Inspection on 07/12/05 for The Ann Coleman Centre

This inspection was carried out on 7th December 2005.

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

The Ann Coleman Centre 15/03/07

The Ann Coleman Centre 29/06/05

The Ann Coleman Centre 17/02/05

The Ann Coleman Centre 12/08/04

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 The Ann Coleman Centre Ridingleaze Lawrence Weston Bristol BS11 0QE Lead Inspector Helen Taylor Announced Inspection 7th December 2005 09:30 The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 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 The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 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. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Ann Coleman Centre Address Ridingleaze Lawrence Weston Bristol BS11 0QE 0117 9380155 0117 9380157 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) Avon Autistic Foundation Mr Andrew Coleman Care Home 7 Category(ies) of Learning disability (7) registration, with number of places The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Andrew Coleman to take effect as Manager from closure of Longcross. Date of last inspection 29th June 2005 Brief Description of the Service: The Ann Coleman Centre is owned and operated by the Avon Autistic Foundation Ltd, an organisation that specialises in the care of persons who have a diagnosis of autism or asperger syndrome. The centre provides personal care and accommodation for seven persons on the first floor although only six persons are accommodated at the present time. Facilities on the ground floor offer a range of social and educational activities. The property is arranged over two floors. The activity centre is based on the ground floor with a computer room, arts and crafts room and a snoezelon. A large conservatory is used to provide a quiet area for board games. The main kitchen and dining room area are located on the ground floor. Service user provision is located on the first floor and chair lift access is available if required. Each bedroom has en-suite facilities. Communal space consists of two lounges, a kitchen, bathroom and toilet. To the outside of the property there is a paved area with garden furniture. The property is purpose built and all areas are accessible to wheelchair users. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection as part of the annual inspection programme. The purpose of the visit was to review the progress made in relation to the two requirements made during the last inspection conducted in June 2005, and to examine the standard of care provided. The inspection was conducted over one day, and evidence was gathered from a pre-inspection questionnaire, a review of records held, discussion with staff and the registered provider, observations, and a tour of the premises. The residents were involved in activities in the day centre, and a group were out Xmas shopping in the local community. What the service does well: What has improved since the last inspection? The implementation of a robust recruitment procedure has provided greater protection for the residents. Written advice to staff relating to management cover at the home ensures adequately supported staff care for the residents. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 6 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 Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 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 The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 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): 2,3,4,5. There is adequate information available to enable prospective service users and their supporters to make an informed decision about moving to the home. EVIDENCE: The organisation has in place a statement of purpose and service user guide providing information about the services offered by the home. The documents were not viewed on this occasion but have previously been reviewed. Admission to the home is through the care management approach and all admissions are on a planned basis. One resident has been admitted in the last year, and trial visits were part of this process. The provider explained that in some cases prospective residents attend the day centre prior to requesting a permanent placement. This facilitates a gradual introduction to the facilities and to the individuals already living at the home. The care files reviewed indicated that detailed assessments had been undertaken, and each care plan focussed on the individuals needs and aspirations. Written contracts of terms and conditions were seen in the care files. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10. The assessment and care planning process ensures all aspects of personal, social and health care needs are met. Social and community activities are organised to meet specific wishes and abilities, and provide daily variation for the individuals accommodated. EVIDENCE: A sample of care files reviewed indicated that care plans were in place covering all aspects of daily life. Risk assessments were seen that reflected the needs of each individual, and covered all aspects of daily life, both in the home and in the community. The residents are supported by key staff to participate in the daily functioning of the home. Encouragement and prompting is used to promote social and independence skills, with plans in place relating to the upkeep of individual space. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 10 Care plans are reviewed on a regular basis and there was evidence of residents being supported to make decisions about their lives, and plans of care being developed to meet individual need. The care plans indicated that various professionals, parents and the resident are consulted on the development of the plan. There are daily-recorded entries for all residents that record choices made, preferred routines and support provided. Staff members are provided with foundation training that focussed on the needs of individuals who may have Autism or Aspersers Syndrome; this enables a better understanding of behaviour that may be displayed by the residents. It was evident from observation and discussion that the staff members have developed a good understanding of the individual communication methods used by the residents. The residents are encouraged during one to one meetings with key workers to raise any suggestions or concerns they have about anything that is worrying them, or that they may want. Appropriate records are held of these meetings. There are policies and procedures in place that provide guidance to staff about the confidential nature of the records held in the home. As part of the induction process staff members sign to indicate their understanding of the policies in place. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. The residents benefit from and are supported to participate in a range of leisure and social activities organised by the home. This could be further developed for those individuals who are able, to include work or social activities out of the home. The residents are offered a varied menu with choices available, however there was poor food hygiene practice in the home. Relationships with family members are encouraged. EVIDENCE: The day centre located on the ground floor offers structured activities on a daily basis. A pictorial planner enables residents to make choices about what activity they would like to join. The day centre also offers the opportunity for residents to meet new people who attend the day centre only. Organised outings to local places of interest, leisure centres and trips to the theatre are also included in the day centre programme. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 12 One resident attends Spanish classes at a local college, and verbally greeted the Inspector using phrases he had learnt on the course. He was clearly proud of his achievement. A review of his care file showed that he has recently achieved a certificate in Performing Arts. An examination of two care files sampled revealed that recent Local Authority reviews suggested the development of attendance at work or social activities outside of the home or day centre for two of the residents. It was noted that one resident had indicated an interest in going to college. The care file information provided no evidence that any action had been taken in response to this suggestion. The provider explained that one resident was going through a difficult time emotionally and it was felt the risk was to high, and the other had difficulty getting up in the morning, therefore work placements may not be suitable. The home is required to investigate other avenues for each resident outside of the Ann Coleman Centre to ensure the residents are provided with ample opportunity for personal development in line with the review document. Evidence of actions taken in response to the review should be included in each individuals file. Both residents are able to leave the home independently, and one resident travels independently on a train to see his family. There was evidence of a resident being supported to use public transport, and this area needs further development for those residents whose ability in this area is limited. The residents are offered a varied diet and menu sheets were received as part of the pre-inspection information. It was noted that generally sandwiches are provided for lunch, or a meal is obtained whilst out of the home. This is to allow the structured activity schedule that often means the residents are out during this period. One resident asked for a hot meal at lunchtime, and it was noted that ready meals had been provided. A tour of the kitchen, and a review of records held in relation to the safe storage of foodstuffs revealed all records were up to date and in order. The kitchen area was clean, tidy and well organised. However it was noted that opened food in the fridge had not been appropriately labelled, and the fridge was not as clean as it could have been. The provider was able to show that a format to monitor the cleaning programme had recently been developed, due to some staff not cleaning according to the cleaning schedule in place. The role of the staff in this home includes the preparation of meals, and supporting residents in developing skills in the preparation of meals. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 13 It was noted that although an introduction to food hygiene is part of the induction training, not all staff have received comprehensive food hygiene instruction and this must be addressed as soon as practical after they start work. The effectiveness of this training and the implementation of the homes policies and procedures in relation to hygiene in the kitchen should be monitored. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 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. The personal and health care needs of the residents is monitored effectively and action is taken promptly when concerns arise, so that residents can be confident their needs will be met. EVIDENCE: There have been no accidents or incidents where residents have been taken to the accident and emergency department. Care documentation reviewed provided evidence of clear guidance to staff on how individuals wished personal support to be provided. The home consults health professionals to ensure medication is reviewed regularly, and all changes are provided in written form. A review of the storage and administration of medication revealed no errors. Medication is dispensed from the pharmacy in a monitored dosage system, and each cassette contains a photograph of the resident and a list of medication. All medication is checked when received and mistakes are rectified immediately with the pharmacist. Medication dispensed for use as required is stored separately and two signatures are required prior to any being administered. Homely remedies used in the home are also stored appropriately and the records were well organised and up to date. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 15 Staff members receive accredited medication training and certificates of attendance were seen on staffing information examined. Preventative health care is also encouraged in the home for example; one resident is being encouraged to stop smoking and the staff have provided information about the hazards to health and the environment through fire. As part of this action plan, local fire officers visited the home to provide information about fire and the risks associated with smoking in the home. There was also evidence of the resident entering into a contract to use nicotine replacement therapy. Although the actions taken to date have not been successful in supporting this resident to stop smoking, the staff continue to promote a healthier lifestyle. An area at the home has been designated for smoking to reduce the risk of a fire, and this is being monitored daily. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 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. The home has a clear complaints system in place with some evidence that residents views are listened to and acted upon. Although action is taken to ensure residents are protected from any form of abuse, this could be further improved with abuse training being provided as part of the basic training programme. EVIDENCE: A comprehensive complaints procedure is in place, and residents are encouraged during one to one meetings to mention any concerns they have about any issue. Pictorial information enables residents to make choices, and provides guidance in relation to raising any issues whether in the home or in the community. There have been no complaints since the last inspection. Policies, procedures and training are in place for staff to ensure the residents are protected from any form of abuse. A programme of training on abuse awareness delivered by the local authority is in place at the home, evidence was provided of three staff members having attended. The provider explained that often staff attend the courses but do not always bring the certificates to provide evidence of attendance. In some cases a future date for training was noted in the training file. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 17 The home must provide abuse awareness training as part of the basic induction and foundation programme, to ensure the rights of the residents are protected by staff who have a good understanding of all forms of abuse. One staff member spoken with was able to confirm attendance at POVA training, and verbally demonstrate her understanding of abuse and gave examples of bad practice. It was noted that supervision records contained evidence of discussion of policies and procedures, and guidance on abuse awareness. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 18 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): 24,25,26,27,28,29,30. The quality of the furniture and fittings in the home are of a very high standard, and overall a warm comfortable environment has been created ensuring individual needs are met. EVIDENCE: The location and layout of the home is suitable for its stated purpose. The accommodation is bright and airy, and well furnished. The home is arranged over two floors, the residential section is located on the first floor, and the activity centre on the ground floor. There is a chair lift to access the first floor, however this is not required by any of the individuals accommodated. All individual accommodation is in single rooms with en-suite facilities. A tour of the premises indicated that the residents are encouraged to personalise their own room. The rooms are well furnished and homely. All areas of the home viewed were clean and tidy, and there was no unpleasant odours. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 19 Although a kitchen and dining area are located in the residential section of the home, and regularly used by residents. A larger kitchen and café-style dining area is located in the day centre, and this is used daily by individuals taking part in the day centre programme. The large kitchen is also used by residents in small groups, or individually with support from staff in developing cooking skills. Although the day centre is not staffed in the evening, the facilities are open for use by those residents who have the ability and choose to use them for social purposes in the evening. The residents use of equipment in the evening is through a risk assessment framework and monitored by staff. A regular maintenance plan is in place, and this includes the upkeep of the external area. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 20 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): 31,32,33,34,35,36. Safe recruitment practices are being implemented in the home that safeguards the residents from harm. Staff members are clear about their roles and adequate supervision is provided, however a lack of sufficient basic training during the induction period for new staff could potentially place residents at risk. EVIDENCE: A review of staffing information held in the home revealed that a robust recruitment procedure has been implemented since the last inspection. Five staff files were sampled and each had evidence of CRB, references, application forms and photo identification. Signed job descriptions and policy documents were also noted in these files. Examination of the staff training records indicated that all staff received induction training. The provider explained that the organisation has recently implemented the LDAF induction programme and all new staff will work through this programme. The organisation have applied to have their own foundation training accredited by TASS UK and will use this in conjunction with the LDAF training if successful. The provider stated the organisations programme focussed on the specific conditions related to Autism and Aspergers Syndrome and would enhance the LADF programme. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 21 Staff members undertaking the induction programme are required to familiarise themselves with the policies and procedures of the home. There was good evidence of these being discussed during the supervision process. The training records included references to verbal and practical training, and certificates were gained on completion of the stage one or stage two foundation programme. Although there was good evidence of induction training for all staff, and some staff had attended Protection of Vulnerable Adults, Challenging Behaviour, First Aid and Medication training, there was limited evidence of sufficient basic training being provided to all staff relevant to the specific needs of the residents being completed within the first six months of employment. The provider stated that courses had been booked for staff to attend, POVA, Food Hygiene, Fire and Challenging Behaviour. Although there was evidence of courses being booked, the provider needs to review the system and organisation of training to ensure staff members receive sufficient basic training within appropriate timescales. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 22 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): 37,38,39,40,41,42,43. The home is well managed ensuring the rights and interests of the residents are promoted within a safe environment. EVIDENCE: Mr Andrew Coleman is the registered manager; he was not present during the inspection process. Mr John Coleman the registered provider was present throughout the inspection process. A requirement form the previous inspection in relation to management support has been complied with and staff have been provided with written details of the management cover in the home. The organisation have in place polices and procedures to safeguard and protect the health and well being of the residents. Familiarisation of the content of policies and procedures is part of the induction process, and staff members sign to acknowledge their understanding of the documents. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 23 There was evidence of formal supervision being held on a regular basis, and the records indicated when verbal or practical training had taken place. This is consistent with good practice. The Commission receives reports of Regulation 26 visits by the registered provider on a monthly basis. The provider has developed a quality assurance system that includes the views of relatives, residents, visiting professionals, and staff members. The provider meets with staff individually on an annual basis to ascertain their views on service delivery and personal development. A review of care files and associated information revealed that they were up to date and in order. All other records reviewed during this inspection process were up to date and held securely. The fire safety records indicated regular fire drills and checks on fire fighting equipment. One staff member is designated as fire officer ensuring all fire drills and associated fire safety measures are carried out at regular intervals. It was noted the names of all residents was included in the fire drill records. This consistent with good practice. There was evidence of a recent visit to the home by local fire officers to raise awareness of fire safety. A valid certificate of insurance was seen displayed in the home. The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 3 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 2 12 3 13 3 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Ann Coleman Centre Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000033586.V259479.R01.S.doc Version 5.0 Page 25 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 YA11 Regulation 16.2(m) Requirement To develop social and work activities outside the home as discussed at individual formal reviews. To provide all staff with food hygiene training. Ensure all kitchen equipment is cleaned regularly. Any food opened and then stored should be labelled with date of opening. All staff must have abuse training as part of foundation programme. All staff must receive basic training specific to their role within six months of employment. Timescale for action 30/04/06 2. 3. 4. 5. 6. YA17 YA17 YA17 YA23 YA35 18.1(c) 16.2(j) 16.1(g) 18.1(a) 18.1(a) 30/04/06 30/01/06 30/01/06 30/04/06 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 The Ann Coleman Centre DS0000033586.V259479.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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