Inspection on 30/01/06 for Sunnyside Care Home Ltd

This inspection was carried out on 30th January 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunnyside Care Home Ltd 01/11/07

Sunnyside Care Home Ltd 16/11/06

Sunnyside Care Home Ltd 29/09/05

Sunnyside Care Home Ltd 16/03/05

Sunnyside Care Home Ltd 28/10/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Sunnyside Care Home Ltd 13-15 Sunnyside Road Ilford Essex IG1 1HU Lead Inspector Stanley Phipps Unannounced Inspection 30th January 2006 14:40 Sunnyside Care Home Ltd DS0000050134.V281151.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 Sunnyside Care Home Ltd DS0000050134.V281151.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. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sunnyside Care Home Ltd Address 13-15 Sunnyside Road Ilford Essex IG1 1HU 020 8911 9445 020 8911 9423 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) Sunnyside Care Home Ltd Mrs. Deeba Kazim Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Date of last inspection 29th September 2005 Brief Description of the Service: Sunnyside Care Home is a care home providing personal care and accommodation for up to fifteen people aged 18 - 65 with a diagnosis of mild to moderate learning disability, who need support in order to live in the community. Care and support is provided on a twenty-four basis. It is privately owned by Mr G Singh, who employs a manager to run the daily affairs of the service. The home is located in Ilford approximately half of a mile away from the Ilford Town Centre. It is situated on a good bus route and service users have easy access to a full range of local facilities, which they are encouraged to use. The home was opened in January 2004 and is a large detached house that is set in its own grounds. All bedrooms are single and contain en-suite facilities. The building is an amalgamation of two houses and there are plans to have an A and B unit. There are bedrooms on both the ground and upper floors and access is via stairs on either side of the building. There are extensive grounds to the rear of the building that allow service users the opportunity to pursue external activities. There are staff on hand night and day to provide care and support to the service users. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and took place in just over four hours. It was timed to follow up the progress of the service and to assess those minimum standards that were not assessed at the previous inspection. At the time of the visit there was evidence of improvements when compared to the last visit and all service users looked quite settled and generally well cared for. Further improvements are required however to achieve full compliance with all the minimum requirements for this service user group. The impact of these improvements would enhance the overall quality of care at Sunnyside Care Home Ltd, hereinafter referred to as Sunnyside in this report. An assessment was made of: a random sample of service user plans and risk assessments, medication records, the staffing rota, menus, the policy and procedure file, staff training records and activities. Detailed discussions were held with the manager and registered provider who visited the home during the visit. Some time was also spent talking to the registered persons about the proposed changes to the inspection process in the 2006/2007-inspection year. A discussion about the quality of the service was also held with the visiting consultant. Formal interviews were held with two staff members, along with observing four service users engage with the staff and their environment. The inspector also spent a short time with one service user who was going through his colouring book. This was followed by a tour of the building to include visits to two unoccupied bedrooms. What the service does well: Service users benefit from having a dedicated management and staff team that works consistently to meet their varying needs. In so doing they ensure that service users are adequately stimulated, given effective support to maintain a healthy lifestyle and to remain safe whilst living at Sunnyside. As part of ensuring consistency the registered persons continue to provide staff with opportunities for development and do their utmost to ensure that permanent staff are on duty to provide the twenty-four hour care and support to the service user group. The registered manager also monitors the staffing levels to ensure that service user needs are met. The nutritional needs of the service users have been met consistently met by the home and this takes into consideration the individual and specific needs of the service user group. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 6 The registered provider has been regularly monitoring the service through monthly visits to the home in line with Regulation 26 of the Care Homes Regulations 2001. He ensures that a copy of his findings to is made available to the Commission. 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. Sunnyside Care Home Ltd DS0000050134.V281151.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 Sunnyside Care Home Ltd DS0000050134.V281151.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): (2,3,4) At Sunnyside, service users benefit from a detailed assessment prior to being admitted to the home. This ensures that the home could determine the needs of individuals, against their ability to meet them. The admission process also involves visits from service users assess the facilities, prior to agreeing to live there. EVIDENCE: A comprehensive and detailed assessment is undertaken on all service users, prior to their admission at Sunnyside. The registered manager takes the lead and involves members of her staff team in this process. It is a critical stage of the admissions process as a determination to admit the service user is made by, comparing the home’s statement of purpose with the individual’s identified needs. It is true to say that the home has been generally sound in admitting service users whose needs they could meet and this is despite the fact that there have been vacancies in the home. The home is also good at involving the relatives of service users wherever possible, in the admission process. At the time of the visit, there was evidence that a service user was being considered for admission to the home. Records indicated that he had visited the home once to look at its suitability in meeting his needs. This is a normal and invaluable part of the admissions process, as the service user is encouraged to get a ‘feel’ of how things are done at Sunnyside. Although it was the home’s view that they could meet his needs – the placement had not started, as the funding arrangements were not yet agreed. This is a strong area of the homes operations. Sunnyside Care Home Ltd DS0000050134.V281151.