Inspection on 03/06/08 for Pendle View

This inspection was carried out on 3rd June 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pendle View 31/05/06

Pendle View 03/01/06

Pendle View 09/08/05

Pendle View 19/01/05

Pendle View 19/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Pendle View 15/17 Chatham Street Nelson Lancashire BB9 7UQ Lead Inspector Mrs Christine Mulcahy Unannounced Inspection 3rd June 2008 09:50 Pendle View DS0000009589.V363656.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 Pendle View DS0000009589.V363656.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. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pendle View Address 15/17 Chatham Street Nelson Lancashire BB9 7UQ 01282 690703 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) Pendle Residential Care Limited Mrs Ann Suleman Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service may accommodate up to a maximum of 6 service users in the category mental disorder, excluding learning disability or dementia (MD) 31/05/06 Date of last inspection Brief Description of the Service: Pendle View provides 24-hour accommodation and staff support for 6 younger adults who have mental health problems. Pendle View is the ‘core’ house of a residential homes scheme comprising the core house and three smaller houses in Nelson. The registered manager has responsibility for all four houses. Pendle View is 2 mid-terrace house located on the outskirts of Nelson, near to local shops. There is one double bedroom and four single bedrooms (one being on the ground floor). The home has two spacious ground floor lounges and a dining area. Upstairs is a house bathroom with WC and separate shower and there is a ground floor WC. Residents have access to the kitchen and laundry room. Town centre services are a short distance away. There is off-street parking at the front of the home. The house has a small front garden and a private paved sitting area in the back yard. There are good local transport links nearby. Transport is also provided for residents in a vehicle provided by the service. The fees charged are determined by a thorough needs assessment and can be discussed with the service manager. There are no extra charges, but residents are expected to pay for personal effects such as toiletries, newspapers, clothing and hairdressing. Information about the service and CSCI reports are available in the hall and dining room. Copies of the service user’s guide and Statement of Purpose are given to residents and their families. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection included a visit to the home and took place on 3rd and 6th June 2008. Information was obtained from care plans, staff records, policies and procedures, management systems and inspector observations. The inspector also spoke to 5 of the people who live at the home, 4 support workers and the acting manager. There have been no complaints received about the service since the last inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. What the service does well: Pendle View provides the people who use the service with a clean, homely environment to live in. The staff team has successfully met the resident’s needs in a manner that treats them with respect and dignity and gives them the support they need to make decisions about their own lives. Residents could move freely around the home and could use their bedrooms at any time. Daily routines were flexible in order to meet the needs and preferences of the people who use the service. One resident had explained about the help the staff had given her during her stay at the home. She praised the support workers for their help and support during her stay at the home. When asked three residents said the meals were good. One said, “The foods good, we get what we want”. A number of areas of good practice were noted including the promotion of equality and diversity amongst the resident group and the staff support given to two residents who recently married. It is commendable that all of the staff have been trained to NVQ Level 2 in Care. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pendle View DS0000009589.V363656.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 Pendle View DS0000009589.V363656.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): YA 1 & 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service were given enough information about the home and a comprehensive needs assessment before they moved in so they knew their individual needs and aspirations would be met. EVIDENCE: The inspector examined a new comprehensive service user guide and statement of purpose that meets the requirements of the National Minimum Standards for younger adults. Both documents clearly set out the objectives and philosophy of the service. Although there have been no admissions to the home since the last inspection the person in charge said that new information about the home would be given to prospective residents and their relatives before moving in. A new review and assessment process has been introduced for residents and the home is in the very early stages of reviewing the service that is currently offered to residents. Residents were encouraged to be involved in the initial assessment process and worked along side a key worker to establish their immediate short term and longer term needs. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 9 Assessment documentation was available to staff to ensure staff awareness of the updated documents. When asked two staff knew why prospective residents were assessed prior to admission and knew that the assessment formed the basis of the care plan. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA 6, 7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ needs were set out in a plan of care to help them maximise autonomy and choice in a risk managed environment. Care plans were not thoroughly reviewed and evaluated to ensure these needs were fully met. EVIDENCE: Discussion with three of the people who use the service confirmed that they were satisfied with the care they received at Pendle View and knew what their care plan was for. One resident said, “The staff are talk to me about what I need and write it in my plan”. Another said, “I’m always at the meetings because they are about me, it is helpful having a care plan because I know what I should be doing”. When asked if they felt their needs were being met one resident said, “I think so, they help me to do the things I want to do and take me shopping in their car or a taxi cause I can’t walk very far”. This means that staff are able to communicate with people using the service, and understand what their needs are. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 11 Case tracking and discussion with the person in charge confirmed that all residents had a plan of care that was person centred and agreed with the individual. They included reference to equality and diversity and addressed any needs identified in a person centred way. Plans seen including a comprehensive risk assessment were written in plain language, easy to understand and looked at all areas of the individual’s life. The plans had enough detail for support workers to meet the residents identified needs. Two care plans were selected at random and examined. Both care plans included a residents needs checklist that listed information about the residents behaviour, physical health, personal hygiene, mental health needs, likes and dislikes and finances. This information was comprehensive and identified where the support is required and how this can be incorporated into the residents’ daily living. An additional part of the care plan was called the staying well plan that described the individual signs and symptoms that residents might present when they are unwell and need additional support. The document is especially useful to new support workers who might need step-by-step instructions on what to do and say in response to different behaviour. This means that the service know and record the preferred communication style of the individual, and use proven methods that enable the person to lead a full life that promotes independence and choice. Each document explains how to use techniques like talking slowly and clearly and how to maintain a reassuring and supporting role through the use of good eye contact and listening skills. This means there is sufficient up to date guidance for staff to ensure appropriate support is given to the people who use the service. Care plans were reviewed regularly and the last review date noted for both care plans was in April. An NHS care plan accompanies the staying well plan and this focuses purely on the residents’ mental health status where professional psychiatric intervention might be required. There are arrangements for providing key workers to support individual residents. The support workers have a limited role and do not actively contribute to the care plan. Daily reports were written on a daily basis and indicated if the residents’ needs had been met by writing a yes or no next to the assessed need. The reports were clear and described what the resident had done throughout the day. Both care plans showed the daily entry to include a no next to the identified need and previous entries revealed the same. This means that the residents’ identified needs were not regularly being met, care plans seen did not fully ensure positive and meaningful outcomes or consistently reflect the care being given to the people using the service and the current review process did not address these issues. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leisure and recreational activities available met some of the residents needs and interests. Visiting from relatives and friends was flexible. Meals and snacks ensured variety and nutrition. EVIDENCE: The person in charge said that wherever possible the people who use the service are able to make choices about aspects of their lives like waking and going to bed times and handling their own finances. There was a strong commitment to enabling these people to use facilities that would develop their skills like day centres, work experience and daily living activities around the home. This was done through a person centred approach within the care plan. Case tracking, examination of records and discussion with the people who use the service confirmed that as far as possible the residents independence was maintained. When asked residents commented positively on the variety of Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 13 activities available and were happy to tell the inspector about their visits to places of interest, shopping trips and using local resources. Other residents were out of the house and involved in day centre activities. Where appropriate education opportunities were encouraged but accessing facilities like the library, public transport, shops, supermarkets and pubs in the local community was a popular way of maintaining community contact. Residents’ religious and cultural needs had been assessed and identified on moving into the home as part of the admission process. Where these had changed the person in charge said staff would be sensitive to these changing needs and would support the residents’ in their decisions. The menu is varied with a number of choices including take away food, eating out, and home cooked meals which the residents’ often helped to plan and cook. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA 18, 19 & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health care needs of the people who use the service were set out in a plan of care. Residents were not fully protected by the homes medicine policies and procedures and were at risk of harm from mis administration. The support practiced observed showed residents privacy and dignity was respected. EVIDENCE: Case tracking and discussion with the person in charge confirmed that all residents had a plan of care that included sufficient health care details for staff to meet the identified needs. Resident’ health needs were identified and reviewed regularly and access to health professionals was given. Evidence of contact with other services like GP and Optician were clearly recorded and kept in the residents care plan. There is a medication policy supported by procedures and practices that staff understand and follow. Medication records are generally up to date for each resident and medicines received, administered and disposed of are recorded. Examination of the medicines cabinet and MAR sheets showed that medication was usually stored and managed appropriately. However one support worker had not fully completed and signed the medication administration records prior Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 15 to this inspection. This means that residents were not fully protected by the homes medicines policy and procedures. The home understands the need to comply with the administration, safekeeping and disposal of controlled drugs and the person in charge is vigilant in this area and regularly checks to monitor compliance. Discussion with two support workers showed they were both well aware of the need to treat resident’s health needs with respect and dignity. Support workers were observed knocking on resident’s bedroom doors before entering and talking to residents in a manner and tone that was courteous and respectful. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints made by the residents and their relatives were acted on and recorded. Safeguarding policies and procedures ensured residents were protected from abuse and have their rights protected. EVIDENCE: There is an open culture at the home allowing residents to express their views and concerns in a safe and understanding environment. One resident was asked if she knew who to go to if she had a complaint or a worry and replied, “I’d go to Anne or my key worker and tell her. They’d sort things out”. There is a complaints procedure that is clearly written, easy to understand and is available in different formats on request. The person in charge said that residents are given a copy of the complaints procedure when they move into the home, but can have a copy at anytime if they needed. The complaints book was examined and confirmed that no complaints had been made since the last inspection. There is a robust policy and procedure for Safeguarding Adults and gives clear guidance to those using them. All staff are trained in Safeguarding and there is a rolling programme to introduce refresher training for all staff in the coming months. Two support workers when asked about the policy and procedure was fully aware of where to find the policy and how it should be used. Pendle View DS0000009589.V363656.