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Inspection on 09/10/06 for Stanfield House

Also see our care home review for Stanfield House for more information

This inspection was carried out on 9th October 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

What the care home could do better:

The service needs to make sure that they continue to provide suitable management cover for the home during the registered managers absence.

CARE HOME ADULTS 18-65 Stanfield House 4 Stainburn Road Workington Cumbria CA14 4EA Lead Inspector Nancy Saich Unannounced Inspection 9 October 2006 08:45 th Stanfield House DS0000022602.V316826.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 Stanfield House DS0000022602.V316826.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. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanfield House Address 4 Stainburn Road Workington Cumbria CA14 4EA 01900 65737 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) www.turning-point.co.uk Turning Point Limited Mr Peter Ditchfield Care Home 12 Category(ies) of Past or present alcohol dependence (12), Past or registration, with number present drug dependence (12) of places Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 12 service users to include: up to 12 service users in the category of A (past or present alcohol dependence) up to 12 service users in the category of D (past or present drug dependence) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 7th March 2006 2. Date of last inspection Brief Description of the Service: Stanfield House is an older property located in a residential area of Workington. It is within walking distance of the town and has good local and national connections. The property has three floors and is unsuitable for people with physical disabilities. The home takes people between the ages of 18 and 65 who have had problems with substance abuse but who are no longer using drugs or alcohol. The home is only staffed during office hours so residents must be able to function fairly independently. The home is registered to Turning Point, a national charity who run different types of home throughout the country and who have other services for people with problems of addiction. Peter Ditchfield manages the home on their behalf. Further information on Turning Point can be accessed through their website on www.turning-point.co.uk. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is an overview of what the inspector found during the inspection. This was the main inspection of the year. It was carried out by the lead inspector, Nancy Saich. She had already visited in May 2006 with the pharmacy inspector. Copies of the letter following this visit can be obtained on request from the Penrith office. They found that medication management had improved after the company had undertaken a review of the systems that were causing difficulties. Prior to this ‘key inspection’ the inspector sent out questionnaires. She had an almost 100 response from residents, families and professionals. All the responses were very positive. The acting manager and the area manager also put together a number of very useful documents that helped the inspector to get a lot of information before she visited the project. She toured all areas of the home and spoke to staff. She spent a lot of time talking to residents and to people who had previously lived in the house. She also read files and documents that backed up what was said to her and what she observed. She also phoned some people who had responded to questionnaires. She found that the home had improved in all areas and was interested in the plans that Turning Point have for the future of the project. What the service does well: Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 6 The home is good at providing information for residents before they decide to come in. The home is good at encouraging people to change their lifestyle so that they have a better quality of life than they had when they were abusing substances. Residents felt that staff encouraged them to have a more settled and fulfilling lifestyle. This included good support in developing life skills and in encouraging hobbies and interests. They are also good at helping people to look after their physical and mental health. They give the residents support to get medical or psychiatric care and to help them prevent ill health through encouraging exercise and healthy eating. Residents said: “ I am much more confident about cooking and managing my money” “I feel I can carry on with the interests I have developed and this will help me to stay drug free”. • “I have a better lifestyle here than I have ever had” • “ I have the support here that has helped me to work through the emotional problems that started me using”. • “I really enjoy the weekly walks where I can get fit and talk things through with the others”. • “Everything fits together to help me get well and stay well…” The inspector judged that the house provides varied activities that encourage recovery. The greatest strength lies in the way the staff interact with residents. Residents said • “The staff are great…very helpful” • “I think my personal worker does a very good job…and I can have oneto-one time with her whenever I need it” A social worker also said • “I find that this project manages to have good three way communication with residents workers and ourselves…this helps us to give the best service we can.” Residents said they could make their own decisions – but were given sound advice if they were making choices that might harm their recovery. They said they found the group work helped them to make the right choices and helped them to avoid the things that had damaged their lives in the past. Residents also said that they were encouraged to talk through any difficulties in the group and this helped them to get along with other people. They also said that they were given plenty of opportunities at the weekly house meeting to air their views. The company is good at making sure they only take on new staff after they have made sure that they are the right kind of people to work in the home. The home helps residents to manage their own money and deal with things like debt. They are also good at helping people to look at how they will deal with their finances once they have moved on from the project. They also help people to start to think about what kind of employment they may want in the future. • • Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 7 The house provides accommodation in mainly single rooms and is safe, comfortable and homely. What has improved since the last inspection? The staff team have really improved the written plans that help residents and staff to understand the steps they will be taking towards recovery. Everyone in the home had a detailed and up to date care plan. Residents said that they had written them with the help of staff and that they reviewed them at least weekly. One person said • “Staff remind you of the commitment you have made, they help you to carry things through and support you when it seems hard to achieve”. The staff team have got much better at looking at risk and helping residents to manage their own risks in a controlled way. The best example of this is the way that residents are now coping well with taking their own medication. Generally the way prescription drugs are dealt with is much better. The home is now more focussed on tackling any potential bullying