Inspection on 29/06/05 for Litslade Farm

This inspection was carried out on 29th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Litslade Farm 23/08/06

Litslade Farm 30/03/06

Litslade Farm 22/03/05

Litslade Farm 24/05/04

Litslade Farm 20/11/03

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Hillview Farm

Dalewood Respite Care

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Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Litslade Farm 2 Bletchley Road Newton Longville Bucks MK17 0AD Lead Inspector Sue Smith Unannounced 29th June 2005 9:30am 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Litslade Farm Version 1.10 Page 3 SERVICE INFORMATION Name of service Litslade Farm Address 2 Bletchley Road, Newton Longville, Bucks, MK17 0AD 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) 01908 648143 Hightown Praetorian & Churches Housing Association Mrs Olive Bateman Care Home 5 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Litslade Farm Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd March 2005 Brief Description of the Service: Litslade Farm is a Home providing care and support for Service Users with a Learning Disability. The Home is a large open plan bungalow able to accommodate 5 Service Users.The Home is located in the quiet and picturesque village of Newton Longville and is set in its own large and private garden.The Home is overseen by a suitably qualified and experienced Manager who has a Nursing qualification (this is not a necessary Management requirement of this Home).The Organisation responsible for the Home is the Hightown Pretorian Churches Association. Litslade Farm Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over a 3-hour period. The Manager was unavailable as she was attending a Service Users holiday out of county. In her absence the Senior member of staff was available to aid the Inspector to carry out her duties. Two members of staff were spoken with at the time of the inspection, Service Users were out and about enjoying a variety of activities during the inspection, and therefore only two were spoken with. Thirty-three standards were assessed during this inspection with two standards not fully met. Only one of these has necessitated a requirement, which pertained to recent changes in practice guidance for medication procedures. The Home has also received commendable scorings for the activities offered to Service Users; these include the activities of daily living and education as well as social opportunities. This was a positive inspection of a progressive and well managed Home. What the service does well: • • • • • • • The Home provides Careplans based on a person centred planning approach, which addresses care on a holistic level. An independent advocate is associated with the Home to ensure the views and opinions of Service Users are heard. Risk assessments are in place to support the Service Users to live as independently as possible. The activities offered at Litslade farm and the commitment shown by staff to ensure meaningful and complimentary activities are sought is evidence of commendable practice. Staff support enables Service Users to be as independent as possible and reach their full potential. Personal care is delivered in a manner that ensures the privacy and dignity of Service Users is maintained. A flexible approach to the activities of daily living is evident. The Home has a thorough complaints procedure. There have been no complaints received at the Home or directly to the Commission in the past 12 months. Version 1.10 Page 6 Litslade Farm • • • • • • • The Home follows the Milton Keynes inter-agency protection of vulnerable adult from abuse policy and its current reporting systems. There have been no allegations of abuse at Litslade Farm. The Homes environment is well maintained and is reflective of a homely and relaxing environment. Service Users own living space is equipped to meet their individual needs and is reflective of their personalities. Communal areas of the Home are well maintained and have equipment such as T.V., DVD, Video and Hi Fi equipment for the Service Users to use. The Home operates within current Health and Safety legislation and guidance to ensure the protection of Service Users and Staff. The Homes staff team have a clear understanding of the individual needs of Service Users. They receive training and support to enable them to professionally develop in their roles. A through induction package is in place for all new staff which is supported by an ongoing Supervision system. The Management approach is open and transparent, support from a knowledgeable and efficient Senior ensures the safety of Service Users in the Managers absence. Policies and Procedures to support the staff team to work efficiently in their roles are available to all staff. The Staff team at Litslade Farm work hard to ensure the needs of Service Users are met in a holistic manner. The team are committed and professional in all they do. Positive interactions with Service Users was observed throughout this inspection, the Inspector was made to feel welcome and supported to carry out her duties. This was a positive inspection of a progressive and well managed service. What has improved since the last inspection? • The Home continues to be a progressive and professionally run service. The Staff team work hard to ensure the needs of Service Users are met and are continuously reviewing the care provided and seeking new ways to support the Service Users to reach their full potential. Once example of this is the success of the in-house tutor programme facilitated by Milton Keynes College, the staff team and tutor has worked hard with Service Users and is now embarking on the next step of integrating Service Users into the college campus. The ever-increasing list of activities and daily living skills undertaken by Service Users is an example of positive