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Inspection on 04/12/07 for The Gables (Cambridge) Limited

Also see our care home review for The Gables (Cambridge) Limited for more information

This inspection was carried out on 4th December 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Staff team remain committed in providing a good level of care and support to residents in the home. Resident`s bedrooms are furnished and personalised to meet their preferences and wishes.

What has improved since the last inspection?

Supervision and training have generally improved for staff.

CARE HOME ADULTS 18-65 The Gables (Cambridge) Limited 93 Ely Road Littleport Ely Cambridgeshire CB6 1HJ Lead Inspector Andy Green Unannounced Inspection 4th December 2007 11:00 The Gables (Cambridge) Limited DS0000037198.V356183.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 Gables (Cambridge) Limited DS0000037198.V356183.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 Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables (Cambridge) Limited Address 93 Ely Road Littleport Ely Cambridgeshire CB6 1HJ 01353 861935 01353 862887 gables@caringhomes.org 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) Gables (Cambridge) Limited Mr Christopher Stannard Care Home 16 Category(ies) of Dementia (5), Learning disability (16), Physical registration, with number disability (16), Physical disability over 65 years of places of age (1) The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The 5 places in category DE (under 65 years with dementia) are for 5 individuals, each with a primary vulnerability of learning disability The 1 place in category PD(E) (over 65 years with a physical disability) is for 1 named individual whose primary vulnerability is physical disability 21st December 2006 Date of last inspection Brief Description of the Service: The Gables is a registered care home with nursing providing support and accommodation for up to sixteen adults with a physical and/or learning disability. The home has a respite care facility and has a number of residents using this throughout the year. The home itself is situated on the outskirts of Littleport in Cambridgeshire near to the city of Ely. The current charges for placements in the home ranges from £673 - £1328 Copies of CSCI reports are made available to residents and their relatives. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection undertook this key unannounced inspection on 4th December 2007. We met with the manager, nursing staff, support workers and residents to gather views regarding the services that are provided in the home. Additional information was received in the AQAA supplied by the home. A number of surveys were received from residents and their relatives. A number of records were inspected including care plans, training records, staff files, medication records and fire testing and health & safety records. A tour of the building and grounds was also undertaken. What the service does well: What has improved since the last inspection? What they could do better: Medication administration and recording must be improved to ensure safe practice. All resident’s bedroom doors must have locks fitted. The premises must be well maintained and kept in good decorative order. Staffing levels must be reviewed to ensure that residents personal and social care needs can be met. Arrangements must be in place for the regular testing of fire alarms and emergency lighting. It is recommended that an occupational therapist is contacted to carry out an audit regarding equipment provided in the home. It is recommended that all staff applicants state the months and year on their applications that they were previously employed rather than just stating the year. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 6 It is recommended that further training is given regarding the specific issues and conditions that residents present with in the home. 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 Gables (Cambridge) Limited DS0000037198.V356183.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 Gables (Cambridge) Limited DS0000037198.V356183.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): 2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have access to good information, and can make an informed choice regarding the home’s services. EVIDENCE: The home obtains information via the care management process prior to admission to ensure that they can meet the individual’s assessed needs. The home also uses their own assessment form to gain required information. It was noted that one of the assessment documents was not signed or dated. Reports are also received from a variety of healthcare specialists including Psychiatrists, Psychologists and Speech and Language therapists. There have been no further changes made to the assessment process since the last inspection. Relatives can be involved in the referral process where appropriate. A number of visits to the home can be arranged for prospective residents before they make a decision to move in. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are treated with respect and receive personal care to meet their assessed needs. EVIDENCE: The care plans of two residents were inspected and they contained detailed and appropriate information. The care plans continue to be presented in an accessible manner giving clear guidelines to ensure that the care and support needs of each resident are understood and gives a more holistic approach to care. Information included a pen picture, likes and dislikes, review of activities, support and personal care needs including guidelines for the delivery of care and records of visits made by healthcare professionals. All of the resident plans are in a person centred plan format. However it was not evident how much the resident’s views, choices and preferences are gained. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 10 There was evidence of regular reviews of care plans taking place to include any updates or changes in care. Each resident has a key worker and link worker to ensure that care is consistently delivered to meet individual needs. There is a risk assessment procedure in place to ensure that residents are protected from harm both within the home and when accessing the community. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff provide appropriate support to ensure that residents can access the community to engage in activities appropriate to their needs. However staff shortages can impinge on the delivery of some activities. EVIDENCE: Ranges of activities are available as well as access to the community for residents. However during the inspection there was little evidence of organised activities in place but residents and staff were observed engaging socially in the home. Staff spoken to stated that activities needed to be improved. Residents do make regular trips to the local community, with staff assistance. But this can be hampered due to staff shortages and lack of drivers for the home’s transport. This was confirmed by residents spoken to during the day. