Inspection on 10/04/07 for Tanners

This inspection was carried out on 10th April 2007.

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

Tanners 09/01/06

Tanners 18/01/05

Tanners 22/07/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Tanners Stewart Close Abbotts Langley Hertfordshire WD5 OHT Lead Inspector Julia Bradshaw Unannounced Inspection 10th April 2007 10:00 Tanners DS0000019560.V335022.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 Tanners DS0000019560.V335022.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. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tanners Address Stewart Close Abbotts Langley Hertfordshire WD5 OHT 01923 681154 01923 681154 tanners@lot-uk.org.uk Tanners@lifeopportunitiestrust.co.uk www.lifeopportunitiestr Life Opportunities Trust 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) Mrs Catherine Cadoo Care Home 7 Category(ies) of Dementia - over 65 years of age (7), Learning registration, with number disability (7), Learning disability over 65 years of places of age (7), Physical disability (7), Physical disability over 65 years of age (7) Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate service users aged 50 years and over only 9th January 2006 Date of last inspection Brief Description of the Service: Tanners is a purpose built bungalow that was constructed to meet the needs of seven service users who have learning disabilities and associated physical disabilities. The home, which is operated by Life Opportunities Trust, has seven single-occupancy bedrooms, a large communal lounge that adjoins the dining room, a kitchen, laundry room, two bathrooms with toilets and a separate toilet. One of the bathrooms has a separate shower. Bath hoists are provided. The bungalow is detached and is surrounded by gardens that are mainly laid to lawn with surrounding shrubs and a patio area. Off road parking for visitors and the homes mini-bus is provided. Tanner is located on a private housing development and is situated at the end of a cul-de-sac. It blends in well with the neighbouring properties. There is a parade of shops nearby as well as a country park and pub. The village of Abbotts Langley is relatively close and there is a local bus stop from which connections to Watford and the local neighbourhood can be made. Information regarding the service is available in the Statement of Purpose and the Service User Guide. These and a copy of the last inspection report are freely available on request. For the latest fees please contact the home. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was another very positive Inspection with the majority of standards being met and only three requirements made in respect of the environment. Consultation with both the service users and stakeholders endorsed the findings of the past inspections where standards were maintained at a high level and people living at Tanners are offered a caring, comfortable and safe environment in which to live. Documentation examined included three service users’ care plans, the service user’s guide, staff recruitment, supervision and training records and quality monitoring records. A tour of the premises was made, taking in all the bedrooms and all communal areas. The inspection indicated that the home was running well, with a calm atmosphere and settled service users being cared for by confident, well-trained and highly motivated staff. What the service does well: The home provides a homely and comfortable environment in which service users feel secure and relaxed. Service users spoken with all said that staff were friendly and caring and expressed confidence in their skills and knowledge. Observations of staff at work dealing with service users indicated that staff treated service users with respect and courtesy. Service users were well presented physically and appeared well cared for, with smart hair and fingernails. The home has an excellent assessment system in place, which is both detailed and comprehensive in its approach to identifying all the needs of new and existing service users. The home provides detailed information about the operation of the service to prospective and current residents. The service users appear to have some degree of involvement in their care planning and this has produced the beginnings of a person-centred plan for all service users and will enable staff to create an individual service in order to meet each service user’s needs and aspirations. The staff spoken with during the inspection appeared to have a clear understanding of their individual roles and responsibilities. The members of staff on duty were seen to support the main aims and values of the home. The home has clearly defined job descriptions. Staff have received a series of mandatory training in order to carry out their roles effectively and professionally. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 6 The manager has a wealth of experience within the field of Learning Disability She provides confident leadership and support to the team and has clear expectations of staff. 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. The summary of this inspection report can be made available in other formats on request. Tanners DS0000019560.V335022.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 Tanners DS0000019560.V335022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1-6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Adequate information about the philosophy of care and operation of the home is available to prospective and current residents including contracts of residence. Admissions are made on the basis of detailed assessments of the individuals’ needs and aspirations so that it is clear that the home can provide a suitable service. EVIDENCE: A Statement of Purpose and a Service User’s Guide is in place that contains the required information about the service provided. These documents were last updated in April 2006 and are due to be updated later this month. These documents are made available to all prospective and current residents and their representatives and enable them to make an informed decision about whether the home would be suitable. These documents should be produced in a pictorial or symbol based format, which is more accessible to the service users. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 9 Full assessments are made of every prospective service user’s needs, abilities, personal preferences and aspirations prior to admission so that it is clear that the home will be able to meet the individual’s requirements. The admissions procedure also includes a series of planned trial or familiarisation visits to allow the service user to experience the atmosphere and way of working in the home before making any firm commitment to a ‘permanent’ stay. Contracts are in place for all service users living at Tanners. However these documents should also be produced in a format that is understood by the service users living at the home. If the service user is unable to comprehend this document, a representative should sign this document on their behalf. Tanners DS0000019560.V335022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6- 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users’ needs and aspirations are detailed in comprehensive individual care plans that provide excellent information to facilitate consistent care. Service users can contribute to some