Inspection on 01/09/05 for Touchsky

This inspection was carried out on 1st September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 22 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Touchsky 20/05/08

Touchsky 19/04/07

Touchsky 24/10/06

Touchsky 03/05/06

Touchsky 13/04/05

Touchsky 12/08/04

Touchsky 06/04/04

Touchsky 16/03/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Touchsky 240-242 Odessa Road Forest Gate London E7 9DY Lead Inspector Rob Cole Unannounced Inspection 1 September 2005 at 10:00am st 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. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Touchsky Address 240-242 Odessa Road, Forest Gate, London, E7 9DY 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) 020 8534 0035 020 8926 6560 Mrs Florence Ndiedzei Muyambo Mrs Florence Ndiedzei Muyambo Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th April 2005 Brief Description of the Service: Touchsky is a registered care home registered to provide support and accommodation to six adults with mental health issues. The home is situated in a quiet residential area of Forest Gate in the London Borough of Waltham Forest. The home is close to shops, transport links and other local amenities, and is in keeping with other homes in the area. The home is privately run. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 1/9/05 and was unannounced. The inspector had the opportunity of speaking with service users, staff and the homes manager was present throughout most of the inspection. Service users spoken to informed the inspector that they were generally satisfied with the level of care and support they receive. However, there are a number of issues that must be addressed, as highlighted within the report. What the service does well: What has improved since the last inspection? What they could do better: Despite some improvements, there are still areas that require attention, and this is reflected by the relatively high number of requirements set. Care plans and risk assessments need to be comprehensive and regularly reviewed. The home must ensure that pre admission assessments are carried out, and that prospective service users are given the opportunity of visiting the home prior to admission. The home must ensure that at all times staff are on duty who are competent to carry out their duties, and that they receive appropriate training and supervision. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 6 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. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 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 Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 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) 1,4 and 5 It is the view of the inspector that service users are not provided with sufficient information to enable them to make an informed choice about the home. Key documentation is not in place, and service users are not given the opportunity of visiting the home before moving in. EVIDENCE: The two staff on duty when the inspector arrived were not aware of what a Service User Guide or Statement of Purpose was, and were unsure if the home possessed these documents. The Statement of Purpose was eventually located, and included information on the aims and objectives of the home, the services and facilities provided and all other information required the Care Homes Regulations 2001. There was however, no evidence that the home had a Service User Guide, and this must be addressed. All service users are given a written contract/statement of terms and conditions, which is signed and dated by the service user and the homes manager. These included details of the rights and obligations of both parties and rules of the home. The last service user to be admitted to the home moved in on the 9/4/05, which was before the last inspection of the home on the 13/4/05. At that inspection, it was found that the service user had not been given the opportunity of visiting the home prior to moving in, even though it was a planned admission. This was at odds with the homes admissions procedure, which states that prospective service users will be given the opportunity of Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 9 visiting the home prior to making any decisions as to move in or not. It was also found at the previous inspection that the home had not carried out a pre admission assessment of the service users needs. Requirements were set around these issues, and they are repeated in this report. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 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) 6,7,8,9 and 10 The inspector was satisfied that service users are given appropriate opportunities to be involved in the day to day running of the home. However, to ensure that the home is able to meet individuals needs and choices, more attention must be paid to care planning and risk assessing. EVIDENCE: Care plans were in place for all service users. These have been drawn up with the involvement of the service user and the homes manager, and there was evidence that they have been regularly reviewed. However, those plans checked by the inspector only included information relating to service users physical and mental health needs and personal care. Plans need to be comprehensive, clearly setting how the home can meet all the assessed needs of service users, for example how the home can meet service users cultural, social and leisure needs. All service users have a risk assessment in place, but as with the care plans these are not comprehensive. Assessments included risks associated with epilepsy and falling. However, on the day of inspection one service user was missing from the home, yet there was no risk assessment in place around this. All service users must have comprehensive risk assessments in place, covering Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 11 all areas of potential risk to themselves and others. It was further noted, that the home did not have a missing persons procedure in place, or missing persons profiles of the individual service users. All of this must be addressed. Through observation and discussion there was evidence that service users have a large measure of control over their daily lives. For example service users are able to get up and go to bed as they wish, and are able to choose their own clothes to wear. On the day of inspection one service user asked staff to support them to go to the hairdressers, and this was arranged. One service user informed the inspector that they would like a key to their bedroom, and it is required that all service users are offered bedroom keys subject to satisfactory risk assessments. The home holds regular service user meetings, records are kept of these, and they evidenced discussions on activities, menus and general house issues. The home has a policy in place on confidentiality. This merely states that staff will come into contact with confidential information, and that any breaches of confidentiality are subject to disciplinary action. The policy must be amended to state under what circumstances a confidence may be broken in the health, safety and welfare interests of service users and others. Confidential records were stored securely. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 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) None The standards in this section were not tested as part of this inspection, and will be tested at the next inspection. EVIDENCE: The standards in this section were not tested as part of this inspection, and will be tested at the next inspection. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 The inspector was generally satisfied that the home is able to meet the personal and health care needs of service users. Service users have access to health care professionals as appropriate, however, the home must ensure that medications are appropriately recorded. EVIDENCE: Only one of the current service users requires support with their personal care. The support required is clearly set out in their care plan, which evidences that the service user is supported to gain as much independence as possible with their personal care. Service users are able to choose their own clothing, and all were appropriately dressed on the day of inspection. All service users are registered with a GP. Since the last inspection up to date records are now maintained of medical appointments. These evidenced that service users have access to health professionals as appropriate, including dentists, opticians, chiropodists and CPN’s. The home has a medication policy in place, and since the previous inspection medications are now all stored securely. Records are maintained of medications that are returned to the pharmacist. However, comprehensive records are not maintained of all medications entering the home. For example, in the medication cabinet there were 56 Epanutin capsules for a service user, Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 14 which were dated 18/8/05, yet these had not been recorded as entering the home. It was further noted, that as at the last inspection, the home did not have guidelines in place on the administration of all medications prescribed on a PRN basis. This must be addressed. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 15 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 inspector was satisfied that the home has appropriate mechanisms in place to enable complaints to be made and investigated. However, service users are been put at potential risk by a lack of understanding and poor policies with regard to adult protection issues. EVIDENCE: The home has a complaints procedure, and since the last inspection this is now prominently displayed within the home. The procedure includes timescales for responding to any complaints made, and makes appropriate reference to the CSCI. The home also has a complaints log, although the manager informed the inspector that the home has not received any complaints within the past year. The home has a copy of the Local Authorities adult protection procedures, and also its own policy on adult protection. However, this was not in line with current legislation, for example it does not make clear who has responsibility for carrying out any investigations into suspected cases of abuse. Staff spoken to by the inspector demonstrated a poor understanding of the issues involved with adult protection. It is required that all staff are conversant with adult protection issues, including what constitutes abuse, and what to do if they have reason to suspect an abuse has occurred. The home holds money on behalf of service users in a locked safe. Records and receipts are kept of financial transactions. However, these were not up to date or accurate. For example, records indicated that one service user should have had £311.22 in the home, yet in fact they had just £1.22. The manager informed the inspector that staff had taken the money the previous day in order to purchase clothes for the service user. However, there was no record of this, and it is required that systems are in place to accurately record service Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 16 users finances, and any transactions involving their monies. Further, the inspector was disappointed to note that on this occasion the individual service user was not given the opportunity of going shopping and choosing their own clothes, and there was no documentation available to indicate why this was the case. It is required that service users are able to buy and choose their own clothes, subject to satisfactory risk assessments. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None The standards in this section were not tested as part of this inspection, and will be tested at the next inspection. EVIDENCE: The standards in this section were not tested as part of this inspection, and will be tested at the next inspection. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 18 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) 31,32,33,34,35 and 36 Although the inspector was satisfied that the home is staffed in sufficient numbers, they have concerns over the general competency of some staff. Lack of training and formal supervision have contributed to some staff having a poor understanding of their roles and responsibilities. EVIDENCE: The home provides 24-hour support, including an emergency on-call procedure. The inspector was satisfied that staffing levels are sufficient to meet service users needs. There was a staffing rota on display within the home. However, this did not record the hours worked in the home by the manager, nor did it identify who was in charge of the home at any given time, and this must be addressed. All staff receive a copy of their job description. However, through discussion and observation the inspector had concerns over the competency of some staff to carry out their duties. Those questioned demonstrated only a limited understanding of their roles and responsibilities with regard to adult protection, record keeping and individual service user issues. Further, staff were seen to interact with service users at times in an impolite and curt manner. The inspector brought these issues to the attention of the homes manager who agreed to speak with the individual staff concerned. It is required that staff are fully aware of their roles and Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 19 responsibilities, and are sufficiently competent to meet the needs of service users. The home has policies in place on recruitment and selection and equal opportunities. The inspector checked several staff files at random, and all contained information required by the Care Homes Regulations 2001, including proof of ID, CRB checks and references. All of the six care staff employed at the home are currently working towards NVQ’s in care. The manager informed the inspector that NVQ’s are taking up most of the homes training resources. Nevertheless, it is required that staff receive training appropriate to their roles and responsibilities. In particular it is a repeat requirement that all staff receive training in working with adults with mental health, and that staff receive all required statutory health and safety training, including first aid. Some staff receive regular supervision. Records are kept, and