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 12 Activities are recorded in resident care plans with any changes monitored and reviewed. Examples include cookery sessions, art and crafts and attendance at a local day centre. Residents are encouraged to furnish/equip their bedrooms to meet their style so that they are they able to enjoy spending time in their own rooms as well as using communal facilities. Bedrooms seen clearly evidenced this to be the case. Residents continue to benefit from a varied menu in the home and receive a choice of meals to meet their dietary needs and preferences. Residents continue to be involved in the shopping and preparation of food where possible. The cook regularly discusses the meals with residents to ensure that they enjoy a varied menu. At the last inspection it was stated that the kitchen area, near to the shower room, would be used far more to assist residents to improve their daily living skills but that this had not developed any further and staff reported that the cooker was now not in working order. This room continues to be predominantly a secondary staff office and file storage area. Comments received from relatives in CSCI surveys also raised concerns regarding the lack of organised activities. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 13 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): 18,19,20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are clear guidelines regarding care and support. However improvements regarding the administration and storage of medication must be made to ensure residents safety. EVIDENCE: Residents continue to receive care from a wide range of healthcare professionals including GPs district nurses, occupational therapists, chiropodist and speech & language therapist. Outpatient appointments are also arranged as required. Staff assist residents with personal care where appropriate and clear guidelines were recorded in the care plans seen during the inspection. Healthcare is documented in individual care plans and visits from healthcare professionals are recorded as appropriate. Assistance is also given so that residents can access outpatient appointments at local hospitals or surgeries. Risk assessments are recorded on individual files and are regularly reviewed to ensure that residents are protected from potential harm. Two resident files were inspected and risk assessments were in place. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 14 Medication administration records and storage did evidence a number of concerns including; • Medication had not be signed on one residents records regarding the morning dose and the nurse who had dealt with this could give no reason for this. Medication for two separate days were still in the blister pack yet the records were signed to indicate that the medication had been given. A food supplement drink was being stored in the fridge. No name or directions were on the bottle, the instructions on the bottle stated that it should only be stored at normal room temperature if unopened. On inspection it was noted that the contents of the bottle was still sealed. The nurse was asked why it was being stored in this way and for whom it was used and she stated that did not know. There was a thermometer on the wall in the medication room, which was showing a reading of 24c . The nurse was asked whether she knew what temperature medication should be stored at and she stated that she was not sure. She was not aware of any recording of temperatures. The nurse did state that the room became much hotter in the summer months and that the window would be opened. The sequence for the numbers of tablets recorded in the controlled medication record book on one occasion was unexplained. The controlled medication cabinet is too small for the amount of medication being stored and the home needs to obtain a more appropriately sized cabinet. The full address of the pharmacy supplying the individual medication must be recorded in the controlled medication records. The medication administration sheets received from the pharmacy do not have codes on the bottom of the sheet eg, indicating whether medication has been refused etc. The home needs to contact the pharmacy to receive more accurate recording forms. • • • • • • • • The above concerns were discussed with the manager. A referral will also be made to the CSCI pharmacy inspector to carry out a more detailed inspection of medication procedures in the home. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 15 The Gables (Cambridge) Limited DS0000037198.V356183.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): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints process to ensure that residents are able to raise concerns. EVIDENCE: The home’s complaints procedure ensures that all concerns are fully investigated and actioned appropriately. There have been no formal complaints raised with the home since the last inspection. CSCI has also not received any complaints since the last inspection. The home ensures that adult protection issues are dealt with in line with local authority policies, to ensure that residents are protected from potential abuse and staff confirmed they received appropriate POVA training to. It was observed that care staff interacted and spoke with residents in a friendly and social manner appropriate to resident’s individual need. However two residents spoken to during the inspection were dissatisfied with the lack of response they had received from the manager and they felt that there was low staff morale. The Gables (Cambridge) Limited DS0000037198.V356183.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): 24,25,26,28,29,30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. A number of areas in the home need to be refurbished and redecorated to ensure residents live in a homely and comfortable environment. EVIDENCE: Resident’s bedrooms seen were personalised, furnished and decorated to meet the individual resident’s wishes and preferences. The home was generally clean and free from odours. However a number of improvements must be made including; • The decoration in the main lounge needs to be completed. The manager stated that all decoration in the lounge would be completed before Christmas 2007. Hallways are in need of redecoration and are shabby in appearance in some areas The carpet in the main lounge needs to be cleaned DS0000037198.V356183.R01.S.doc Version 5.2 Page 18 • • The Gables (Cambridge) Limited • • • The downstairs shower room needs to be refurbished and modernised. The walls in the corridor near to the resident’s kitchen have deteriorated further since the last inspection and must be repaired and redecorated. The downstairs bathroom needs to be refurbished including attention to flaking paintwork on the ceiling and a new bath side panel needs to be installed to replace the shabby panel currently in place. The small WC adjacent to the downstairs bathroom needs to be redecorated and a lampshade needs to be installed. Bedroom doors are still not fitted with locks and there was no evidence recorded regarding whether the resident would prefer not to have a lock on their bedroom door. A requirement was made at the last inspection regarding the fitting of locks to bedrooms and a further requirement will be made regarding this issue. Failure to comply with this requirement may result in legal action being taken against the home. • • A requirement regarding maintenance issues were made at the last inspection and a further requirement will be made. Failure to comply with this requirement may result in legal action being taken against the home. The part time maintenance person continues to deal with day-to-day repairs and refurbishments in the home and the maintenance of the gardens. It was noted however that the amount of maintenance may require a more robust response to deal with the above issues in a timely fashion. Staff also stated that equipment in the home, including hoists, were not always appropriate or in good working order. It is recommended that an OT is contacted to undertake an audit of needs and equipment in the home to ensure safe practice. The Gables (Cambridge) Limited DS0000037198.V356183.