decision making in their personal lives and in the running of the home, supported by staff as necessary. They are supported to take responsibly assessed risks that balance health and safety and opportunities for stimulation and independence. EVIDENCE: Care plans examined were both detailed and comprehensive containing details of individual needs, personal preferences, goals set, behavioural guidelines, medical care needs and so on. The plans were set out in a colourful format, very accessible to the reader (including the service user) and provided invaluable information on the person as a human being and clear instructions to staff on how to proceed to achieve the best outcomes. The process of implementing Person Centred Planning has commenced and this work will Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 11 continue to be implemented within the next three months. Staff frequently update the care plans in the light of changing needs. The staff team should be congratulated on the hard work and professionalism that has contributed to producing service user plans that are user friendly, comprehensive and very detailed. Service users are part of either whole life reviews or the Care programme Approach system. Staff work with residents to assist them to lead safe and enjoyable lives, consulting them as appropriate over decision making and offering guidance where needed. Positive interaction was observed between staff and residents during the inspection, with staff demonstrating a high level of respect and patience. The standard of risk assessments within the home is excellent. All assessments had been updated since the last inspection took place. The staff monitor the two service users who have epilepsy with movement monitors. These devices have been introduced with the support of the epilepsy team/advisors and have proved to be very successful in ensuring service users are monitored closely and safely throughout the nigh time period. Tanners DS0000019560.V335022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal development opportunities are encouraged for all service users ensuring interactions with the outside community are encouraged. Individual rights and opportunities are recognised and supported. Service users can maintain social and family contacts and staff are welcoming towards visitors. Service users are provided with a varied and wholesome diet. EVIDENCE: All service users are encouraged and supported to maintain links to the local community The staff team endeavour to promote routines in order to maintain service user’s independence. However the current service user group are becoming older and taking part in everyday routines can sometimes prove difficult and tiring due to their dependency. Therefore service user involvement is limited to individual assessment of need. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 13 The menu was inspected and offered a variety of choice and is devised to meet service users individual needs and tastes. Several pictorial examples of dishes/likes and dislikes were observed during the evening meal. The care plans reflect the dietary needs of the service users. The kitchen had well stocked cupboards and there was fresh fruit and vegetables available. Annual holidays are provided and two holidays have been booked for June and September for five service users at Hoeseasons in Weston-super-Mare. The current service user group attend various day care centres, on a full time and part-time basis, including the Irish Centre in Watford, Jarmans, Northwick Day centre and one service user remains at home during the day and receives one to one support. Service users have the opportunity to attend both the Monday Club based in Abbots Langley and the Gateway Club in Watford. Service users are generally taken out on an individual basis on social outings and to attend appointments. Tanners DS0000019560.V335022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 –21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current medication practices and maintenance for medication are sufficient and adequate to ensure service user safety and wellbeing. Service users emotional and physical needs are being met adequately. EVIDENCE: The current arrangements for the storage and handling of medication are adequate and meet the current standards .The medication cupboards are situated within the main office and therefore easily accessible for staff. The manager ensures that any “homely” remedies are authorised for all service users who require them. There is currently no Controlled medication held in the medication cupboards, however there is a robust procedure in place for the administration of these medications, if required. The last pharmacy visit was carried out on the 23/3/07. The local pharmacist also conducts the medication training for the home. There were no gaps in the recording of medication. A contract with a local pharmacy is in place to supply all medication in weekly dossette packs. All non-blister pack medication has “date of opening” recorded. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 15 All service users use one local G.P. surgery and accurate records are maintained regarding service users individual health needs. Medication training is due to be held in June and October 2007 for staff. Full details of the personal and healthcare support required were contained in the care plans examined, including the individual preferences of service users. Daily records showed that staff continuously monitored individual progress. Staff spoken with demonstrated a good understanding of individual needs and how to act to meet them. A key worker system is operated to ensure extra individual attention and help service users participate in the care planning process. Risk assessments in place indicated a structured approach to maintaining individual safety. Support is sought from outside health professionals such as community learning disability nurses and local psychiatric services to provide specialist advice. Tanners DS0000019560.V335022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is sufficient and adequate in order for the service users to feel that their individual views are listened too. Robust policies, procedures and training are in place to ensure service users are protected and safe. EVIDENCE: A detailed complaints procedure is in place. A record is maintained of any complaints made detailing actions and outcomes as necessary. All service users have been informed about the complaints procedure. This is also on display within the home. There have been no complaints since the last inspection was carried out. It would be useful to produce this complaints procedure in a format that can be comprehended by the service user living at Tanners. A detailed procedure is in place to ensure that service users are protected from abuse and harm. Staff receive suitable and adequate Safeguarding Adults training (Protection of Vulnerable Adults). All Staff employed at Tanners are subject to enhanced Criminal Records Bureau (CRB). Tanners DS0000019560.V335022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 – 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment of Tanners provides service users with a homely, welcoming, clean, tidy and odour free home. Individual bedrooms were personalised which promoted independence and choices and preferences for the service users. The service