or harassment that might occur in the group. Residents said the staff were • “Pretty good at knowing what was happening in the house and they know when to step in…” This home is only staffed during ‘office hours’ but recently the management have encouraged staff to be around more in the evenings and weekends. There are plans to provide more cover ‘out of hours’. The home is now much better at making sure staff have time to talk to their supervisor about the work they do and about the philosophy of the home. This means that staff have back up for all the work they do with residents. The acting manager and the area manager had reviewed all the systems in place that help the home to run smoothly and they have done this very well to create a house where residents can live without worrying. The managers produced a very good business plan that residents had been fully involved in. The inspector judged that if this goes ahead it will provide a house that is more suited to residents needs, is better staffed and has more opportunities for successful rehabilitation. What they could do better: The service needs to make sure that they continue to provide suitable management cover for the home during the registered managers absence. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 8 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. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 9 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 Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home makes sure that they only take new residents who will benefit from the project and who they can care for. EVIDENCE: The acting manager has updated the information that goes out to residents. They now receive a very detailed handbook before they come to the home and they have their stay fully explained to them. Some people come straight from another setting and cannot visit but most people do come for a short ‘test drive’ where they can decide on whether the project will meet their needs and when the staff can decide on whether they can care for the person appropriately. Other arrangements are in place for people who come from a secure setting and who are not allowed to visit. Prospective new residents fill out a self-assessment form. They are encouraged to be very honest about their previous history of substance abuse and their personal background. They said that this helped them to make a commitment to the home and to their rehabilitation. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 11 Every person in the home has to sign a ‘license agreement’. This not only tells people what the arrangements are for payment of fees but also explains the terms and conditions of their stay. Residents talked about their funding arrangements and about being supported in asking for further funding if they feel that they would benefit from a longer stay. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This project is good at encouraging people to help themselves to full recovery. EVIDENCE: Every person – even if they had only been in for a few days- had a written plan that showed staff what they wanted to achieve. The inspector read most of the plans and found that they had improved dramatically. They are now very much more detailed with strategies in place that were practical, reasonable and achievable. Residents said they had written them themselves with support from staff. They felt that the staff kept them to their aims and goals and would challenge them if they were not making progress. They all thought that the care plans were very important tools in their recovery. The residents care plans and daily notes show that staff support people to make their own decisions. This is also part of the ‘solutions group’ that operates in the home. The residents said that they could talk through decision making with their ‘key worker’. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 13 Residents’ notes showed that friends and family visited. Family members can stay if this is agreed at the weekly residents meeting. There may be restrictions on visitors but this is noted on each persons plan of care and in the home’s general risk assessment. This home has a weekly residents meeting where issues about how the home runs can be discussed. Residents and ex-residents are also invited to events that Turning Point run countrywide where they involve service users. The inspector met someone who had just left the project after a successful stay and he said that he had been involved in recent plans to change the way the home operates. He said he and others were consulted on the aims of the home, the way the rooms were set out and how the home was staffed. The home has got much better at helping people take risks. The biggest change was that residents were really supported in taking their own medication. This had, in the past, been considered too much of a risk but was working very well during the visit. One person had been able to manage their own risk when they were feeling low and the staff had helped them to work through this. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to develop new lifestyles that will allow them to remain drug and alcohol free after they leave the project. EVIDENCE: The residents in the home told the inspector that personal development was the focus of their rehabilitation. They said that they found that group work and one-to-one meetings with staff were very helpful. This helped them to look at why they misused substances and how they could move towards a better understanding of their motives so that they would stay clean and sober in the future. Residents and staff also said that any outstanding debt problems would be addressed through care planning and key working. The home has a small budget for activities and makes arrangements for things like gym membership, Internet access and speakers for talks in the home. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 15 Residents and ex-residents have also been involved with fund raising to improve the range of activities on offer. One of the things they felt was important was a change in lifestyle. They said they were encouraged to join in things like sport and other leisure pursuits so that could develop new interests and activities that would prevent them going back to former lifestyles. Residents spoke about a good range of opportunities available in the area. Some people enjoyed the gym and the outdoor pursuits on offer. Other people spoke about doing voluntary work or improving their computer skills. Residents are encouraged to participate in all the activities everyone in the community can participate in. Sometimes because of the past history of residents this can prove to be difficult. However the staff try to foster good communication between the home and community groups. Residents said they enjoyed being part of the community and felt that there was a local ‘Turning Point’ community of people who had experienced the same rehabilitation programme as themselves who were there to support and encourage them. On the day of the visit the residents were doing the weekly shop. They said they were encouraged to budget, shop and cook with help from staff. One person said that due to their lifestyle they had never cooked or eaten properly. Residents said they enjoyed the healthy eating course that was offered during their stay. They also spoke about completing a food hygiene course. This course and other training allowed residents to take responsibility for their own health and safety. The home has got much better at helping people take risks. A number of people had been away on home leave and there were a number of examples of how risk was managed well. Residents said they were encouraged to take all kinds of responsibilities. Each person has responsibilities in the home with things like cooking and housekeeping. The care plans show that they are also encouraged to take responsibilities for their own behaviour. The residents felt that this approach helped them to work on changing things so that they could face past behaviour that had brought them to the home. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are encourage to be as well as possible and are helped to manage their own well being. EVIDENCE: Each of the people in the home had very detailed plans of care that showed staff how much support they need. The residents all spoke very highly of the staff and their attitude and approach. They felt that even the intrusive things like drug and alcohol testing were done in a reasonable way. Residents in the home had had contact with health care professionals and they had all had their medication and health needs reviewed. They were all registered with local practices and had also seen other health care professionals. They could also access alternative health care providers. Staff in the home are trained in acupuncture and reiki. Staff have also arranged for health care practitioners to give talks on healthy eating, smoking and how to deal with addiction. The inspector checked on medication kept in the home. She found that medication was ordered, stored and administered correctly. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This project is good at listening to residents concerns and in protecting them from harm. EVIDENCE: Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 18 The inspector spoke to residents about how things were in the home as there had been some problems in the past that may have allowed strong characters to bully others. They all felt that every group of people had issues over who held the power at any time but they thought that learning to deal with this was part of their recovery. They did feel that the staff could see when there was an imbalance and they trusted that they would step in where necessary. They didn’t feel that there was anything abusive going on at the house but all of the people spoken to knew what they would do about it. Staff were also aware of the need to protect vulnerable adults and what the company expected of them. The inspector had been made aware of times when staff had stepped in to prevent any problems developing. Turning Point has good policies and procedures about these matters. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 19 Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The building provides a safe, clean and comfortable temporary home for residents. EVIDENCE: The home has closed circuit TV cameras outside and certain parts of the home are alarmed. The staff and residents said they followed very specific security procedures and residents were careful about letting people into the home. Residents have their own keys to the house and their individual rooms. The inspector walked around all areas of the home and found it to be comfortable, secure and homely. Residents were satisfied with the house and felt secure there. The home was clean and hygienic on the day and the inspector was pleased to see that residents were taking a pride in keeping the home orderly and clean. There was evidence to show that routine domestic chores are carried out regularly. Turning Point has plans to improve and modernise the house. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This project has a dedicated staff team who work together to the benefit of the residents. EVIDENCE: The home has a small staff team and together they make for a good mix of skills and knowledge. Unfortunately two of the members of this team have been absent for a number of months. The acting manager and the locality manger said that they were working on this problem as they too thought that these absences had led to a change in the balance of the team. The inspector judged that this standard has been met simply because the area manager and her manager had been working in the home on a day-to-day basis. This means the absences have been covered as both these managers have skills that allow the work of the home to continue Turning Point has a good range of training available for staff. The staff on duty on the day of the visit said they had done various courses and had more planned. One person was registered for a National Vocational Qualification and was enjoying putting her portfolio together. The inspector judged that the staff had enough training to be able to care for residents properly. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 22 All the staff said they had the opportunity to sit down with a more senior person to talk about their work, their training and about the philosophy of the home. The inspector read some of these notes and found that they did all of these things and that staff could discuss how they helped individual residents. Staff thought this was important and that together with staff meetings where they could talk about any problems with the work they were well supported in what was often complicated and emotionally draining work. The inspector thought that this ‘supervision’ and ‘debriefing’ were very good for the team and allowed them to work more effectively. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management systems have been improved in the project but Turning Point need to provide evidence of how the home will be managed in the future. EVIDENCE: The inspector judged that the home had improved in a number of ways and that Turning Point had made suitable arrangements for the manager being absent. She did however feel that the company must now work on future management arrangements in the home. The acting manager and the locality manager had undertaken a review of the care and services provided in the home. Residents and ex-residents had been involved in this. They had also had a say in the future plans that have been prepared for this service. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 24 The inspector judged that the new business plan for the home would help the service to improve the way they help people to recover from drug or alcohol misuse. The home has good systems in place to make sure that the unit is a safe and comfortable place to live. The inspector could see that residents were fully involved in keeping the home as clean, comfortable and safe as possible. Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 3 4 3 5 3 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 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 4 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 X 2 X 3 X X 3 X Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 26 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 YA37 Regulation 8 Requirement The registered person must ensure that they meet the second condition of their registration – “ The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection”. Timescale for action 15/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Stanfield House DS0000022602.V316826.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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