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): 31,32,33,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements need to be made to staffing levels, training and recruitment processes to ensure safe practice. EVIDENCE: Four staff files were seen and they contained appropriate information including two references and evidence of satisfactory POVA/CRB checks. However, it is recommended that applicants should give the months and year that they were previously employed rather than just giving the year. The care staff spoken stated that they had received a variety of mandatory training in the home including induction, moving & handling, fire safety, first aid, food hygiene and moving and handling. However it is recommended that further training is given regarding the specific issues and conditions that residents present with in the home. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 20 A discussion was held with four members of care staff on duty and a member of the domestic staff. They felt that the morale in the home was low. They raised a number of issues, which included; • • Lack of support by the manager and nursing staff. Poor communication with manager as they feel he spends most of the time in the upstairs office and is not always available to assist with personal care when the need arises. Shortage of staff on a number of shifts can impact on residents who will be unable to access day services. A member of staff had phoned in sick today, which had caused two residents to be unable to access a day service especially as there are limited amounts of drivers for the home’s vehicle. Staffing levels do not always reflect the needs of residents who need more one to one care. The vehicle used by the home causes problems as the door gets stuck and the step is not working. Equipment in the home needs to be repaired or replaced including the tumble dryer and the carpet cleaner. Some hoists do not always work efficiently. The shower chairs are not adequate for some residents. The morale is low and staff are leaving which is compounded especially due to low pay. A separate discussion was held with the cook who had raised concerns regarding hygiene/health & safety issues concerning a resident when in the kitchen. She had clearly recorded her concerns and raised them with the manager but felt that the response to this had been poor. • • • • • • • These concerns were discussed with the manager. Comments received from relatives in CSCI surveys also raised concerns regarding the shortages in staffing. Staff supervision has improved and the manager is aware that this needs to be maintained ensure that staff are adequately monitored on at least 6 occasions during the year. Evidence of supervisions were seen and staff meetings are in place. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 21 The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42,43 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements need to be made regarding communication and management approach to ensure the staff are clear about roles and responsibilities in the home. EVIDENCE: Since the last inspection a new manager has been appointed in the home and he has successfully registered with CSCI. He has previous experience of management in residential settings over a number of years. However, as previously mentioned in this report (see Staffing section) there are a number of concerns to be addressed regarding communication and improvement to staff moral. These issues were discussed with the manager who seemed surprised regarding the concerns reported to the inspectors. The personal monies held in the office on behalf of three residents were checked and they were accurately recorded. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 23 Fire safety records were seen and it was noted that there were gaps in both fire alarm and emergency light testing. The hot water temperatures were not available for inspection. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 3 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 1 25 3 26 2 27 X 28 2 29 2 30 3 STAFFING Standard No Score 31 2 32 3 33 2 34 3 35 3 36 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 15 16 17 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000037198.V356183.R01.S.doc Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Gables (Cambridge) Limited Score 3 3 1 X 3 3 3 X X 2 3 Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 YA20 Regulation 13(2) 17(1)(a) Schedule 3 (i) 12(4)(a) Requirement Medication administration and recording must be improved to ensure safe practice. All resident’s bedroom doors must have locks fitted to preserve their privacy and dignity. A requirement regarding this issue was made at the last inspection of the home. Failure to comply may result in legal action being taken. The premises need to be well maintained and kept in good decorative order so that residents have an appropriate place in which to live. A requirement regarding this issue was made at the last inspection of the home. Failure to comply may result in legal action being taken. Staffing levels must be reviewed to ensure that residents personal and social care needs can be met. Timescale for action 30/12/07 2. YA26 29/02/08 3. YA24 23(2)(b) 29/02/08 4. YA36 18(2) 29/02/08 The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 26 5. YA42 23(4)(c)(v) Arrangements must be in place for the regular testing of fire alarms and emergency lighting to ensure the safety of residents and staff. 31/12/07 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. 2. 3. Refer to Standard YA29 YA34 YA35 Good Practice Recommendations It is recommended that an occupational therapist is contacted to carry out an audit regarding equipment provided in the home. It is recommended that all applicants state the months and year on their applications that they were previously employed rather than just the year. It is recommended that further training is given regarding the specific issues and conditions that residents present with in the home. The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Inspection 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 The Gables (Cambridge) Limited DS0000037198.V356183.R01.S.doc Version 5.2 Page 28 - 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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