Inspection on 22/06/05 for Stratton Road (20)

This inspection was carried out on 22nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Stratton Road (20) 11/09/07

Stratton Road (20) 13/11/06

Stratton Road (20) 10/11/05

Stratton Road (20) 26/02/05

Stratton Road (20) 16/11/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Stratton Road (20) 20 Stratton Road Pewsey Wiltshire SN9 5DY Lead Inspector Alison Duffy Announced 21 and 22 June 2005 st nd 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stratton Road (20) Address 20 Stratton Road Pewsey Wiltshire SN9 5DY 01672 564957 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) Landlace Care Homes Ltd. Miss Beverley Britten Care Home 3 Category(ies) of LD Learning Disability (3) registration, with number of places Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2005 Brief Description of the Service: 20 Stratton Road is a residential care home which accommodates three service users with a learning disability. The home is one of three residential care homes owned by Landlace Care Homes Ltd. Miss Bev Britten is the Registered Manager and Mrs Nan Lance is the responsible individual. Mrs Lance works closely with her daughter, Miss Britten. The home is located within a residential area of Pewsey and is within walking distance of local amenities. The property is semi detached and furnished to a good standard. Service users have single room accommodation on either the ground or first floor. The home has one member of staff on duty throughout the waking day and sleeping in cover is provided at night. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 20 Stratton Road is one of three care homes owned by Landlace Care Homes Limited. As all homes are similar in nature it was agreed to undertake the announced inspections of all services over a period of three days. It was intended to undertake the whole of this inspection on the 22nd June 2005. However due to residents being out at day services, a visit was made to the home on the 21st June 2005 at 5.10pm. The inspection therefore took place between 5.10pm – 6.10pm on the 21st June 2005 and 9.20am – 3pm on the 22nd June 2005. On the 21st June 2005 all service users were met with and positive feedback was received about the home and the staff. On the 22nd June 2005 further discussion took place with one service user and Mrs Benford. Care planning information and daily records, personnel and training records, policies and procedures and health and safety information were also viewed. Mrs Sandie Benford, Support Worker was available throughout the inspection. The Registered Manager, Miss Bev Britten was available during the second day and received feedback of the inspection. Mrs Lance also received feedback the following day. As part of the announced inspection process, three comment cards were received. Two were from service users and one was from a family member. One service user reported that they would sometimes like to be more involved in decision-making within the home. Other feedback was positive and did not highlight any concerns. The family member reported ‘my family and I are very pleased with the care provided for XX. XX is always clean and tidy and most importantly is very happy. We all feel XX’s needs are more than adequately catered for.’ This feedback was given to Miss Britten. What the service does well: What has improved since the last inspection? All care planning information and risk assessments have recently been reviewed. The documentation identifies detail and individual need. All Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 6 documents now also correspond and follow through, rather than showing some conflicting information. Policies and procedures have also received significant attention. Despite some aspects requiring clarity, all are well written, detailed and easy to read. 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. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Residents are well established and happy with the home. As the home provides long-term care and there are no expectations of any change, it was felt inappropriate to address these standards. EVIDENCE: The standards above, relating to choice of home were not examined on this occasion as all service users have lived at the home for many years. All needs are well met within the home and all service users reported being happy and settled within their environment. There are therefore no plans for any changes to the current placements and vacancies are not expected to occur. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Care planning is up to date and of a good standard enabling service users’ needs to be met. Residents’ safety is safeguarded through appropriate risk taking. Service users are involved in day-to-day matters, yet consideration should be given to how this could be further developed. EVIDENCE: Since the last inspection, all care plans have been updated. All contain detailed information and are well written. Certain matters identified within plans were addressed within risk assessments as appropriate. Sensible risk taking is promoted and staff assess service users’ safety though observation and general consultation. This process was recorded following a requirement identified at the last inspection of ensuring a service user’s road safety. The home has an ‘absent without leave policy.’ This would benefit from clarity with particular attention to police involvement. Developing the policy on an individual basis would also be of benefit. Service users reported that they are encouraged to be involved with all aspects of the home. One service user reported enjoying tasks such as laying the table, vacuuming and keeping their room tidy. Another spoke of helping with the menus and choosing where to go on holiday. It was noted within a recent Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 10 residents’ meeting that two service users requested to be more involved with meal preparation. Mrs Benford reported that service users sometimes help with vegetable preparation when she is on duty. However this could be part of the care planning process and further addressed within all shifts. