Inspection on 06/07/07 for The Bridgings Limited (Middlesbrough)

This inspection was carried out on 6th July 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bridgings Limited... 12/07/06

The Bridgings Limited... 30/01/06

The Bridgings Limited... 22/08/05

The Bridgings Limited... 13/10/04

The Bridgings Limited... 13/04/04

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22 Sandown Road

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Dilston College Of Further Education

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Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 The Bridgings Limited (Middlesbrough) 116 - 118 Woodlands Road Middlesbrough TS1 3BP Lead Inspector Brenda Grant Unannounced Inspection 6th July 2007 11:05 The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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 The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bridgings Limited (Middlesbrough) Address 116 - 118 Woodlands Road Middlesbrough TS1 3BP 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) 01642 242886 F/P 01642 242886 The Bridgings Limited Mrs Astrid Cook Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability - Code LD, maximum number of places: 10 2. The maximum number of service users who can be accommodated is: 10 12th July 2006 Date of last inspection Brief Description of the Service: The Bridgings, Woodland Road, Middlesbrough, was opened in 1989 to provide a home for 10 younger adults with a learning difficulty. The home aims to provide care tailored to individual need and the emphasis is on meeting, holistically, the daily living needs of all residents. With the exception of one double room, all rooms are single, and rooms can be personalised by residents according to their preference and taste. The home is situated in central Middlesbrough close to the University of Teesside, and within easy walking distance to shops, cafes and restaurants. The fees charged by the home are £355 per week. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was initially an unannounced inspection but it was necessary to announce a second ‘site visit to the home. We assessed the information from: the Annual Quality Assurance Assessment that was completed by the manager, ten survey forms that residents has been assisted to complete, three survey forms from relatives and we carried out a visit to the home. The visit took place over one day, four hours and thirty minutes in total. Discussion and observation took place with residents, staff and the manager. We looked around the home as well as examining a number of records which included those for; residents and staff files, health and safety and maintenance checks, complaints and medication. The findings from the inspection were of the manager and staff providing a good care service, creating a comfortable, homely atmosphere and making every effort to meet the needs of individual residents. What the service does well: The outcome of the unannounced inspection was of the manager and staff working well to deliver a good service, which was to the benefit of the residents living at The Bridgings. Management and staff were enthusiastic with all aspects of their work and they obviously enjoyed caring for the resident group. One resident said, of the staff, “The are all good and we all get on okay with each other”. Another resident said, “I make sure the staff are safe and I make sure the house is locked up every night”. A relative commented, in a survey, “It feels like home not just a care home” and another relative said, “My relative has been extremely happy there”. The findings, of the inspection, were that the key National Minimum Standards had been met. The manager and staff included residents and their relatives whenever there were plans to make improvements at the home. The manager and staff encouraged residents to be independent and staff gave suitable support, to residents, with assisting residents to live their lives as they wish. Residents kept their Care Plans in their bedroom and residents helped with writing the Care Plans, giving them ownership over how their care was planned and delivered. The manager and staff have plans to make further improvements to the service and they are determined to make sure residents receive the best care and support. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 6 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. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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 The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standard: 2 Resident’s individual aspirations and needs are assessed before they are admitted to the home. EVIDENCE: There had been one new resident admitted to the home during the last 12 months. A care manager had carried out an assessment that resulted in the person as needing residential care. The assessment documentation was shared with the home and included details of the person’s personal, health care and social needs. The assessment also included particulars about the person’s abilities. The information allowed the home to determine if the person’s care needs could be met by the service. The resident and their relatives had been fully involved with the assessment process. The manager said, before admission residents were given details about the home. Eight of the nine surveys, that residents were assisted to complete, confirmed residents had enough information about the home before they moved in so they could decide if it was the right place for them. The Annual Quality Assurance Assessment informed potential residents were invited to visit The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 9 the home to have a look around the building and meet staff and the other residents before they decide if they want to live at The Bridgings. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 6, 7 & 9 The home has Care Plans, for each resident, which are regularly reviewed. The plans also contain Risk Assessments that include how risks are managed. Resident’s files inform how residents are supported and assisted with making decisions and living their lives as they wish. EVIDENCE: A sample of resident’s Care Plans was examined. The plans had information of the person’s care needs and how care was to be delivered. There were also details about the person’s preferred lifestyle, choices and likes and dislikes. Care Plans included a weekly programme, for each resident, which described the various activities the person was involved with. Care Plans included Risk Assessments, detailing how risk would be minimised to an acceptable level. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 11 Residents were fully involved with their Care Plans. When we were looking at one of the Care Plans a resident said, “I did that, it’s mine”. S/he was meaning s/he had helped to write the Care Plan and s/he kept it in his/her bedroom. In addition to the detailed Care Plan, the home kept a summary of the plans, in the office, for staff to refer to. Staff said, when there were reviews or changes to Care Plans, residents and their relatives were always involved and residents had the opportunity to give their views about how care was delivered. Care Plans included Risk Assessments, detailing action taken to minimise identified risks and hazards. Areas of risk were discussed with residents, to avoid limiting residents with their preferred chosen lifestyle and activities. Risk Assessments were not always reviewed at the same time as Care Plans. We informed the manager, if there was a change to a Care Plan then it would possibly affect the Risk Assessment therefore the documents should be reviewed together. The manager said she would put procedures in place so that future reviews would involve both Care Plans and Risk Assessments. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 12, 13, 15, 16 & 17 Staff appropriately support and care for residents. Residents are offered choices of daily activities and residents can live their lives as they wish. Residents are encouraged to have a varied and healthy diet and mealtimes are enjoyable. EVIDENCE: Residents had opportunities for personal development. Residents were encouraged to be independent and maintain practical life skills. Residents helped with some daily tasks around the house, residents were keen to show us the ‘washing up rota’. One resident was proud of his/her efforts of cleaning the oven and it is now a Sunday job but s/he said, “I want some Brillo pads so that I can do a better job”. Most residents, within Risk Assessments and supervision from staff, iron their own clothing and keep their bedrooms clean The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 13 and tidy. Two residents proudly informed us they had paid part-time jobs. Staff said, they encouraged and assisted residents to take up opportunities that would help residents to maintain their independence. At some time during the week most residents take part in day care and/or college activities of their choosing. Staff said, residents are encouraged to get up early, for the days they attend their regular ‘work’ placement, so they are ready on time for going out. For other days residents can choose when to get up and go to bed and what they would like to do for the day. On the day of the first ‘site’ visit, there was no one at the home. Residents said, they had chosen to go out for breakfast, to a local café. Staff had supported residents with getting to the café and helping them to choose their meal. One the day of the second ‘site’ visit, one resident was ready to go out to Redcar for the day. S/he said, “I know which bus to get and I am taking some sandwiches with me”. Residents were encouraged to be involved with all sorts of activities that was of interest to them, such as: football, crafts/toy making, horse-riding and keep-fit. One resident, who went to a gym every week said, “I am getting better muscles”. Staff said, they supported residents with making decisions and offered choices for holidays, outings and anything else the residents wished to do. One relative’s survey confirmed the care service supported residents to live the life they choose. The home made sure resident’s religious needs was met and staff made arrangements for some residents to attend their chosen churches. The Bridgings has the advantage of being close to Middlesbrough town centre where there are shops and a variety of leisure facilities. A relative commented, in a survey, “It feels like home not just a care home. My relative has been extremely happy there”. The relative confirmed s/he is always kept up to date with important issues that affect the resident. Staff said, they always welcome relatives and friends of residents to visit the home, so that residents keep their family links and friendships. Likewise, residents were supported with visiting people outside the home. We observed, there was a good relationship between staff and residents and staff spoke to residents in a respectful way. One staff said, “Every day is different and it’s a pleasure to come to work”. Staff said, they make sure residents have the right to privacy and staff only went in occupied bedrooms and bathrooms with the resident’s permission. Residents had a key for the lock of their bedroom door and they locked their bedroom doors when they went out of the home. The manager said, residents were involved with planning menus and the home made sure meals catered for different tastes and diets. There was a set menu but alternatives were offered if residents wished to have something different. The home’s record, of food served to residents, did not give details of all the food. Kitchen records included temperatures for the fridge and freezer. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 18, 19 & 20 There is satisfactory support for health and personal care and there is suitable recording of medication. EVIDENCE: Staff said, they supported residents with some personal and healthcare needs. Most residents could manage their own personal care but there were times when staff needed to give prompts. Staff said, resident’s personal care needs were minimal and staff were sensitive to the resident’s personal preferences. Residents chose their own clothes and resident’s appearance reflected their personality. The home kept records of all healthcare needs and for resident’s appointments with healthcare professionals. There was information relating to the outcome of medical appointments and Care Plans were altered accordingly. Records demonstrated there were regular checks for dental, optical and other healthcare related treatment. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 15 Medication Administration Records were examined. The record had signatures of the staff who had administered the medicine to the resident. The home had a satisfactory facility for storing medicines. Staff’s files confirmed staff had completed training for medication awareness. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 22 & 23 Residents are confident their views are listened to and they are protected from abuse, neglect and self-harm. EVIDENCE: The home had a satisfactory Complaint’s Procedure. It informed who would deal with a complaint and the expected time when a complainant would expect a written response. All residents and a relative, who completed surveys, confirmed they knew how to make a complaint. The book, for recording complaints, was examined. There had been no complaints during the last 12 months but there was a record of a compliment that had been made to the home. The home had a copy of the Department of Health Guidelines, ‘No Secrets’, for safeguarding adults. Staff said, they were aware of the guidelines and they had completed training for the protection of vulnerable adults. Staff confirmed they knew the procedure that would be followed if there was an allegation of abuse. Staff’s files confirmed staff had completed safeguarding training. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 24 & 30 The environment of The Bridgings is homely, comfortable and safe and most of the repairs and maintenance work is carried out. EVIDENCE: Residents live in a very homely and comfortable home. Staff said, residents helped to choose the colour schemes and the furniture in communal areas and their own bedrooms. Since the last inspection, the home had bought some new furniture and maintenance work, to the outside wall, had been carried out. One resident was eager to show us all of the areas that had been improved. The yard, at the back of the home, had a raise flower-bed; the flowers were in full bloom and looked lovely. There was also some seating available to residents. One part of the outside area had a canopy above the seating. One resident pointed out, “That needs to be mended”. There was a length of wood that had come loose from the canopy, it needed to be secured to the structure. We looked at some of the bedrooms. Residents had their own things in their The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 18 bedrooms. The window of one bedroom had misted up, it needed to be replaced. The Bridgings had plenty of space for residents to move around inside the home. Residents were seen freely moving around all communal areas. The premise was well maintained and clean, tidy and free from offensive odours. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 32, 34 & 35 Competent and qualified staff support residents and residents are protected by the home’s recruitment procedures. Staff are appropriately trained to care for the residents at the home. EVIDENCE: Staff files had records confirming staff had completed all of the required induction and basic training. The manager had made arrangements for staff to keep up to date with that training particularly for: fire awareness, first aid and infection control. Staff said they were encouraged to attend additional training courses, so that staff had greater awareness and knowledge of resident’s specific needs. One course staff had completed was an introduction to mental illness and learning disabilities. Residents benefited from the home having a small stable staff group who worked well as a team. Residents were supported and protected by the home’s recruitment policy. Staff files contained all of the required information, confirming there were The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 20 satisfactory references and checks before a person was employed at the home. Staff said, when they first started work at the home they observed experienced staff and were closely supervised before they were allowed to work on their own. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 37, 39 & 42 Residents benefit from a well run home and residents are included with developments and changes that take place. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: Since the last inspection the home had appointed a newly registered manager. The manager had gained qualifications for the Registered Manager’s Award and a City and Guilds in Social Care qualification. The manager said she was going to enrol for the National Vocational Qualification, Level 4. The manager had made many improvements with the running of the home. The home’s documentation was more orderly and many recording systems had been improved. Staff said, they were always well supported by the home’s manager. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 22 The manager has made sure residents had been involved when there were developments and changes to the service. The manager said she held regular residents meetings. A resident was supported with writing minutes of those meetings and residents confirmed they had the opportunity to comment upon the service they received. The home had carried out a quality assurance survey where residents and their relatives gave their views and commented how they would like the service to be improved. The results of the survey were compiled in a report and the information was shared with the residents. The manager had devised a development plan; it included the action that had and is being taken, as a result of those comments. The manager regularly carried out monitoring checks and audits of the service. The provider visited the home at least monthly and wrote a report on the findings. A number of health and safety records were examined. Records for: accidents, fire, gas, electrical equipment and water temperatures confirmed there were regular monitoring checks and maintenance work carried out. The home had up to date Risk Assessments for general areas of the home and Risk Assessments for the Control of Substances Hazardous to Health. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation 13 Requirement Resident’s Risk Assessments must always be reviewed with the Care Plans, so that both will be kept up to date. The loose wooden panel, to the canopy in the yard at the back of the house, must be secured for the safety of the residents. The bedroom window, which was misted up, must be replaced so that the resident can see out of the window. Timescale for action 31/08/07 2. YA24 23 30/09/07 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 YA17 Good Practice Recommendations The home should keep a record of all food that is served to residents. The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 The Bridgings Limited (Middlesbrough) DS0000000113.V345135.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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