practice. The confidence shown by Service Users and the positive impact Litslade Farm has had on their lifestyle is clear evidence of the commitment and support shown by the staff and management of the Home. Version 1.10 Page 7 • Litslade Farm What they could do better: • • The One requirement given during this inspection was to support the Home to operate within recent guidance received for handwritten entries on MAR (medication administration records) sheets. A recommendation was given for additional support plans to be written when recommended actions from other specialists or therapists are identified. The Home has clear documentation of actions that have been taken, however the system could be improved to ensure there is no conflict or confusion when reading support plans. The Home could benefit from a redecoration, especially in bathrooms, which are subject to extensive use. • Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Litslade Farm Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Litslade Farm Version 1.10 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 standard(s) 2, 5 All Service Users are thoroughly assessed prior to admission to the Home to ensure staff are fully able to meet their needs. All Service Users have a written and pictorial copy of their contract of terms and conditions in their personal files; this is explained at an appropriate level of understanding to protect the rights of Service Users. EVIDENCE: There have been no recent admissions to the Home since the resettlement of the Service User group from Manor House. A Thorough admissions procedure is in place to assess all future admissions should a vacancy arise. The copy of individual contracts of terms and conditions has been provided in a pictorial format to aid the Service Users. This is available to all Service Users in their own personal files. Litslade Farm Version 1.10 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 standard(s) 6, 7, 8, 9, 10. The Home provides written careplans, which enables staff to provide appropriate support to the individual Service User. Systems are in place to ensure the views of Service Users are heard and acted upon. Individual risk assessments are in place, which support the Service User to live their lives as independently as possible. EVIDENCE: The Careplans were found to be up-to-date and relevant to the care needs of the individuals. All Careplans are based on the person centred planning approach and are reflective of Service User input. Additional information is available in the Careplan for such things as recommendations from the dietician. Written reports and evidence of the recommendations being actioned were available, however these were not written in an individual support plan, which could lead to confusion when implementing care. A recommendation is made that additional support plans, with identified timescales for review are Litslade Farm Version 1.10 Page 11 written when recommended actions from other specialists or therapists are identified. The information available in the Careplans was informative and thorough, however Staff are reminded to ensure signatures and dates of reviews are added to all provided documentation. The Home may also want to consider replacing the existing files and paperwork as due to their extensive use (an acknowledged positive practice) they are becoming shabby and torn. Risk assessments, which are reflective of review, are in place to support Service Users to live in the Home and access the wider community. These are well written and easy to follow. All risk assessments have an action plan of how to minimise the risk to ensure the Service Users do not miss opportunities that could enable them to further their skills and independence. Additional support plans are in place to support the risk assessments. The Service Users have an appointed advocate who meets with them on a 1-1 basis as needed as well as facilitating Service Users meetings. Minutes of these meetings are produced. As the Service User group are predominantly non-verbal this is an important role, which is used appropriately. Staff are informed during their induction of the need for confidentiality and when to share information, practice within the home when dealing with service user information is both professional and in line with the Data Protection Act 1998. Litslade Farm Version 1.10 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 standard(s) 11, 12, 13. 14, 15, 16. Service Users are supported to access a wide range of activities, which meet their social, spiritual and leisure needs. Service Users are supported to access the village, which has aided them to become part of the local community. Staff support Service Users to maintain links with their family and friends. Staff are respectful of the Service Users Home and ensure both the Service Users and Staff maintain House rules. EVIDENCE: The Service Users at Litslade Farm access an increasing amount of activities outside of the Home. College courses, which were initially facilitated by a tutor in the Home, are now moving to the college with staff and tutor support. This is a great achievement for the Service Users, which has been accomplished with the support of a dedicated and committed staff team. Litslade Farm Version 1.10 Page 13 The Service User group are now accessing more and more activities within the local village and have become a recognised part of the local community. Again this is due to the dedication and commitment of the staff team. Staff support Service Users to maintain links with family and friends with a flexible approach to visitors at the Home. On the day of inspection two Service Users were attending a church function with the support of staff and church members. One Service User was visiting relatives and tending his father’s grave, one was on holiday with the Manager and another had recently returned from his planned activity. The level and variety of activities Service Users participate in is a reflection of commendable practice. Staff are respectful of the rules of the home, a no smoking policy is in place due to all Service Users being non-smokers. At all times staff ensure mail is delivered un-opened and will support Service Users to read correspondence as required. All bedrooms are locked when the Service Users are out of the Home and staff ensure the privacy of the Service Users is maintained when entering bedrooms or delivering personal care. Litslade Farm Version 1.10 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 standard(s) 18. 