Inspection on 03/05/05 for The Laurels

This inspection was carried out on 3rd May 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Laurels 07/06/07

The Laurels 25/09/05

The Laurels 18/11/04

The Laurels 15/04/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Laurels Highfield Road Shanklin Isle of Wight PO37 6PR Lead Inspector Janet Ktomi Unannounced 3rd May 2005 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 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 Stationary 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 Laurels Version 1.10 Page 3 SERVICE INFORMATION Name of service The Laurels Address Highfield Road, Shanklin, Isle of Wight, PO37 6PR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 866575 01983 866575 Islecare 97 Ltd Care Home 6 Category(ies) of Learning disability (6 registration, with number of places The Laurels Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 18/11/2004 Brief Description of the Service: The Laurels is a registered residential home providing care and accomodation for up to six younger adults with learning disabilities. The home is owned by Islecare 97 who provide a number of homes for a similar service user group on the Isle of Wight. The home has a temporary manager, Mrs L Sims, who was transfered to the home two months prior to the unannounced inspection having previously been the registered manager of a similar Islecare 97 home elsewhere on the Island. The manager is responsible for both The Laurels and Highmead and has experienced deputy managers to assist her in each home. The home occupies the lower ground floor of a larger building which also provides premises for a similar home, Highmead on the first floor, and Islecare management and training rooms on the ground floor. The home provides all service users with single bedrooms which are equipped with washbasins and appropriate communal space and bathroom. The home has access to pleasant, level private gardens and shares two house cars with Highmead. The Laurels Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first unannounced inspection of this inspection year. Core and additional standards were assessed. Core standards not assessed during this inspection will be assessed during the second unannounced inspection. Due to the proximity of the two homes and their being one manager the inspection for both services was undertaken at the same time.The inspection lasted seven hours during which a full tour of the building was undertaken. Discussions were held with the manager and staff on duty. All service users living within the home were met during the inspection and gave the inspector their views about parts of the service. All the service users stated that they enjoyed living at the home and liked the staff. Care records, staffing records and other records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? There were no requirements or recommendations made in relation to The Laurels during the previous inspection. The Laurels Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Laurels Version 1.10 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 Standards Statutory Requirements Identified During the Inspection The Laurels Version 1.10 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 standard(s) 2, 3, 4 and 5 The admissions policy and procedure would ensure that existing and potential service users were compatible and that the home would be able to meet the needs of new service users. EVIDENCE: At the time of the unannounced inspection the home had no vacancies and no new service users had been admitted since before the previous inspection. Discussions were held with the manager and staff in the home as to the procedure that would be employed should a referral be received about a potential new service user. The manager was clear about the service the home could provide. The manager was clear that she would not admit a person whose needs were very different from the existing service users as this could be detrimental to both existing and the new service user. The manager described the introduction procedure she would use for new admissions that would include daytime visits, staying for meals and overnight visits prior to admission. The manager stated that, should a vacancy exist, she would not accept any emergency admissions to the home. Discussions with care staff and the manager showed that they would consider the needs of existing service users when a decision to admit a new person to the home was made. Contracts are agreed between Islecare ‘97 and social services on the Island who fund individual service users’ placements. Service users’ families are The Laurels Version 1.10 Page 9 involved in placement planning and reviews. Due to cognitive limitations the service users would have difficulty in understanding and taking part in the contractual process. The Laurels Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 The care planning process identifies service users’ individual care needs and includes risk assessments where necessary and specific details as to how care needs will be met. EVIDENCE: The inspector viewed three of the six service users’ care plans. The home operates a key worker system and key workers are fully involved in the formation of the care plans for their key people. Care plans are reviewed regularly by key workers. Each plan identifies the physical, health, emotional and social needs of the service users and how these needs will be met on a daily basis. The home obtains support from a variety of health care professionals as and when required, including District and Community Learning Disability Nurses who assist with care planning to meet the complex needs of some of the service users. During the inspection it was noted that care staff consulted service users, providing them with opportunities to make choices about day-to-day events. Questions were formulated in a manner service users could understand and The Laurels Version 1.10 Page 11 respond to. Within care plans there was evidence of multi-disciplinary