users health and safety is protected. EVIDENCE: There have been several areas of the home that have been decorated since the last inspection took place. The hallway/corridors of the home have been repainted and create a light and welcoming environment for both service users and visitors. The manager and staff should be congratulated in supporting service users in creating individualised and comfortable bedrooms that reflect their personal interests and hobbies. Several service users were happy to shown the inspector their rooms and were obviously proud to be living in such a well maintained and comfortable home. Service users have also benefited Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 18 from over-head tracking being fitted to several areas of the home, within the last year to assist with safe moving and handling. The toilet and bathing facilities provide a range of equipment to allow individual needs to be met. However in both the bathrooms the flooring requires replacing as it could compromise health and safety standards. Both floors were heavily stained and badly worn. A programme of repair and replacement is in operation, and this is incorporated in the maintenance plan. One bedroom carpet also needs replacing, which was pointed out to the manager during a tour of the premises. The deputy manager is responsible for maintaining health and safety checks and standards. All records were up to date and the standard of recording was excellent. Fire records were checked. There was a current fire risk assessment in place. The last fire drill was carried out on the 14/3/07.All weekly fire checks had been completed for the 7/4/07. The hot water temperatures are checked and recorded by the health and safety co-ordinator. All water temperatures were recorded within safe limits. The maintenance of the home is well managed and carried out on a regular basis. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31- 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff know and support the aims and values of the home and how their roles contribute to achieving them for the benefit of service users. Members of staff are enthusiastic, knowledgeable, experienced and well trained to support service users effectively and meet their needs. Staffing levels are adequate to provide the attention that the service users require and to achieve the aims of the home. Sound recruitment practices are in place that protect the interests of service users. EVIDENCE: Staff spoken with during the inspection appeared very clear of their individual roles and responsibilities. The home has a loyal and long standing core staff team that appear to have a good understanding of the current service users Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 20 needs and abilities. Staff were seen to support the main aims and values of the home. There were three staff on duty plus the manager on the day of the inspection. The home has one manager; one deputy manager and 12 WTE support workers. There are also acquired additional waking night care support to meet the needs of one particular service user with now two waking night care workers, per night. The staff has clearly defined job descriptions and person specifications in place. All staff have received a series of mandatory training course in order for them to meet the complex needs of the service users. Training in Safeguarding Adults, dementia training, epilepsy, medication, food hygiene, fire training, leadership management and diversity training has been carried out since the last inspection was carried out. The company has rigorous recruitment procedures that involve thorough vetting of applicants. Three staff files examined contained photographs of the person, application forms, two positive references and CRB disclosures. All new staff receives structured induction and the company provides good access to training according to the training matrix provided by the manager. The manager has her RMA, the deputy manager is currently on the NVQ level 4 course in Care and one member of staff will be commencing NVQ level 3 training in September. The home exceeds the 50 of staff who have obtained their NVQ level 2. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37-43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and safety of service users, staff and visitors is protected. The home is well run, with service users benefiting from the support and guidance of the manager and the committed and enthusiastic staff team. The home is operated in an inclusive manner that enables staff to contribute ideas and the service users to have some control over their lives within a risk assessment framework. EVIDENCE: Service users spoken to during the inspection appeared to be happy with the home and appeared to be generally comfortable in their environment. The relationship between the service users and the staff is well balanced with Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 22 interactions observed being appropriate and supportive. The management approach of the home endeavours to create an open and positive atmosphere, staff and service users spoken to said that they feel supported and feel the home is well managed. A clear commitment is made to equal opportunities, with staff and service users expressing positive views with regards to this. Adequate training is being provided to ensure all staff have the necessary underpinning knowledge to carry out their role effectively. The manager has completed staff annual appraisals since the last inspection took place. Quality assurance systems are in the process of being further developed in order to assure that the service users views underpin all self-monitoring, review and development of the home. Both stakeholder questionnaires and service users questionnaires are completed. Service users questionnaires were also sent out prior to the inspection taking place. All these questionnaires were returned with very positive comments from both the service users and their carers. Service user meetings occur and minutes are taken. All records are held securely and were up to date and held in accordance with the Data Protection Act 1998 ensuring that service users rights and best interests are safe guarded by polices and procedures in place. Records regarding staff were not inspected and confirmation will be sought from the Provider Relationship Manager that these are in order. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation 16(2)(c) Requirement The flooring in both the bathrooms is badly worn and heavily stained. Floor coverings must be safe and meet the needs of the service users. The flooring in one identified service users bedroom is ripped and in a poor state of repair. Floor covering must be safe and meet the needs of the service user. Timescale for action 30/06/07 2 YA24 16(2)(c) 30/06/07 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 YA8 Good Practice Recommendations Life Opportunities Trust should endeavour to produce and present all documentation for user involvement in a “ user friendly” format in order to ensure that people using the service are supplied with information they are able to comprehend and interpret. Tanners DS0000019560.V335022.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Tanners DS0000019560.V335022.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. 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