19.20 Personal care is delivered in a professional manner that ensures the individual likes and dislikes of Service Users is acknowledged. Service Users physical and emotional care needs are met through the person centred planning approach adopted by the Home; this ensures a holistic approach to care delivery. Medication procedures in the Home are robust and ensure Service Users are protected. EVIDENCE: The Staff approach to the deliverance of personal care is respectful and ensures the dignity of the individual is maintained. All care takes place in the privacy of the Service Users bedroom and the communal bathrooms with the door shut. Staff knock before entering rooms and are respectful of the Service Users own living space. Care regimes are flexible and are undertaken with a sound knowledge of the Service Users personal preferences. The person centred care planning method in place ensures all service users are supported in a holistic way. Spiritual needs are met within the home by a staff team who have a clear understanding of the individuals needs. Litslade Farm Version 1.10 Page 15 Presently all the Service Users are of a Christian based faith; the option to attend church services is available. Suitably trained staff based on a risk assessment approach administers medication. All medication is stored, disposed of and administered following a robust medication policy. All MAR (medication administration records) sheets were signed appropriately. The Home is reminded to ensure all bottles; creams and lotions have a date of opening written on the label. Recent changes have taken place in the way additional prescriptions are recorded on the MAR sheets, as pharmacists are no longer able to provide the Home with duplicate prescription stickers, staff will need to hand write additional entries on MAR sheets. Two members of staff to ensure errors are avoided must countersign all such entries. A requirement is made to this effect to ensure the future practice of the Home is reflective of current guidance. Litslade Farm Version 1.10 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 standard(s) 22, 23. The Home follows a thorough complaints procedure to ensure an open, and transparent practice is in place, which protects the Service Users. The Home follows the Milton Keynes inter agency policy for the protection of vulnerable adults to ensure all Service Users are protected from abuse. EVIDENCE: There have been no complaints received at the Home or directly to the Commission during the past twelve months. The Home has a comprehensive complaints procedure which all staff are aware of. The Home follows the reporting systems of the Milton Keynes inter-agency protection of vulnerable adults policy. Training in the protection of vulnerable adults has taken place. There have been no allegations of abuse in the Home. Litslade Farm Version 1.10 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 standard(s) 24, 25, 26, 27, 28, 29, 30. Litslade Farm is a homely and pleasant environment, which has been furnished and adapted to ensure the needs of the Service Users can be met. The Home is maintained to a high standard ensuring Service Users live in a Home that is clean and hygienic and maintains the health and safety of Service Users and Staff. EVIDENCE: Litslade Farm is a bungalow situated in the small village of Newton Longville. The Home is situated in pleasant and well-maintained gardens. All sleeping accommodation is single occupancy and is decorated and furnished in a manner that is reflective of the occupant. All furnishings belong to the individual with adaptations and equipment in place to meet the specialist needs of the individual. Communal bathrooms are situated in close proximity of the bedrooms and fully meet the needs of the Service User group. Equipment is regularly serviced with records open to inspection. Litslade Farm Version 1.10 Page 18 Laundry facilities are provided which meet the needs of Service Users. The kitchen was found to be clean and tidy with locks in place on all cupboards containing C.O.S.H.H. items. Handwashing facilities are provided and the staff team maintain the kitchen in line with current environmental health guidance. All recommended actions from the environmental health inspections are acted upon within recognised timescales. The communal lounge, dining area and kitchen are based on an open plan design and are accessed and used by all Service Users. Furnishings are sturdy and well maintained. Television, DVD, Video and Hi Fi equipment is provided in the communal areas for Service Users to use as requested, art work completed by the Service Users is displayed throughout the Home, the atmosphere is relaxed and reflective of a homely environment. Some areas of the Home could benefit from redecoration, as paint has begun to flake (especially in the bathrooms) the senior staff member discussed this with the Inspector as an issue that has already been identified by the Home. One bedroom has a large crack running through the wall, a qualified surveyor has been monitoring this for the past twelve months; there has been no further movement of the building with plans to replaster and decorate this area in place. The Home is maintained to a level that protects the Service Users