decisionmaking where service users lacked the cognitive ability to make complex decisions. All the service users require support to manage their personal finances. The procedures for this were discussed and a random check was made of a service users’ finances. These were found to be accurate and fully documented. Although not cognitively able to fully understand their finances, service users confirmed that they were involved in decisions about spending their money. Care plans contained risk assessments and clear guidelines for staff around daily activities. External professionals such as psychologists and community nurses had been involved with care staff in the production of risk assessments which were designed to promote not restrict service users’ lives and choices. The home has a number of aids and items of equipment aimed to reduce risks for service users and environmentally the home has been made as safe as possible. The home has a policy for unexplained absences and photographs of service users although this is not a concern with the current service users. The Laurels Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17. Service users enjoy a varied lifestyle with lots of opportunities for community and leisure activities. The home would support and maintain links with family members. Service users are involved in planning a varied nutritious diet. EVIDENCE: Care staff, service users and care records confirmed that service users often enjoy ad hoc community activities as the weather and service users’ health permits. Service users stated they enjoy going out for meals, shopping, to the beach, for drives or to pubs for drinks. Each service user has an individual weekly programme of activities that includes a range of day services and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. Care plans contained records of individual weekly routines and ad hoc social outings and activities organised by care staff. Service users are encouraged to participate in domestic activities as their cognitive and physical abilities allow. The home shares two cars, one capable of transporting service users who are wheelchair users, with the other home situated within the same building. Some social events are organised jointly by the homes with service users and staff from The Laurels Version 1.10 Page 13 each home going out together. Due to physical, medical and cognitive limitations it is not appropriate for the people living at The Laurels to have paid employment, service users do attend day centres part of the week. Staffing levels within the home are sufficient to enable service users to enjoy community activities during evenings or weekends. Care staff were observed interacting appropriately with service users during the inspection. During a tour of the home the lounge and service users’ bedrooms were seen to contain a number of appropriate home entertainment options including televisions, music centres and sensory equipment. The inspector was able to visit service users whilst they were enjoying their cooked evening meal. The meal was relaxed and unhurried with service users being encouraged to be as independent as possible with appropriate special equipment to facilitate this available. Choice in respect of puddings was provided and discussions with staff indicated that they had a good understanding of individual service users’ likes and dislikes. Service users stated that they enjoyed the food provided at The Laurels and were involved in discussions about menu planning both on a daily basis and during service users’ group meetings. The Laurels Version 1.10 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 standard(s) 18 and 19. Service users’ healthcare needs are fully assessed and met with the assistance of external health professions where appropriate. Staff provide personal support to all service users and ensure that dignity and privacy are maintained at all times. EVIDENCE: Risk assessments in respect of safe moving and handling have been completed for all service users and were seen in care plans during the inspection. The home employs both male and female care staff. The home operates a key worker system and service users are supported to make decisions and choices in respect of clothing and personal appearance. The inspector saw a variety of aids and adaptations around the home including Parker bath, handrails, high/low beds, overhead tracking hoist and mobile hoists. The manager stated and the inspector noted within care plans that specialist advice was sought when required from Physiotherapists, Community Learning Disability Nurses, District Nurses and Speech Therapists. Care staff were positive about the input from external professionals and confirmed that as key workers they were fully involved in assessments, care planning and reviews. All bedrooms within the home are single and equipped with a washbasin, providing a high level of privacy for service users during personal care tasks. Health Action Plans have been completed by key workers for all service users and the manager stated that HILDA assessments are now being updated. Discussions with care staff The Laurels Version 1.10 Page 15 indicated that they had a good understanding of the health needs of the service users and had undertaken specialist training to meet some individual needs such as Epilepsy management. The Laurels Version 1.10 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 standard(s) 22 and 23. The home has a complaints policy in symbol format with service users’ opinions sought and respected by staff. Staff within the home are aware of adult protection issues and follow the locally agreed procedure in the event of adult protection concerns. EVIDENCE: Islecare ‘97 has a complaints policy which is made available to service users or their representatives in the service users’ guide. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. The home maintains a complaints book, this was viewed and no complaints have been received during the past year. Staff were aware of what procedure they should follow should a service user or their representative make a complaint. Service users at the home were observed making comments and suggestions to care staff and it is the inspector’s opinion that they would feel capable of making a complaint if they wished to do so and that care staff would listen to their complaint and take the appropriate action. The home has a copy of the Isle of Wight Adult Protection Policy together with the Islecare ‘97 adult protection and whistle blowing policies. The manager confirmed that all staff receive training in respect of adult protection as part of the Islecare ‘97 induction programme. Staff spoken with during the inspection were all aware of the adult protection policy and procedures and clear about their responsibilities to report issues of concern without delay. All service user bedrooms contain a secure lockable facility where valuables or money may be The Laurels Version 1.10 Page 17 stored. The employment procedures followed by Islecare ‘97 should ensure that unsuitable people are not employed at the home and include POVA and CRB checks. The Laurels Version 1.10 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 standard(s) 24, 25, 26, 27, 28, 29 and 30. The premises is suitable for the existing service users providing all single bedrooms and appropriate bathing, WC, and communal space. EVIDENCE: A full tour of the building, including the vacant bedrooms, was undertaken during the inspection. All service users are provided with a single bedroom which has a washbasin. Bedrooms are all pleasantly decorated and individually personalised. Personal home entertainment equipment such as televisions, music centres and sensory lights were seen in the bedrooms currently in use. Specialist equipment such as high/low beds has been provided for people who require this. The Laurels Version 1.10 Page 19 The Laurels has one bathroom equipped with a WC, overhead tracking hoist and Parker bath. The deputy manager responsible for The Laurels showed the inspector an old sluice room, no longer required, that they are hoping the company will convert to a walk-in shower which would increase some service users’ independence in personal care. The communal space provided is domestic in nature and appropriate in size and furniture to meet service users’ needs. There is a kitchen/dining room and a lounge/dining room. The home does not have separate areas for visitors to be received in private or for meetings, however if this were required the sitting/entrance room to The Laurels could be used. The home has level access to large gardens which service users are able to enjoy during the summer months. Care staff confirmed that the gardens, which are safe, private and flat are used during the summer with patio furniture available for service users. One service user smokes and the home’s policy is that he must do this outside. An external fire escape provides some shelter to the service user if it is raining. All service users have an additional physical disability. The Laurels is located on the first floor and is accessed via a passenger lift. During a tour of the home a number of manual handling equipment, the Parker bath, grab rails and high/low beds were seen. Service users have been individually assessed by Occupational Therapists for aids and adaptations and these have been provided. Care staff informed the inspector that individual service users have had moving and handling assessments with guidelines produced for each service user. These were seen within care plans. The manager confirmed that all staff have received training in respect of hoists and other equipment which is regularly serviced. On the day of the unannounced inspection the home was noted to be clean, tidy and free from offensive odours throughout. Care staff undertake all domestic and laundry activities. The home has policies and procedures in place for the control of infection. Care staff stated, and training records confirmed, that staff receive initial and update training in respect of food handling, health and safety, infection control and hygiene issues. Supplies of liquid soap, disposable gloves and paper towels were seen during the inspection. The manager confirmed that the laundry facilities are able to wash to high temperatures if required. The Laurels Version 1.10 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 and 35. The home employs appropriate numbers of care staff to meet the needs of service users. A comprehensive recruitment, induction and training programme should ensure that unsuitable people do not work in the home and staff have the necessary skills required to meet service users’ needs. EVIDENCE: At the time of the unannounced inspection staff present within the home corresponded to those stated on duty rotas. Staffing levels are appropriate to meet the service users’ needs and allow activities/outings to occur, and for staff to transport service users to/from day services. Care staff are also responsible for cooking, cleaning and laundry within the homes. Both male and female staff of mixed ages are employed. Regular staff meetings occur and minutes of previous meetings and the dates for the next meetings were seen booked within the home’s diaries. All staff have now completed the Learning Disabilities Award Framework accredited training and medication training. The manager, care staff and records confirmed that there is a low level of staff turnover and sickness, with the home’s own staff covering extra shifts so that agency staff are not used. Islecare ‘97 has a thorough recruitment procedure involving advertisements in local papers, application forms, two written references, recorded interviews, The Laurels Version 1.10 Page 21 CRB and POVA checks, induction and six months trial before full employment. Although service users are not involved in the selection procedure, the manager ensures that prospective employees visit the home and meet the service users prior to appointment. This allows the manager to gauge service users and