Inspection on 18/10/05 for Urmston House

This inspection was carried out on 18th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Urmston House 27/09/06

Urmston House 04/05/05

Urmston House 05/11/04

Urmston House 11/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Urmston House Hareclive Road Hartcliffe Bristol BS13 0LU Lead Inspector Helen Taylor Unannounced Inspection 18th October 2005 10:30 Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Urmston House Address Hareclive Road Hartcliffe Bristol BS13 0LU 0117 9642616 0117 9642662 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) Shaw Healthcare (Specialist Services ) Ltd Miss Carolyn Jane Booth Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Staffing Notice dated 13/09/2000 applies Manager must be a RN on parts 5 or 14 of the NMC register Date of last inspection 5th November 2004 Brief Description of the Service: Urmston House is a purpose built residential care home registered with the Commission for Social Care Inspection to provide nursing care for 5 people with a learning disability in the age range 18 to 65 years. The home is owned and operated by Shaw HealthCare (Specialist Services) Ltd, a subsidiary of Shaw Homes, and was established to provide person centred care for adults with special needs in the community. The property is situated in a residential suburb of Bristol with local shops and amenities close by. Accommodation is arranged over two floors. The upper floor of the accommodation is office and staff facilities. There are five single bedrooms, all with en-suite bathrooms, and kitchen facilities. Each room has individual access to the garden area. Communal facilities include a lounge, snoozelon/therapy room, and a hot tub room. The home provides nursing care for five people with complex health and communication needs. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted as part of the annual inspection process to examine care provision, and monitor the progress in relation to recommendations made during the previous inspection conducted in May 2005. During the Inspection process interactions between staff and residents were observed, and a tour of individual accommodation, communal space and the garden area was undertaken. Discussion took place with four staff members, the manager and a visiting therapist. Various records were examined. What the service does well: What has improved since the last inspection? The organisation has formalised the induction process for agency staff members, and introduced a system to obtain confirmation that the agency carry out appropriate recruitment checks on staff sent to the home. A recent successful recruitment drive means the home now have no vacant posts. The residents have benefited from individual garden areas being improved with the addition of garden furniture, plants and raised flowerbeds. The record of minor repairs and maintenance around the home now includes timescales from report of the problem to completion of the repair. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Information is available to enable prospective residents and or their representatives to make an informed choice about moving into the home. The care planning system provides staff with clear information to satisfactorily meet the assessed needs of the residents, and this is reflected in the contract of terms and conditions. EVIDENCE: The home provides long term nursing care and accommodation for five individuals. Admission to the home is normally through the care management approach, and the procedure involves trial visits, including overnight stays if appropriate. There have been no recent admissions. A review of the care file information provided evidence of a person centred approach to service delivery. Information relating to each residents care is held in four sections, main care file, shared action plan, support guidance and healthcare. The information was written from a person centred approach and ensured the individuals likes and dislikes were central to the care provided. Each resident is provided with a copy of the service user guide, and copies of the contract of terms and condition were seen on file. The care file information is held in each residents apartment to ensure accessibility. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. The assessment and care planning process ensure all aspects of personal, social and healthcare needs are met. The key team system promotes individual choice and enables residents to make decisions about their lives. Care is provided within a risk assessment framework, however an improvement in the recording and monitoring of actions taken to minimise risk, would provide greater protection for the residents. EVIDENCE: Each resident is allocated a key team of support workers, led by a team leader, who implement the details of the care plan. Positive relationships have been developed, which enables key staff to understand and use complex communication methods to determine the likes, dislikes, choices and needs of the residents. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 10 Support guidance covering all aspects of daily living was comprehensive and indicative of a person centred approach. The guidance for care provision was supported by detailed risk assessments, providing adequate information to minimise any risk to the residents. Advice was sought from the Community Learning Disability Team (CLDT) in developing behaviour management strategies and this was evident from records reviewed. In one care file sampled, the use of the Locked Door Policy (LDP) had been agreed through the assessment process, however this was not reflected in the individuals risk assessments. A general risk assessment had been completed, however this did not focus on individual need. The locked door policy had been used with one individual as a behaviour management strategy nine times in a period of six days. When this strategy was used a Behaviour Management Form was completed; however the information was inconsistent and not reflective of the policy or guidance provided by the CLDT. In contrast to the above, staff members spoken with were clear about the policy guidelines and were able to explain that the LDP would only be used as a last resort, after all other strategies had been tried. The record reviewed did not reflect this good practice. There was no monitoring system in place to ensure the use of the LDP was appropriate in all cases. The manager must ensure the following: • A risk assessment should be in place for each individual if the LDP is to be used as a behaviour management strategy. • The BMF must include details of all other actions taken, including details of events leading to the behaviour. • Regular monitoring of the content of BHF by the manager to ensure consistency of practice within the policy guidelines. • Staff should be provided with further guidance on the use of the LDP, and the importance of detailed records when it is used. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14. Opportunities for personal development and links with the local community are an integral part of the care provided at this home. EVIDENCE: Standards 11,13,15,16,17 were met during the last inspection process. Evidence of continued involvement in a variety of local and community-based activities was noted in the care files. The focus during this inspection was the development of planned annual holidays for each resident, according to needs, ability and choice. This was a recommendation from the last inspection. The manager explained that plans were already in place for one resident to take a four-day break, to a place of his choice. The key team would provide support. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 12 Allocated key teams who have developed a good understanding of the residents communication method, and of their likes and dislikes, will continue to investigate appropriate venues for holidays and short breaks for each individual accommodated in the home. A review of the policy on holidays for residents did not reflect present practice. Guidelines on the financial responsibility were unclear, and the policy stated that residents should pay staff entrance fees at places of interest. The manager stated this was not current practice and the organisation was in the process of reviewing the holiday policy. The organisation is required to ensure all policies and procedures are updated on a regular basis. (See Standard 40) Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 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 the following standard(s): 18,19. Personal and healthcare support was offered in such a way as to promote and protect the residents privacy, dignity and personal preferences. EVIDENCE: A sample of care files were reviewed and provided evidence that personal support and intimate care is provided with the residents preferences recorded as an integral part of the care provision. Guidance in relation to personal hygiene, clothing, hairstyles and choice of personal possessions in individual rooms was evident. The Inspector had the opportunity to speak with one resident who made it clear that his or her views, wishes and choices were listened to and acted upon. A recommendation was made to ensure each residents file contained an up to date list of personal possessions, for example television set, stereo, furniture bought by the resident. There was some evidence of personal possessions being recorded, however it was not consistent in all files viewed. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 14 There were good systems in place for monitoring each residents well being, and concerns about health were quickly addressed. Each resident had a health care file, and this provided evidence that support and guidance from other professionals was accessed ensuring a multi-disciplinary approach to the provision of care. Individual support is provided for residents to attend all health care appointments, and detailed consultation sheets are completed to ensure consistency of care. The home provides nursing care, and all team leaders have a nursing qualification. The qualified staff members administer medication, within robust policies and procedures. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 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 the following standard(s): Their views, wishes and choices were listened to and acted upon. 22,23. The complaints process in the home is good and residents are encouraged to air their views, and key staff advocate on their behalf. A review of the policy and guidelines in relation to incidents of abuse would provide greater protection for the individuals accommodated. EVIDENCE: A detailed complaints procedure is in place. Each resident is allocated a key team who co-ordinate and deliver individual care, and ensure the resident is aware of how to complain. Key team members advocate on behalf of the resident and make their views known. Records reviewed indicated that staff members promoted individual needs and choices, and confirmed that residents had been made aware of the policies in place. The organisation has in place a programme of abuse training, and staff members spoken with confirmed attendance. A staff member based in another home who has received training from the Local Authority provides abuse training for staff. The policies and procedures in relation to the reporting of alleged incidents of abuse are comprehensive and detailed; however much of the information is training and advice. Guidance for staff and appropriate information on the reporting of incidents is difficult to find, and requires updating to reflect local authority protocols in place. The procedure seen mentions out of hours teams and social service departments however the local authority protection of vulnerable adults scheme guidance is not reflected in this document. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 16 Following a recent incident at the home the manager has developed local guidance with appropriate information. This must be reflected in the organisational policy with contact details as provided by the local authority. The home at times employs agency staff to cover periods of sickness and annual leave. Confirmation form the agency that appropriate employment checks have been carried out is in place, and this should be extended to training in abuse awareness. Requesting documentary evidence would be good practice. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 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 the following standard(s): 24,25,26,27,28,29,30. The standard of the environment in this home is good, providing the residents with a safe, homely place to live, ensuring sufficient privacy to meet individual needs. Further adaptations in some individual rooms, would improve the safety of the environment. EVIDENCE: An environmental tour was undertaken in communal areas, individual rooms, and laundry and garden area. The accommodation was found to be clean, tidy and well furnished. Adaptations were in place to meet the needs of each resident. Each resident has an individual apartment located on the ground floor. The apartments consist of en-suite bathing and kitchen facilities, with individual access to the garden. All rooms were viewed and had been personalised and adapted to meet the needs of the person accommodated. The decor and furniture was in good condition, and the apartments were clean and homely reflecting individual style and taste. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 18 A recommendation from the previous inspection to include in the maintenance record dates when repairs are completed has been implemented. A review of this record indicated quick response times when maintenance issues arose. The records provided evidence that staff members were proactive in maintaining a homely, safe environment for the individuals accommodated. Indications of an awareness of health and safety issues, and suggestions for improving the quality of the environment for the residents were apparent from the entries seen. The manager explained that one of the en-suite facilities required major refurbishment that could not be completed whilst the resident was in occupancy. A proposal to move the resident whist the work is completed will be considered by the commission in the near future. One entry in the maintenance record noted that a partition wall separating the kitchenette from the living space was a risk to one resident. The manager explained this was being looked into, with a view to removing the extending part of the structure. The Inspector noted that in one other room, padding has been placed on this part of the partition. This indicated it was risk to more than one resident. The organisation must review each apartment and adapt or remove the partition wall to ensure minimal risk to each resident. Improvements to the garden area have been made, and it was noted individual tastes were included particularly in the small garden areas adjacent to each residents room. Raised flowerbeds, plants, trellis and garden furniture to suit individual needs and choices have been purchased. One resident has a garden swing, another has decking, and generally the garden area has been improved. Each resident has access to the garden area from his or her apartment. The home was clean, tidy and well furnished. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36. An enthusiastic and competent staff team work positively with the residents to improve their quality of life. Support and guidance from the management team ensures a clarity of roles enabling consistency in service delivery. EVIDENCE: Through observation and discussion with the staff and manager, it was evident the residents are supported by competent, well-supported staff. Staff members spoken with confirmed formal supervision on a regular basis, and this was further evidenced by entries noted in the communication book, and notices on the office wall. The staff members demonstrated a good understanding of their role in the home, and interactions with the residents were sensitive and appropriate. Each resident is allocated a key team of support workers, and it was evident from records reviewed that staff within the key team advocated on behalf of the resident their views, choices and needs. One staff member explained the key team developed a good understanding of the individuals communication method, and were then able to advocate at review meetings on behalf of the individual. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 20 Recruitment and training were not examined on this occasion, however the standard was met during the last inspection. The organisation has in place a thorough recruitment and training programme with progression to NVQ in Care. A new system to verify the recruitment checks and training provided to agency staff that are used by the home has been introduced. This ensures all agency staff carry identification when they attend the home, and written confirmation of the necessary employment checks is obtained prior to acceptance of the staff member. Specialist services are provided by external providers for example Indian Head Massage. The Inspector had the opportunity to meet with a visiting therapist who meets regularly with a resident on a one to one basis, unsupervised by staff. A summary report of progress and interactions during the sessions was seen, and demonstrated that the resident benefits and participates positively from the sessions. Discussion with the manager, and a review of policies relating to volunteers or people who may have unsupervised access to residents, revealed that no prior checks to validate the persons qualifications or history were undertaken. The organisation must ensure appropriate checks are undertaken to protect residents from any form of abuse. The policy on volunteers must be reviewed. (See Standard 40) Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,40,42,43. The home is well managed ensuring the residents interests are promoted and protected by a confident, supported staff team. The regular review of policies and procedures would ensure consistency of practice. EVIDENCE: Miss Carolyn Booth has recently successfully completed the registered manager process, and a registration certificate has been provided with these new details. Miss Booth demonstrated her competence to run the home during the inspection process. There were good systems of communication between staff including daily handovers, staff meetings and supervision sessions. Staff members spoken with confirmed a good level of support, and felt the manager was approachable and their views were listened to. Records reviewed further evidenced this. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 22 There are robust systems in place for the maintenance of health and safety. The fire logbook indicated that the relevant tests are being carried out at appropriate intervals. The manager stated the information recorded in relation to fire drills and training was now collated on the staff-training matrix, and monitored by the organisation as part of the quality audits in place. This would ensure all staff attend fire drills as necessary. A recommendation that historical information was removed from the fire logbook and stored appropriately was made. The organisation has in place robust policies and procedures providing comprehensive guidance to staff in relation to all aspects of service delivery. It was noted however, that some policies require review to ensure the residents rights, best interests; health and welfare are safeguarded and promoted. For example: • The policy on Volunteers needs too include guidance on appropriate checks for visiting professionals (private) who have unsupervised access to residents. The Abuse policy, although comprehensive, contains a great deal of training material, making it difficult to find guidance on what to do in the event of abuse occurring in the home. Clearer guidance should be available that reflects the Local Authority protocol and provides the appropriate contact details and guidance. The contents of the Holiday policy did not reflect the information provided by the manager. • • Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Urmston House Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 x 3 3 DS0000020367.V257766.R01.S.doc Version 5.0 Page 24 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 2 Standard YA9 YA9 Regulation 13.7 13.7 Requirement Timescale for action 30/12/05 3 4 YA23 YA25 13.6 23.2 (a) Individual risk assessments must be in place if the Locked Door Policy is to be implemented. 30/01/06 Behaviour Management Forms completed when the Locked Door Policy is implemented must provide evidence of: • Events leading to behaviour, and actions taken to reduce behaviour • Regular monitoring of recordings by the manager • Continual guidance to staff on the implementation of the policy The abuse policy must be 30/01/06 reviewed to reflect local authority protocols. Adapt or remove the partition 30/03/06 between the kitchenette and lounge area in each apartment ensuring minimal risk to each occupant. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 25 5 YA40 12.1 (a) The volunteer policy must include guidance on appropriate checks for visiting professionals (private) who have unsupervised access to individuals accommodated. The Holiday policy must be reviewed to provide adequate guidance for staff, and reflect current practice. 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA18 YA41 Good Practice Recommendations A record of personal possessions should be in place for each resident. Remove historical information from the fire logbook and store appropriately. Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Urmston House DS0000020367.V257766.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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. You have been warned!