from harm with a maintenance programme and reporting systems in place. Litslade Farm Version 1.10 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 34, 35, 36. The Home has a skilled staff team who ensure the Service Users needs are met in a safe and professional manner. Staff are supported to carry out their roles through a supervision and training programme, which enables staff to discuss issues of practice in an open and transparent manner. Job descriptions are provided to ensure clarity of roles and a consistent approach to care delivery. EVIDENCE: The Staff team at Litslade Farm have a clear understanding of the needs of the Service User group, the rota’s are planned with the individual needs of Service Users in mind to ensure activities both internally and external to the Home can be accessed. Staff were observed positively interacting with Service Users, ensuring they were included in general conversation and supporting them with cooking and cleaning. The atmosphere was relaxed and reflective of a homely, family environment. Roles and responsibilities are clear with job descriptions in place. A key worker system enables staff to plan and implement activities and care for individuals. Litslade Farm Version 1.10 Page 20 Recruitment takes place centrally with all files then sent to the Home to be held in lockable facilities. On inspection of the most recent staff members personnel file it was noted that the references for this individual were missing from the recruitment file. Prior to this inspection a meeting has been planned with the Organisations senior Management to discuss issues such as this and find a way forward. Therefore a requirement will not be made as part of this inspection report as the Inspector is confident once a mutually agreed system is put in place the issue will be resolved. Staff are trained to a high standard with NVQ training in place. A thorough induction system, which is held on the personnel file of individual staff is undertaken by all new staff to the Organisation. The Induction pack has timescales for action to ensure such things as mandatory training is undertaken. Litslade Farm Version 1.10 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, 41, 42. The Management approach to the Home is open and transparent ensuring the needs of Service Users are met in a safe and professional manner. Service Users views and opinions on the day-to-day operation of the Home are sought through a variety of systems to ensure the Home is operating in the best interest of the Service User group. The Organisation provides policies and procedures, which enable the staff to provide a professional service. The Home follows current Health and Safety legislation and guidance to ensure the Service Users at Litslade Farm are protected from harm. EVIDENCE: An efficient and knowledgeable Manager manages the Home. A Senior who is able to deputise in her absence supports her. On the day of inspection the Senior was in charge of the Home whilst the Manager was attending a Service Litslade Farm Version 1.10 Page 22 User holiday. The Senior member of staff is knowledgeable and competent in his role, he is a positive influence on the culture of the Home and has a clear understanding of the objectives and philosophy of Litslade Farm. An independent advocate is appointed to the Home who ensures the views and opinions of the group are heard. The advocate is available on a 1-1 and group basis. Service Users meetings are facilitated by the advocate with minutes of the meetings recorded and open to inspection. The culture of the Home places emphasis on implementing care and support that enables the Service Users to reach their full potential and is undertaken with the individual likes and dislikes of Service Users playing an integral part of the planning process. Organisational Quality Assurance systems in place support the philosophy of the Home. The Home maintains its records to a high standard and ensures the confidentiality of records is maintained. Organisational policies and procedures support staff to carry out their duties, these are reflective of review with systems to ensure staff are up-to-date with recent changes to policies in place. The Home follows current Health and Safety guidance to ensure the safety of both Service Users and Staff. All items of C.O.S.H.H. are held in lockable facilities. Any areas that may cause risk to Service Users are subject to a thorough risk assessment to minimise the potential risks. Monitoring systems are in place for such things as fire safety to ensure the protection of Service Users and Staff. Records are maintained in line with current guidance, these were open to inspection and found to be up-to-date and appropriately recorded. Service Records for equipment is held on site and were open to inspection. As previously mentioned a maintenance programme and reporting system is in place to ensure all breakages or faults are reported and actioned as soon as is reasonably practicable. Litslade Farm Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 4 3 4 3 3 x Standard No 31 32 33 34 35 36 Score 3 x x 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 3 x 3 3 x Litslade Farm Version 1.10 Page 24 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 20 Regulation 13 (2) Requirement All handwritten entries on MAR sheets must be countersigned by two members of staff. Timescale for action 30/6/05 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 6 Good Practice Recommendations Additional support plans are written when recommended actions from other specilists (e.g. dietician) or therapists are identified. Litslade Farm Version 1.10 Page 25 Commission for Social Care Inspection 8 Bell Business Park Smeaton Close Aylesbury Buckinghamshire HP19 8JR 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 Litslade Farm Version 1.10 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!