prospective employees interactions. During the inspection several staff files were viewed, these were found not to contain all the information specified in Schedule 2. The manager confirmed that this information is held within the Islecare ‘97 main office but was not available within the home at the time of inspection. It is required that the home has copies of all information specified in Schedule 2 available for inspection. All new staff receive a three day induction, one day with the home’s manager and two on the company’s induction course which the manager confirmed covers all the elements to meet Sector Skills Council requirements. It has been confirmed by Islecare ‘97 senior management that the company’s corporate training programme is to TOPSS England standards. The manager explained that specific training related to individual service users’ needs is provided by Community Learning Disability and District Nurses. Islecare ‘97 provide inhouse statutory training for staff in manual handling, first aid, health and safety, fire awareness and food hygiene. The company provides additional training for all staff in respect of various specific service related issues e.g. Person Centred Planning, challenging behaviour and autism etc. All staff have completed Learning Disability Award Framework induction level and the manager confirmed that new staff will complete LDAF courses as part of their induction and progression to NVQ level 2 training. The Laurels Version 1.10 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 41 and 42. The management arrangements for the home must to be confirmed by the company, Islecare ‘97. The home provides a safe environment for staff, service users and visitors. Service user meetings provide an opportunity for quality monitoring of the service provided. EVIDENCE: The home has been without a manager due to extended sick leave of the previous registered manager. The company, Islecare ‘97 has transferred, initially temporary, a manager from another Islecare ‘97 home for people with learning disabilities. The Commission was notified of this arrangement which is to last for a period of three months. It is important that long term management arrangements are finalised so that the home and service users can benefit from consistent management. The Laurels Version 1.10 Page 23 The manager undertakes monthly service user meetings, the records of which were seen during the inspection, and enable service users to give their opinions about the service at the home. The majority of the policies and procedures within the home are Islecare ‘97 company policies to which individual service users have no input. The manager confirmed to the inspector that a health and safety audit had been completed by a senior manager within the company and confirmed that monthly Regulation 26 visits occur, the reports for which are now sent by the managers to the Commission. Islecare ‘97 has developed a pictorial service users’ questionnaire. During the unannounced inspection a variety of records held within the home were viewed. These involved records in respect of staff recruitment, fire detection equipment safety checks, service users’ personal finances, menus, care plans and risk assessments and duty rotas. The fire detection equipment checks are undertaken by a member of The Laurels care staff for the whole building. This information would appear to be recorded within two locations, one within the management office that was not accessible during the inspection and also within The Laurels. The records seen during the inspection did not confirm that equipment checks were undertaken weekly although the staff member stated that these were done but on some occasions were recorded in the other book kept in the management office. It is essential that full records are available for inspection. Records are appropriately and securely stored with access to information limited to those who should have access to records. As previously stated requirements have been made in respect of staff records and all information specified in Schedule 2 must be available for inspection. At the time of the unannounced inspection there were no obvious risks to health and safety of service users. Staff receive training in manual handling, first aid, health and safety, fire awareness and food hygiene. Safety notices were seen appropriately positioned around the home and infection control equipment was available for care staff. The manager stated that a full Health and Safety audit had been carried out by the company. Covers are fitted to all radiators with water temperature controls fitted to the bath to prevent the risk of scalding. The manager confirmed that appropriate measures to ensure the security of the premises are in place and recruitment/employment and training procedures should ensure that unsuitable people do not work within the home and that care staff have the necessary skills. The Laurels Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 The Laurels 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 x Version 1.10 Page 25 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x 2 3 x The Laurels Version 1.10 Page 26 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 34 and 41 Regulation Regulation 17 Schedule 2 Regulation 8 (2)(a);(b) Requirement All information specified in Schedule 2 must be available in the home for inspection. Timescale for action 1-6-05 2. 37 3. 41 The company, Islecare 97, must confirm with the Commission the long term management arrangements for the home. Regulation Records of fire detection 23 (c);(d) equipment must be available for (4) inspection and fully completed. 1-6-05 1-6-05 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 Good Practice Recommendations The Laurels Version 1.10 Page 27 Commission for Social Care Inspection Mill Court Furrlongs Newport PO30 2AA 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 Laurels Version 1.10 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. 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