Inspection on 13/06/07 for St George`s Lodge

This inspection was carried out on 13th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St George`s Lodge 16/01/06

St George`s Lodge 16/08/05

St George`s Lodge 21/01/05

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE St George`s Lodge 46 Chesswood Road Worthing West Sussex BN11 2AG Lead Inspector Anita Tengnah Unannounced Inspection 13th June 2007 09:30 X10015.doc Version 1.40 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 DS0000062147.V339728.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 Older People. 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. DS0000062147.V339728.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St George`s Lodge Address 46 Chesswood Road Worthing West Sussex BN11 2AG 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) 01903 820637 Bushby Care Limited Mrs Linda Susan Young Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places DS0000062147.V339728.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2006 Brief Description of the Service: St Georges Lodge is a care home registered to accommodate up to twenty-six residents in the category of old age. It is a detached property, located in East Worthing approximately one mile from the town centre and relatively close to the sea and parks. The accommodation consists of twenty-six single bedrooms, the majority of which are en-suite, and is arranged on two floors. There is a passenger lift to the bedrooms on the first floor, and a large garden/parking area to the front and the sides of the building. Bushby Care Ltd. privately owns the service. The current fee charged is £331-£500 per week DS0000062147.V339728.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit to the service was undertaken as part of the inspection on the 13th of June 2007. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking six service users views were sought and care records were looked at. Five staff were also spoken with. Information gained from the Annual Quality Assurance Assessment (AQAA) was also used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. The commission received 15 comment cards from the service users, their relatives and two health care professionals. They were all positive regarding the care that the service was providing and indicated a high degree of satisfaction. Care practices observed at the time of the visit showed that the staff and the service users had developed good relationships and care was provided in a respectful manner. What the service does well: What has improved since the last inspection? The ongoing programme of refurbishment ensures that the vacant rooms are redecorated prior to new service user moving in. DS0000062147.V339728.R01.S.doc Version 5.2 Page 6 The provider has changed the management structure and has a registered manager with two deputies. This ensures that there is a senior staff member on duty at all times. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000062147.V339728.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000062147.V339728.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 3,6 The pre admission assessment process is good and ensures that service users’ needs are assessed and the home can meet them. The home does not provide intermediate care. EVIDENCE: The care records of two recently admitted service users were looked at as part of case tracking. Detailed pre admission assessments of needs were carried out and staff reported that this information is used to formulate their initial care plans on admission. Assessments of needs included dietary needs, manual handling assessments, skin integrity, risk of falls and wheelchair use. One of DS0000062147.V339728.R01.S.doc Version 5.2 Page 9 the service users was assessed in hospital and the information from the discharge letter was also used in the formation of the initial care plan. The record of a service user admitted as an emergency for respite care showed that a full assessment was undertaken on admission and care plans formulated. There was evidence that the service user’s relative was involved in the assessments, as appropriate in order to ensure that all care needs were identified. Comment from a health care professional was that there was “good gathering of information prior to admission”. Social services was involved in this service user’s placement, however there was no care manager’s assessment available. The manager confirmed that this had been requested and would ensure that this is available in future on admission. The service users are offered the opportunity to visit the home and one of the service users spoken with confirmed that she visited the home and “liked it immediately”. The service does not provide intermediate care. DS0000062147.V339728.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans and records of care given were good. Staff had clear information about the support that the service users required with their care. The health care needs and access to external agencies are well managed. The medication management needs to be further developed, as some aspects are inadequate. The service users are treated with respect and dignity and their right to privacy maintained DS0000062147.V339728.R01.S.doc Version 5.2 Page 11 EVIDENCE: The care plans of 3 service users were seen as part of this visit to look at how the home plans to meet the needs of the service users. These included assessments such as manual handling, dietary needs, continence, and personal care, bathing assessments. The care plans were formulated and contained good information about the assessed needs of the service users and actions required in order to meet them. Daily records were maintained of the care given. Comments from the service users included “the staff look after me