Inspection on 20/09/06 for Sunnydene

This inspection was carried out on 20th September 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunnydene 18/01/06

Sunnydene 13/07/05

Sunnydene 17/01/05

Sunnydene 30/06/04

Sunnydene 18/03/04

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 Sunnydene 5 Mill Hill Lostwithiel Cornwall PL22 0HB Lead Inspector Ian Wright Unannounced Inspection 20 and 22nd September 2006 16:15 th Sunnydene DS0000009227.V308611.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 Sunnydene DS0000009227.V308611.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. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnydene Address 5 Mill Hill Lostwithiel Cornwall PL22 0HB 01208 872602 01208 872602 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.mencap.org.uk Royal Mencap Society Mrs Jane Ackerley Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 8 adults with a learning disability (LD) Total number of service users not to exceed a maximum of 8 Date of last inspection 18th January 2006 Brief Description of the Service: Mencap provides care for up to 8 adults with learning disabilities at Sunnydene. The home is situated in the town of Lostwithiel which is between St Austell and Liskeard. The home is within walking distance of the town centre. Mencap also operates several care homes in Cornwall.The registered manager is Mrs Jane Ackerley has recently been registered with the Commission. The home is a large detached property with pleasant grounds. Currently all service users have their own bedrooms, although one bedroom is registered for two service users. The home has a large lounge, dining room, kitchen and bathroom and toilet facilities. A copy of the inspection report did not appear to be visible in the home, and it is suggested a full copy of the report is requested from management or CSCI if required. The range of fees at the time of the inspection is £390 to £718 per week. There are additional charges e.g. for hairdressing, newspapers etc. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place in ten and a half hours over two days. All of the key standards were inspected. The methodology used for this inspection was: • To case track four service users. This included, where possible, meeting and discussing with the service users their experiences, and inspecting their records. • Discussing with staff their experiences working in the home. • Discussion with other service users. • Observing care practices. • Discussing care practices with management. • Inspecting records and the care environment. Other evidence gathered since the previous inspection, such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. What the service does well: What has improved since the last inspection? What they could do better: The inspection resulted in four statutory requirements. Action in these areas is required by law, within the timescales set. Some improvement is required to the medication system for example there were a few gaps in staff signing for medication. All staff need to receive training regarding handling medication. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 6 Although recruitment procedures and checks are generally satisfactory, two references must be available for inspection for each member of staff employed. Although Mencap’s organisational induction procedure is satisfactory, there should be an induction checklist so there is evidence staff have been inducted regarding Sunnydene’s routines and procedures Financial procedures are generally satisfactory, although some improvements are required to record keeping regarding service users moneys e.g. records need to be completed in ink rather than pencil. 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. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 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 Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 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, 5 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. The home has a suitable statement of purpose and service user guide. The service user guide has been issued to service users and, where appropriate, to their representatives. Service users are issued with a tenancy agreement at the time of admission. It is recommended service users also receive a copy of Mencap’s terms and conditions of residency at the time of admission, in line with Mencap policies and procedures. However service users do receive suitable information regarding their rights and responsibilities. The registered provider should however clarify arrangements regarding tenancy agreements issued by the housing association. The pre admission assessment procedure is good, and, should enable the registered persons to ascertain they can meet the needs of service users, before admission is arranged. EVIDENCE: A suitable statement of purpose, and service user guide were inspected. However the details regarding the registered manager need to be updated now that Mrs Ackerley is the manager. A copy of the updated documentation should be forwarded to the Commission. All service users have received a tenancy agreement from New Era Housing Association. The ownership and housing management of Sunnydene has however been transferred to West Country Housing Association. The registered manager contacted West Country who stated not to issue a new West Country Housing Association tenancy agreement, as the rights of tenure may be different. It is recommended the registered provider clarify this in writing to ascertain whether service users Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 9 have adequate security of tenure if they do not have a West Country tenancy agreement. It is also recommended the registered manager issues an individualised copy of terms and conditions of residency to all service users and keeps a copy of this on each service user’s file. Copies of social services contracts of care were available for inspection. The home has not had any recent admissions, but the registered provider has developed a suitable assessment policy and procedure. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 10 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, 9 Quality in this area is generally good. The judgement has been made using available evidence including a visit to the service. All service users have a care plan and these are reviewed. Care plans ensure staff have suitable information to provide care. Service users are encouraged to make decisions about their lives with suitable assistance as required. The registered persons approach to handling service users moneys is satisfactory, although some improvement is required for example regarding recordkeeping. The registered persons have a suitable approach to risk, so service users can be assured they will be supported to take risks as part of an independent lifestyle. EVIDENCE: There is a copy of a care plan in each service user file. Staff said care plans were accessible to them. Some service users said they were aware of their care plans and are involved in drawing them up. The care plan format is comprehensive and generally gives clear guidance to staff regarding service user needs. Service users and staff said service users are encouraged to make decisions regarding their lives. Suitable risk assessments are in place to assess any risks or actions to promote independence. Staff look after some service user moneys, for which suitable records (including a risk assessment) are Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 11 maintained. However all records need to be completed in pen rather than pencil. For security reasons, the front sheet of chequebooks needs to be removed when these are received. The inspector will write to the registered provider regarding the service user moneys policy. The registered provider has a satisfactory policy regarding diversity and equality. There are currently no service users from ethnic minorities, although the registered manager stated the home would be more than happy to accommodate service users from other cultures. The local population is predominantly Cornish, and from ‘White-UK’ background. Service users with a physical disability or sensory impairment appear to receive appropriate support. Women service users have equal opportunity compared with their male counterparts. Issues regarding sexuality seem to be suitably addressed. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16, 17 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. Service users can participate in a suitable range of activities, and are able to mix with the wider community. Service users are encouraged to maintain relationships with friends and relatives. Service users rights are respected, and service users are enabled to take a suitable amount of responsibility in their daily lives. Suitable arrangements are in place so service users enjoy a healthy and varied diet. EVIDENCE: Service users said they attend a range of day activities including attending day centres and college. Some service users also have voluntary jobs and sheltered work placements. Service users and staff said other activities are also arranged in the evenings and at weekends. Service users can have an annual holiday, which they have to pay for. The home has a ‘multi purpose vehicle’ for service user use. Service users said they visit friends and relatives regularly, and they are encouraged to maintain contact via the telephone or post. Two service users are engaged to marry, and appear to receive suitable support with their Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 13 relationship. Visiting arrangements are flexible, and there is suitable space for service users to receive visitors privately. Service users said they could get up and go to bed when they wish, although some may need reminding to get up on the days they attend the day centre. Service users said staff worked with them in a way, which respects their privacy and dignity. Service users said staff knock on bedroom doors, and their mail is not opened without their agreement. Locks are fitted to bedroom doors. Service users and staff said service users have some involvement in household tasks for example doing laundry, cleaning tasks, shopping and cooking. Service users said they enjoyed the food provided and it was to a good standard. Individual service users cook their own meals and suitable records are maintained. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 14 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): 18, 19, 20 Quality in this area is adequate. The judgement has been made using available evidence including a visit to the service. Personal care is delivered to a good standard, and there are suitable links with medical professionals. The management of service users medicines requires some improvement so service users can be assured their medication is suitably looked after. EVIDENCE: Service users said they received suitable care and support from staff. Any personal care needs are documented in care plans. Staff the inspector spoke to seem clear regarding what assistance service users need. Care plans document appropriate links with GP’s, dentists, opticians, chiropodists and other professionals. Service users said they regularly saw medical professionals when required. The registered manager and other staff reported no problems with links with medical professionals. Medication is stored securely, and dispensed via a ‘monitored dosage system’. However some improvements to the system are required. There were some gaps in the signing of medication records. Some staff also need to receive external training regarding medication. There was also a tray of pots with nametags, which were used for the administration of medication. The registered manager assured the inspector medication was not administered ‘en masse’, and retrospectively signed. However the registered manager said Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 15 medication was at times taken from the blister pack, and left in the pot for a service user. This was done if the service user was not able/ willing to take it when the medication round was completed. This practice needs to stop to prevent an error occurring. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 16 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 Quality in this area is generally good. The judgement has been made using available evidence including a visit to the service. Complaints are dealt with appropriately although the registered provider’s Complaints Procedure does not meet the national minimum standard. Mencap has a satisfactory adult protection policy, which provides a suitable framework for ensuring service users can feel they are in safe hands. EVIDENCE: The registered provider has developed a complaints procedure. The registered manager has included a summary of this in the statement of purpose / service user guide. The inspector read the organisation’s complaints policy in the ‘Operations Manual.’ This requires updating, for example the organisational policy refers to the National Care Standards Commission, which has now been superseded by the Commission for Social Care Inspection. The policy also regards complainants’ right to contact the Commission as the last stage of the procedure, rather than stating complainants can contact the Commission at any time as outlined in NMS 22.3. The registered persons have been notified regarding this in several CSCI reports for Mencap care homes in Cornwall. However, the registered manager has put up a poster in the office regarding how service users and their representatives can contact CSCI if they have a concern or complaint. Service users said they would have confidence in staff / management if they had a concern or a complaint, and they felt the matter would be dealt with appropriately. Mencap has an appropriate adult protection policy. New staff attend the Mencap training regarding abuse (Protect Me) as part of the organisation’s foundation training. All staff have a Criminal Records Bureau (CRB) check and where appropriate a Protection of Vulnerable Adults (POVA) check. Staff and service users all said they had not witnessed any bad or abusive practices. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 17 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 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. Sunnydene provides a pleasant, homely and clean environment for service users. EVIDENCE: The building was inspected. The home offers a pleasant and homely environment for service users. Bedrooms and communal areas are of suitable size to meet the needs of service users. The home was clean and hygienic on the day of the inspection. Suitable cleaning routines are in place. Service user bedrooms are pleasantly decorated according to individual tastes. Furnishings in bedrooms are appropriate. The upstairs shower room is currently not used, but the housing association has confirmed they will replace this shortly. The previous inspection report dated 18th January 2006 outlined a requirement for the pathway at the side of the building to be paved. Again the housing association have confirmed in writing that this will be carried out shortly. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 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 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, 33, 34, 35 Quality in this area is generally good. The judgement has been made using available evidence including a visit to the service. Staffing levels appear satisfactory so service users can be assured they will get suitable levels of staff support. Recruitment records are generally satisfactory although copies of references must be available for inspection. This will help to ensure service users know they are in safe hands. Staff training is to a good standard so service users can be assured staff receive appropriate training as required by regulation, and staff are equipped with suitable skills and knowledge to cater for service user needs. However an induction checklist needs to be developed and completed for new staff employed from the date of this report. Equal opportunities issues regarding recruitment and work practices seem appropriate. EVIDENCE: Rotas indicate the registered persons provide suitable staffing to meet service users needs. Service users stated they believed staffing levels to be satisfactory. There is usually two staff on duty first thing in the morning, and in the afternoon / evening on weekdays. At weekends there are two staff on duty first thing in the morning, and either during the day or in the afternoon / evening. This level of cover is appropriate considering the number and current needs of the service users living at Sunnydene. The inspector inspected staff files. The registered persons generally obtain suitable information regarding the recruitment of staff. This generally includes Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 19 two references and evidence confirming the person’s identity. Staff also have a Criminal Records Bureau (CRB) check and Protection of Vulnerable Adults (POVA) check (as applicable) when they commence employment. However there were no copies of references for one member of staff who commenced employment in 2006 and for another who commenced employment in 1984. The registered manager assured the inspector the references had been taken up, but had not been filed. She said the references for the person who had been employed since 1984 were no longer available. The information at least for the more recent appointee must be available for inspection. A staff induction system is in place for new staff. This involves staff working ‘shadow’ shifts with managers / more experienced staff. Mencap has a comprehensive induction and foundation course programme, which all new staff have to complete. However, the registered manager needs to develop an induction checklist regarding local procedures in addition to the ‘generic’ induction training. This should confirm staff have been inducted regarding household procedures and routines. It is recommended that regular staff supervision should be a part of any induction period (e.g. weekly or fortnightly). Mencap has a suitable training programme. There is suitable evidence staff have received training as required by regulation. This includes fire training, first aid, food hygiene, manual handling, and infection control. However staff need to receive training regarding medication as outlined earlier in the report. Mencap has a suitable approach to ensuring staff have the opportunity to obtain a National Vocational Qualification in care. According to the preinspection questionnaire currently 66 of staff have either a NVQ 2 or 3. One service user is diagnosed as having Asperger’s Syndrome. The service user has been resident at the home for a considerable period of time, and staff seem well aware of the person’s needs. However it would be beneficial if staff could receive some training regarding this diagnosis. The registered manager said two staff have recently attended a course regarding Autism. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 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 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 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. The registered manager appears to be suitably experienced and skilled to manage the home. There is a suitable quality assurance system in place to enable service users and other stakeholders to be consulted about their views. The management of health and safety issues is good so service users can be assured they live in a safe environment. EVIDENCE: Mrs Jane Ackerley is suitably experienced and skilled to manage the home. She is due to commence National Vocational Qualifications in care and management shortly. Service users and staff were positive about the registered managers’ approach. MENCAP has a suitable approach to quality assurance. A survey was completed in 2006 regarding stakeholder views and these were positive. A summary report of the findings, and a development plan was subsequently produced. The registered manager also arranges regular staff meetings and regular residents meetings. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 21 The registered provider has a suitable health and safety policy. Records kept of checks required by regulation are satisfactory. For example there are suitable records of the testing of fire equipment, the central heating system, portable electrical appliances and the electrical hardwire circuit. Accident records are maintained. Health and safety risk assessments are satisfactory. A suitable fire risk assessment has also been completed. Suitable insurance cover appears to be in place. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 X 3 3 4 X 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 3 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 3 Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 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 YA7 Regulation 12 Requirement The registered manager must ensure: • All financial records are completed in ink. • The front sheet of cheque books are removed when these are received for security reasons The registered manager must ensure: • The operation of the medication system is improved in line with professional guidance (e.g. Royal Pharmaceutical Society Guidelines). • All staff that administer medication receive suitable training. Timescale for action 01/10/06 2. YA20 13, 18 01/12/06 3. 4. YA35 18 18, 19, OP34 OP35 OP36 Copies of two references for each 01/10/06 member of staff must be available for inspection. The registered persons must 01/12/06 provide evidence of in house induction of the homes routines, policies and procedures. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 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. 3. 4. Refer to Standard OP1 OP5 OP5 YA35 Good Practice Recommendations Forward a copy of the updated statement of purpose to CSCI once this is completed. Clarify tenancy arrangements with West Country Housing Association. Service users should receive an individualised copy of terms and conditions of residency. Staff should receive some training regarding Asperger’s Syndrome. Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Sunnydene DS0000009227.V308611.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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