Inspection on 26/09/06 for Vanehill Specialist Care Homes

This inspection was carried out on 26th September 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Vanehill Specialist Care Homes 12/09/05

Vanehill Specialist Care Homes 27/04/05

Vanehill Specialist Care Homes 27/10/04

Vanehill Specialist Care Homes 06/04/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Chandos House

Cherry Orchards Camphill Community Ltd

Broadreach

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

CARE HOME ADULTS 18-65 Vane Hill 15 - 72 Vane Hill Road Torquay Devon TQ1 2BZ Lead Inspector Judy Hill Unannounced Inspection 26th & 27 September 2006 10:00 th Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vane Hill Address 15 - 72 Vane Hill Road Torquay Devon TQ1 2BZ 01803 298727 01803 299024 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) Mr Nunzio Notaro Mr Steven William Sydney Todd Care Home 32 Category(ies) of Past or present alcohol dependence (32), Past or registration, with number present alcohol dependence over 65 years of of places age (32) Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No Service Users to be admitted under the age of 40 Date of last inspection 12th September 2006 Brief Description of the Service: Vane Hill is registered to provide accommodation and care for a maximum of thirty-two people in the registration categories of Alcohol Dependency (past or present) and Alcohol Dependency (past or present) over 65 years of age. A condition of registration is in place restricting admission to people over forty years of age. Vane Hill provides medium to long-term residential care. The service does not provide detoxification or therapies. The home, which is made up of two separate houses, is situated in a quiet residential area in Torquay. Vane Hill is within walking distance to the town centre, but is at the top of a hill and so the walk back is quite strenuous. Information about the Home and service is available from the service provider in the form of a written Statement of Purpose and a Service Users’ Guide. Copies of inspection reports can be provided by the home or from the CSCI Website. At the time of the inspection the registered manager said that the fees were between £550 and £650 a week. This covers the cost of the accommodation, board and care but extra charges are made for optional services such as private Chiropody and professional hairdressing, TV and video hire and other items of a personal nature. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and was carried out by one inspector on 26th & 27th September 2006. A Business Relationship Manager accompanied the inspector on the first day of the inspection. The information contained in this report was gained in conversation with the registered manager, staff and service users at the home and from a visiting case manager. Additional information was gathered from a pre-inspection questionnaire that had been completed by the registered manager, from the Homes Statement of Purpose and Service Users’ Guide and previous inspection reports and from records kept in the home. These records included service users assessments, care plans and reviews, staff recruitment and training records, menu plans, medication records and records relating to the maintenance of the premises. A tour of the premises was carried out and direct and indirect observations were made of the way the home operates. What the service does well: The residents are actively encouraged to take physical exercise and it was demonstrated that this has had a very positive effect on their physical health. The manager is very proactive in encouraging the residents to maintain close links with their families and in renewing broken family ties. The residents are encouraged to pursue existing hobbies and interests and to develop new ones. The residents are given appropriate support and encouragement, where necessary, to enable them to maintain their personal hygiene. The service users health care needs are monitored and timely referrals are made to the primary and secondary health care services when necessary. The service users medication is stored appropriately and administered safely by trained staff. The home is kept clean, safe and hygienic. The home has a very low staff turnover and safe recruitment practices are used to ensure that only suitably trustworthy staff will be employed to work with the residents. The registered manager is qualified and experienced, although he does need to ensure that he keeps his specialised training up to date. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 6 The manager is developing a quality assurance system to gain feedback from the service users and staff. Residents meetings are also held to enable the residents to be involved in the running of their home. The premises are safely maintained. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including an inspection of service users records. The service users can be confident that their needs will be assessed but would benefit from being more involved in the internal needs and risk assessment processes, which could be more person centred. EVIDENCE: All of the service users at the home have been referred through Care Management (Social Services/Care Trusts) and the home has received written assessments of their needs prior to admission. Some of the initial Care Management assessments seen on the service users files were several years old and would not meet the current requirements, but newer assessments were seen which were more detailed. The registered manager maintains contact with the service users Care Managers and has been proactive in ensuring that they visit the home to review their client’s needs on a regular basis. In addition to receiving written Care Management assessments, the registered manager was able to provide evidence of visits that he had made to prospective residents to carry out his own assessments of the suitability of service to meet the needs of prospective residents. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 9 The needs assessments carried out by the Home were discussed with the Registered Manager as the current assessment practices are not sufficiently person centred and provide little evidence that potential restrictions on individual choice and freedoms have been discussed and agreed with the current and/or prospective service users (see also Standard 9 – Risk Taking). Although standards 1 and 4 were not inspected in depth, it was observed that the service users are given a copy of the homes Service Users’ Guide, which were seen in their bedrooms and that a written amendment had been made to the service users statement of terms and conditions, which extends the initial trail period to three months to enable new residents to try the service before making a long-term commitment to stay. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including service users records. The residents can be confident that their care will be planned, but need to be more actively involvement in their individual care planning, reviews and risk assessments. EVIDENCE: Although evidence was seen on service users files that care plans are drawn up and regularly reviewed, insufficient evidence was seen to indicate that the residents are actively involved in the development of their care plans. Signed statements were seen stating that the service users had been “allowed” to see their care plans, but not informing them that they have a right to see any records kept on them, or that their agreement to the contents of their care plans has been sought. Care plans and reviews did goals and personal aspirations, but these were generally long term goals, for example to move back into the community. The need to include smaller and more easily achievable goals as part of a process Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 11 of re-enablement and to help individual residents reach their ultimate goal was discussed with the manager. Because of the service provides care for people who have a history of alcohol abuse, some restrictions are in place to protect and safeguard the residents. However, the process of risk assessment tends to be service rather than person centred. Insufficient evidence was seen to demonstrate that risk assessments that may restrict individual residents freedom and ability to make decisions had been discussed with and agreed by the residents concerned on an individual basis or that the risk assessments are regularly reviewed to ensure that any restrictions are removed if there is no longer a risk to the individual concerned. