room, quiet room and laundry. Access to some communal areas is restricted in order to try and manage challenging behaviour of residents. This would impact on the life of more independent residents with less challenging behaviour who would not need these restrictions. There was damage to décor in communal areas and private accommodation that needs to be repaired and/or decorated. The home was clean and tidy. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 18 Building work was underway to develop two smaller buildings in the grounds to provide additional living accommodation. These cannot be used until they are formally registered with the Commission. Landau Lodge DS0000064712.V263683.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): 32, 33, 34 and 35. Staffing arrangements for the home need to improve. EVIDENCE: There are 3 staff on duty during the day, two overnight (one who sleeps). The manager is available for support and works a small number of shifts looking after the residents. Care staff also do the cooking and cleaning, where possible with the involvement of residents. This amounts to 344 care hours per week but the home must provide 418 care hours per week to meet the recommended guidance. Assessment of residents needs and their safety indicate that each resident requires 1 to1 support in the home, sometimes 2 staff depending on circumstances and 2 staff when each person goes out. This means that there are not enough staff especially when any of the residents want to go out. One complained about the lack of opportunities to go swimming. Positive outcomes and the opportunity to lead independent lifestyles for these residents are severely restricted as a result. There must be adequate staffing levels to meet the needs of residents. Future admissions of more residents would make the situation worse. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 20 Staff felt frustrated that they could not do more for residents and were limited by the outcome of risk assessments and staffing levels that did not correspond to those outcomes. Only 4 out of 14 staff (28 ) have achieved the required care qualification. 50 should have done so by now. There were other training issues. Staff new to learning disability training were not receiving the proper induction training at the right time. Training records showed that nearly half the staff had received no basic training and no training in managing challenging behaviour. Lack of trained staff increases the risks of residents getting poor care. Recruitment records were looked at for 3 staff. The majority of required checks were made before staff started to work. This is to make sure they are suitable for the job. The procedures for obtaining references about new staff were not consistent and did not meet the minimum standard. Landau Lodge DS0000064712.V263683.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): 37, 39 and 42. Management of the home needs to improve. EVIDENCE: A manager from another home is managing Landau Lodge on a temporary basis. A new manager is due to start at the beginning of April. The last manager left in January. The home is not currently well run. There needs to be considerable improvement in the planning of care, staffing levels and staff training. Without this the quality of care for residents will only be adequate at best. Little has been done yet to manage these issues despite them being acknowledged by staff and the manager. There are arrangements for monitoring the quality of the service. Senior managers visit and complete audits. Asking relatives and residents their views is planned as part of monitoring the quality of care. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 22 Apart from damage to décor the home was safe and well maintained. Regular safety checks are made and records of these kept. One issue was noted, the last record of a fire drill was for November 2005. These are usually monthly. Landau Lodge DS0000064712.V263683.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 2 4 X 5 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 2 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 1 X 3 X X 2 X Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 24 N/A 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 YA3 Regulation 10 and 18 Requirement Timescale for action 30/06/06 2 YA3 10 and 12 3 YA5 5 4 YA6 15 5 YA6 15 The home must be able to clearly show that there are at all times, suitably qualified, competent and experienced staff in sufficient numbers to meet all the personal, social and healthcare needs of residents. Prospective service users must 30/06/06 be informed about advocacy schemes when deciding to choose Landau Lodge as a place to live. There must be a written and 30/06/06 costed contract / statement of terms and conditions agreed between the home and each resident. Individual care plans must 30/06/06 clearly describe how services and facilities at Landau Lodge will meet the current and changing needs of residents and help them to achieve their goals and aspirations. 30/06/06 Individual plans must cover all aspects of personal, social and health care needs as listed in national minimum standard 2. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 25 6 YA7 & YA12 & YA13 & YA14 YA20 YA20 YA20 YA23 7 8 9 10 11 12 13 YA23 YA24 YA24 13 14 15 YA32 YA33 YA34 10, 12, 16 Residents must be given more and 18 opportunities for making decisions about: taking part in meaningful activities, becoming part of and participating in the local community and having access to and choice of a range of appropriate leisure facilities. 13 Old and unused medication must be returned to the pharmacist in accordance with this standard. 13 A signed receipt must be obtained for any medication returned. 13 The controlled drugs cabinet must be made secure before any controlled drugs are stored in it. 13 and 18 All existing care staff that have not already been trained in the following areas must receive training in adult protection procedures and managing challenging behaviour. 13 and 18 New staff must receive the above training within 3 months of starting their employment 23 Damage to the home’s décor must be repaired and decorated. Section 11 Formal application must be made Care to the Commission to register Standards the new buildings being built in Act 2000 the grounds. 18 50 of care staff must have achieved NVQ 2. 18 Staffing levels must meet the recommended guidance. 19 Two written references must be obtained in respect of new staff, including, where applicable, a reference relating to the persons last period of employment, which involved work with children or vulnerable adults, of not less than three months duration before a new member of staff works in the home. 30/06/06 30/06/06 30/06/06 30/06/06 30/06/06 30/06/06 30/06/06 31/05/06 31/12/06 30/06/06 30/06/06 Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 26 16 YA35 17 18 YA35 YA35 19 YA35 20 YA37 All existing care staff that have not already be trained in the following areas must receive training in first aid, basic food hygiene, moving and handling (where appropriate), fire safety and health and safety. New staff must receive the 18 above training within 3 months of starting their employment. 18 Staff new to working in learning disability services must receive Learning Disability Award Framework (LDAF) induction training within 6 weeks of starting work. 18 There must be a training plan for the whole staff team, based on the aims of the service and residents needs. Section 11 The new manager must apply for Care registration with the Standards Commission. Act 2000 18 30/06/06 30/06/06 30/06/06 30/06/06 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA42 Good Practice Recommendations The home should follow the policy of monthly fire drills. Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Landau Lodge DS0000064712.V263683.R01.S.doc Version 5.1 Page 28 - 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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