Inspection on 16/06/05 for St Lucia House

This inspection was carried out on 16th June 2005.

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 Lucia House 07/11/06

St Lucia House 18/01/06

St Lucia House 17/11/04

St Lucia House 20/07/04

St Lucia House 14/01/04

St Lucia House 15/10/03

St Lucia House 28/01/03

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 St Lucia House 54 The Avenue Cliftonville Northampton NN1 5QG Lead Inspector Helen Wilson Announced 16 June 2005 13:30 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 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 and 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. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Lucia House Address 54 The Avenue Cliftonville Northampton Northants NN1 5QG 01604 630521 01604 626221 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Northamptonshire County Council Vacant Care Home 16 Category(ies) of Learning Disability (LD) 12, Learning Disability registration, with number aged over 65 years (LD E) maximum of 4 of places service users. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are currently four service users within the category of LD(E). By agreement there will not be any further admissions of service users over theage of 65 years. To ensure that the facilities meet the required standard a plan of re-development will be required within three months. That includes the phasing out of the four undersized rooms Date of last inspection 17 November 2004 Brief Description of the Service: The Northampton County Council is the Registered Provider for St Lucia. St Lucia is a purpose built Care Home situated in a residential area close to local shops and Northampton Town Centre. The Home is registered to provide personal care and support only, for up to 16 service users by reason of learning disability. Community health care professionals meet all health care needs. The current service users have lived at the Home for a long time and includes a mix of men and women of the age range 45 years to late seventies with varying degrees of learning difficulty. An additional condition of registration allows for those service users over the age of 65 years, who have made St Lucia their home, to stay. However, no admissions of adults in their sixties would be made. Communal accommodation provided includes four lounges, a games room, 2 kitchenettes. All private accommodation is for single occupancy incuding a double room currently used as a single. There is off road parking for staff and visitors at the side of the house, and a small garden to the rear of the property, which is accessible for service users. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is on outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The inspection was unannounced and lasted some five hours on the afternoon of 16 June 2005. The home was in the charge of the acting manager, discussions and checking of records were held with her and conversation held with people living at the home and staff. The primary method of inspection used was ‘case tracking’ which involved selecting three service users and tracking the care received through review of the case records and holding conversations with these people. Observations were made also of staff interaction with service users. What the service does well: Staff encourage service users to maintain their own skills and remain as independent as possible. The service users take part in a variety of events and activities out in the community and also enjoy in-house games and music in the large downstairs games room. Service users were also relaxing in the various lounge areas reading newspapers and watching television. Staff have shown sensitivity following the death of their oldest service user and continue to support the other service users discussing personal memories when appropriate. Safety checks relating to water, electricity, fire precautions and gas are carried out at regular intervals. Despite having problems in recruiting a cook, satisfactory interim arrangements have been put in place for some meals to be bought in from a catering service to augment the cooking being done by care staff. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Risk assessments of the premises were last reviewed three years ago and need to be updated now that staff have received updated training on risk management. One window needs to be fitted with a restrictor to prevent it being opened too far. An immediate requirement was made during the inspection regarding the recording, administration and ordering processes for medication as errors were found. Written confirmation was subsequently received by CSCI that action had been taken to improve the medication system and to provide additional medication training to staff. A decision is needed regarding the reduction of one bed from the total number of people able to be accommodated at the home. Initial discussions have been held with the Acting Manager. Please contact the provider for advice of actions taken in response to this St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 (Younger Adults) and 7,14 and 37(Older People) The level of personal and healthcare support is flexible, responsive taking into account individual known risks. EVIDENCE: Casefile records of three service users showed that care plans are in place documenting how staff will care for people. Assessments have been done relating to any risks due to the needs of service users and these are part of the plans. The manager said that for one person the assessments did not correctly reflect needs and she would undertake to revise these and the care plans. Records and information held relating to individual service users are kept confidential and securely stored away from communal areas. Staff were seen St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 11 talking quietly and confidentially with service users without being overheard by others. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16 and 17(Younger Adults) and 10,12,13 and 15 (Older People) The daily routines and lifestyles experienced by service users are satisfactory. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 13 EVIDENCE: It was clear from conversations with people living at St Lucia that service users follow individual routines during the day including attendance at workplaces, daycentres and remaining at home. Service users were fully involved and knew about the home’s routines such as fire safety, the checks done on electrical equipment and raised questions about the future plans for the home. Service users have helped choose new furniture and paint colours for bedrooms and lounges. The manager has been trying to obtain a volunteer worker to accompany a service user on fishing trips for some three months and this hobby is clearly important to the particular individual. From conversations with other service users it would appear that other hobbies and activities are well catered for. Friendships and relationships are supported and encouraged so that service users have a normal lifestyle. Four service users went on a week’s holiday recently to Spain with staff and spoke about their time abroad with excitement. The Home’s games room provides a focus point for social activities including a pool table, an organ, facilities for Discos and other games. There is also a range of audio and visual equipment in the communal lounges so service users can watch TV and listen to music. The home has been finding it difficult to recruit a cook and interviews were to be held following the inspection visit. Interim arrangements have been put in place for some meals to be bought in from a catering service to augment the cooking being done by care staff. Service users said that the meal during the visit was good and there was cake for dessert. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 and 21 (Younger Adults) and 8,9,10 and 11 (Older people) Although the home generally provides a person-centred service, the service users were potentially at risk because of failures in the medication system. EVIDENCE: Service users are quickly referred to their GPs and receive care from other community health professionals when necessary. One service user had just been discharged from hospital and the home had arranged for the occupational therapist to visit to discuss additional equipment necessary for the support of this person. An immediate requirement was made during the inspection regarding the recording, administration and ordering processes for medication as errors were found. Written confirmation was subsequently received by CSCI that action St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 15 had been completed to improve the medication system and to provide additional training to staff. Staff have shown sensitivity following the death of their oldest service user and continue to support the other service users discussing personal memories when appropriate. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 and 30 (Younger Adults) and 19,20,21,22,23,24,and 26 (Older People). The home is homely with a modern style of decoration and furnishing however there are a number of premises issues that potentially may be risks for service users. EVIDENCE: Several bedrooms and lounges were viewed. These were freshly decorated with good quality modern furniture and have adequate space for storage. All St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 18 bedrooms were comfortable and personalised with the service user’s own possessions. The home was generally clean and had no odours. One bedroom, used previously as a double, should now be allocated for single use and this will require further discussion between the manager and senior managers responsible for the home as it will result in an overall reduction of the numbers of beds registered at the home. As agreed with the manager, CSCI is to be formally advised regarding the decision. Toilets and bathrooms are suitable for use by the current service users. The manager has agreed that further cleaning will be done to remedy long-term staining in toilet bowls. The laundry area is compact yet workable and three service users are able to help with their own washing. A window next to the middle floor lounge is able to open too far and is a risk to service users. The manager said the window would be made safe as a matter of urgency and has arranged for a contractor to visit and estimate for the remedial work. Risk assessments of the premises were last reviewed three years ago and the manager agreed that all areas need to be reviewed. The manager confirmed that senior staff have recently completed training in managing risks and assessments would be given priority. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 (Younger Adults) The home has been unable to provide sufficient staff support for one service user. EVIDENCE: The main hobby of one service user is currently on hold while the manager looks for a volunteer worker to accompany him out in the community. As this now means that no fishing trip has taken place for some three months, consideration should be given to allocation of staff time to facilitate this individual hobby and fulfil this unmet need. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38 and 42 (Younger Adults) and 31 and 38(Older People) The home is well run overall, is monitored by external senior managers and service users are satisfied with their care. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 21 EVIDENCE: There is no registered manager currently. The home’s manager is undergoing a registration process with CSCI. Regular visits are made by senior managers of the Northampton County Council to monitor the operation of the home. Regular checks are carried out and recorded relating to the maintenance of electrical, water, gas and fire detection systems. Fire drills are recorded and service users and staff responded by getting out of the building without any problems. The manager said that risk assessments relating to the premises and the cleaning materials handled by staff are due to be reviewed following training given to staff at the home. Service users said that they know what is happening at the home, staff help them and that they are involved in making decisions with staff. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 3 3 3 3 2 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING 2 3 3 2 3 3 2 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x x 2 x x x 2 3 x x x 2 x Version 1.40 Page 23 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Lucia House Score x 3 1 3 37 38 39 40 41 42 43 C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 20 (Adults 1865)9(Older People) Regulation 12(1), 13(2) Requirement Administration of medication must be as per pharmacy label with accurate recording to identify staff signatures and reasons for any gaps, refusals,etc. This was an immediate requirement made at the time of inspection on 16.06.05. CSCI must be informed in writing of the action taken to delegate medication ordering and receipting processes to a staff member who is deemed competent in this task. This was an immediate requirement made at the time of inspection on 16.06.05 Confirmation of the action taken to make the middle lounge window safe must be forwarded to CSCI. Timescale for action 16 June 2005 at 17.00hrs. 2. 20(Younger Adults),9 (Older people) 13(4) 20 june 2005 at 17.00hrs. 3. 24(Younger Adults), 19 (Older People) 13(4) 31 July 2005 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 Good Practice Recommendations C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 24 St Lucia House 1. Standard 33 (Younger Adults) Consideration should be given to allocation of staff time to facilitate fishing trips for onr specific service user. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 1ST Floor Newland House Campbell Square Northampton NN1 3EB 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. St Lucia House C51 C08 S31874 St Lucia House V232525 160605 Stage 4.doc Version 1.40 Page 26 - 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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