these indicated that supervision covers performance and service user issues. However, for two staff there was no evidence that they have received any formal supervision at all within the past year. Further, the manager informed the inspector that all staff were supposed to have an annual appraisal, but again, for two staff no appraisals have taken place. This must be addressed Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 20 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) 37,38,39,40,41,42 and 43 Although the manager is suitably qualified and experienced, the inspector believes that more attention needs to be paid to developing quality assurance within the home, and ensuring that policies and procedures are in place as appropriate. EVIDENCE: The homes manager is a Registered Mental Health Nurse with over ten years experience of managing a care home. They have successfully completed the Registered Managers Award. Staff and service users informed the inspector that they found the manager to be approachable and accessible, and on the day of inspection were observed to interact with the manager in a relaxed manner. The home has a system in place to monitor the condition of the homes physical environment. However, there are no quality assurance systems in place to monitor the level of care and support provided. It is required that such Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 21 systems are introduced, and that these include seeking the views of service users on the level of care that they receive, to help inform future planning. Confidential records are stored securely, and staff and service users can access them as appropriate. However, the home must ensure that it has all policies in place in line with National Minimum Standards, this was not the case at this inspection, for example there was no missing persons policy, while the adult protection policy was not in line with current legislation. Fire fighting equipment was situated around the home, and was last serviced in April 2005. Fire exits were free from obstruction on the day of inspection. The home holds regular fire drills, and alarms are tested weekly. The home has in date safety certificates for gas, electrical installation and portable appliances. COSHH products were stored securely. The home tests and records fridge/freezer temperatures and hot water temperatures. The home has in date employer’s liability insurance cover. Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 1 x 2 3 Standard No 22 23 ENVIRONMENT Score 3 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 3 2 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score 2 3 2 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Touchsky Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 1 2 3 3 3 G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement The registered person must ensure that all service users have a comprehensive service user care plan in place, and these must be reviewed at least once every six months. (Timescale 30/6/05 not met) The registered person must ensure that all service users have a comprehensive risk assessment in place, which identifies how risks can be reduced and managed.(Timescale 30/6/05 not met) The registered person must ensure that all staff receive training in working with adults with mental health issues.(Timescale 30/6/05 not met) The registered person must ensure that the homes Service User Guide contains all information required by National Minimum Standard 1. (Timescale 30/6/05 not met) The registered person must ensure that thorough pre admission assessments are carried out on all prospective G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Timescale for action 31/12/05 2. YA9 13 31/12/05 3. YA35 18 31/12/05 4. YA1 5 31/12/05 5. YA2 14 31/12/05 Touchsky Version 1.40 Page 24 6. YA4 12 7. YA20 13 8. YA23 13 9. YA40 17 10. YA7 12 11. YA9 17 12. YA10 12 service users prior to them moving into the home. (Timescale 30/6/05 not met) The registered person must ensure that prospective service users are given the opportunity of visiting the home prior to making any descisions as to move in or not. (Timescale 30/6/05 not met) The registered person must ensure that guidelines are in place for the administration of all medications prescribed on a PRN basis. (Timescale 30/6/05 not met) The registered person must ensure that the homes adult protection procedures are in line with current legislation. (Timescale 30/6/05 not met) The registered person must ensure that the home has all necessary policies and procdures in line with National Minimum Standards and current legislation. (Timescale 30/6/05 not met) The registered person must ensure that all service users are offered keys to their bedrooms, subject to satisfactory risk assessments. The registered person must ensure that the home has a missing persons procedure in place, and individual missing persons profiles for all service users. The registered person must ensure that the homes confidentiality policy makes clear under what circumstances a confidence may be broken in the health, safety and welfare interests of service users and others. G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 Touchsky Version 1.40 Page 25 13. YA20 13 14. YA23 13 15. YA23 16 16. YA7 16 17. YA31 18 18. YA33 17 19. YA35 18 20. YA36 18 21. 22. YA36 YA39 18 24 The registered person must ensure that the home maintains a record of all service users medication entering the home. The registered person must ensure that all staff are trained and aware of their responsibilities with regard to adult protection issues. The registered person must ensure that systems are in place to check service users monies and ensure that it is spent appropriatly. The registered person must ensure that service users are given the opportunity of choosing and buying their own clothes, subject to satisfactory risk assessment. The registered person must ensure that at all times staff are on duty in the home who are suffciently competent to carry out their duties. The registered person must ensure that the staffing rota records the hours worked in the home by all staff, including the homes manager, and that it clearly identifies who is in charge of the home at any given time. The registered person must ensure that all staff receive all necessary statutory health and safety training, including first aid training. The registered person must ensure that all staff receive regular formal supervision, at least six times a year. The registered person must ensure that all staff receive an annual appraisal. The registered person must ensure that the home has adequate quality assurance systems in place, which include G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 Touchsky Version 1.40 Page 26 seeking the views of service users on the running of the home, to help inform future planning. 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 Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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 Touchsky G56 G06 S7250 Touchsky V246046 010905 Stage 4.doc Version 1.40 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. 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