Inspection on 12/10/05 for Pentree Lodge

This inspection was carried out on 12th October 2005.

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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pentree Lodge 01/03/07

Pentree Lodge 23/03/06

Pentree Lodge 06/10/04

Pentree Lodge 19/05/04

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

CARE HOME ADULTS 18-65 Pentree Lodge 63/65 Pentire Avenue Pentire Newquay Cornwall TR7 1PD Lead Inspector Kerensa Livingstone Unannounced Inspection 12th October 2005 09:30 Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 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 Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 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. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Pentree Lodge Address 63/65 Pentire Avenue Pentire Newquay Cornwall TR7 1PD 01637 878437 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) Miss Leslie Christine Richardson Mrs Julie Wimberley Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To include service users who are sixty-five years of age or under on admission to the home. To include one service user over the age of 65 years Date of last inspection 6th October 2004 Brief Description of the Service: Pentree Lodge is situated in Pentire approximately two miles from the centre of Newquay. The home provides accommodation and care for fifteen people with a Mental Disorder who are admitted to the home under the age of sixty-five. The Registered Provider owns another home catering for the same client group on the edge of Newquay and care staff work between the two homes. The Registered Manager works only at Pentree Lodge. The main part of the home accommodates twelve Service Users and the ‘flat’, which is attached, provides the opportunity for three less dependent service users where service users can be responsible for their own personal care and domestic tasks. All service users have their own bedrooms and there is a communal lounge in both parts of the home. There is a small parking area to the front of the home. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection undertaken over a morning into the early afternoon. There were two staff on duty to undertake all the cleaning, caring, laundry and unpack the shopping that was delivered. Half of the Service Users were out of the home attending leisure activities in the local community. The Inspector met all of the remaining Service Users with the exception of one. The Inspector looked at records, care plans, Policies and Procedures. The environment was fully inspected. The Registered Manager was not on duty on the day of the inspection; therefore it was not possible to examine staff records. What the service does well: 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. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 6 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 Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Prospective Service Users are provided with information to enable them to make a choice about where they live. The contract includes a large number of restrictions, which impacts on the Service Users freedom of choice. The legality of this should be clarified. EVIDENCE: There is a Statement of Purpose for the home and a Service Users Guide. Service User’s assessments from Social Services and the Primary Care Trust are obtained prior to admission to the home. It was not possible to evidence that Service Users are fully assessed prior to admission to the home with the information listed in NMS 2.3. The Inspector has been informed that a full needs assessment is completed for each Service User whether they are self funding or not. This must be evidenced at the next inspection. Staff training commences as soon as a member of staff starts at the home, with an induction and comprehensive staff training is planned for each individual. Staff appear to have the skills and experience to deliver the services and care which the home offers to provide. Specialist services are negotiated on an individual basis. Service users and their families are encouraged to visit the home before making a decision to move there. Emergency admissions are limited as much as possible. All Service Users have a trial period. All service users have a written contract, which includes a statement of terms and conditions between the home and the service user. This document includes conditions of residency that are very prescriptive. In the opinion of the Inspector these are restrictive and does not enable Service Users to make decisions with respect to the care they receive or respect the dignity and Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 8 freedom of choice of the Service User. The Registered Person shall so far as practicable enable Service Users to make decisions taking into account their wishes and feelings. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 & 10 The Service Users needs are met and personal goals are set. The Service User must be supported to make decisions about their lives. EVIDENCE: An individual plan is developed and agreed with the Service User. These are reviewed six monthly. Restrictions on choice and freedom are documented within this document and the contract. Service Users sign their individual plan. The risk assessment includes all aspects of risk, including control/guidelines to reduce risk. Service Users informed the Inspector that they were only able to access their money at 10.30 and 17.30; a member of staff confirmed this. No lockable space is provided for Service Users. The Commission of Social Care Inspection would like to be informed of all Service Users for whom the Registered Manager is the appointed agent. Records should be independently monitored and audited. Service Users should be supported to take responsible risks ensuring that they have good information on which to base decisions. Service Users are encouraged to participate within the local community and access to a local Befriending Scheme. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 10 Service users can have jobs in the home for example assisting with the housework or peeling vegetables. One service user was participating in one of these jobs on the day of the inspection. All documentation is stored appropriately in the office. Any discussions regarding service users take place in the office. The home has a confidentiality policy. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 The Service Users have opportunities for personal development within the local community. The activities in the home are limited. The Service Users enjoy a healthy diet, however the dining room requires redecoration. EVIDENCE: The home has compiled information about the local resources that are available for the service users. Subject to additional funding service users can have additional one to one support with day activities. One to one activities can include for example assistance with meeting family, one to one social trips. Service Users are encouraged to identify activities that they wish to participate in, for example voluntary work or attending college. Some Service Users undertake tasks within the home and receive a nominal wage. Service users can access the wide range of community facilities within Newquay as they wish, such as cinemas, shops, the beaches and the local MIND centre. On the day of the inspection half of the Service Users were out attending Coffee Corner or a one to one. Some Service Users attend a Women’s group locally. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 12 The Service Users informed the Inspector that there was plenty to do in the local community, however there were rarely any activities in the home. The records of the activities held in the home will be inspected at the next inspection. There is a piano, stereo system and television facilities within the home. There is a garden and greenhouse that Service Users are encouraged to look after. Four Service Users recently went on a five-day holiday to Butlins with Service Users from the sister home, Lilena. Service users receive appropriate support to maintain relationships with friends and family. Relatives are invited to care reviews if this is agreed with the service user. There are clear Visitors and Relationships and Sexuality Policies and Procedures. The Inspector has been informed that all Service Users are offered a key to their room and the front door. There are no restrictions regarding whether service users wish to go out during the day, however there are to seek permission for leaving the home for an evening and are requested to be in their room by 11pm. Service users are encouraged to participate in house hold tasks, cooking and keeping their rooms clean and tidy. Service users are assisted to do their own laundry. The Service Users informed the Inspector that the daily routines varied depending on who is on duty e.g. meal times, administering of medicines. On the day of the inspection the two staff on duty were observed to be very busy with the running of the home. Service Users are supported to participate in the preparation of the meals. The menus are rotated on a fortnightly basis. Food records are being kept to demonstrate that Service Users can have an alternative to the main meal on offer each day. A ‘Dislikes’ list has been compiled and Service Users participate in the planning of the menu. Vegetarian and special diets will be catered for. The dining room was observed to be smelly and drab. This room requires redecorating and recarpeting as soon as possible. Service Users informed the Inspector that they enjoyed the food that is available within the home. There is the opportunity for Service Users who live in the ‘flat’ attached to the home to have their own shopping budget and prepare their own food. There is a plan to change the use of the flat’s kitchen; evidence of consultation with the Service Users will be required. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Personal support is offered in an individualised way, Service Users physical and emotional needs are met. EVIDENCE: Personal support is sensitive and maximises the Service Users privacy and dignity. Staff encourage Service Users to maintain their own independence in relation to personal hygiene and dressing. Mental Health care is supervised by the Community Psychiatric Nurses. Individual plans are reviewed regularly. The contract refers to bathing on ‘per rota’ or on ‘ their room day’. There is evidence that the individual’s health needs are met by the specialist Primary Health team, dentist, Community Mental Health team and Social Worker as required. Service Users wishes relating to ageing and death are documented as part of the Contract of terms and conditions. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The Inspector was advised that Service Users concerns and complaints are dealt with promptly. Service Users are aware of whom to speak to if they have any concerns. EVIDENCE: The home has a comprehensive complaints policy. Service users have a copy of the Complaints Procedure, this is issued as part of the Service User Guide. The Commission for Social Care Inspection has received no complaints about this home. Service Users are aware whom they would speak to if they have any concerns. There is a clear policy for the Protection of Vulnerable Adults including Whistleblowing and reference to ‘No Secrets’; this included the local Procedure to be followed. Evidence that all staff have received training in how to prevent someone being place at risk of abuse or harm must be available. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30 The Service Users live in a homely and comfortable environment EVIDENCE: The home is appropriate to meet the needs of the service users who live in there. The home is safe, comfortable and homely. There is evidence of reinvestment, although the Inspector was informed that there has not been any redecoration for sometime. The kitchen has been refurbished to a high standard since the last inspection. Some new carpets have been fitted. There are two staff who sleep in at night, one is accommodated upstairs and the other on a ‘put up’ in the office as a temporary measure. All service users have their own bedrooms that are generally equipped to a satisfactory standard. Service Users stated that the accommodation offered met their needs. The home has appropriate bathroom and toilet facilities. One Service User commented that they would like more bathrooms, toilets and ensuite facilities. The main part of the home has a large lounge and a dining room. The flat has a lounge and a conservatory, the latter that is used as the smoking area for all the service users. This is the only area where Service Users can smoke. The Inspector was informed that this meant during the night, if unable to sleep they were unable to come downstairs for a cigarette. The home does not have a separate room, which can be used for service users to receive visitors Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 16 although service users can receive visitors either in the dining room or their own bedrooms.. Most of the service users do not require any environmental adaptations or disability equipment although appropriate adaptations or specialist equipment would be provided on an individual basis. All staff receive moving and handling training. There is a small laundry, this was clean. There are no designated cleaning or laundry staff. Radiators were observed to be uncovered, environmental risk assessments must be completed and regularly reviewed. The home was generally free from odours, except in the dining room which was noted to be in need of redecoration. The rest of the home was generally clean and hygienic on the day of the inspection. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 36 The staff are clear about their roles within the home, as this includes all tasks. The Registered Person must ensure that there are adequate staff on duty at all times. EVIDENCE: All staff have a job description and these are available for inspection in the home. Staff clearly understand their roles. A structured induction is planned for all new staff. Staff are provided with a copy of the General Social Care Code of Practice. Volunteers are not employed within the home. On the day of the Unannounced Inspection, there were only two staff on duty to perform all the duties in the home e.g. caring, laundry, cooking, delivery of shopping and cleaning. The Inspector discussed the staff’s ability to respond to an emergency within the home, staff stated that the cleaning or unpacking the shopping would just be left. Service Users stated that they would like more staff on duty in the home and did not feel able to disturb the staff when they are busy. There are fifteen Service Users currently living at Pentree Lodge, there were seven out for most of the morning, with eight out for a short time. There are no waking night staff at this home, the Inspector has been informed at previous inspections that this was under review. Service Users commented that this is why they were not able to come downstairs at night unless it was an emergency. The Inspector was informed that all staff receive regular supervision and have an annual appraisal. This supplements informal supervision, which occurs on a daily basis. There is a regular staff meeting and staff report that they have an Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 18 impact on how the service is delivered. The Registered manager is on duty in the home from Monday to Friday and the Registered Provider visits the home frequently. Staffing standards will be examined at the next inspection, as the Registered Manager was not on duty on the day of the Unannounced Inspection. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 40, 41 & 42. There is clear evidence of leadership from the Registered Manager and management team; the ethos must benefit the Service User. The health and safety of the Service Users must be protected in relation to environmental risks. EVIDENCE: The Registered Manager has worked at Pentree Lodge for over nine years and provides the day-to-day management in the home. There is evidence of leadership in the home. Service Users stated that they knew if they spoke to the Manager ‘things would get done’. The Registered Provider is involved in the Management team of the home and is a Registered Mental Nurse. The Registered Provider is required to register Pentree Lodge, along with Lilena within the agreed timescales. The Inspector was concerned about the scenarios when Service Users are being asked to give blanket permission by signing a document, regarding certain issues, for example for the Registered Manager to open their post from the Department of Works and Pensions or letters about Disability Living Allowance. Service Users are asked to sign a contract stating if they have a Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 20 key for their room they will take responsibility for all personal belongings, clothing and possessions. There is limited access to the Service Users own money. The legality of certain ‘rules’ within the home should be clarified. Staff informed the Inspector that they receive regular supervision and there are staff meetings in the home. Comprehensive records required for the protection of service users, and for the effective and efficient running of the business are maintained, are up to date and accurate. However, there was no Visitors Book on entering the home, this is kept in the office the Inspector was informed on leaving the home, all Visitors must be recorded in the Visitors Book. The home has appropriate policies and procedures covering the topics set out in Appendix 3 of the National Minimum Standards. Staff sign to say they have read the Policies and Procedures. Appropriate Policies and Procedures relating to Health, Safety and Riddor are available within the home. Some windows are fitted with restrictors. Environmental risks such as hot water and surfaces remain unrestricted. Written evidence of the risk assessments must be available for inspection and regularly reviewed. The risk assessments observed were overdue for review. There is no call bell system within the home. The Accident Book complies with the Data Protection legislation. Staff receive training on First Aid, Food Hygiene and Fire safety. However staff could not remember when they had last had Fire training, dates and names of staff have been forwarded to the Commission for Social Care Inspection since the Inspection. Routine checks are undertaken on Gas (April 2005), Electrical wiring certificate (Jan 2004) and appliance testing (December 2004). Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 3 3 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 2 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x 2 X x 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pentree Lodge Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 3 2 x 3 2 2 x DS0000009210.V252269.R01.S.doc Version 5.0 Page 22 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 YA5 Regulation 12(2,3 &4) Requirement The Registered Person shall ensure that the care home is conducted so as is practicable to enable Service Users to make decisions with respect to their care, taking into account their wishes and feelings, in a manner which respects their privacy and dignity. As above The Registered Manager is required to ensure that all parts of the home are kept clean and reasonably decorated e.g. the dining room. The Registered Person shall having regard for the size of the care home ensure that at all times suitably qualified, competent and experienced persons are working in such numbers as are appropriate for the health and welfare of the Service Users. The Registered Manager must undertake training as is appropriate to ensure that they have the skills necessary for managing the home. E.g. National Vocational Qualification DS0000009210.V252269.R01.S.doc Timescale for action 01/01/06 1. 2. YA38 YA30 12(2,3&4) 23(2d) 01/01/06 01/01/06 3. YA33 18(1a) 01/11/05 4. YA37 10(3) 01/01/06 Pentree Lodge Version 5.0 Page 23 5. YA38 7 6. YA41 17(2), Sch. 4 7. YA42 13(4), 23(4d) Level 4 in Management and Care. A person shall not carry on a care home unless they have been assessed to be fit to do so and that individual satisfies the requirements set out in paragraph (3). The Registered Manager must ensure that all records detailed in the National Minimum Standards are kept up to date e.g. Visitors Book. The Registered Manager is required to risk assess all environmental risks such as hot water, legionella and surfaces. These must be regularly reviewed and kept up to date. 17/12/05 01/01/06 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA7 YA26 YA33 Good Practice Recommendations For Service Users to manage their own money when possible and limitations of choice are made in the person’s best interests. For Service Users to be provided with a lockable space to promote independence and respect the Service Users right to privacy. For there to be designated laundry and cleaning staff. Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pentree Lodge DS0000009210.V252269.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!