Inspection on 02/08/06 for Lyncroft

This inspection was carried out on 2nd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lyncroft 17/04/09

Lyncroft 05/06/08

Lyncroft 06/10/05

Lyncroft 03/05/05

Lyncroft 07/10/04

Lyncroft 13/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Lyncroft 237 Banstead Road Banstead Surrey SM7 1RB Lead Inspector Ms Rin Saimbi Key Unannounced Inspection 2nd August 2006 08:45 Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 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 Lyncroft DS0000007137.V306063.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 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. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyncroft Address 237 Banstead Road Banstead Surrey SM7 1RB 020 8786 8381 020 8786 8381 bansteadrd@walsingham.com 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) Walsingham Mandy Barton Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (1), Physical disability (1) of places Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: Lyncroft is a residential care home that was first registered in January 1997 to provide care for up to 6 adults with learning disabilities. At the moment the home is registered for three service users. There are currently two people living at the home, this includes one service user who has an acquired brain injury. The home is undergoing a period of change and regular meetings are taking place to discuss the way forward. The number of service users has been temporarily reduced to facilitate the transition. This home’s ethos is based on Christian philosophies. The home is one of four homes in the Croydon and Sutton area that are owned by ‘Walsingham’, which is a registered charity. Lyncroft is a two storey detached property in keeping with the other houses in Banstead Road. There are 6 single bedrooms. There is a communal through lounge, a dining room and a kitchen. Other facilities include a laundry, staff sleeping in room and staff office. There is an established rear garden with areas of lawn, a pond, mature trees and bushes, a patio area and a brick barbeque. The front of the premises has level access, an in-out drive and off street parking. Lyncroft has its own house car. The current costings of the home reflect the need of one of the service users to have a one to one on a twenty-four hour basis. Therefore the costings range currently from £1,182 to £2,782 per week. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection for the year 2006/07 it was an unannounced inspection. It was the first time that this service had been inspected by this inspector. The inspection started at 8.45 a.m. so that there was an opportunity to meet with service users and staff at breakfast. The inspection took five and half hours and was spread through the day. The inspection took the form of meeting and talking to service users; observing interaction between service users and staff; individual discussions with two members of staff and the manager and checking documentation relating to the service users, staff and the running of the home. The inspector also viewed all documentation relating to the service, which had been received by the Commission in the preceding year. The inspector would like to thank the service users, staff and manager who made themselves available during the inspection. What the service does well: What has improved since the last inspection? Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 6 Two requirements were made at the previous inspection, both have been actioned. The first requirement relates to the completion of Medication Administration Records (MAR) where some omissions were found. Records were checked at this inspection and no omissions were present. The second requirement relates to the frequency of fire drills. These records were checked and showed that fire drills are now held on a regular basis 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. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 7 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 Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 8 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 and 3 The home has all the protocols in place to provide information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home, should this situation arise. No new service users have moved into the home for a number of years and therefore it is difficult to assess fully under the Minimum National Standards, Care Standards Act 2000. Quality in this outcome area is adequate. This judgement has been made using the limited available evidence including a visit to this service. EVIDENCE: The home has been in a long-term state of flux. Originally registered for six people with learning disabilities, over time service users have moved on to more independent accommodation. There are currently two service users living in the home, a 70 year old and a 35 year old with an acquired brain injury who has challenging behaviour. Managers at Walsingham and representatives from the Local Authority have had meetings over a number of years to discuss a possible placement for one of the current service users. The inspector was informed that a decision regarding a suitable placement has yet to be made. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 9 No new service users can be admitted to the home until a decision is made regarding the placement of one of the current service users. Once this is established, then Walsingham need to consider the direction of the home and their Statement of Purpose. The home has a procedure for introducing service users to a new residential placement. New Service users are only admitted to the home once a full assessment of their needs; compiled by their care manager or other relevant person has been received. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 and 10 The service users have comprehensive individual care plans with detailed information on their needs and personal goals. Individual care plans include consultation with service users and are regularly updated by the key-worker to reflect current needs. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in the process of moving from Individual Plans to Person Centred Planning (PCP). The inspector viewed both service user files; one was in the Individual Plan format the other was in the initial stages of PCP and also had an Individual Plan. The Individual Plan for one of the service users was in two formats; one for the service user themselves, the other for professionals. Both files had photographs and information of significant people, likes and dislikes, the Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 11 support that is required by the service user, goals and when they were achieved. It was a comprehensive and well-presented document. The individual plan was drawn up from the care plan, which was available for inspection, and there was evidence that the plan was reviewed regularly and drawn up with the involvement of the service user themselves. There were a number of risk assessments in place, these related to the environment and to certain activities that the service users are involved in. There was evidence that these risk assessments were reviewed on a regular basis. However, one of the service users behaviour had changed recently and become unpredictable. The manager had initiated a number of strategies to ensure the safety and well being of the service users and of staff. These have not been translated into risk assessments. A requirement has therefore been made that risk assessment for all current behaviours must be put in place for service users. Throughout the documentation, there was evidence that service users are asked there views and wishes on many aspects of living within the home. In addition, for one of the service users whose verbal communication is limited, body responses are recorded and interpreted. One of the service users currently has her own advocate that visits on a regular basis. With regards to confidentiality, all files pertaining to the service users are locked away in metal cabinets in the office. Staff through their observed actions showed that they had an awareness and understanding of the issues surrounding confidentiality. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17 The service users at the home are offered the opportunity to engage in age appropriate activities with an emphasis on using community based facilities. The daily routines and house rules promote residents’ rights and encourage independence. Dietary needs are catered for with meals based on the service users food and drink preferences, providing them with daily variation and healthy eating options. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users are encouraged to be as independent as possible and participate in food shopping, choosing and cooking meals and choosing trips and holidays. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 13 Historically, the service users had a weekly activity timetable with a strong emphasises on community facilities. However, activities have had to be curtailed because of the changing needs of one service users and challenging behaviour of the other. Despite this service users still engage in many activities, on the day of inspection one of the service users was going to the hairdressers and also had an outing planned to a National Trust property of which she was a member. The other service user was going for a walk and was watching a DVD that she had chosen from the local rental shop. One of the service users had already had her holiday in Great Yarmouth, whilst another was in the process of being planned. One of the service users attends church very regularly and enjoys singing hymns. There was also evidence that service users are encouraged to participate in the political process if they wish. Each service user has an individual menu and is also able to choose alternatives, these included curry or Chinese food. Any dietary requirements are taken into account for example one of the service users has a diabetic diet. On the day of inspection, the service users were observed having their breakfast, they were given choices, encouraged to feed themselves, and take crockery back to the kitchen. The service users are also involved in some domestic chores including cleaning their own bedroom, doing their laundry and watering the plants. There is an open visitors policy. This was evident as one of the service users lives near her family who would often pop in or come for arranged visits on a very regular basis. The service users are given a choice of having keys to their bedrooms and the front door of the home. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Personal care is carried out in a way that service users prefer so that dignity and choice is maintained. Service users physical and emotional health needs are detailed in personal plans to offer consist care in this area. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The way in which service users prefer to receive their personal care is recorded on their files. The designation of a key worker also allows for consistency and continuity of care. Two members of staff were asked about issues of privacy and confidentiality and their responses indicated that they had an appropriate awareness and understanding of the issues. With regard to health records information is recorded for every visit detailing the outcomes. These records appeared up to date and accurate. Service users are registered with the local G.P. and there was also evidence of specialist involvement including the diabetic clinic and the psychiatrist. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 15 The home stores all medication in a locked metal cabinet in the office. The home receives much of its medication from the pharmacist in ‘dossette’ packs. Storage and medication records were checked and found to be in order The home receives a pharmacist audit on a regular basis, the last being on the 6.7.06; at that time a number of recommendations were made. The manager stated that these have either been actioned or are in the process of being actioned. A requirement made at the previous inspection that medication administration records must always be signed is deemed to have been met and is therefore withdrawn. Service users and their family’s wishes regarding illness, ageing and death are recorded on individual files. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 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 There is complaints policy and procedure, which facilitates good access to the complaints system for the service users, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure was clear and contained all of the elements required to meet standard 22 including a minimum response time of less than 28 days. The complaints procedure is also in picture format. The home has a complaints log, the last recorded complaint was made in August 2005 by a neighbour and related to the disposal of garden waste. It was satisfactorily dealt with. The home has a copy of the local authority Adult Protection Policy on site. Staff have received recent training regarding adult protection this was completed on the 11.4.05; the manager last completed a refresher course in October 2005. The inspector had discussions with two staff members regarding adult protection and the whistle blowing policy. From the responses it is possible to Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 17 ascertain that staff within the home have an understanding and awareness of the procedures and action that maybe required. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 18 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): 24,25,26,27,28 and 30 The general décor of the home is good providing a comfortable, clean and safe environment for service users to live in. Service user’s bedrooms provide privacy and reflect individual interests and preferences. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a detached house on a residential road. It is close to Banstead train station, but local amenities can only be accessed via car. The home’s premises are in keeping with the local community and are suitable for their purpose. On the ground floor there is a large communal lounge with access to an integral garage. The lounge is currently rather sparse because of the actions of one of the service users. There is also on a ground floor a dining room, kitchen, laundry room, two bedrooms and one bathroom. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 19 On the first floor there are a further three bedrooms, with another bedroom being used as a service users lounge, two bathrooms, a sleeping in room and an office. To the rear of the property, there is a mature garden with a greenhouse, which can be accessed via French doors from the lounge. It was noted that the exterior of the doors were beginning to rot and therefore in need of some attention. A requirement has been made in this regard. In addition, within the garden the pond is fenced off. The fence itself is not secure, and therefore a requirement has been made that the fence is either removed or made secure. The premises were clean, bright and airy. The furniture is domestic in style and of good quality. Each of the service users in the home has a single room, which is decorated and personalised to reflect their individual taste. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 20 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): 31,32,33,34,35 and 36 The staff team at the home have a range of skills and abilities, which enable them to meet the needs of the service users living at the home. The organisation ensures that all appropriate checks are undertaken in order to safeguard the service users well being. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were two members of staff on duty at the time of the inspection, which effectively means each service users had a “one to one”. The manager of the home arrived soon after the inspection started meaning that there were three individuals on duty. Staff rotas were checked at random to ascertain the staffing levels at any given time. The rota’s confirmed that two members of staff are on duty throughout the day. At night there is one member of staff sleeping in and one waking night staff. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 21 The home currently has an establishment of 11.5 members of staff; there are seven individuals in post covering the equivalent of six posts. The home is in the process of appointing a further two people. Gaps in the staffing rota are covered agency staff who work very regularly for the home. The staff team are all female with one Black/African member of staff. Walsingham offers ample training opportunities to staff at all levels. New members of staff complete an induction programme covering various subjects including health and safety, fire drills, and introductions to service users and other staff. The induction programmes are signed, dated and kept on staff files. Records of training are kept both within the home and centrally. Records were checked for two individual members of staff and showed that they had completed the requisite number of days training. Five members of staff are currently completing their National Vocational Qualification Level 2 or 3 The manager has identified areas of possible future training in order to meet the assessed needs of the service users. In addition, the inspector has identified that training is required regarding restraint. A requirement is therefore made in this regard. Recruitment records are all held centrally by Walsingham, therefore these were checked by Graham Lewis, Provider Relationship Manager for the Commission for Social Care Inspection on the 18th July 2006. A number of recommendations were made as a result of this inspection. Supervision records were checked for two individual members of staff. The records indicated that generally staff receive supervision once every six to eight weeks. The meetings are recorded and signed by both parties. There was also evidence of annual appraisal. Staff meetings take place monthly, although the home does try to have them more frequently. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 22 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): The management style is transparent and open with clear lines of accountability, which is aimed at ensuring the well being of the service users. Health and safety arrangements are adequate to ensure potential risks to service users health and safety is so far as reasonably possible identified and minimised. EVIDENCE: Ms Barton is registered with the Commission for Social Care Inspection to manage Lyncroft. She has worked for Walsingham for ten years and has been a manager for the previous three year. Ms Barton has completed her NVQ Level 4 and is nearing completion of her Registered Managers Award Service user views are considered very important at Lyncroft and the staff team at the home record their key worker sessions as a way of incorporating Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 23 service users views in the running of the home. One of the service users has an independent advocate. Regulation 26 visits are completed by the organisation and copies are made available to the Commission Documentation relating to health and safety were checked. Portable Appliance Testing was completed on the 10.10.05; electrical test was completed on the 23.9.04; gas certificate was obtained on the 3.9.05; Legionella testing was undertaken on the 7.6.06 Fire servicing was completed on the 24.5.06 and there was recording of weekly fire checks. A requirement had been made at the previous inspection regarding the frequency of fire drills. Records indicated at this inspection that fire drills were undertaken regularly, the last one being on the 16.5.06. Therefore the previous requirement has been met and is therefore withdrawn. A first aid box and a fire blanket are situated in the kitchen. There are fire extinguishers throughout the house. Coloured chopping boards and knives were seen in the kitchen. Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X X 3 X Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 25 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 YA9 Regulation 14(2) Requirement Timescale for action 02/10/06 2. 3 YA24 23(2)(b) 23(2)(b) YA24 4 YA35 18(1)(c) The home must ensure that risk assessments are in place for the needs of the current service users The home must ensure that the 02/11/06 fence surrounding the pond must be made secure or removed The home must ensure that the 02/11/06 condition externally of the French doors must be made good The home must ensure that staff 02/11/06 are trained appropriately to meet the needs of the service users. This currently includes restraint training 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 Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Lyncroft DS0000007137.V306063.R01.S.doc Version 5.2 Page 27 - 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. 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