Inspection on 02/05/07 for Little Eastbrook Farm

This inspection was carried out on 2nd May 2007.

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

Little Eastbrook Farm 09/11/06

Little Eastbrook Farm 24/01/06

Little Eastbrook Farm 08/04/05

Little Eastbrook Farm 30/11/04

Little Eastbrook Farm 13/07/04

Little Eastbrook Farm 05/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOMES FOR OLDER PEOPLE Little Eastbrook Farm Little Eastbrook Farm Burlescombe Tiverton Devon EX16 7JT Lead Inspector Andy Towse Unannounced Inspection 2nd May 2007 10:00 X10015.doc Version 1.40 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 Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Little Eastbrook Farm Address Little Eastbrook Farm Burlescombe Tiverton Devon EX16 7JT 01823 672373 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) Mrs Sandra Christine Gold Mr Ronald Herbert Gold Mrs Sandra Christine Gold Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users over the age of 40 Date of last inspection 9th November 2006 Brief Description of the Service: Little Eastbrook Farm is a rural care home set in the countryside below the Blackdown hills. The care home offers accommodation and 24-hour care to 2 service users with Learning Disabilities. The service users share facilities with the owners & the male owners sister. There is a large garden area that is easily accessible for service users. A terraced area of the garden is accessible via handrails and steps. The home has a large 7-seater vehicle for taking service users on outings to the shops and seaside. If required holidays with the family can be arranged. Fees charged range from £393.98 -- £475.02 with additional charges being levied for clothes, hairdressing, chiropody, holidays and specialist activities such as horse riding. Copies of previous inspection reports are available at the home. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. It took place over a period of seven hours. Information contained in this report was obtained from the registered manager who completed a pre inspection questionnaire. This was complemented by the inspection in which there was further discussion with the registered manager and her husband and a staff member, and the two residents. During the inspection care practices were observed and a tour of the premises, accompanied in part by a resident, allowed an overview of the living environment to be obtained. Records, including care plans, Quality Assurance, Medical records and Health and Safety Records were inspected, to assist in the assessment of the quality of care given and the safety of the environment. What the service does well: Little Eastbrook Farm is a small, family run home. It offers, to those who live there a close, family style living environment. The residents are happy with the environment and it meets their needs. Both residents have lived at the farm for several years. This has enabled the registered manager to become knowledgeable about their individual preferences and their needs. The registered manager has complemented these years of care experience with attaining an NVQ level 2 and uses the skills acquired from this course in the day-to-day running of the home. Residents enjoy various activities and the arrangement of staffing allows for them to have 1:1 attention both from the manager and staff. The manager is proactive in encouraging residents to maintain contact with relatives, who are invited to attend functions at the home. In addition, residents are involved in events associated with the registered manager’s family. The manager ensures that the residents receive the privacy and dignity to which they are entitled. They have single occupancy bedrooms and the property is maintained to a good standard. The home has a relaxed atmosphere and a positive attitude towards pets of which there are several in the home. Adaptations have been made to the environment to ensure that it meets the needs of the residents and they have unrestricted access to all communal areas of the home and garden. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assured by the home’s admissions process that they will only be admitted if their needs can be met. EVIDENCE: There has been no recent admission to Little Eastbrook Farm. Those currently living there have been at the home for six or more years. Inspection of the records relating to these two people showed that as part of the admissions process the registered manager had been supplied with various pieces of information relating to the needs of the prospective residents. These included nursing assessments and an assessment compiled by a member of staff at a previous place of residence. These assessments gave information about the needs and abilities of the residents. They included information about mobility, communication and personal hygiene. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 9 These admissions took place several years ago and did not, at that time, include visits to the home by the prospective residents. These visits would have involved the residents more in the admissions process and would also have given them the opportunity to make an informed choice about moving into the home. The admission process was discussed with the registered manager, at this and the previous inspection. She confirmed that whilst she was not planning any further admissions, any future admission would include visits to the home by the prospective resident as well as assessments being carried out by herself. This would ensure both that the home could meet the person’s assessed needs and also that future residents had been able to make an informed choice about moving into the home. The manager was very aware of the importance of any new resident being compatible with the existing residents and that this would be an important part of deciding whether a potential new resident should be admitted. Little Eastbrook Farm does not offer intermediate care. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met through well-written care plans. Residents’ healthcare needs are appropriately met. The privacy and dignity of residents is safeguarded. EVIDENCE: The files of both residents were examined. They both contained ‘My Plan’ history books. These were in a mixed printed and pictorial format and had been compiled by social services staff assisted by the individual resident. At the last inspection these had been discussed with the residents who were able to show that they had an understanding of the contents of these documents and to confirm that they were an accurate appraisal of their needs at the time when they were compiled. The ‘My Plan’ documents were however several Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 11 years old and had been replaced by care plans drawn up by the registered manager in consultation with the residents. Both sets of care plans had been reviewed recently. They contain information relating to the current needs of both residents. The care plans were sub divided into different sections making it easier to understand the different needs and abilities of both residents. Sections of the care plans included headings such as, Presenting Circumstances, Social Needs and Communication Needs. The format of the care plans allows for the needs of the residents to be assessed and then identifies the ways in which any difficulties can be addressed. The incorporation of risk assessments included examples such as installing handrails to enable a resident to use the stairs, or the encouraging of a resident to move more slowly to assist her balance and mobility, through to the provision of special seating arrangements to enable a resident to access transport despite having physical disabilities. The files also state specifically what services are going to be provided for each resident to ensure their safety and dignity. This included reference to ‘ discrete supervision and practical assistance with personal hygiene and dressing’ to being ‘aware that she might not seek assistance appropriately.’ Information on residents’ files also says categorically what services are included in the fees and what are not. However, whilst holidays are an integral part of the service offered by Little Eastbrook Farm, the registered manager said that a lack of funds would not preclude a resident from going on holiday. The residents use the same general practitioner as the registered manager and her family. Discussion with the general manager together with reference to records showed that residents had access to healthcare appropriate to their needs. The registered manager gave an example of a resident’s medication being reviewed and altered following observation of changes in her behaviour and subsequent involvement of the general practitioner. The home has policies regarding the administration of medication. All medication is checked on arrival at the home to ensure that it is both correct in quantity and brand. This is recorded. Medication was seen to be kept securely. The home uses the Boots Monitored Dosage System of medication administration. The registered manager has received training from Boots regarding how to administer medication and use their system effectively. To safeguard residents homely remedies are only used following agreement with the general practitioner. Neither resident has been assessed as having the ability to self medicate. The registered manager discussed issues of privacy. She spoke of ensuring that doors were always closed when bathroom and toilets were in use and that Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 12 personal care was only carried out by herself. Job descriptions and the Statement of Purpose also contained reference to the right of residents to privacy and dignity. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a domestic lifestyle which meets with their needs and expectations. Residents benefit from the home’s encouraging contact with family and relatives. The home offers residents a varied diet which they help to select. EVIDENCE: Little Eastbrook Farm is situated in a rural area. Some farming activities do take place on the farm. In discussion with the registered manager, her husband and the residents, it was apparent that the residents were, to a limited degree involved in this. This mainly involved lambs and some guinea fowl. The home has a relaxed attitude towards pets. In the lounge is a large bird cage with a couple of budgerigars. One resident takes a great interest in these. There are also a couple of dogs and several cats. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 14 Previously the residents used to attend day care offered by the Local authority, but this is no longer available. The residents now spend their days doing various other activities. Within the home these include knitting, various board games, watching television or DVDs and listening to music. They are also involved in the day-today activities such as going shopping, buying food and going to garden centres. One resident is very fond of horse riding and has attended the local riding centre and was able to show several certificates proving her proficiency in various horse riding skills. In order that the residents can meet people in the community and also enjoy one to one interaction, the registered manager has a staff member who takes each resident out individually into the community for four hours each week. The residents have also gone on coach trips organised by local people, to the theatre, visited places such as Rosemoor Gardens and participate in functions taking place in the village. The manager is considering encouraging one resident to join the local Garden club in order to foster her interest in gardening and widen her circle of acquaintances. In addition to joining in activities within the community residents have also attended specialist clubs which are run for people with disabilities. Examples of this was their attending the now defunct Torrs Club and also the Gateway Club. Photographs and discussion also confirmed that residents join in the family functions connected to the registered manager’s family. The manager has been pro active in encouraging residents’ relatives to maintain contact with them. This has resulted in one resident having regular contact with her relatives. Holidays are an integral part of the residents’ lives. They often have two a year. These are chosen with regard to the manager’s knowledge of the preferences of the residents. Residents became animated when holidays were discussed and comments made about their preferences confirmed that destinations had been chosen taking these into account. Records showed that the residents have a varied and nutritious diet. This was seen to range from meat pies, sausages and mashed potatoes through to chilli con carni, chicken kebabs and duck. The manager has compiled a book using different pictures of various meals and items of food. This is used to enable residents to help choose what is included on the menu. Meals were seen to be relaxed, with the residents sitting and talking with the manager. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by an appropriate complaints procedure and a manager who is aware of what constitutes abuse and what action to take if it occurs. EVIDENCE: The home has its own ‘Complaints, Comments and Compliments’ form. When these had been completed they were seen to contain positive written comments from the friends and relatives of the residents. The forms also provides the opportunity for anyone to write down a complaint and also make a comment upon how they ‘think it can be sorted.’ In addition to this form the home has its own written complaints procedure. This states the timescale for acknowledgement of the complaint and also that it will be investigated within 28 days. The policy also states the right of the complainant to contact the Commission for Social Care Inspection. From discussion with the manager and examination of records it was shown that no complaints had been made either through the ‘Complaints, Comments and Compliments’ form or through the Complaints procedure. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 16 One resident was articulate enough to be able to say what she would do if she was not content with the service she was offered. She said she would go to the manager. The other resident was less able and there was a discussion with the manager regarding the possibility of this resident having access to an advocate to assist her in articulating her needs. As written previously, the manager encourages contact with residents’ relatives. One resident has regular contact with her relatives and the registered manager and her husband were convinced that they would say if they had any concerns about the standard of care offered at Little Eastbrook Farm. The home also has a written policy regarding what constitutes abuse and what action should be taken if it is suspected that it is occurring. The registered manager was able to say what action she would take if she suspected that abuse was occurring. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean, well-maintained environment which meets their needs. EVIDENCE: Little Eastbrook Farm is a detached farmhouse situated in a rural location. It comprises a five bedroomed property which is occupied by the registered manager her husband and his daughter and the two residents. The home is domestic in size, furnishings and décor. Both residents have their own bedrooms. These were seen to have been personalised. Residents felt ownership of their rooms and one very proudly showed the room to the inspector. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 18 The accommodation is on two floors. These can be accessed by stairs which have been fitted with rails to assist the residents. The registered manager is very aware that the physical environment should safely meet the needs of residents and has considered how the residents could be safely accommodated in her home if their mobility deteriorated. Adaptations to the environment to meet the needs of the residents, such as the provision of a shower and raised toilet seats have been carried out. Residents have unrestricted access to the communal areas of the home, which comprise a large lounge, sun room, dining area and kitchen. Externally there is an enclosed rear garden. This can be easily accessed by residents through the sun lounge There is a separate laundry area which is clean and hygienic. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from support by experienced and competent staff in numbers which meet their needs. Whilst residents are safeguarded by an appropriate recruitment process, staff records need to be kept up to date to confirm this. EVIDENCE: The registered manager and her husband live at the farm. Between them they provide the bulk of the care. The registered manager takes responsibility for anything relating to personal care and her husband involves residents in day to day domestic activities as well as trips out and enabling them to attend social events. Additional support is provided by the manager’s daughter and husband who live on the farm and also by another person who takes residents out for 1:1 activities during the week. The staff member who offers the regular 1:1 support has considerable experience of working with people with learning disabilities in residential care environments where she has obtained relevant qualifications. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 20 The manager and her husband live on the premises and are available during the night if such was required by the residents. In their absence, support is offered by the manager’s daughter, who has residential care experience and her husband. The files of these volunteers and supporting staff were examined. All were seen to have police checks and all but one had references and copies of forms of identification. This was discussed with the registered manager. This was atypical as she could show that volunteers and staff had the appropriate police checks, references and items to confirm their identity. She agreed that the correct information was obtained and placed on file as a priority. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This judgement has been made using available evidence including a visit to this service. Residents benefit from a home run by a proprietor who knows their needs and has demonstrated the competence necessary to run a home. The use of a Quality Audit allows for the views of residents and stakeholders to be taken into consideration in developing the service. Residents’ financial interests are protected by the home’s policies and procedures. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 22 Residents’ health and safety is ensured by the home’s policies and maintenance programme. EVIDENCE: The registered manager has completed her NVQ level 2 training. She has also been running Little Eastbrook Farm as a residential home for several years. In discussion she showed that she was aware of her responsibilities as a registered manager and was very aware of the needs of the residents of the home. She has put into place the record keeping necessary to run a care home and to meet the needs of the residents. The registered manager has set up a Quality Audit which comprises a questionnaire which is for both residents and relatives to complete. The questionnaire addresses issues such as whether or not the level of care enables needs identified in the care plan to be met, satisfaction with the standard of care, appropriate choice of meals and contentment with bedroom. In order to obtain an impartial response from the residents they were assisted in filling in their questionnaires by people such as the visiting hairdresser, who were not actively involved in the home. It was hoped that this would enable the residents to put down exactly what they felt. This is an improvement from the previous inspection when it was recommended that the manager increase the scope of the Quality Audit by including the views of residents. Responses from both residents and their relatives showed satisfaction with the service offered at Little Eastbrook Farm. The registered manager showed the system of recording residents’ financial expenditure. Both residents have their own bank accounts. A record is kept of all money paid into these accounts. Records are kept, confirmed wherever possible by receipts, of any money given to residents or spent on their behalf. All money held by the home on behalf of residents is kept securely. The registered manager in completing the pre inspection questionnaire stated that relevant health and safety checks had been made and this was confirmed during the inspection when records showed certification confirming the safety of electrical and gas installations at the home, and a fire procedure agreed with the fire officer. Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 OP29 Regulation 17 (2) Sched 4 Requirement The registered person shall maintain in the care home the records specified in schedule 4. (These include two references and a copy of birth certificate or passport) Timescale for action 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Little Eastbrook Farm DS0000021968.V332009.R01.S.doc Version 5.2 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!