Inspection on 07/11/07 for Manchester Court

This inspection was carried out on 7th November 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Manchester Court 18/11/08

Manchester Court 03/01/07

Manchester Court 21/06/06

Manchester Court 17/03/06

Manchester Court 30/08/05

Manchester Court 14/03/05

Manchester Court 03/11/04

Manchester Court 26/03/04

Similar services:

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Fairfields Country Rest Home

Poldhu

Queensmount

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

CARE HOME ADULTS 18-65 Manchester Court 77 Clarence Street Cheltenham Glos GL50 3LB Lead Inspector Mr Tim Cotterell Unannounced Inspection 7 and 12 November 2007 10:00 th th Manchester Court DS0000016498.V339025.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 Manchester Court DS0000016498.V339025.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. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manchester Court Address 77 Clarence Street Cheltenham Glos GL50 3LB 01242 523510 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) Raynsford Cheltenham Limited Mr Nicolas Allan-Yorke Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Old age, not falling within any of places other category (10) Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd January 2007 Brief Description of the Service: Manchester Court is a listed building in the centre of Cheltenham. It is near to the town centre with all its amenities, and central library and museum are a hundred yards away. The Parish and Roman Catholic churches are near by. Accommodation is on four floors. The kitchen, laundry and some storage areas are in the basement. On the ground floor is the communal dining room and lounge. A shaft lift and stairs serve all residential floors. The bedrooms are located on all floors and are for single occupancy. There are no ensuite facilities, although washbasins are provided in each room. There is level access to the rear of the building, which opens onto a courtyard with some adjacent car parking spaces. The front door has three steps down and opens directly on to Clarence Street. The charges of the home are £286 per week and there are no additional charges. The home has a Statement of Purpose and a Service Users Guide and they provide the information which is required for new and existing service users The home will ensure that service users are kept up to date by providing them with the most recent inspection report. There is a notice board in the home and minutes of the service users meetings are available. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The inspection was undertaken by one inspector and consisted of two visits, the first was unannounced, and the second announced. During the inspection the registered manager was seen and provided any documents that were required, the exception being the staff records, which could not be accessed on that day. The records seen included care plans, medication records, assessments of need and personal monies. All of the accommodation was seen. Staff on duty on both visits were seen individually and all of the residents were seen and spoken to. The Annual Quality Assurance Assessment was completed and returned to the Commission before the inspection. A number of surveys sent to staff and residents were returned to the Commission before the inspection. What the service does well: It was clear that residents had a good relationship with staff and that staff were making great efforts to provide a comfortable and friendly home. A number of the residents and visitors commented on how friendly the staff were and that they were approachable and good listeners. This positive view was confirmed during the inspection by the inspector who saw staff in their dealings with residents to be patient and caring. The atmosphere in the home was relaxed and friendly and in spite of the refurbishment on the ground floor lounge, residents were still able to use the room and were interested in the progress being made by the homes handyperson. Staff make great efforts to ensure that residents are treated as individuals and are therefore able to enjoy differing life styles in the home to reflect that Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 6 individuality. Examples of this were seen during the inspection when residents were seen by the inspector making requests for the day to staff, with the staff responding in a prompt manner and usually meeting the wishes of the residents. Further evidence about how residents saw the home was included in the completed surveys. The staff surveys returned said that they felt the home was making great efforts to provide a safe and conformable environment. The residents surveys complimented staff on their patience and kindness. They also said that they felt they were able to determine how they spent their time and could make choices about most daily activities. 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. Manchester Court DS0000016498.V339025.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 Manchester Court DS0000016498.V339025.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment of need from the NHS Partnership Trust, together with the homes subsequent assessment ensures staff have a clear picture of the needs of the residents before admission. EVIDENCE: The assessment of need of the last admission was seen. The assessment was completed by the local NHS Partnership Trust. The home also completes a further assessment of need which is based on the model “activities of daily living”. It is recommended that the pre-assessment of need completed by the home is formally reviewed annually or more frequent if necessary. As most of the referrals come from the local NHS Trust mentioned the assessment of the mental health needs, if applicable, are included. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6.7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to retain independence where possible and their decision making is supported by staff guidance and adequate information. Information about residents is dealt with in a confidential manner. They Statement of Purpose could be a clearer about the category accommodated and how the home intends to meet its stated objectives. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 10 EVIDENCE: A number of care plans were inspected. Many of the residents have a care plan (or enhanced care plan) from the NHS Partnership Trust. It is essential that the needs and actions in any health care plan are put into the homes plan of care to ensure that all needs are identified and that the care and support provided includes the advice of the health care professionals outside the home. Wherever possible residents are encouraged and supported to maintain as much independence as possible. This was seen when a number of residents told the inspector that they are able to go into the local town, either independently or if appropriate with staff support. Residents also told the inspector that they are able to get up and go to bed when they choose, and had options about where they ate their meals. Where support is required this is provided by staff and ensures they are able to maintain as much independence as possible. The current staffing arrangement does mean that opportunities for support during the evenings are limited and this will need to be addressed without delay. Information about residents is handled in a sensitive and confidential manner with records being kept securely. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.15.16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to make great efforts to provide an appropriate and stimulating environment where residents can enjoy activities within and outside the home, access the community, see friends and have meals they enjoy. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 12 EVIDENCE: The home plans to provide at least one activity each afternoon and this responsibility is passed to one of the carers who is on duty. The system of staff who are providing care and activities seems to work well unless there are other demands placed on the member of staff involved in the activity. This could and has resulted in activities being disrupted. It may be helpful if one member of staff assumed overall responsibility and devised a programme of activities, it would then be for the home to ensure there were enough staff to undertake the activities. The home also has a volunteer who provides additional activities several times a week. This includes an evening activity at a local club, a film afternoon and bingo. The volunteer has also taken some residents on holiday. The inspector spoke to one resident who went on holiday and it was evident that he enjoyed the experience. In view of the relationship between residents and staff the question of holidays and residents contributions for staff/volunteers should, as a matter of principle, be included in the homes Statement of Purpose. A number of the residents are able to go to Cheltenham town on their own and one resident enjoys shopping for the home in the local community. Many of the residents have families and or friends and the home supports and encourages them to visit the home. The inspector spoke to a number of visitors and they confirmed that they felt welcome in the home. The home accommodates a diverse group of people and their individual wishes were being respected e.g. the wish to stay or eat in their rooms, to go out and the ability to get up and go to bed when they wish. Whilst the main meal is set and consists of the provision of one main meal the home does provide alternatives and this was seen during the inspection visits. One resident has his own menu and this differs considerably from the main menu. Residents said that they enjoyed the food and had sufficient quantities. One resident told the inspector that the quality of food varies as all carers cook but that generally the meals are sufficient in quantity and presented in an attractive manner. Another resident complimented staff on the homemade puddings. It is recommended that there is an identified alternative to the main meal and that this is clearly visible on the menu in the kitchen. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18.19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported in the manner of their choosing and their health care needs are being met. Medicines are stored and managed appropriately through safe practices. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 14 EVIDENCE: The support in the home is provided in a personal and flexible manner, which means that individual needs and wishes are wherever possible met. The inspector saw evidence of the way personal care was delivered when a resident requested a bath one afternoon and nominated a time and the specific carer. The request was agreed without formality. A number of residents receive nursing care from the Community Services and the health care records indicated when and what services were provided. Mental health needs are met by the specialists based at the NHS Partnership Trust. At the last inspection requirements were made by the Commissions’ pharmacist and the registered manager advised the inspector that all the requirements had been met. Evidence of this seen on the second day of the inspection. The home has a new secure storage for the medicines and as required have purchased a new medicines trolley. There is a record of the receipt, administration and disposal of medicines and staff who administer the medicines have received training in the safe handling of medicines from a local college. The home did not have any controlled medicines and there were no residents who were self medicating. The home does not carry homely remedies and would consult the doctor if this was requested. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in a home where they are able to comment on matters, which affect their lives. They may have greater protection from abuse if staff numbers were higher during the evenings. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 16 EVIDENCE: The home has a written complaints procedure and the registered manager told the inspector that no complaints had been received since the last inspection. The Inspector felt that the good relationships between staff and residents meant that most concerns were resolved at the lowest level and the availability of the manager ensured this happened quickly and in an informal way. The residents meetings continue to be an opportunity for residents to make their views known and the meetings are recorded and the minutes placed on the notice board in the ground floor corridor. All staff seen had received some training in the identification of abuse and were up to date in respect of the procedures of the home if a problem occurred. It is appreciated that where residents have the capacity to consent they may spend their money as they wish however it is important that the registered persons are happy about their ability to determine such matters. This included any expenditure, which is for the member of staff who accompanies them on any holiday. In view of the vulnerability of many residents the question of external advocacy should be continually reviewed to ensure the question of their capacity to consent is determined in an objective manner. The home must also ensure that it is aware of and complies with the new requirements of the Mental Capacity Act 2005. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home continues to improve the physical environment and many residents’ rooms were seen as comfortable and in good decorative condition. An annual plan for the refurbishment and replacement of furniture is recommended. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 18 EVIDENCE: All of the accommodation was seen and a member of staff- accompanied the Inspector. Ground Floor The lounge is being redecorated and a number of the walls require attention and replastering. A number of new wall lights were being fitted. The Inspector was told that some of the furniture would be replaced when the work is completed. The carpet is stained and worn and must be replaced. Bed.1 is to be decorated Bed.2 there is no light above the sink the carpet is stained and there was an odour of urine. Dining Room. The main door into the dining room is damaged at the bottom. The dining chairs offer little comfort and stability and should be replaced by more appropriate seating for older people. The stairs from the ground to first floor needs decorating. First Floor LoungeSome of the chairs are damaged the windows needed cleaning and there was a cracked windowpane. The room would also benefit from decoration. Bed. 10 needs a bedside light Bed. 11 has no hot water Bed. 12 the carpet is stained Third Floor Bed. 31 carpet is stained. General Many of the windows on all floors were dirty (inside and outside) and this matter was raised in the last report. It is essential that residents are able to have a clear view through the window and that their dignity could be compromised if this is not the case. In view of the area of the home and the number of rooms used it is recommended that the home has a clear and written plan for refurbishment and replacements. It is appreciated that there is continual work in progress in an attempt to provide a pleasant and comfortable environment, however there are often areas which are identified at inspections as needing attention. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32.34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is no doubt about the commitment or competence of staff but if the needs of the residents are to be fully met increased staff resources may be required. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 20 EVIDENCE: The registered manager told the Inspector that a review of staffing had been completed; however at the time of the inspection the report was not available. A copy of the review must be sent to the Commission. The Inspector was advised by the registered manager that he felt that the staffing levels were sufficient for the needs of the residents. The home has a registered manager, deputy manager, care staff and a maintenance person, there are no ancillary staff therefore the carers also complete cleaning, laundry and cooking duties. The deputy manager advised the inspector that the staffing was as followsFive staff on in the morning and then three until 16:00. Then four until 18:00 and finally two between 18:00 and 21:00. However the undated rota supplied by the registered manager to the inspector during the inspection conflicts with this information and on two occasions during the two week operation the rota indicated that there was only one carer on after 18:00. During a subsequent telephone conversation with the Registered Manager he advised the inspector that the rota supplied was not the correct one, and he would submit the correct one. It is a requirement that records are kept of the staff on duty, to include any changes since the completion of the original staff rota. In other words the records must be accurate and reflect who was actually on duty. The adequacy of staff was a concern based on two on duty for the last period of the waking day, given the information based on the staff rota, the position if confirmed is even more concerning. In the circumstances would you please confirm the cover provided by sending the Commission the rotas for the month of December together with confirmation that this is the cover to be provided. The home can accommodate up to twenty residents some having challenging behaviours and given the size of the building, four floors, the stated purpose of the home and the vulnerability and needs of many of the residents and the number accommodated, it is felt that two staff is clearly insufficient to meet their needs. Any volunteers who provide care must be see as additional to the minimum staffing levels and not in place of. The night staff consisted of one waker and one sleeper. The inspector was told that the waker has other duties and they include cleaning on the ground floor. In view of the recent experiences where one resident was reported as leaving her room at night and wandering and at the same time banging other resident’s doors, is the home satisfied that the waking night staff can supervise all four floors and undertake the cleaning duties. Staff records were not inspected on this occasion. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37.39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager provides effective management and is always available to staff and residents during his shifts. The views of the residents are continually sought and wherever possible their wishes form part of the practices of the home. The registered manager should review the staffing levels to ensure needs are being met. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Inspector has been informed that the home is sending an application to the Commission for the proposal for a new registered manager. The company that provide the service are making the application and the proposed new manager is the current deputy manager of the home. It is also proposed that the existing registered manager will continue as a member of staff and as the “responsible individual” of the Company. The question of fire procedures was discussed with the registered manager with particular reference to the procedure at night. The inspector was informed that the procedures for day/night are the same and that staff are given instructions at the monthly staff meetings. It was recommended that the procedure at night is tested in a manner that is appropriate and safe for the residents, to ensure that the procedure works satisfactorily and that residents are safeguarded. The Statement of Purpose of the home must be reviewed; as the statement is unclear about the registration and the categories it can accommodate and includes a number of errors. At the time of the inspection the home was registered for twenty residents, ten for people with a mental disorder and ten residents who are older people and in no other category. The inspector discussed the registration with the registered manager and the home must now provide the Commission with the specific umbers in each category of registration. Manchester Court DS0000016498.V339025.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 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 1 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 x Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 24 No 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 YA1 Regulation 4 Requirement Review Statement of Purpose to ensure it reflects the purpose of the home and the categories of care which can be accommodated. The registered person must ensure that residents have sufficient capacity to determine how personal monies are expended. The registered person must, a) ensure there are sufficient staff on duty at all times to meet the needs of the residents and, b) send to this Commission a copy of the recent staff review which was completed by the deputy manager. The registered manager must ensure that the work identified in the environment section is undertaken. The registered manager must undertake a “night time” fire practice to ensure the homes procedure is effective. Timescale for action 30/12/07 2 YA23 13(6) 30/01/08 3 YA33 18 30/12/07 4 YA24 23 30/01/08 5 YA42 23(4) 30/12/07 Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA33 Good Practice Recommendations The registered manager should ensure that there are sufficient staff on duty to enable planned activities to be undertaken. Manchester Court DS0000016498.V339025.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Manchester Court DS0000016498.V339025.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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