well.” Another service user said, “the care is good”. The care plans were reviewed regularly to reflect any changes in the needs of the service users. The development of night care plans would further enhance the care plans and provide clear information for staff. The manager stated that one of the service users needs had deteriorated in the past months. He had been referred to the hospital for tests this week and further assessment from the district nurses is planned. All the service users are registered with the local surgery. The manager reported that the home had good relationships with the local primary care trust and the service users were supported to access health care services as required. The GP did not undertake regular visits to the home but was available on request. Advice was sought as required from external healthcare professionals. The home also maintained good records of visits from the multidisciplinary team such as doctors and dentists. One of the service users had been referred for a hearing assessment and another service user had been assessed for a wheelchair. The service users are supported to access the optician in the community. The manager reported that the dentist did not visit and could be accessed in the community as needed due to the shortage of National Health dentists. Pressure relieving equipments were available according to the assessed needs of the service users. Comment from a health care professional was that any advice is acted on straight away and staff are trained to good standard. The home has a medication policy and procedure and staff reported that only those staff who had completed training in medication were responsible for the service users’ medication. All medication was locked away appropriately. A sample of the Medication Administration Record (MAR) was looked at during the visit. Records of medication administered were maintained, however there were some gaps in the records on the MAR sheets. It was discussed with staff that records of variable dosages must also be maintained. One of the service users was prescribed an apperient to be given three times a week. This medication was not available when checked. This was brought to the attention DS0000062147.V339728.R01.S.doc Version 5.2 Page 12 of the staff and all prescribed medication must be available to the service users as required. The manager reported that a senior staff member was responsible for ordering and disposal of the service users’ medication. The home maintained records of medication received and discarded. Staff reported there was no service user self- medicating at the time of the visit. It was noted that the home has a separate dedicated refrigerator for the storage of medicines. It was brought to the attention of the manager that a record of the daily temperature of the medicine refrigerator should be recorded using the minimum and maximum thermometer, as this was not recorded. There should also be guidance for staff about action to be taken if the temperature is outside the normal range. A procedure should be developed for staff for transcribing on the MAR sheets. All medication entered on the MAR sheets must contain the dose, frequency and dosage interval including the maximum daily dose in order to protect the service users. The procedure for ordering medication should be reviewed to ensure that staff see the prescription forms to check against the items that were ordered prior to these being submitted to the pharmacist. Staff reported that at present the prescriptions go from the surgery to the pharmacist and the home did not see them. It is also the responsibility of the manager/designated person to sign the exemption declaration on behalf of the service user. Further information can be obtained from the Royal Pharmaceutical Guidance as discussed at the time of the visit. Comments cards received and 6 of the service users spoken with confirmed that the home provided a good service and they had autonomy and choice regarding the activities of daily living. Comments included ”a very good home”. Another service user said “everyone of the staff is so kind” and that she was “happy to be here”. Three of the service users stated that there were no restrictions about activities of daily living” you can choose when you go to bed” and two of them said that they enjoyed having breakfast in bed. DS0000062147.V339728.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social and recreational facilities for the service users meet with their satisfaction. The service users are supported to maintain links with the community and their family and friends. The service users autonomy and choices are respected in their activities of daily living. The meals are good and well-managed offering choices and flexibility. DS0000062147.V339728.R01.S.doc Version 5.2 Page 14 EVIDENCE: The home has a planned and varied programme of activities for the service users. The staff are responsible for activities and are supported by external entertainers. Information from AQAA, service users and staff spoken with said that the activities took place at least weekly. These included old times sing songs, musical interludes, chocolate party. The library visited on a monthly basis and large prints and talking books were available. The service users also had the opportunity to go out shopping, available for a fee from a private organisation. The manager reported that the service users enjoyed the “fashion show” that occurred six monthly and offered them the opportunity to purchase clothing. The service users had visits from the local priest and some of them took part in communion. Another service user attended church with her husband. There was one lady from a non- Christian denomination but was non- practicing. Information from AQAA indicated that the