Inspection on 28/06/06 for Southport Road, 119

This inspection was carried out on 28th June 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Southport Road, 119 25/06/09

Southport Road, 119 02/04/07

Southport Road, 119 15/03/06

Southport Road, 119 14/07/05

Southport Road, 119 07/02/05

Southport Road, 119 27/09/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Southport Road, 119 119 Southport Road Lydiate Liverpool Merseyside L31 2JW Lead Inspector Mrs Janet Marshall Unannounced Inspection 28th June 2006 09:00 Southport Road, 119 DS0000005278.V290762.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 Southport Road, 119 DS0000005278.V290762.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. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southport Road, 119 Address 119 Southport Road Lydiate Liverpool Merseyside L31 2JW 0151 526 2849 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) Expect Limited Ms Susan Byott Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 3 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Variation to admit one named service user over the age of 65 with LD and MD. This condition will cease when that service user leaves the home. 15th March 2006 Date of last inspection Brief Description of the Service: 119 Southport Road is a small home registered to provide accommodation and support for three adults who have learning disabilities. The home is run by Expect LTD a local organisation that provide support to adults with learning disabilities or mental health support needs. This includes support in all areas of daily living including personal care, leisure and health and safety. Staff are available 24 hours a day, there are usually two staff during the day and two staff sleeping in during night time hours. The building is owned by Liverpool Housing Trust who takes care of maintaining the premises. The home is a detached bungalow in a residential area of Lydiate and blends in well with other houses in the local area. Accommodation includes, 3 single bedrooms, a through lounge / dining room, 2 bathrooms, a kitchen, enclosed rear garden and staff room / sleep in room. The charges for the home start at Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The inspection was unannounced and took place for a total of 6 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified within the main body of the report, were inspected during this inspection. During the site visit the requirements and recommendations from the last inspection report were discussed and checked with the acting manager. A number of them have been met. Those that have not been met have been raised again as part of this report as well as a number of requirements identified during this visit. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included a selection of residents care plans, daily diaries, medical notes, medication and associated records, staff rotas and certificates of health and safety checks. Two residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live at the home and how that person’s needs are being met. A pre - inspection questionnaire, which was sent out to the home by the Commission was not returned as requested prior to the inspection. The acting manager said that she did not receive the document. The acting manager and two members of staff were interviewed during the site visit. The nature of the disability of the residents is such that it was not always possible to obtain direct views about their experiences, however, non-verbal communication with them and general observations took place throughout the visit and have been used towards measuring standards for the purpose of this report. What the service does well: Care plans provide detailed information to ensure that resident’s needs are met. Residents are encouraged to live an independent lifestyle with the support and assistance that they need. The service is good at ensuring that residents maintain links with the local community so preventing isolation. The home was clean and tidy providing a safe and comfortable environment for the residents. The staff team have a good knowledge and understanding of the residents individual and joint needs. Southport Road, 119 DS0000005278.V290762.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. Southport Road, 119 DS0000005278.V290762.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 Southport Road, 119 DS0000005278.V290762.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Information was available and processes were in place to ensure individuals make the right choice about living at the home. EVIDENCE: There have been no new residents admitted to the home since the last inspection. A policy for assessing and admitting new residents was available at the home. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The quality outcome in this area is good. This judgement was made using available evidence including a site visit. Care plans provide sufficient information to ensure that residents needs are met and so that they are encouraged to take risks as part of an independent lifestyle. EVIDENCE: A care file was in place for each resident. Two care files were examined in detail. As well as a care plan each persons file also included daily records and personal and financial inforamtion. Information in care plans covered all aspects of the persons life such as, personal and social support, healthcare needs, daily routines, communication, likes and dislikes family and social contact and areas for development. Case tracking showed that care plans were based on the initial assessments carried out by the home and social workers. Residents routines, likes and dislikes were discussed with the staff, the information given was consistent with individuals written plans of care. Information about residents was stored securely at the home. Staff that were interviewed showed a good awareness of the principles of confidentiality. Case tracking evidenced that when possible residents are encouraged and Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 10 supported to make decisions and choices about all aspects of their daily lives. Residents have limited verbal communication skills, however staff are able to communicate effectivley with individuals by use of body language, gestures and sounds. This was observed throughout the visit. During the visit staff were seen offering choices to residents and encouraging them to make decisions, for example, what to eat and how to spend their day. Staff on duty showed respect of residents rights by advising and supporting them whenever needed. Case tracking showed that the support and advice was consistent with detailed protocols that were in place for individuals. Choices that have been made by others and why were recorded in good detail. Risk assessments and protocols were seen in both care files that were examined. They included a good amount of information on which to base decisions and were consistent with individual plans of care. The documents provide staff with detailed information so that they can support people to take responsible risks as part of an independent lifestyle. There was evidence that they have been reviewed and updated at regular intervals. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents are encouraged to live an independent and healthy lifestyle. EVIDENCE: Observation, discussion with staff and records showed that residents take part in a variety of activities both at home and in the local community. Residents preferred choice of activities at home and in the community were recorded in their care plans, daily records showed evidence of their participation for example trips to the local pubs, walks along the canal and shopping trips. On the day of the visit staff supported two residents to access the community whilst another resident chose to stay at home. None of the residents who live at the home have keys for their rooms or the front door this is because of limitations. This information was recorded in their care plans. Staff were seen communicating and interacting well with residents. Residents were observed using all communal parts of the home freely. They were also seen occupying their own bedrooms at intervals throughout the visit. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 12 Staff were observed knocking before entering residents bedrooms. Staff said that were possible residents are encouraged and supported to carry out small tasks around the house. Menus were viewed. A tour of the kitchen took place, which included examination of food stores. There was a good stock of fresh, frozen and tinned foods. A member of staff said that residents are encouraged to eat meals at the dining table but if they wish eat their meals in the lounge or in their own rooms. During the visit staff were seen offering residents with a choice of food at lunchtime. A member of staff said that residents are supported to shop for their food. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The health and personal care needs of residents are met and safeguarded by procedures carried out by the home. EVIDENCE: Care plans for two residents were examined. They recorded individuals preferred routines, likes or dislikes with regard to personal care. Details of how staff must provide residents with support and personal care were available in good detail. This information showed that it has been recently reviewed and updated. During discussion staff said that with support residents choose when to get up and go to bed and what clothes to wear each day. On the day of the visit all residents were clean in appearance and well dressed. A requirement was given as part of the last inspection report to ensure that all residents are offered support to make regular healthcare appointments. Records showed that since that last inspection residents have attended healthcare appointments. Details of appointments and outcomes were well recorded as well as changes identified in individuals health and personal care needs. Healthcare appointments attended by residents included chiropodist, dentist, GP and opticians. All healthcare services are located in the local community. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 14 During interview a member of staff showed good knowledge and understanding of each persons health and personal care needs, they also demonstrated a good awareness of the main principles of care, including privacy, dignity and respect. The member of staff said, “It is iimportant to maintain the privacy and dignity of residents by knocking on doors before entering rooms, shutting doors, blinds and curtains when assisting with personal care, talking to residents politely and offering choices”. A requirement was given as part of the last inspection report to ensure that all staff who handle residents medication have received accredited training. Records showed that medication is administered by staff that have undertaken the required training. Medication and Medication Administration Record sheets were examined they were all in good order and appropriately stored. A policy for the receipt, recording, storage, handling administration and disposal of medication was available at the home. A record of medication received and leaving the home was seen. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The home has appropriate procedures in place for responding to concerns and complaints and for ensuring that residents are safe from abuse or neglect. EVIDENCE: A complaints procedure was available at the home. The procedure included details of how a person can make a complaint, the timescales involved and details of the Commission for Social Care and Inspection. Staff interviewed said that are familiar with the homes complaints procedure and would be confident about telling somebody if they were unhappy. A complaints book was viewed at the home. There were no complaints recorded in the book. A copy of the Local Authorities most recent Protection of Vulnerable Adults procedure was available at the home. Protection of Vulnerable Adults training has been undertaken by most staff, this was confirmed during discussion with them and by examination of training records. During interviews staff confirmed their knowledge of Protection of Vulnerable Adults procedures and appropriately described what they would do if they suspected abuse or following an allegation of abuse. Resident’s money and records that were kept at the home were checked and found to be in good order. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 16 Southport Road, 119 DS0000005278.V290762.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The home provides a comfortable and safe environment for the residents living there. EVIDENCE: A partial tour of the inside and outside of the house took place. The home is of domestic style and in keeping with others in the Road. The home has several shared spaces, which include a lounge, kitchen, dining room and front and back gardens. Residents were seen using the lounge and dining rooms rooms during the visit. The home has two shared bathrooms one is fitted with a bath and the other has a walk in shower. Both bathrooms are situated close to residents bedrooms. At the last inspection it was noted that a fence had been errected outside yards from a residents bedroom window. Staff advised that this was to protect the persons privacy, however it provided no view to the outside from their window. A requirement was given as part of the last inspection report for an alternative arrangement to be provided. In response to this the bedroom window has been covered with mirrored film which allows the resident a view from their window and restricts views from outside so better protecting their privacy. The Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 18 fence has not yet been removed, a member of staff said that this is because improvements need to be made to the covering to ensure the full protection of the residents privacy. Most parts of the house are accessible to all residents , however access to the kitchen is restricted to all for safety reasons this restriction and the reasons why are recorded in individuals