Inspection on 22/03/06 for Strawberry Fields (Chadwick)

This inspection was carried out on 22nd March 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Strawberry Fields (Chadwick) 05/10/06

Strawberry Fields (Chadwick) 14/09/05

Strawberry Fields (Chadwick) 21/03/05

Strawberry Fields (Chadwick) 05/05/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Mr David Chadwick 54 Strawberry Fields Meriden Coventry West Midlands CV7 7SA Lead Inspector Alison Stone Unannounced Inspection 22nd March 2006 11:00 Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 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 Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 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. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mr David Chadwick Address 54 Strawberry Fields Meriden Coventry West Midlands CV7 7SA 01676 523 887 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) Mr David Chadwick Mr David Chadwick Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2005 Brief Description of the Service: Strawberry Fields is a small care home registered with the Commission for Social Care Inspection to provide care for up to 3 service users who have learning difficulties. The registered person lives on the premises. The home runs very much as an Adult Placement Home although it cannot be registered as this as there is no Adult Placement scheme in the area. The situation remains the same as the last inspection as there is currently one service user residing in the home. The home has two vacancies, which could be available for respite care should the manager make moves to arrange this. The current service user would have to be involved in the planning and decision about the possible provision of respite care. The home has three single bedrooms, one bathroom and two WCs for the use of service users. There is a lounge and a separate dining room. The garage has been converted into a second lounge, which has become the designated smoking room. The current service user has almost exclusive use of this room with equipment to make himself a hot drink. The home is located close to the amenities in the village of Meriden. That includes shops, public house and place of worship. The service user travels independently using the local bus service. Coventry, Birmingham and Solihull can be reached using the bus services. The current service user is independent in a majority of aspects of daily living but has encouragement, support and guidance from the registered manager regarding matters as travel, food preparation and time keeping. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a morning and lunch time of one day, the inspector collected information to form the basis of the judgements in this report in a number of ways; she spent a lot of time with the person who lives there and the manager, the persons advocate was spoken to, as well as a staff member from the day service and the Social Work Duty Team. Records relating to the management of the home and the person’s individual file were also looked at. The registered provider would like to explore the possibility of moving over to an Adult Placement Scheme in one of the neighbouring boroughs to Solihull and/or looking at the possibility of converting the placement to Direct Payments. He feels these may be more appropriate options to the current registration as a care home. The manager said the person can stay there for the rest of his life and would like to support him with this. This would have to be reviewed if the person’s needs change substantially. The manger feels that if the placement finished for any reason he would not want to continue as a registered care home and would probably return to his occupation of a computer engineer full time. The inspector would like to extend her thanks to everyone who helped with the inspection process. What the service does well: Comments from the person who lives at Strawberry Fields there indicate he is very happy with the placement and has lived here a number of years now. Previous placements had a history of breaking down quite quickly, so this placement has offered him much needed security and stability over the years. The accommodation is spacious and homely, and is decorated to a high standard. The person lives there by himself, although the placement is registered for three people, the manager has agreed that no one else comes to live there or has respite in the home, as the person is adamant that this is what he wants. The person benefits from a single room and sole use of a bathroom, he also has a room made available to him to smoke in. This is comfortable furnished and has drinks making facilities, TV, video player, smoke alarm and an extractor fan. The person enjoys an independent lifestyle and is a recognised and involved member of his local community. He enjoys going out to the day centre, helping in the local charity shop, catching local buses to get around his local area, Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 6 going on coach trips, attending church and meeting his friends on a Saturday in Solihull. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The service users can be confident that their individual aspirations and needs are assessed. EVIDENCE: The service user had a full social work assessment prior to moving in and benefits from regular annual reviews at the day service that include all relevant parties. There are good plans in place to support the service user with his needs and because of the compact size of the home and there only being one service user living there, the manager knows the service users needs well. However, the inspector contacted the social work team to request at some point in the near future the service user’s needs are reassessed as he is now in his seventies and his needs would have change since the initial placement. There is also the concern of his practice of getting up very early in the mornings and going out independently. A psychology referral was suggested at the last review to look at changing this behaviour and encouraging him to take good care of his personal needs. These issues remain outstanding and the inspector requested that this referral be chased up to help him manage these behaviours as they may place him at risk. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 The service user can be confident that his assessed and changing needs and personal goals are reflected in his individual plan. The service user is supported to make decisions about his life with the assistance he requires and is consulted with and participates in aspects of life in the home. The service user is supported to take risks as part of an independent life, however this needs to be closely monitored and work needs to be undertaken to minimise any risks the service user’s behaviours presents. EVIDENCE: A personal planning book is in place that acts as the care plan for the oneservice users who lives there. This is a comprehensive document that has been symbolised and uses photos to support the service users to understand the book; the development of this plan involved the service users. The actions from the last review have been acted upon by the manager and acted upon. The manager now keeps a daily events dairy where he writes up important information relating to the service users and a risk assessment has Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 10 been developed to support the service users with going out early in the morning. The service users lives in a unique set up in this care home, where he is the only person living there and there is only one member of staff, who is the manager of the service. This placement has been established a number of years and the manager clearly knows the service user’s needs very well and is able to provide care for him on a daily basis. The service user is supported to make decisions with assistance and he participates in all aspects of life in the home and is consulted with about all aspects of his care. This is relatively easy to do, as this naturally happens on an informal daily basis, as it is just the manager and the service users who live in the home. This informal process is further supported by the more formal involvement of an advocate and annual reviews. It is important at the next review that aspects of the risk posed to the service user by him going out early in the mornings, leaving the day centre early and meeting his friends on a Saturday are fully assessed. This has particular relevance for the service users as his needs may increase, as he gets older. Those involved at the review need to be fully satisfied that they have taken all action necessary to minimise any risks that threaten the service users well being whilst allowing him to continue to have the independence he enjoys. The service user clearly has a lot of confidence in the manager and feels he can discuss issues and concerns with him. This is further supported by the involvement of his friend who acts as an advocate to him. He has a close and positive relationship with his advocate and sees her on a daily basis. All information pertaining to the running of the home and the service users files were found to be appropriately stored during the inspection. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14, 17 The service user is supported to engage in an active social life. The service user enjoys a varied diet of his choice that generally reflects a well balanced diet. EVIDENCE: The service users said he enjoys going out on a daily basis, he enjoys attending the day centre, meeting his friends on a Saturday in the local town, he spends a lot of time with his friend and advocate and enjoys helping her out at the village charity shop. He talked at length of people he knows in the local community and about the neighbours and said he likes be able to go out and do the things he enjoys. Because of the nature of the placement, the service user has a choice about all his meal times and enjoys discussing what he would like for lunch and tea and then going independently to the shop and buying this. He said he particularly likes the cooked dinner he has five days a week at the day centre and enjoys Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 12 the occasional take away which he gets himself from the local fish and chip shop in the village. The service user would still like to have an annual holiday and the manager has looked into the possibility of some organisations supplying him with details of holidays that support people with special needs and he had recently received a letter about one organisation that he was going to approach. Another factor that creates problems for the service users having a holiday is that as a smoker all his money and some of his savings are spent on a weekly basis on the cost of his cigarette addiction. This was discussed with the service user and he remained reluctant to save money up for any holiday if this meant he would have to smoke less. This continues to be an active issue that the manager is looking into. There may be a possibility of applying to a charity for some money to support the service user to pay for any holiday. The manager said that he generally has a well balanced diet and enjoys his food. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The service users health needs remain un-assessed and therefore potentially unmet. EVIDENCE: The manager has continued to encourage the service user to attend a well mans clinic, but the service user refuses to attend. This was discussed with the service users during the inspection, which lead to him becoming agitated, as he was adamant that he would not attend the Doctors for anything other than his Flu vaccination. His refusal to attend any sort of well mans clinic, or the potential for him not to attend his GP when he feels unwell and/or to not comply with medical treatment should be recorded formally in his personal planner and ways of managing this should be discussed at his annual review. The service user continues to see an optician, he only has one tooth and since a recent fitting for false teeth refuses to attend the dentist as he didn’t like this experience. He used to see a chiropodist to have his toe nails cut, but now the manager does this for him on a regular basis. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The service user has opportunities to raise concerns with a number of people who can support him so that concerns and complaints can be acted upon. A procedure is in place for reporting any suspicions of abuse so that they can be appropriately investigated. Additional training in this area would be beneficial to further increase the manager’s knowledge. EVIDENCE: The manager has a complaints policy in place that needs up dating to reflect CSCI correct contact details. The service user in discussion was able to say what things make him unhappy and who he would speak to if he had any concerns or complaints. He is also supported by a friend/advocate that he has a warm positive relationship with and sees on a daily basis and said if he was unhappy at home he would talk to her. The service user said that he had no complaints or concerns and he was very happy here. He also said he would speak to the manager about any concerns or complaints he had. A basic list of telephone numbers are in place at the service, so that the manager could make the appropriate contact with relevant professionals if he had any concerns about abuse. In discussion the manager showed a good knowledge base of what to do in the event of any concerns. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 15 It would be beneficial for the service user if the manager attended a course in the Protection of Vulnerable Adults, to enable him to fully recognise his obligations and responsibilities in this area. The service user handles his finances and signs his financial records every week to indicate he has received his personal allowance. A financial ledger is being retained by the manager to account for the service users monies, including records of income and expenditure. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 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 the following standard(s): 24, 30 The service user lives in a spacious, homely comfortable and safe environment. The home was very well cared for being both clean and hygienic. EVIDENCE: The service users lives in the home with the manger, which is a large detached property that is nicely decorated, to a high standard. The service user benefits from a pleasant garden area that he enjoys using in the summer months. He also has sole use of the bathroom facilities and has a second living area nicely furnished with his own TV, video recorder and a kettle, he uses the room to relax in and smoke in. The home was noted to be very clean and tidy during the inspection. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 The service user is supported by a manager who is competent to meet his needs. The service users is supported and protected by the home’s recruitment practices. EVIDENCE: The manager has undertaken a number of courses in recent years to support the service user with his needs; these include fire-training, administration of medication, first aid and food hygiene. As previously mentioned the manager has not yet completed Protection of Vulnerable Adults training. It is recommended that the manager attend regular updates in courses in first aid, fire and food hygiene and updates the training in the administration of medication when and if the service users takes regular medication. It is important that the manager keep the service user needs under constant review. If the service user develops more needs as he gets older, then the manager will need to attend other relevant training courses. The manager does not employ any other members of staff currently, the requirement that his friend who sometimes supports the service users if the Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 18 manager goes way, to have a CRB check is now completed and this was seen during the inspection. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42, 43 The service user benefits from a well run home, with a competent and accountable manager. The service user can be confident that his views underpin all reviews and development by the manager. The health, safety and welfare of the service user is promoted and protected. EVIDENCE: The service is small and the manager is able to run the home in a positive, well organised, yet intimate style. This appears to suit the service users needs very well. The manager is clearly committed and very fond of the service user and attempts to ensure, that the running of the home and all care is managed around his needs. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 20 Whilst the basic procedures are all in place, these would have to be further developed if the manager was at some point to increase the numbers of people living in the home to that of the registration of three people. The manager says he currently has no plans to do this. The small size of the home means that there is not a need for a complex quality assurance system to be put in place. The manager has taken on board the advice from the last inspection and the service users has completed a questionnaire about how he feels about living in the home, he was supported to do this by his advocate/friend. Basic health and safety measures are in place, the home is fitted with three smoke detectors, these need to be checked weekly to ensure the battery back up is working and recorded as completed. He should also support the service users to undertake twice year fire drills and be satisfied that he is confident that the service users knows what to do in the event of a fire. This is of particular relevance for when the service users spends time at the home on his own. It is further recommended that the manager put in place a risk assessment and a clear and understandable protocol, for the service users about what he should do in the event of an emergency in the home when he is there by himself. The manager would benefit from a general Health and Safety course and COSHH course to ensure he is aware of all issues in this area and can take any preventative action necessary to manage all risks presented. The manager says that the boiler has a thermostat fitted ensuring that the temperature of the water does not exceed 43.oC, however as a secondary measure it would be important to check the water temperature particularly in the service users bathroom at least once a week and record this. It is also required that the manager complete a risk assessment for the service user using the kettle independently. This will the need to be kept under constant review considering the service users age and his potentially changing needs. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 2 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 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 2 X X 3 X 3 X X 2 3 Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA2 Regulation 14(1) Requirement Timescale for action 22/08/06 2. YA9 13(4)(b) 3. YA19 12 4. A23 13(6) 21 The registered manager must ensure that at the next review social services look into conducting a reassessment of the service users needs, based on his age and the length of time since the last assessment. The registered manager needs to 22/08/06 ensure that at the next review risk associated with the service users practices of getting up and going out early are comprehensively assessed by all those involved in his care. That a risk assessment and a clear protocol/procedure is put in place to support the service user on the occasions when he is left at home on his own in the case of an emergency. The registered manager needs to 22/06/06 continue to attempt to encourage the service users to see his GP when he is unwell or has concerns about his health. Where the service user refuses to attend any appointments this must be clearly documented. The registered manager needs to 22/09/06 ensure he attends a training DS0000004558.V274576.R01.S.doc Version 5.1 Mr David Chadwick Page 23 5. YA32 12(4)(b) 6. YA42 23(2)(p) 7. YA42 12 13(4) 8. YA42 23(4)(5) course on the Protection of Vulnerable Adults. The registered manager needs to ensure he updates his knowledge base in courses on a regular basis, like food hygiene, first aid, fire, H & S and COSHH. There is also the need to attend any specialist courses to support the service users when and if his needs change. The registered manager needs to ensure water temperatures are checked weekly and this is recorded as completed, particularly in the bathroom the service users uses to ensure the water temperature remains in a safe range. The registered manager needs to complete a risk assessment to support the service users with his independent use of the kettle to make hot drinks. The registered manager needs to ensure regular fire drills take place these needs to be documented and involve the service user, so he can be confident that the service users knows what to do in the event of a fire. 22/09/06 22/04/06 22/04/06 22/05/06 Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 24 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. 2. Refer to Standard YA7 YA23 Good Practice Recommendations Support the service user to go on holiday. The manager is recommended to attend Vulnerable Adult Abuse training. Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Mr David Chadwick DS0000004558.V274576.R01.S.doc Version 5.1 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. 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