Inspection on 25/04/06 for Short Break Services

This inspection was carried out on 25th April 2006.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 20 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Short Break Services 19/12/06

Short Break Services 22/12/05

Short Break Services 18/05/05

Short Break Services 14/12/04

Short Break Services 03/06/04

Short Break Services 23/12/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Short Break Services 62 Green Lane Hanwell London W7 2PB Lead Inspector Robert Bond Unannounced Inspection 25th April 2006 10:00 Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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 Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Short Break Services Address 62 Green Lane Hanwell London W7 2PB 020 8579 9558 020 8579 9592 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) London Borough of Ealing Mr Christopher Jones Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd December 2005 Brief Description of the Service: Short Break Service is a respite provision for adults with Learning Disabilities. The service is part of a resource centre, which is owned and managed by the London Borough of Ealing. The service can accommodate up to six service users on the ground floor who have complex needs. The first floor is only accessible to service users who are ambulant. Facilities include a sensory room, a computer room, adapted bathing and showering facilities on the ground floor and an enclosed rear garden. Short Break Service is situated in a cul de sac area and set back from the main road. The service is within easy access to Ealing Hospital, local amenities and recreational facilities. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspector was on site for six hours during which time he interviewed the Registered Manager, met a number of staff and one service user, toured the building and examined a variety of records. The Inspector left the Registered Manager with 30 questionnaires to be sent out to carers/relatives and stamped addressed envelopes for the responses to be sent back directly to the Inspector. This is a ‘key inspection’ that considers the respite service’s work against all of the key standards that appear in the National Minimum Standards for care homes for younger adults. The Inspector considered the outcomes of 24 standards, and found that 14 were fully met whereas 10 were only partly met. The Inspector made 17 requirements (2 of which are restated from the previous inspection having not been achieved within the timescale set), and he made 2 recommendations. A theme that runs through the requirements is that more attention must be given to full and complete record keeping. What the service does well: The service provides a good respite care service to adults with learning disabilities and for the benefit of their carers/parents. Approximately 60 service users and their families benefit from the service. The Registered Manager is proud of the flexibility that exists in the booking arrangements. Some parts of the building used have recently been redecorated. Care plans have been re-devised and the new system is currently being introduced. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: The recording of activities undertaken and food eaten must be improved. Written recording entries must be signed and dated where necessary. All permanent staff members, and regular temporary staff members must be trained in the London Borough of Ealing’s Safeguarding Adults procedure. All agency employees used by the service must undertake an appropriate induction programme. A complete staff training plan is required. The Water Supply Regulations must be fully implemented. The hot water temperature at the wash hand basin in one of the toilets is too hot. A Legionella certificate is required. Hot water temperatures must be checked and recorded weekly. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 7 All care plans should be done in the improved manner that has already been introduced for those service users with the greatest personal care needs. The home has only one portable hoist and no ceiling mounted tracking hoists in any of the bedrooms. Additional hoists would be beneficial Some of the bedrooms are not furnished to the National Minimum Standard (NMS). The home does not have a system for checking the contents of First Aid boxes, and refilling them. The list of staff signatures for medication administration purposes is not up to date. The complaints record does not always provide sufficient detail of the complaint. Customer satisfaction forms should be sent out to carers/relatives on a regular basis and the replies analysed and fed into an annual development plan. The home has a business plan but it is not current. 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. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 8 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 Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 9 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): 3 Appropriate assessments and care planning are satisfactorily undertaken prior to the service user having respite provided by the service. Service users and relatives are involved and kept informed. EVIDENCE: The Inspector case-tracked (examined in detail) the assessments and care plans that had been undertaken for the last three potential service users who had been referred to the service. In each case an initial referral and assessment had been provided by an employee of the London Borough of Ealing. An employee of the Respite Service had then checked the assessment and had started writing the care plan as a means to identify how to meet all the identified needs. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 The care plans that have prepared for service users with the highest levels of care needs are very good. As the service is a respite service, it focuses on meeting the needs of service users and the needs of carers/relatives for respite. It is generally successful in this task but as a result promotion of independence and risk-taking are not given the highest priority as these notions may conflict with what the families wish. EVIDENCE: The Inspector case-tracked the care plans that had been prepared for three service users. The Registered Manager reported that he had produced an action plan for the audit of all the care plans. As a result the care plans for service users with the highest level of personal care needs had already been revised and improved; that is 18 out of 60 care plans in total. The next tranche of care plans are due to be revised by the end of May 2006, with the remainder to be done by the end of 2006. The Registered Manager added that ‘communication passports’ were being developed to help service users make Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 11 their wishes known, and that ‘person-centred planning’ was also been introduced by the London Borough of Ealing. The Registered Manager reported that the service did make use of an advocacy service, and service users views on food and clothing were taken account of. Although formal risk assessments are not undertaken, the elements of risk analysis are built into the revised care plans in the form of very detailed instructions on how to provide personal care in an individualised way. The Inspector confirmed this by observation. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Opportunities for social development, learning and activities are provided and maintained in a satisfactory manner. Food provision is satisfactory. The recording of activities undertaken and of food eaten are both not satisfactory. EVIDENCE: The Registered Manager reported that none of the service users had any paid employment but many attended day centres and adult education and hence service users’ respite dates were fitted around their college attendance. All the service users live in the community with their parents. Family relationships are maintained during the respite periods. The Registered Manager reported that service users are offered a key to their bedroom when appropriate and are referred to by the name of their choice. The Inspector confirmed this from the files. Service users are not expected to assist with cooking or cleaning their bedrooms, although some do choose to. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 13 The Service has a sensory room and a range of games, music, television, video, and play station. A record is kept of activities undertaken by each service user but the Inspector found substantial gaps in this record. Requirement 1. Service users are taken out by staff in the Service’s own vehicle, and visits are made to social clubs and the cinema. The Inspector examined the menu and found that often there are three choices of food available. Food is liquidised when necessary and if PEG feeding is required, a record of the details is kept. A record is also kept of who eats what during the day, but the record is not often kept at supper time. Requirement 2. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Service users receive personal care and support according to their assessed needs and in they way they prefer. Services users health needs are met satisfactorily. Service users are not sufficiently protected by the Service’s policies and procedures for dealing with medication. EVIDENCE: NMS18: The three care plans that the Inspector examined in detail all contained clear, concise but detailed information on how to meet the assessed personal care needs of service users. Personal preferences were also recorded. NMS19: The Registered Manager reported that health needs are generally met via the family unit, as this is a short-term respite service. Nursing care is not normally provided but services users health is monitored and weight is recorded where required. Specialist health services that services users require are generally accessed via their day centre attendance. NMS20: The Inspector examined the Service’s medication storage facilities and the records kept of medication administered to service users. The list of Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 15 sample staff signatures of staff trained to give medication was found to be not wholly up to date. Requirement 3. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The complaints record does not always provide sufficient detail of the complaint for monitoring and quality control purposes. Further training on the London Borough of Ealing’s Safeguarding Adults policy is required in order to fully protect service users from potential abuse. EVIDENCE: NMS22: The Inspector examined the Service’s complaints record. Four complaints had been recorded since the date of the previous inspection. Two complaints had been fully recorded but two complaints were not recorded in sufficient detail for the Inspector to be able to see what the complaints were about. Requirement 4. NMS23: The Registered Manager reported that 9 of the Service’s staff had received training by the London Borough of Ealing’s Safeguarding Adults department. Two permanent staff and the agency staff remained untrained in this aspect. Requirement 5. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 29 and 30 Further work is required to make the premises of the Service sufficiently homely, and safe. Bedrooms are not adequately furnished to sufficiently promote service users’ independence. The Service has insufficient hoisting equipment. The premises of the Service are sufficiently clean but evidence is required concerning hygiene regulations. EVIDENCE: NMS24: The Inspector toured the premises in the company of the Registered Manager. The Inspector noted that some areas had recently been redecorated but other areas need to be done, for example making good after the alterations made in bathroom number 2. Requirement 6. At the time of the inspection, contractors were part way through implementing the Water Supply Regulations. The Inspector found that the hot water supply to the wash-hand basin in a toilet was too hot. The Registered Manager Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 18 reported that this would be corrected as part of the work of the contractors. Requirement 7. NMS26: The Inspector examined the majority of bedrooms and found that those on the ground floor in particular were inadequately furnished and did not always contain two chairs, a table, a lockable bedside cabinet (or equivalent lockable space), as required in the National Minimum Standards, or a bedside lamp. Requirement 8 and Recommendations 1 and 2. NMS29: The Service has only one portable hoist and none of the bedrooms are fitted with ceiling mounted tracking. Given the high level of physical needs of some of the service users, the Registered Manager reported that sometimes delays occur when assisting service users from their bedrooms into the toilet/bathroom. Bedrooms 1 and 2 should be fitted with ceiling mounted hoists. Failing that, a second portable hoist is required. Requirement 9. NMS30: The Inspector found the premises to be generally clean, except that the floor of the upstairs kitchen was sticky to walk on. Evidence is required to show that the Water Supply (Water Fittings) Regulations 1999, are now being complied with in order that hygiene is fully maintained by for example the fitting on non-return valves to the washing machines to prevent the back-flow of dirty water into the home’s drinking water supply. Records examined demonstrated that the hot water temperatures have previously been inadequate in this respect. See Requirement 7. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Service users are adequately supported by staff who are competent and employed in sufficient numbers. Service users are sufficiently well protected by the Service’s recruitment policies and procedures. Services users needs may not be fully met as further staff training is necessary. EVIDENCE: NMS32: The Inspector examined the current staff rota. The Registered Manager reported that the Service was carrying 5 staff vacancies but that a recruitment drive was planned for May 2006. Vacant posts are covered by agency staff from Elect Recruitment. The Registered Manager added that 4 out of 8 permanent care staff have obtained the NVQ in Care, level 2 or 3. NMS34: The Inspector examined the recruitment files and records of the last two employees to join the Service. One was an agency employee on a long term contract as a deputy manager. The checks that had been undertaken were satisfactory. NMS35: The Inspector examined the Service’s training plan for the year ahead. The plan failed to record NVQ activity. Requirement 10. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 20 As recorded above, additional staff must be trained in Safeguarding Adults. See Requirement 5. The Registered Manager has devised a very good induction programme for new staff. The recruitment file of the new permanent employee demonstrated that she was undertaking the induction programme. However the file of the longterm agency employee did not contain any evidence of an induction programme for her. Requirement 11. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42 Service users do benefit from a well run Service. Further work is required to develop a thorough quality assurance system. Services users best interests are not sufficiently promoted and protected by the Service’s recording keeping. The health, safety and welfare of service users are not yet adequately safeguarded. EVIDENCE: NMS37: A Registered Manager is in post and he is currently undertaking the Registered Manager’s Award. Meetings are held to involve carers/relatives in the work of the Service. The insurance certificate displayed in several parts of the premises was seen by the Inspector to be out of date. Requirement 12. NMS39: The Registered Manager demonstrated that questionnaires have been sent out to the carers/relatives of services users. This must be done at least Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 22 annually and led to the preparation of an annual development plan. The Registered Manager produced for the Inspector the home’s business plan, but it was out of date. Requirement 13. NMS41: The record keeping of activities undertaken and food eaten were examined by the Inspector and found to be not sufficiently comprehensive. A file note on a personal care file was seen to be written on a paper towel and was unsigned and undated. Hot water temperatures were seen to be recorded on an adhoc basis instead of weekly. Requirements 1, 2, 14 and 15. NMS42: The contents of three First Aid boxes were checked by the Inspector. One was found to be almost empty. The Registered Manager reported that the Service did not have a procedure for checking that the contents were being maintained. Requirement 16. As reported elsewhere, the premises do not yet meet the Water Supply (Water Fittings) Regulations, 1999, which is a serious Health and Safety concern. A Legionella testing certificate is also required. See Requirements7 and 17. The Service has in place a thorough and detailed risk assessment of the premises. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 2 27 x 28 x 29 2 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 2 x 2 2 x Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 24 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 Standard YA12 Regulation 17(2) Requirement Timescale for action 01/06/06 01/06/06 01/06/06 4 5 6 7 A record of activities undertaken must be kept. YA17 17(2)Sch4 A record of food eaten must be kept. YA20 13(2) The registered person shall make arrangements for the safe administration of medication received into the home. YA22 17(2)Sch4(11) All formal complaints must be adequately recorded in writing for inspection. YA23YA35 13(6) The Registered Manager must ensure that all staff have the necessary training in adult protection to ensure that they understand the importance of challenging poor practice. THIS IS RESTATED FROM THE PREVIOUS INSPECTION AS THE TIMESCALE SET WAS NOT MET. YA24 23(2)(d) All parts of the premises must be kept reasonably decorated. YA42YA30YA24 23(2)(c) Evidence must be obtained to confirm that services and facilities DS0000032384.V286818.R01.S.doc 01/06/06 01/07/06 01/09/06 01/07/06 Short Break Services Version 5.1 Page 25 8 9 YA26 YA29 16(2)© 23(2)(n) 10 YA35 18 11 YA35 18(1)© 12 13 YA37 YA39 17 21(1) 14 YA41 17 15 16 YA41 YA42 17 23(2)© comply with the Water Supply(Water Fittings) Regulations, 1999. THIS IS RESTATED FROM THE PREVIOUS INSPECTION AS THE TIMESCALE SET WAS NOT MET. Service users bedrooms must be adequately furnished. The registered person shall ensure that suitable adaptations and equipment is provided for service users who are physically disabled. The registered person must prepare a training plan to show record the training needs and achievements of all staff. The registered person must ensure that all staff working at the care home receive training appropriate to the work they are to perform. Records must be kept up to date, and valid insurance kept in place. Views of all stake-holders must be undertaken on a regular basis and fed into an annual plan for the Service Written care records must be recorded in an appropriate manner, signed and dated. Hot water temperatures must be measured and recorded weekly. All equipment including First Aid equipment must be checked on a regular basis and properly maintained. DS0000032384.V286818.R01.S.doc 01/08/06 01/08/06 01/07/06 01/06/06 01/06/06 01/08/06 01/06/06 01/06/06 01/07/06 Short Break Services Version 5.1 Page 26 17 YA42 13(4)© A Legionella testing certificate is required 01/07/06 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 Refer to Standard YA26 YA26 Good Practice Recommendations Bedside lights should be provided in all bedrooms. All bedrooms should be made as domestic and homely as possible. Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 Short Break Services DS0000032384.V286818.R01.S.doc Version 5.1 Page 28 - 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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