manager has policies and procedures to promote equality and diversity. The manager reported that there is an ongoing programme to raise awareness. The home has an open visiting policy and it was evident from the record of visitors as kept by the home that there was no restriction on visiting. Comment received and three service users confirmed that they have autonomy to receive their visitors in private. Comments from relatives included “ the home is very well run” and she visited at least four times a week. Two of the service users said that they saw their family in the lounge and sometimes in the dining room. Another service user added “you can take them wherever you want or to your room”. The service users spoken with said that they have autonomy and choice with their daily living activities. A service user said that the staff “always help when you ask”. Another service user added, “the staff do their best”. Three of the service users said that there was no restriction to going to bed or getting up. Two ladies said that they enjoyed having breakfast in bed. Comments from relatives included “I am impressed by St Georges”. “Care is first class”. “My brother and I are 100 satisfied.” Another said, “they make people feel cared for.” The home has a planned menu that is rotated on a regular basis. Comment cards received and the service users spoken with said that the meals were “very good” and hot and cold drinks were available at all times. Comments included “good and wholesome food” and “good choice “. All the service users are provide with a daily menu and staff supported them in choosing from the DS0000062147.V339728.R01.S.doc Version 5.2 Page 15 menu. The lunchtime meal was observed and staff were available to offer support with their meal as needed. DS0000062147.V339728.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 16,18 The complaint management is good and the service users are confident that their complaints would be listened to. Staff have a clear understanding of adult protection and ongoing training ensures that the service users are protected. EVIDENCE: The home has a complaint policy and procedure that staff and the service users spoken with said that they were able to use. Three of the service users spoken with said, “there is nothing to complain about” and “the staff are marvellous”. Two service users said that they would speak to the matron if they were unhappy with anything. Another comment was that “you can go to the office”. The manager maintained a complaint log of complaints received. There has been one complaint received and records seen showed that this had been resolved. The home has an adult protection procedure in place. Staff spoken with were clear about what constituted abuse and said they would report to the manager. DS0000062147.V339728.R01.S.doc Version 5.2 Page 17 Information from AQAA indicated that all staff attended an in house training on the prevention of abuse in March 07. The service users spoken with said that they felt safe living at the home. The manager reported that all new staff are inducted in the “whistle blowing” policy when they started work. DS0000062147.V339728.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 19,26 The home provides the service users with a high standard of clean and wellmaintained accommodation that meets their needs. The infection control procedures at the home are satisfactory. EVIDENCE: The home has 26 single rooms and 22 of these have en suite facilities. There is a shaft lift that allows access to all parts of the home. Ramps and handrails were available to support the service users’ independence as needed. DS0000062147.V339728.R01.S.doc Version 5.2 Page 19 A tour of the premises was undertaken as part of the visit and a number of bedrooms, communal areas, bathrooms, and kitchen were viewed. It was evident that the home has an ongoing programme of refurbishment. The service users bedrooms were maintained in good decorative order and clean. The bedrooms seen were highly personalised and a service user comment included” I have all I need in here”. Other comments included “the home is very clean”. There was no adverse odour when the inspector toured the service. The provider has confirmed that a new carpet has been fitted in the bedroom identified at the time of the visit. Comments from two relatives indicated that the call bell access in the communal lounge was inadequate. There are two call bell points and one had an extension lead and the other was behind a chair and not easily visible. Two service users spoken with said that they would go to the kitchen and “shout for help”. This was also discussed at a recent service users’ meeting and the provider had been pro active and was looking into this problem. The home has well maintained gardens that the service users commented were ”very nice to see ” Two service users said that they are looking forward to enjoying the gardens as the weather had improved. Seating was available in the garden and was accessible to wheelchair users. The home has a laundry where all the service users laundry is undertaken internally. This was clean and the washing machine was fitted with sluicing facilities. Information on infection control was available. Staff practices observed indicated that they were aware of them and used protective gloves and aprons as needed. DS0000062147.V339728.