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 and 17 The home is relaxed with positive relationships and hospitality evident. While service users have a range of opportunities for external activity, current staffing levels restrict individual time and individual preferences. EVIDENCE: The home is located within a residential area close to the main amenities of the village. One service user walks unattended to the local shop or to the other care homes within the organisation. Despite living near the local shops and being relatively able, service users do not purchase their own toiletries. This was discussed as a possible area to develop service users’ choice and independence. Two service users attend a day service each day during the week. One service user attends on a sessional basis and also spends time with other service users in the other care homes managed by Landlace Care Homes. In addition, service users also attend various clubs such as Gateway and Open Minds. The local bus service is generally used to provide such transport. All service users recently enjoyed a very successful holiday to Lanzarote. Further holidays to Spain and camping are planned. Trips to the cinema or local pub are arranged Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 12 at weekends although due to current staffing arrangements all service users need to go together. There is little flexibility for individual one-to-one work. Visitors are welcomed within the home and on the day of the inspection hospitality was evident. Family contact is promoted and varies according to personal circumstances. Service users spend time with others within the organisation and also have a wide circle of friends due to their attendance at day services and additional clubs. Special friendships are supported. Service users reported that they had planned the menus with a member of staff. The main meal of the day is taken in the evening as service users are out at their day services at lunchtime. Meals are generally taken in the kitchen/diner although on the day of the inspection, service users had their meal on a tray in front of the television. The menus appeared varied and gave a good balance of healthy eating and service users’ preferences. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Service users’ health care is well managed. Well-organised medication systems minimise the risk of errors to service users. EVIDENCE: Service users require varying levels of staff assistance and supervision with daily living tasks. This is fully documented within care planning information. Daily records demonstrated recognition of ill health and appropriate follow up action. Input from other professional services was evident. Service users do not have the ability to self medicate. All medication was stored securely in a locked cupboard. Records demonstrated receipt, disposal and appropriate administration of medication. A GP has signed a homely remedies policy and information sheets are available for each medication used. Information from the internet has also been gained. There is a clear medication policy in place. Miss Britten reported that she is currently making arrangements for the medication to be transferred to a monitored dosage system. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Service users have complaint information available to them. The home’s adult protection systems are insufficient at this time to fully protect service users. Attention must be given to the management of service users’ personal monies. EVIDENCE: A copy of the home’s complaint procedure is located within each service user’s file. A copy is also displayed in the kitchen. Two service users reported that they would tell a member of staff or ‘Bev’ if they were unhappy. The home’s adult protection policy has been updated and gives a line of command for reporting a suspicion or allegation of abuse. At the last inspection a requirement was made to ensure all staff were aware of their responsibilities by undertaking specific training. However due to restrictions with time, this requirement remains outstanding. Service users do not manage their financial affairs and all have appointees with their placing authorities. A small amount of money is kept for safekeeping on behalf of service users. This was noted to need a full review as a number of errors were noted. A number of receipts regarding a recent trip did not tally and some receipts were missing. Some entries gave an account of a number of items such as day service and toiletries without identifying specific items. It was also noted that a member of staff had undertaken some shopping for a service user and had reimbursed themselves without adequate receipts. Service users had also borrowed from each other. The home has an unwritten policy for transport, contributing to gifts and subsidising staff when out. Within the balance sheets however, this was unclear and therefore Miss Britten was informed of the need to formalise such. The cash tins contained a range of old Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 15 receipts although the balance sheets had been filed. It was therefore recommended to attach all receipts to the balance sheets and file both together. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 26 and 28 The home is comfortable, homely and well maintained. All areas are furnished to a good standard and meet service users’ needs. EVIDENCE: The home is comfortable, homely and well maintained. All service users have a single room on either the ground or first floor. Rooms are individual in style and have been personalised to varying degrees. All have a range of personal entertainment equipment that is regularly used. The home has a large kitchen with dining area and a separate lounge. The lounge has patio doors leading to an outside seating area. The home has recently encountered a flood due to a problem with the upstairs toilet. New carpets and wooden flooring in the kitchen were therefore required. Service users at this time do not smoke so the home operates a non-smoking policy. The hot water is centrally regulated and since the last inspection, hot water temperatures are monitored and recorded appropriately. Radiators are at this time uncovered and risk assessments are in place. During discussion however, Miss Britten stated that to totally omit any risk to service users, consideration would be given to covering them. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 17 Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35 and 36 The home currently has severe staff shortages, which must be rectified as a matter of priority. Care provision is compromised through insufficient supervision and the reluctance of some staff to undertake training. EVIDENCE: It was noted within the staffing roster that the staff team generally consists of four support workers. However, one member has recently reduced her hours and another was planning to be off work due to a hospital admission. This left one full time member of staff and another who worked some weekends. In July, 134 hours and 18 sleeping in shifts were therefore vacant and uncovered. Miss Britten was not sure who would cover the shifts although believed she would do so with another member of staff from another of the homes within the organisation. This did not appear feasible and therefore Miss Britten was informed of the need to give the matter consideration and inform CSCI of the conclusion as soon as possible. Within later discussions, Mrs Lance confirmed that recruitment was taking place and interviews had been arranged. Miss Britten continues to undertake a high level of shifts as part of the working roster in another of the care homes within the organisation. Her involvement Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 19 within the home is therefore limited and tasks such as informal supervision and direction of care are restricted. This was apparent when it was noted that some matters within care plans are not consistently being followed. Some menus are also being changed despite being devised by service users. Formal supervision has not as yet been instigated. There have been no new staff within the home. It was noted however that references and a POVAFirst check were not undertaken in another of the care homes within the organisation. Discussion took place with Miss Britten regarding recruitment and it was reported that the necessary checks would be followed. Within the staff team of four, all except one has an up to date first aid certificate. Three staff have completed fire training and two have undertaken a course on epilepsy and food hygiene. One member of staff has completed NVQ level 2. Within discussion it was apparent that some staff portrayed reluctance to training. The NVQ programme was therefore not well supported and not all staff were up to date with all subjects. Miss Britten was therefore advised to review staff members’ training needs, especially as all staff sole work and undertake initial responsibility within their shift. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 41 and 42 Management time within the home is limited and therefore leadership is poor. Health and safety systems do not fully ensure service users’ safety. EVIDENCE: Miss Britten has almost completed NVQ level 3 and is then intending to register for NVQ level 4. Miss Britten has a strong value base and has positive relationships with service users. She is totally committed, enthusiastic and demonstrates an awareness of service users’ needs. However due to sole working within another care home owned by Landlace Care Homes, Miss Britten’s time within the home is extremely limited. Due to this, clear leadership is not evident and the fulfilment of management responsibilities is restricted. Since the last inspection Mrs Lance has given significant effort to developing policies and procedures. All are well written, informative and easy to read. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 21 Some policies however require clarity for the service. For example, within the management of aggression policy, information is given regarding panic alarms, which is not relevant to the home. Others recognise matters such as the need for annual training yet there is no evidence of this. There is a copy of the GSCC Code of Conduct within the policies and procedures file. At the last inspection it was noted that the fire doors within the kitchen were propped open. A requirement was made to discuss requirements with the fire officer and to fit mechanical closing devices, in the event of the doors needing to be left open. This requirement remains outstanding. Risk assessments have recently been further developed. Discussion took place regarding the content of some and it was agreed that some clarification was required in some cases. For example an assessment reported that a service user was able to tell the difference between hot and cold when running the bath. It did not however assess whether the service user was able to satisfactorily mix the water to a safe temperature. Hot surfaces such as radiators have been addressed within the risk assessment process and a low risk was identified. Within such assessments it was recommended to also address matters such as mobility rather than solely concentrating on service users’ ability to differentiate between hot and cold. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 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. 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 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x 3 x 3 x x Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 1 3 2 1 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stratton Road (20) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x 2 2 x D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 23 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 12 and 14 Regulation 16(2)(n) Timescale for action The Registered Person must 30th ensure that staffing levels enable September all service users to have 2005 opportunities for individual leisure activities in and outside of the home. This was identified at the last inspection. The Registered Person must 30th ensure that all staff receive adult September 2005 protection training. This was identified at the last inspection. The Registered Person must 31st July review current practice and 2005 regularly monitor the management of service users personal monies. The Registered Person must From 22nd ensure that service users June 2005 personal money within safekeeping is not loaned to other service users. The Registered Person must 31st July ensure that a policy is devised 2005 regarding payment of transport and staffing costs when out. The Registered Person must 30th June ensure that attention is given to 2005 how staffing levels will be maintained during July and August 2005. A copy of the covered duty rosters must be Version 1.30 Page 24 Requirement 2. 23 13(6) 3. 23 13(6) 4. 23 13(6) 5. 23 13(6) 6. 33 18(1)(a) Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc forwarded to the CSCSI. 7. 33 12(1)(a) The Registered Person must ensure that the Registered Manager spends sufficient time in the home to successfully demonstrate leadership and the completion of management responsibilities. The Registered Person must ensure that a formal system of recorded staff supervision is developed and maintained. This was idenitified at the last inspection. This was identified at the last inspection. The Registered Person must ensure that all staff have sufficient training to demonstrate competence within their role. This must include first aid and food hygiene. The Registered Person must ensure that all policies and procedures are specifically related to service provision. The Registered Person must ensure that fire doors are only propped open with a mechanical device linked to the fire alarm system. Confirmation of such devices must be discussed with the Fire Officer. This was identified at the last inspection. The Registered Person must ensure that further clarification is given to the risk assessments relating to bathing and radiators. From 22nd June 2005 8. 36 18(2) 30th September 2005 9. 35 18(1)(a) 30th September 2005 10. 41 12(1)(a) 31st August 2005 31st August 2005 11. 42 12(1)(a) 12. 42 13(4)(c) 31st 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. 1. Refer to Standard 8 Good Practice Recommendations The Registered Person should give consideration to D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 25 Stratton Road (20) 2. 3. 9 13 matters identified within service user meetings including more involvement within meal preparation. The Registered Person should ensure that the missing person procedure is developed on an individual basis and police involvement is clarified. The Registered Person should ensure that service users are given assistance to purchase their own personal items such as toiletries. Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 26 Commission for Social Care Inspection Avonbridge House Bath Road Chippenham SN15 2BB 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 Stratton Road (20) D51_D01_S28314_STRATTONRD(20)_v205822_220605Stage4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!