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): (7,10) At Sunnyside service users are encouraged and supported to make positive decisions with regard to how they live. This not only ensures their happiness, but enables them to add quality to their lives. The home is good on promoting confidentiality and this is in the interests of all individuals living there. EVIDENCE: Staff worked closely with service users in enabling them to make positive decisions about their lives. One service user as part of getting out is supported to go out for walks were up to forty minutes at a time. Another is pleased with attending a day centre and is supported to attend up to three times per week. As part of promoting service users independence, another individual is supported to go the bank, following which he would do some shopping e.g. for his toiletries. This really positive as each agreed and chosen activity is a significant improvement in the life of each person. There was evidence that a policy on confidentiality was in place and staff interviewed showed an awareness of it. They knew how and when to share information held on service users and this was in line with policy. All records maintained by the home were held securely in the main staff office, so that service users and staff are reassured that the protocol around the storage of information-protects them. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 10 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): (12,17) Service users benefit from their participation in activities, best suited to their interests. They also benefit from having meals that are in line with their needs and choice. EVIDENCE: Service user engagement in activities is based on individual choice, ability, need and interest. As such, activities are individually planned. Some service users started bowling and from all reports – they go out and enjoy themselves. Another service user went out to a birthday party just prior to the inspection and was able to meet with other service users, she knew previously. Again feedback indicated that she had a good time and this is positive. There was also evidence of another service user going to the pub and also having a Chinese in the community. The registered manager in conjunction with the staff and service users were exploring swimming opportunities for up to two service users. A venue had been identified and risk assessments were being carried out by the home. The home was also exploring the use of a sensory room in Walthamstow for the benefit of the service users and this is positive. It was also positive that staff were working to improve the living skills of service users. Two recent Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 11 successes included: one individual being now able to load the washing machine and up to three service users being inducted to use public transport (buses) semi-independently. Service users benefit from receiving meals that are varied and best suited to their needs. There was an improvement in this standard as a risk assessment was carried out on food safety in the home and that pictorial menus were being developed for the benefit of promoting service user choice. Food hygiene in the home was satisfactory and actions were identified in the risk assessment to ensure that food handling was safe. The pictorial menus would allow service users particularly those with the inability to communicate verbally- a better opportunity to contribute to planning menus in the home. This is positive. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 12 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): (20, 21) Sound arrangements are in place at Sunnyside to adequately support service users with their medication. A death and dying policy is now in place to support staff and service users, should an individual service user die in the home. EVIDENCE: In assessing the practices in relation to medication, it was conclusive that medication was safely handled in the home. The staff responsible for medication, refer to the drug charts and discharged their responsibilities in a satisfactory manner. None of the service users were capable of self-medicating and so they rely upon the staff to carry out this responsibility to ensure that their health and welfare is promoted and protected. Staff handling medication, are given appropriate training in medication. At the last inspection the registered persons were required to develop a policy on death and dying. This document was sent to the Commission at the time of the visit. This improvement is important and in the interest of service users and staff, as the latter is now aware for e.g. what protocols they should follow in the case of a death in the home. It is also useful, should a service user become terminally ill - that their wishes and preferences are observed and honoured as far as feasibly possible. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 13 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) Service users and their relatives are assured that their concerns would be addressed in line with the home’s complaints procedure. They (service users) are protected from abuse by the adult protection protocols of the home. EVIDENCE: A satisfactory complaints procedure is in place and is accessible to service users and their relatives. This document clearly sets out the action to be taken by registered persons in process of dealing with a concern. Staff interviewed, were aware of their role in supporting service users to voice their concern, as service users have complex needs. This is really important as their disability adversely impacts upon their ability to communicate independently and hence, effectively. At the time of the visit there were no complaints on record. This standard was not tested in detail at this inspection as it was fully met at the previous inspection. However there was an adult protection matter since the previous inspection and this resulted in the termination of the staff employment, as well as a referral to the Prevention of Vulnerable Adults (POVA) register. At the time of compiling this report – information was received by the Commission that the individual was not included on the register. Reasons for this decision were provided to the registered manager. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 14 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): (24,26) Sunnyside provides service users with a warm, clean, safe and homely environment. They also benefit from having personalised bedrooms that promote their independence. EVIDENCE: On the day of the visit the home was clean, airy and homely. Service users were observed safely negotiating various aspects of their communal areas. Despite the proximity of the dining area to the communal lounge on one side of the building, service users appeared comfortable in their individual engagements, with good staff support. Two service users were observed comfortably engaged in another of the communal lounges of the home. They function better with less, direct stimulation e.g. crowded situations and they were happy and settled. In touring the building, it was clear that it was well maintained, as a system was in place to keep the home in a good state of decorative repair. In assessing the bedrooms they too were well maintained and there was one in which satisfactory arrangements were in place to ensure the safety and independence of the service user concerned. The bedrooms viewed also contained personal effects that reflected the choice of individual service users. The fixtures and fittings were in tact and it was conclusive that the home remained fit for its purpose. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 15 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): (31,32,34,35, 36) At Sunnyside the needs of service users are adequately provided for by a staff team that is: dedicated, provided with appropriate training and is clear on their roles and responsibilities. The quality of care could be enhanced through more regular and formal supervision along with staffing appraisals for all staff. Service users are protected by the robust recruitment practices of the registered persons. EVIDENCE: Staff interviewed, were clear about their roles and responsibilities within the home. They were had a copy of their job description and understood how the home’s philosophy can be turned into practice. Their interventions with service users were timely and demonstrated their commitment to working with the service user group. They also demonstrated a clear understanding of the needs of individual service users that they worked closely with e.g. through key working. Through observation staff displayed their confidence in carrying out various tasks with service users e.g. personal care, support with meals and socially engaging with them. The staff benefit from a sound induction programme, which forms the basis of how they deliver care. Their initial progress is monitored through a probationary review within three months of their employment. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 16 Staff are also provided with training relative to the work they do and this equips them to be better able to meet the needs of service users. Staff are required to sign a training agreement as part of their commitment to developing within the service and this is in line with good practice. A significant number of staff have either achieved their NVQ level 2 in Care award or started on the programme and this would have a positive impact on improving their knowledge and skills. Some of the other training provided included: Abuse awareness, First Aid, Creative Communication, Health and Safety, Medication and Food Hygiene. The manager described that as part of the Creative Communication training staff are thought on the use of scent as a means of communication and this is positive. There was evidence that the staffing levels are adjusted to meet the needs of the service users e.g. levels were increased to facilitate a service attending a meal in the community. Generally, staff felt that they have good support in carrying out their duties. They could approach the manager informally and participate in team meetings. Formal supervision is provided, but this was below the level of six times per year. This must improve. There was also evidence that staff did not have their annual appraisal, although plans were in place to carry them out in June 2006. The registered manager informed that she had received appraisal training on the 30/10/05 and has since discussed the process with the staff team and has introduced the forms that would be used as part of the process. From staffing interviews it came to light that some staff at times felt under pressure in the work environment. Some of the feelings described, included feeling devalued, disempowered, not trusted and that if a mistake was made then they would be disciplined as a matter of course. Some of the reasons given for the way they felt was provided as evidence on the day of the visit and were discussed with the manager in detail. It would be a recommendation in this report for the registered persons to explore team-building strategies to look at the issues – with a view to improving staff confidence and moral. This is important because it was clear from the inspection that staff were committed to working with the service user group. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 17 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) At Sunnyside service users benefit from a service that is generally well run. Quality assurance mechanisms were in place to improve and develop the service. Improved health and safety systems now make the home a safer place to live. There are clear lines of accountability in the home and service users and staff were aware of them. EVIDENCE: Service users benefit from a service that focuses on meeting their needs. The visiting consultant also shared this view on the day of the inspection. Some staff also shared the view that the home was run in the interest of service users. The registered manager is experienced and in the final stages of pursuing her Registered Managers Award. She had demonstrated her commitment to pursue training to update her knowledge and skills e.g. training in appraisal, and is keen to develop staff in a similar manner. Her work with individual service users is exemplary and evidence of this included the length at which she went to ensure that a service user was given appropriate support from both external agencies, and the home to meet a significant change in his health needs. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 18 There are quality assurance mechanisms in place and this has improved since the last inspection, as the manager carried out a service user survey and has at the time of writing this report compiled her findings. In addition to this the registered provider conducts monthly visits to the service in line with Regulation 26 of the Care Homes Regulations 2001. His findings, including intended actions are made available to the Commission. One example of this is where one of the washing machines had broken down and staff were concerned that it was impacting on their ability to support spend quality time with service users as they had to be laundering frequently with one machine. They also expressed that it has taken too long for the matter to be resolved. From the most recent report received, a machine has been purchased. Staff views are also sought at these monitoring visits and in the staff team meetings. At the inspection visit staff felt that more activities could be provided for service users and it is anticipated that this would be acted upon, in the interests of service users. There was an improvement in the health and safety practices in the home in that a risk assessment has been carried out in line with the national minimum standards for younger adults (42.2 and 42.3). In this piece of work actions were outlined to reducing risks with regard to Food Hygiene. All other risks have been assessed and action put in place to manage the risk safely in maintaining a safe environment. All other matters of health and safety were satisfactorily managed in the home. The registered provider employs the services of a private company to overseer its accounts and from previous reports this is satisfactory. Appropriate insurance cover is in place for the home. The structure of the service is clearly defined in the home’s statement of purpose and both staff and service users were aware of it Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 19 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 X 3 4 4 4 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 3 27 X 28 X 29 X 30 x STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x X 3 3 3 X 3 X X 3 3 Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 20 YES 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 YA36 Regulation 12 Requirement The registered manager is required to carry out staff appraisals on all care staff. (This is a previously made requirement). The registered persons are required to conduct formal supervision for all care staff at least six times per year. Timescale for action 30/06/06 2. YA36 13 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA36 Good Practice Recommendations The registered persons should explore conducting teambuilding sessions for the benefit of the staff team. Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Sunnyside Care Home Ltd DS0000050134.V281151.R01.S.doc Version 5.1 Page 22 - 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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