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): YA 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of decoration and furnishings in the home needed improvement in many areas and did not fully meet the needs of the residents. The home was clean and hygienic. EVIDENCE: A tour of the home showed shared facilities, communal areas, bedrooms, bathrooms and the kitchen looked shabby and needed complete re decoration and refurbishment in some areas. Bedroom and communal living furniture like beds and sofas needed replacing and updating to provide a light, bright and feel to the home. Service users were encouraged to personalise their bedrooms but three of the bedrooms seen lacked storage and shelving for residents to place their belongings. In one bedroom a residents clothing was piled on the bedroom floor and ornaments were in boxes also on the floor. The windows of the first floor bedrooms seen did not have window restrictors to ensure the safety of Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 18 the people who use the service. This means that residents were at risk of harm from unrestricted windows. There was no programme to improve the furniture fixture fittings and decorations. This means it could not be shown when improvements to the environment would be made. The person in charge said that plans were being drawn up to decorate areas of the home on a rolling programme and a copy of the plans would be forwarded to CSCI once complete. The home was well lit, clean and tidy. Pendle View DS0000009589.V363656.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): YA 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and in sufficient numbers to support the residents and the smooth running of the service. Recruitment practices did not fully protect the residents from risk of harm. EVIDENCE: The staff rota showed there was enough staff on duty during the day and particular attention was given to busy times of the day and specific needs of residents. The rota also showed one waking watch on duty at night. Discussions with two support workers highlighted their anxieties and feelings of vulnerability when working in isolation at night. Further discussion with the person in charge confirmed the staff team were unhappy with this system due to previous incidents and lack of immediate emergency support. This means that due to the lack of night staff identified on the staff rota the staff and residents safety and wellbeing were not fully protected and promoted. The inspector observed staff involved in daily living activities with residents during the inspection that showed there was enough staff available to meet the resident’s needs. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 20 A copy of the training matrix was examined and showed staff training was ongoing. The person in charge said that staff was encouraged to undertake external qualifications that are focused on delivering improved outcomes for people using the service. All staff hold a current first aid certificate and 100 of care staff have NVQ level 2 or above. None of the staff have received training in mental health. This means that staff are less able to fully meet the mental health needs of the residents due to lack of training in this area. There is a good recruitment procedure that clearly defines the process to be followed and ensure the protection of the people who use the service. However examination of two staff files showed that one staff had not received thorough pre employment checks to ensure the protection of residents. This means that residents are not safeguarded from abuse or the risk of harm. Staff meetings take place regularly as do supervision sessions and, when asked, staff said they found them helpful. Pendle View DS0000009589.V363656.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): YA 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current management systems ensure there are flexible routines that benefit the residents. Some practices could be improved to safeguarded residents and prevent risk of harm therefore promoting the health, safety and welfare of the people who use the service. EVIDENCE: The person in charge is experience and competent to run the home. Observations showed that she is person centred in her approach and is aware of current developments and planning within the service. When asked the residents were happy with the way the home was run. One resident said, “I’m happy here, this is my home and the staff seem to know what they’re doing”. Pendle View now has a new service provider that has introduced all new policies and procedures to the home including a clear health and safety policy Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 22 which ensures safe working practices. These are to be shared with the staff team during the forthcoming weeks. The home has the necessary insurance cover in place to fulfil any loss or legal liabilities. Staff and residents meetings were held regularly and records of meetings were examined. In addition to this an internal audit is carried out to determine residents satisfaction. The survey outcome was not available although a sample questionnaire was seen at inspection. This means there is a forum for staff and residents to voice their opinions and ideas about the running of the home. There were details and accurate records kept of resident’s fees charged and paid. Residents and staff signatures verified the transaction. Records and documents examined showed equipment; appliance and safety checks were done regularly. Pendle View DS0000009589.V363656.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 2 X 3 X 3 X X 3 x Pendle View DS0000009589.V363656.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 YA6 YA19 Standard Regulation Requirement Timescale for action 23/12/08 2 YA20 15(1)15(2) So that the needs of the people b,c who use the service are fully met the registered person must ensure that all residents care plans are fully completed, reflects the lives of individual residents and provides accurate up to date information about them. 13(2) Accurate and up to date records of medication stored in the home must be kept to prevent mis administration to the people who use the service. 23(2) b, L To ensure residents live in a safe and well-maintained property the registered person must ensure there is a planned record of maintenance that includes timescales for redecoration, repairs, replacement furniture and residents storage. To ensure the protection of residents the registered person must operate a thorough recruitment procedure. 09/06/08 3 YA24 23/12/08 4 YA34 19 09/06/08 Pendle View DS0000009589.V363656.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 YA32 Good Practice Recommendations To enhance knowledge and skills, staff should undertake training in mental health conditions and develop specialist skills to meet the specific needs of service users, (32.3) as identified in the home’s staff team training needs assessment. Pendle View DS0000009589.V363656.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Pendle View DS0000009589.V363656.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. 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. 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