plans of care. There were no hazards identified at the time of the visit. A requirement given as part of the last inspection report for a window covering to be fitted to the bathroom window. Vertical blinds have since been fitted to the window ensuring the privacy of residents. Policies and procedures relating the health and safety of the environment were available in the homes health and safety manual, which was in the office and easily accessed by staff. The outside of the home was checked. There are gardens to the front and the back of the house both were well maintained. The exterior decoration was in satisfactory condition. Resident’s bedrooms were viewed, they were clean and tidy. Bedrooms were decorated and furnished to suit the needs and wishes of each resident. One residents room is fitted with basic furnishings, fittings and personal items, this is because of safety reasons which are recorded in his individual plan of care. All other furnishings, fittings and equipment in the home were of good quality, and were domestic, unobtrusive and ordinary. A selection of health and safety records relating to the environment were examined and showed that testing of systems and equipment has taken place at the required intervals. All parts of the home were clean and tidy. Policies for the control of infection were available at the home. A domestic style washing machine and dryer was situated in the kitchen. During interview staff demonstrated an awareness of high standards of hygiene and control of infection. Southport Road, 119 DS0000005278.V290762.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 The quality outcome in this area is adequate. This judgement was made using available evidence including a site visit. Resident’s benefit from staff who are competent and have good knowledge of their needs. Recruitment and training procedures are not always as robust as they need to be to ensure the full protection of residents. EVIDENCE: Recruitment, selection and equal oppertuities policies and procedures were available at the home. A requirement was given as part the last inspection report to ensure that all staff files are available for inspection. This requirement has not been met, as files for two staff were not available at the home on the day of the visit. Without this information there was no guarantee those staff were appropriately recruited putting residents at risk. Two other staff files were examined in detail both files included information that is required before staff are able to commence work at the home. For example, two references, a police check and a fully completed application form. The files also included records of supervisions, individual training and development plans and copies of certificates. A member of staff who was interveiwed confirmed that they completed an induction programme in the first few weeks of their starting work at the home. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 20 Discussion with staff evidenced that they have completed required training for example health and safety, first aid, protection of vulnerable adults and moving and handling, however records showed that refreher courses in these areas need to be attended by some staff to update their knowledge. Southport Road, 119 DS0000005278.V290762.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 The quality outcome in this area is adequate. This judgement was made using available evidence including a site visit. The rights and best interests of the residents are not completely safeguarded by the management of the home. EVIDENCE: The home does not yet have a registered manager, it is currently being run by an acting manager who was previously a support worker at the home. A requirement was given as part of the last inspection report for the organisation to apply to the Commission to register a manager for the home. This has not yet been done. The acting manager advised that a manager has been recruited for the home and is expected to take up the post shortly. The organisation must put forward to the Commission an application to register the manager for the home in order to comply with the Care Homes Regulations 2001. There are a number of management and administration processes that are not being carried out at the home. The acting manager advised that this is Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 22 because she is unsure of how to go about them. For example the formal supervision of staff and the keeping of staff training and recruitment records. As Part of the homes quality assurance process and in accordance with Regulation 26 of the Care Homes Regulations 2001 Amended (2004), a representative for the home visits the premises monthly. They interview residents and staff and inspect the environment. Reports, which are produced following the visits, are being sent to the Commission each month. Health and Safety policies and procedures relating to the environment were available at the home. A number of certificates in safe working practice areas and equipment were examined. These were current for fire safety, gas, and portable appliances. Discussion with staff and examination of records showed that they have undertaken training in areas of health and safety including: First aid, fire awareness, infection control and manual handling. Some of these require updating as described earlier on in this report. A handbook, which contains the homes policies and procedures, was seen in the office some policies and procedures show that they have recently been reviewed and updated in line with current legislation and working practices. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X 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 3 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 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 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 3 X 2 X 3 X 2 2 X Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 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. Standard YA32 YA33 Regulation 18(1)(a) Requirement Timescale for action 27/09/06 27/08/06 3. 4. YA34 YA37 5. YA42 6. YA41 All staff must complete up to date mandatory training. 17(1)19(1) Staff files must contain all the information required by the Care Homes Regulations 2001. This is a previous inspection requirement. 17(1)19(1) All staff files must be kept at the home for inspection. 8(2) The organisation must apply to the CSCI to register a manager for the home. This is a previous inspection requirement. 23(4)(e) The home must make sure that all staff must take part in regular fire drills. This is a previous inspection requirement. 17 Records required by regulation must be kept up to date. 27/08/06 27/08/06 27/07/06 28/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 25 No. Refer to Standard Good Practice Recommendations Southport Road, 119 DS0000005278.V290762.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Southport Road, 119 DS0000005278.V290762.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. 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!