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 27,28,29,30 The staffing numbers are adequate to meet the present needs of the service users. The home has systems in place to ensure that staff have the skills to deliver care safely. The recruitment process is satisfactory. However POVA first checks, as part of the CRB checks for staff, must be in place prior to staff starting work at the home. There is a training programme in place to ensure that staff are supported in their work. EVIDENCE: The home’s duty roster indicated that there are 5 carers on the early shifts and 4 carers on the afternoon shifts. The night staff included 2 waking carers. The provider reported that a recent review in the senior staffing had taken place. The daytime shifts will always have either a manager or a deputy on duty to support the carers. Staff and service users spoken with confirmed that they felt DS0000062147.V339728.R01.S.doc Version 5.2 Page 21 that there were adequate staff to meet the service users’ needs. Comments from the service users were that “the staff come when you call”. The carers also undertook the service users’ laundry at the home. Staff said that they did this in between care duties. Dedicated hours for laundry should be considered to ensure that care hours are not eroded. Information from AQAA and sample of records seen indicated that 3 senior staff have completed NVQ level 3. Of the 19 permanent carers, 9 had completed NVQ level 2 and one was working toward this qualification. There is an induction programme in place that the provider ensures is available to all new staff. The home has a recruitment procedure and the manager interviewed all the applicants. A sample of records for 2 newly recruited staff were seen and indicated applicants all completed an application form and references were secured as part of the recruitment process. One of the staff had all necessary checks completed prior to employment, however the other staff had been employed for 6 days prior to receiving the POVA first check and full CRB clearance followed. This was discussed with the provider who must ensure that POVA first checks, as part of the CRB checks for staff, are in place prior to staff starting work at the home. The home has an on going training programme in place to ensure that all staff have mandatory training in health and safety. Recent training included basic food hygiene, and 6 staff were undertaking distant learning course in infection control. DS0000062147.V339728.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 31,33,35,38 The home has a new registered manager in day- to- day control of the service. The system for keeping all the service users monies separately must be developed in order to safeguard their interests. The process of seeking the service users’ views is well managed and ensures that the home is run in their best interests. There is procedure in place for the health and safety of the service users. Some items that are hazardous to health were not maintained safely and action is needed. EVIDENCE: DS0000062147.V339728.R01.S.doc Version 5.2 Page 23 The home has recently recruited a new manager and has been registered by the Commission. The provider Mrs Bushby who was previously the registered manager said that she would now be undertaking the administration duties for the service. The service users spoken with said that they would speak to any of the staff or the provider if they had any concerns. Interaction observed throughout the day indicated that the staff and the service users had developed good relationships with each other. The service users said that they felt supported and “have nothing to worry”. The service has systems in place for auditing the service provision. Service users meetings are held at regular intervals and the last one took place in May 07. This meeting had a high attendance and minutes were available. The provider also undertook monthly regulation 26 visits to the service as part of his audit and records of these were kept. The provider discussed that an audit of the service users/ relatives and other healthcare professionals is planned for the summer. A sample of the personal allowance as managed by the home was looked at. Receipts and invoices of all transactions were maintained. The provider confirmed that all the service users had either relatives or appointees to deal with their financial affairs. It was noted that the service users monies such as personal allowances were not kept individually as required. This was discussed with the provider and a system must be developed for all the service users’ monies to be maintained individually. It was not possible to ascertain if monies held in the service users’ names corresponded with the balance maintained. Information from the AQAA indicated that there are regular reviews of policies and procedures to ensure that they meet current legislation/ guidelines. There is an ongoing programme for the servicing of fire equipment, hoists, wheelchairs, lift and emergency lighting. Records seen showed that they were all completed at regular intervals. Records of fire training and weekly fire alarms testing were available. A fire risk assessment was completed in August 06 and the risk assessment for the building was done in February 07. The provider reported that these risks assessments are reviewed on a yearly basis. Some items that can be hazardous to health were found unlocked in the laundry area. This was brought to the attention of the staff and must be kept locked as service users had access to the laundry room. DS0000062147.V339728.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 DS0000062147.V339728.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP29 OP35 Regulation 12(1) 19 20(1) Requirement All necessary checks including POVA first checks must be in place prior to staff starting work. The service users’ personal allowance as managed by the home must all be kept separately and not pooled together. Timescale for action 30/07/07 30/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000062147.V339728.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000062147.V339728.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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