Inspection on 21/06/05 for Lyndhurst

This inspection was carried out on 21st June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lyndhurst 29/10/08

Lyndhurst 01/05/08

Lyndhurst 04/12/07

Lyndhurst 10/08/06

Lyndhurst 16/05/06

Lyndhurst 19/12/05

Lyndhurst 12/10/04

Lyndhurst 24/05/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Lyndhurst 67 Byfleet Road, New Haw, Weybridge, KT15 3JZ Lead Inspector Christine Bowman Announced 21 June 2005 11:00 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 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. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lyndhurst Address Lyndhurst, 67 Byfleet Road, New Haw, Weybridge, Surrey, KT15 3JZ 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) 01932 842730 Mr Aboo Bakar Seeparsand Mr Aboo Bakar Seeparsand CRH Care Home 16 Category(ies) of DE(E) Dementia - over 65, 10 registration, with number OP Old age, 16 of places PD(E) Physical dis - over 65, 3 Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The age/age range of the persons to be accommodated will be: 65 YEARS AND OVER Date of last inspection 12-October-2004 Brief Description of the Service: Lyndhurst is a large detached house in a residential road within walking distance of local shops and New Haw and Byfleet railway station. The building is Tudor style with car parking facilities to the front of the house and an enclosed mature garden to the rear. The home provides care for sixteen older people, ten of whom may also be diagnosed with dementia and three with physical disabilities. Bedroom accommodation is single with the exception of one double bedroom. Nine of the bedrooms have en-suite facilities. There is a large combined lounge and dining area and a conservatory overlooking the garden. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced, which meant that staff and residents were aware that it would be taking place. It was the first of two inspections to be scheduled between March 2005 and April 2006. The manager and three staff on duty were interviewed. A partial tour of the premises was undertaken and the home was well maintained and clean. The garden was well cared for. Comments made by residents are included. Comment cards received from them and from their relatives and friends were also taken into account in writing the report. The records inspected consisted of policies and procedures, care plans, health and safety checks and the contents of staff files. The home was welcoming and had a warm and friendly atmosphere and there were sufficient staff to attend to the needs of the residents. The interactions between the residents and the staff were polite and residents were observed to be treated with respect and dignity. What the service does well: What has improved since the last inspection? The home has developed more detailed care plans and risk assessments, raising the awareness of staff to the individual needs of the residents and so enabling them to receive the correct care package. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 6 Improvements have been made to the physical environment in that the kitchen had been upgraded and a laundry room had been built. Some washing and toilet facilities had been improved and new carpets had been laid in the communal rooms and in some resident’s bedrooms. Window restraints had been added to the resident’s bedroom windows. What they could do better: The information available to residents before they decide if Lyndhurst will be the right care home for them, which is available in the form of a ‘Service User’s Guide’ and the ‘Statement of Purpose’, needs to be clear about how the special needs of those residents with dementia, who are in the majority, will be catered for. Those prospective residents who are more independent also need to know how they will be catered for. Recording on care plans needs to be more consistent, the residents’ psychological health needs monitored and appropriate care provided. The care plan must cover all identified needs as assessed. The policy for dealing with medication needs to be reviewed so that it contains more specific detail relevant to the home. The complaints policy must allow for the complainant to contact the CSCI local office at any time throughout the process. Lyndhurst needs to develop it’s own policy on responding to vulnerable adults issues in order to inform staff. Recruitment practises need to be reviewed, and all checks carried out before new staff work with the residents, in order that they are protected. Newly appointed staff should have received the mandatory training before carrying out tasks for the residents. The manager should ensure that formal staff supervision is put in place and that staff appraisals take place each year. A strategy for the attainment of the NVQ training needs of the staff needs to be devised. In order to comply with the current guidance, the registered manager needs to attain a qualification in management. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3 Information for prospective residents to make a choice about the suitability of this home, is contained in the service user’s guide and the statement of purpose. More information about the resident group catered for and how Lyndhurst caters for those needs must be included. The needs of residents are assessed prior to admission. EVIDENCE: The home has produced a service user’s guide and a statement of purpose, which contain all the information required in Schedule 1 of The Care Homes Regulations 2001. The policy for the protection of vulnerable adults is referred to in the service user’s guide as the ‘abuse policy’, which could be misleading and it is recommended that it be changed. The summary of the complaints procedure is too prescriptive, and does not allow the complainant to contact the CSCI local office at any time throughout the process and a requirement will be made under the appropriate section of the report. The majority of residents now living at Lyndhurst have dementia and this is not clearly stated in the information available to prospective residents, neither Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 10 does the home state how the needs of this group of residents will be met, or how the needs of the more independent residents will be met. Assessments take place prior to the residents being admitted and the registered manager stated that he undertakes this initial visit to ensure that Lyndhurst can meet the needs of the prospective resident. The home has a detailed assessment tool, which is used to inform the care plan. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 Comprehensive care plans are in place to ensure that the resident’s assessed health, personal and social care needs are known by staff. There were some shortfalls in the recording on individual plans indicating that all assessed needs may not always be met. Medication is handled safely and resident’s rights are respected. EVIDENCE: It is commendable that the new system of care planning has been installed so quickly. Resident’s files inspected contained all the necessary information to enable their carers to understand their individual needs. On one chart of a service user with a problem of constipation and dementia, there had been no recorded bowel movement for nine days but no recorded action in response to this. There was no activities chart in another file. A resident with a history of depression was not having their psychological health needs monitored and appropriate care provided, there was no evidence of this. Evidence of some specialist appointments was observed in the resident’s personal files and residents interviewed confirmed that they had access to specialist services. The visiting GP who was interviewed during the inspection gave positive feedback and highlighted the partnership work with the district nurse. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 12 Personal services brought into the home include chiropody and hairdressing for which the home has a dedicated room. The home uses blister packs obtained from a local pharmacy and recording is on MAR charts. These were completed accurately, however, some of the pharmacist’s instructions need to be clarified. The registered manager must ensure that the pharmacist details all instructions and that nothing is written ‘as directed’ only. It was noted in one care plan that there were clear instructions to staff for the administration of paracetemol, which had been dispensed ‘as directed’. One person who is self-medicating has been risk assessed to retain an inhaler and keep it with them at all times. The home has detailed policies and procedures for dealing with medicine, which need to be revised to ensure they contain more specific detail relevant to the home. From observations on the day of the inspection, it was noted that the residents were treated with sensitivity by the staff. They were discreet and respectful in the way they cared for residents. Those who needed assistance were gently supported to move around and the staff were attentive to their safety and comfort. Those residents whose rooms were inspected were consulted. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 The home provides a good range of activities, encourages the involvement of significant others in the home and supports those who are able to make decisions for themselves. Meals are well presented, balanced and take place in congenial surroundings. EVIDENCE: From discussions with residents, it was apparent that Lyndhurst was providing sufficient and varied activities to satisfy them, but comment cards received from residents showed a slightly different picture in that the majority claimed that only sometimes were suitable activities were provided. Some residents stated that they really enjoyed the ‘keep fit to music’ session, which was held in the afternoon and takes place weekly. By the smiles on their faces and the attempts to follow the leader, it was obvious that it was popular with the majority of the residents. The home also offers musical recitals, indoor games and trips to local towns, shopping centres and local day centres. Tea and cakes at the local garden centre is popular as is coffee at the supermarket during shopping expeditions. Records in resident’s files showed the range and frequency of their involvement in a range of social and recreational activities. This was confirmed in discussion with residents, who spoke of being taken out by relatives, of relatives and friends being invited to the home for celebrations. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 14 Some residents are more independent and able to access the local community without support. They confirmed that they were encouraged to make their own decisions and come and go as they wish. The meal presented to the residents on the day of the inspection was well balanced, plentiful and attractively presented. Residents were observed to be enjoying the food and little was left on the plates at the end of the meal. During the meal the quiet voices of the staff could be heard as they offered assistance to those in need. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Policies are in place to ensure that complaints are taken seriously, but they are too general and need to be more specific to the home. Lyndhurst has not developed its own guidance on responding to Adult Protection Matters. EVIDENCE: From residents spoken with and comments cards received from both residents and their relatives and friends on their behalf, it was evident that the manager is very approachable. Residents interviewed commented that if, at any time, they were not happy about anything they would speak to the manager. Comment cards were complimentary about the way the home responded to concerns and about how quickly they were acted upon. The complaints procedure must be amended to give choice about who to approach initially to those who might wish to complain. The present procedure is set out in steps with the manager being the first person to approach. Complainants must be made aware that others, including the Surrey CSCI local office, can be approached at any time throughout the procedure. The timescale of twenty-eight days response time must also be included. One complaint has been received and investigated by the Surrey CSCI local office since the last inspection, which covered fifteen allegations of allegedly poor care practise. The areas included medication administration, inadequate health monitoring, poor standards regarding bedroom accommodation, infection control, neglect, dismissive attitude of management and failure to follow the home’s own procedures. Two of these allegations were upheld. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 16 One was concerned with infection control. A requirement was made as a result of this inspection, which was that in order to prevent the likelihood of a ‘Scabies type’ infection being brought into the home, a more thorough assessment of resident’s needs and current physical condition is undertaken prior to admission into the home. The second was concerned with the poor standard of bedroom furnishing and loose radiator cover in a resident’s bedroom. A requirement was made that the radiator cover be secured. The home has an updated copy of The Surrey County Council Multi Agency Vulnerable Adults Procedures, but must develop a procedure which is specific to the home, but complies to The Multi Agency Procedures, in order that, should the manager not be available, staff on duty will know exactly how to respond should a situation occur. There has been one Vulnerable Adults investigation since the last inspection and this was also investigated by the CSCI local office as a complaint. There were four areas of concern covering poor care practise and a lack of duty of care by the manager. These were not upheld. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 24 and 26 The environment is well maintained, pleasant and hygienic and the furnishings domestic and comfortable. Both indoor and outdoor space is available to residents. The bedrooms inspected were suitable for the residents, who live in them. EVIDENCE: Over the last year the home has been redecorated throughout, and extensive improvements have been made. All the communal rooms and corridors have had new carpets laid, as have some of the resident’s bedrooms. The kitchen has been modernised, a new laundry room built and improvements have been made to washing and toilet facilities. The communal rooms were spacious, pleasant and contained suitable furnishings. There is access to a large mature garden through the conservatory and residents were observed walking and sitting in the garden assisted by the staff. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 18 The two bedrooms viewed with residents were spacious and well equipped with all the necessary furnishings, and both had an en-suite hand basin and toilet. Personal items such as photographs of family and friends, glass ornaments, soft toys, and pictures chosen by the residents were displayed. The bedroom windows had been fitted with window restrictors. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Sufficient staff are available to meet the needs of the residents, and a recruitment policy is in place, but it is not always followed in practise. There is an induction programme for new staff and mandatory training. EVIDENCE: On the day of the inspection, the staff were observed attending to the needs of the residents and were quick to respond when they became aware of a resident in need. When they were not involved in giving practical help by supporting residents who cannot move around safely alone, they were engaging residents in conversation or taking them for walks in the garden. All the staff spoken to were complimentary about the management of the home. They went about their work smiling and created a warm and relaxed ethos. Comment cards from relatives of residents confirmed that the staff were always friendly and cheerful and appear to be genuinely concerned about the people they care for. Residents were also complimentary about the staff and thought they were cared for well and felt safe. The staff files examined did not contain all the information required as stated in Schedule 2 of The Care Homes Regulations 2001. Pova checks were not being carried out, but the manager stated that this is now being put in place. Some files had only one reference. It was unclear if one member of staff had permission to work in the country and this must be followed up by the manager. Gaps in employment records must be explained and a full employment record sought. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 20 The staff follow a training schedule which includes all the necessary courses including dementia training. It is important that new recruits are trained in the handling of food before they assist in the preparation and serving of food to residents. A strategy for NVQ training needs to be devised to show that the home is following the guidance set out in the National Minimum Standards for Older People. There was a good policy for the appraisal of staff and some evidence of that being achieved, however this was not up to date and there was no evidence of the care staff having had formal supervision sessions. The staff interviewed did say that this happened informally. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33 and 38 The manager is very experienced but does not yet hold the required management qualification and is not meeting the required standard in a number of areas therefore the home is not being run in the best interests of the residents. Health and safety legislation is adhered to. EVIDENCE: The provider/manager of Lyndhurst has more than twenty years of management experience and is a qualified nurse. The regulations state that he must also gain a management qualification or be registered on a course by the end of 2005. The manager has attempted to recruit to the post of home manager but without success. Lyndhurst send out their own quality assurance questionaires to residents and to relatives and friends of residents, and act on information received. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 22 There was evidence of health and safety checks having been carried out. Portable appliance testing had been completed. The electrical system had been inspected and consequently the electrical wiring had been replaced. The fire appliances had been checked and the heat detectors need to be renewed due to their age. Please refer to the requirement section of this report that identifies standards the manager/provider is failing to meet. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 1 x 1 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 x 3 STAFFING Standard No Score 27 1 28 x 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 1 1 x 1 x x x x 1 Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 8 Regulation 12 Requirement The Registered Manager must ensure that the recording on care plans is consistent, covers all areas of need and identifies action taken when problems are identified The Registered Manager must ensure that the pharmacists instructions on prescribed medications give more specific detail about their administration. The Registered Manager must revise the medication policy to include details relevant to the home. The Registered Manager must revise the complaints procedure to be less prescriptive and to inform complainants that the Surrey CSCI local office can be contacted at any time. The Registered Manager must develop a policy for the protection of vulnerable adults for the home based on The Surrey Multi Agency Guidance. The Registered Manager must ensure that all necessary recruitment checks are carried out on staff before commencing employment. Timescale for action 21/07/05 2. 9 14 21/06/05 3. 9 14 21/07/05 4. 16 22 21/07/05 5. 18 13 (6) 21/07/05 6. 29 19 21/07/05 Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 25 7. 29 19 8. 30 18(1)(a) 9. 31 10 (3) 10. 36 18 (2)(a) 11. 38 23 (4)(a) 12. 1 4 The Registered Manager must ensure that all foreign national have correct documentation. This must be followed up with the Home Office. The Registered Manager must ensure that newly recruited staff do not handle residents food prior to receiving the mandatory food hygiene training The Registered Manager must enrol on a relevant course to obtain a management qualification or recruit a manager. The Registered Manager must ensure that staff receive regular formal supervision at least six times a year. The Registered Manager must ensure that the fire appliances identified by the fire officer are renewed. The Registered Manager must ensure that the statement of purpose and the service users guide are expanded to include more information about the resident groups catered for and how this home achieves this. 21/06/05 Immediate 21/06/05 Immediate 31/12/05 21/06/05 Immediate 21/08/05 Immediate 21/08/05 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. 2. Refer to Standard 18 Good Practice Recommendations The policy for the protection of vulnerable adults referred to in the service users guide as the abuse policy needs to be changed. Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Lyndhurst H58_s13707_Lyndhurst_v228810_210605_stage 4.doc Version 1.30 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. 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!