Inspection on 07/07/08 for Nottingham Neurodisability Services Aspley

This inspection was carried out on 7th July 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Nottingham Neurodisability... 19/12/07

Nottingham Neurodisability... 28/08/07

Nottingham Neurodisability... 29/08/06

Nottingham Neurodisability... 06/12/05

Nottingham Neurodisability... 23/05/05

Nottingham Neurodisability... 13/07/04

Nottingham Neurodisability... 10/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Nottingham Neurodisability Services Aspley Robins Wood Road Aspley Nottingham NG8 3LD Lead Inspector Meryl Bailey Unannounced Inspection 7th July 2008 09:30 Nottingham Neurodisability Services Aspley DS0000059536.V368055.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 Nottingham Neurodisability Services Aspley DS0000059536.V368055.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. Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nottingham Neurodisability Services Aspley Address Robins Wood Road Aspley Nottingham NG8 3LD 0115 942 5153 0115 942 5154 aspley@fshc.co.uk 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) Four Seasons Homes (Ilkeston) Ltd Ms Colette Manning Care Home 32 Category(ies) of Physical disability (32) registration, with number of places Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2007 Brief Description of the Service: Aspley Neuro-disability Unit is a purpose built unit situated in the inner city area of Nottingham. A variety of communal areas are available which includes lounges activities rooms and a dining area on the first floor All bedrooms are on the ground floor. A lift is provided. The home is within access to local shops, library, health centre, churches and a pub The fees currently charged at the home start at £650 per week depending upon individual needs. Additional costs for hairdressing, newspapers, toiletries, holidays and chiropody intervention are charged as extra. Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key inspection involved one inspector who visited on 7 July 2008. Inspections focus on outcomes for people that use the service and in order to do this, the main method of inspection used at the site visit was ‘case tracking’. This meant four people were selected and their support was tracked through some discussion with them, checking their care records and observing their interactions with staff. Four staff members were spoken with. A sample of staff records were looked at to make sure staff members had been checked before commencing employment and were trained to meet people’s needs. The registered manager for this service was available during the inspection day for discussion and feedback. Information about a home that is collected before the site visit is also used as evidence to make judgements. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the manager identifies from their own quality monitoring what the service does well and what they need to improve. We received the completed form from the deputy manager at the beginning of May 2008 and this helped in planning the visit and completing this report. What the service does well: People have their needs assessed before they move in and the admission process protects their rights with written terms and conditions. Care is planned and people told us that they were able to make independent decisions in regard to their daily lives. Written risk assessments were included as part of care planning. Two activities workers are employed at the home and individual time was offered as well as group activities. People have opportunities to engage in activities and staff from South Notts College visit every Friday to teach art and crafts to some of the people living in the home. We found that medication is well managed and stored appropriately. People’s views are listened to and concerns are noted and investigated as necessary to safeguard people living in the home. Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 6 There was a sufficient number of competent and trained staff to meet the needs of people who live at this home. 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. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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 Nottingham Neurodisability Services Aspley DS0000059536.V368055.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 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have their needs assessed before they move in and the admission process protects their rights. EVIDENCE: We looked at the files of four people and saw that there were assessments, which had been completed prior to each of them moving into the home. The local authority had carried out assessments in most cases, but there were some assessment forms completed by the manager who had visited people before they moved into the home to ensure that staff were able to meet their needs. At the last key inspection visit to this home it was noted that terms and conditions for people admitted to the home were being devised. Since then copies were submitted to the Commission and these have been used during the last five months. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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 adequate This judgement has been made using available evidence including a visit to this service. Care is planned, but some people may find their needs are not met where their plans have not been kept up to date. EVIDENCE: The files of the four people that we checked contained individual plans for each area of their needs. There were various assessment forms that were effectively used as tools to assess changes in needs. All plans had previously been regularly reviewed but only one of the four was totally up to date. One showed some gaps for the last two months and the other two had not been updated during the last month. There were daily progress sheets, which nurses had kept up to date and these gave information about some recent changes for other staff to follow. One person was trying to eat lunch without assistance, but his plan said he needed assistance with eating. The manager told us that he stops eating if someone tries to help him. This was not clear in the plan, which needs updating. The people we spoke with were aware that Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 10 there were plans for their care and most had signed some agreements on their files. They told us that they were able to make independent decisions in regard to their daily lives. One person said, “Staff help me with things, but I choose what to do.” Another one felt his choices were sometimes limited by staff availability. Written risk assessments were included as part of care planning. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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. People have opportunities to engage in activities and are offered a range of food. EVIDENCE: In the large lounge there was an organ, wide screen television, provision for table tennis and karaoke. There was an activity room and during the morning we observed the day’s newspaper articles being discussed there. Later one person was doing artwork in the room. Staff from South Notts College visit every Friday to teach art and crafts to a group of people living in the home. There was an activity kitchen with low level work surfaces for use by people who use wheelchairs. There were two activities workers employed at the home and individual time was offered as well as group activities. There was an additional room that could be used for visiting families and also for staff training. People told us they had opportunities to do activities outside Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 12 the home, but that they were restricted due to appropriate transport not always being available at the times they needed it. A minibus is available, but some people need more specialist transport, which the manager told us can be arranged, but needs to be booked in advance. One person told us they were planning to book a holiday and was receiving assistance with this from an activities worker. We observed the lunchtime meal. There was a 4-week menu, but the day’s menu was not displayed. A temporary cook was preparing and serving meals and later told us that not all planned food was available due to the lateness of a food delivery, but she had made acceptable substitutions. We observed that people were asked what they preferred. People were encouraged to be independent with their eating where possible. Staff gave assistance with eating to some people. Others were seen to have difficulties and their wishes and needs for assistance should be reassessed when reviewing their plans of care. People told us the meals were “not bad” and they said there was always a choice of hot and cold food at each meal. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Medication is well managed. People are mostly satisfied that they receive appropriate personal care and support, but care provided for those in bed is not always appropriately recorded and this can pose risks of needs not being fully met. EVIDENCE: Three of the people we spoke with stated that staff were respectful at all times and assisted and supported them as they needed. A fourth person was not satisfied that personal support was available as requested. This person usually needed the assistance of two people and had experienced occasional delays in receiving care when using the call alarm system, particularly when assistance was needed late in the evening. (See section on Individual Needs and Choices regarding revising plans and the following section regarding Complaints.) There were records of access to health care services both within the home and in the local community such as a Hospitals, General Practitioners, Dentists and Opticians. There were always two nurses available within the home during the day and one during the night to attend to nursing needs. One person’s urine Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 14 bag was lying down on the bed and this was immediately brought to the attention of the manager. A nurse told us that she would always ensure such bags are positioned appropriately on a stand to prevent back flow. Two people were cared for in bed for the duration of this inspection visit. One of these could control his television with head movement and could call for assistance in the same way. The other had a call alarm button on his pillow. A nurse told us that the second person should have hourly checks and she confirmed she had checked him and given liquid medication, but there were no records of the hourly checks. There were some entries in the progress sheet made once or twice a day, but these did not specify care given on an hourly basis. Medication was stored appropriately in a designated room and a trolley was used to transport medication to people around the home. We observed a nurse giving medication in the dining room. Appropriate procedures were followed and previous records were completed to show people had received their medication as prescribed. Staffing records contained certificates relating to recent training in medication administration. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People’s views are listened to and concerns are noted and investigated as necessary to safeguard people living in the home. EVIDENCE: The manager has told us within the Annual Quality Assurance Assessment (AQAA) that there have been 17 complaints recorded during 12 months. Of these one was upheld. The complaints procedure was displayed within the home, and forms part of the Service User Guide. People we spoke with said they would speak to the manager or one of the nurses if they were unhappy about anything. One said that they don’t do anything about complaints. Information given by this person was discussed with the manager, who was already aware of the main concerns and agreed further discussion with this person was needed. Staff were asked about their awareness of safeguarding adults, and issues relating to abuse. They told us of previous training and were able to answer questions, which showed they had an understanding and knowledge of the issues involved. There is a dedicated staff member who has been trained to train staff in safeguarding adults. The manager described the procedure she would follow if she was informed of suspicions or allegations and was fully aware of the need to discuss any concerns with the local authority Adult Social Care staff. There has been a need for investigations since the last inspection and our records at the Commission show that these were satisfactorily Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 16 concluded with appropriate action taken to safeguard people living at the home. Staffing records showed that recruitment procedures protect people by obtaining two written references and undertaking other checks on any new staff before they start work at the home. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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, 29 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The environment mostly meets the needs of people with physical disabilities, though some redecorating is needed. EVIDENCE: All communal areas of the home were seen as part of this inspection and were found to be clean or being cleaned by domestic staff. The main lounge, dining room, kitchen and activity areas were on the first floor, which is accessible by stairs and lift. We saw that several people were able to operate the lift without the assistance of staff. The lift door was damaged, but still working. There was one small lounge designated for smokers and a further smoking area outside. The gardens included raised beds, but these were not completed. A family were assisting with their construction. Other areas of the grounds were tidy and some people had their own gardens that could be accessed through their bedroom patio doors. Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 18 Bedrooms were located on the ground floor and those we observed were personalised, but some had very few pieces of furniture in order to accommodate wheelchairs and other equipment. One person had a full environmental system that could be operated with just slight movement. Similar equipment was being considered for another person. People we spoke with said they were satisfied with their rooms, though we saw that some were in need of redecorating. There was a large laundry room with appropriate equipment and labelled baskets to ensure people’s own clothes were returned. We found the door to the laundry unlocked whilst the laundry worker was out of the room. Another room used for storage and leading to electricity cables was also unlocked, though there was a sign denoting that it must be kept locked. We found that water was overflowing from a shower room into this storage room. (See standard 42.) Nottingham Neurodisability Services Aspley DS0000059536.V368055.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 good This judgement has been made using available evidence including a visit to this service. Staff have been carefully recruited as suitable for their roles and responsibilities and people who live at this home benefit from a sufficient number of competent and trained staff. EVIDENCE: The staff duty rota showed there were two nurses and five care assistants on duty during the day and one nurse with three care assistants overnight from 8pm to 8am. Staff said they felt supported with a sufficient number of staff available on each shift, but changes were often made to the day shifts to cover when people were ill. This meant long days for some staff. Most people we spoke with said that there were enough staff available to meet their needs. One person had some concerns that there were not enough staff at night as he had to wait longer if help was needed at some times. The manager told us that staff were not available to assist with bathing while they were serving supper, but everyone’s choices of when to take baths were taken into account and met at other times. During this inspection visit we observed that staff responded to people’s requests for assistance as required. Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 20 The staffing rota clarified the qualification levels of staff. Four of the five senior care assistants had achieved the National Vocational Qualification (NVQ) in Care at level 3 and seven of the 22 other care assistants had achieved level 2. Others were being supported in working towards this qualification. A new member of staff confirmed she was undertaking induction training. Staffing records gave evidence that satisfactory checks had been carried out and references obtained prior to new staff starting work. There was information about the registration of nurses with the Nursing and Midwifery Council, though one record was out of date. We spoke to the nurse concerned who said she had recently updated her registration and had not yet added a copy of the verification to her file. We checked the register to confirm this registration was renewed in May 2008. Records demonstrated that staff had continued to work towards completing compulsory training such as first aid, nutrition, health and safety, moving and handling, infection control, and that further training had been arranged. Staff spoken with said they were able to discuss relevant issues in meetings and individually with senior staff when needed. There were records of formal staff supervision meetings and observations of their practices. Staff spoken with confirmed that these are taking place and that they found them useful. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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 home is responsibly managed and people who live there are encouraged to be involved in the running of the home. Health and safety in the environment is promoted, but some action is needed to further protect people from harm in the environment. EVIDENCE: The manager has recently been assessed as fit to manage the home and registered. Records show that she has many years experience as a registered nurse in hospitals and rehabilitation services as well as managing care homes. The Annual Quality Assurance Assessment (AQAA) was completed by a deputy manager and gives information about policies and procedures that have been established and updated for the appropriate management of the home. Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 22 The manager reported that there were regular resident meetings, chaired by the residents and attended by a staff representative. Some people said that they had attended meetings in the past and that it was time one was arranged again. Staff told us that regular staff meetings were also held. There were customer feedback leaflets for people to give their views of the service, though we did not see any report about comments received. There were records of training staff had received in the safe working topics which included moving and handling, first aid, food hygiene and infection control. Two of the nurses were specially trained as link nurses for infection control. There was a fire plan and training and regular practices were carried out for staff. Staff told us that in the event of a fire alarm they would assess and take action to move people to safe areas. They would not evacuate the building unless necessary. A new care assistant was not fully aware of this procedure as she had not yet taken part in a practice drill. Annual checks on fire equipment were due with the last recorded check showing as June 2007. These checks had been arranged for the week following this inspection. As reported under the environment section, the laundry room and an electrical storage room were not kept locked and they contained items that could pose risks to people entering unsupervised. Also, water from a shower was leaking into that storage room. This was immediately tended to, but action is needed to prevent a recurrence. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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 3 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 X 26 X 27 X 28 X 29 3 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 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 2 X Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15(2) Requirement Timescale for action 30/09/08 2 YA24 23(2) 3. YA42 13(4) Ensure all care plans are revised regularly so that they reflect people’s changing needs at all times and enable staff to know how to meet those needs. Repair the damage to the lift 30/09/08 door and produce a programme for routine decoration so that the home is always well maintained for people who live there. Ensure staff keep the laundry 31/07/08 and storage rooms locked when not in use and assess risks associated with water leaking into the storage room. This is so that people are, as far as possible, protected from harm. Nottingham Neurodisability Services Aspley DS0000059536.V368055.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 YA19 Good Practice Recommendations Staff should complete charts to ensure that, if people are cared for in their beds during the day, sufficient care and attention is given to promote their health and welfare. Nottingham Neurodisability Services Aspley DS0000059536.V368055.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Nottingham Neurodisability Services Aspley DS0000059536.V368055.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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