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement is made using available evidence including a visit to the service. Many service users have benefited from the encouragement given to them to take regular exercise. Support is provided to enable residents to pursue existing hobbies and interests or develop new ones. Continued and/or renewed family contact is actively encouraged. The menu plans lack choice and could include more healthy options. EVIDENCE: Several residents were engaged in conversation during the inspection and the feedback from them was positive. Some of the residents spoken with chose to talk about their past lives and several residents said that their physical health had improved greatly since coming to live at Vane Hill. The physical fitness of most of the residents was demonstrated during the inspection when they set off for a five to six mile walk with the staff. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 13 Conversations with the residents and photographs seen in the homes provided further evidence that walking is a popular pursuit with the residents. The registered manager also arranges regular mini breaks then all of the residents go camping or stay in caravans and/or chalets for a few days. It was observed that the rights and responsibilities of residents in their daily lives are respected in many ways, but that there are also restrictions, as evidenced by notices, records and some care practices, some of which appeared to assume a risk exists, rather then demonstrate on an individual basis that it does (see Standard 9). None of the residents have paid work but some do voluntary work, including gardening, and/or carry out regular duties within their home, such as cooking, cleaning and maintenance work. Some of the residents have attended in-house and external training sessions and have gained certificates in Basic Skills, Sports and Health & Safety topics. In-house social activities include weight training (there is a small Gym in the garden), snooker, pool, reading, doing jigsaws, watching television, drawing and computer games. The registered manager has a very good record of achievement in helping the residents to be re-united with their families. In addition to encouraging family visits to the home arrangements are frequently made for service users to visit and stay with their families for short breaks. Evidence of this was recorded and/or gained in conversation with residents. Although the Registered Manager and Deputy Manager have recently attended a training course in nutrition and gained certificates of achievement, the menus have not been improved accordingly and do not offer the residents sufficient choice and healthy options. However, the food was sampled and found to be well cooked and tasty and several residents said that they enjoyed the meals provided. One of the deputy managers and two of the residents share the responsibilities for cooking meals, but encouragement could be given to involving all of the residents in the preparation of meals as part of a programme of reenablement. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents can be confident that their personal and health care needs will be met by the care staff and/or through timely referrals to the primary and secondary health care services. The service users can be confident that the staff will handle their medication safety and conscientiously. EVIDENCE: The pre-inspection questionnaire that had been completed by the registered manager identified that the residents need very little help and support with their personal care. This was confirmed in observation of and conversations with some of the residents. Records seen and conservations with residents confirmed that the home does help the residents to arrange appointments with Chiropodists, dentists, opticians and GP’s. It was suggested to the registered manager that more support could be provided by the Community Alcohol services and the he had confirmed that he has now requested better links. An inspection was carried out of the medication storage arrangements and records of administration. The resident’s medication is stored in a cupboard Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 15 that is kept locked. There is a separate locked controlled drugs storage facility within the cupboard. The home also has a medications fridge for storing medication that requires refrigeration. All of the staff who have responsibility for the administration of the residents medication have received appropriate training. Information about the medicines used is kept available at the home so that the staff and service users can be made aware what the various medicines are used for and of any possible side effects that they need to look out for. The medication administration records were seen to be in good order and include a separate record book for recording controlled medication. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents are protected from the risk of abuse by the homes policies and procedures and staff training. The complaints procedure is accessible to residents. EVIDENCE: The home has a complaints procedure and this is accessible to residents and visitors to the home. The record of complaints showed that the last recorded entry had been made in April 2003. The registered manager said that no complaints had been received since this time and none of the residents spoken with had any complaints about the service provided at the home. The pre-inspection questionnaire completed by the registered manager states that all of the relevant policies and procedures for the protection of vulnerable adults and the prevention of abuse are in place and were updated in September and October 2005. The staff are required to sign a record sheet stating that they have read and understood the contents of these and other policy documents. The registered manager has qualified as a trainer to provide training on the protection of vulnerable adults and said that he had provided training for all of his staff. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including an inspection of the premises. Vane Hill provides a clean, safe and hygienic home for the residents. EVIDENCE: Vane Hill Care Home is made up of two houses that are opposite each other at the top of Vane Hill. The home is not served by a local bus service but the walk from the home to the town centre, beach and harbour is easy and should be accomplished in less than ten minutes. The return journey will take longer because it is up hill. The home benefits from having two minibuses so transport can be provided for the residents if necessary. Both houses have spacious communal rooms and the communal space is in the process of being enhanced with the addition of two conservatories. New windows have also been fitted in some of the rooms. There is a mix of single and double bedrooms, few of which have en-suite facilities. It is acknowledged that the sharing of rooms can be beneficial to the client group catered for at Vane Hill in the short term but this is not good Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 18 practice for homes providing long term care and consideration could be given to reducing the number of double rooms and providing en-suite facilities. A physical inspection was carried out of the premises and the home was seen to be clean, adequately furnished and suitably decorated throughout. The laundry facilities, which are in an outbuilding at the back of the house were seen to be clean, well equipped and suitable for their purpose. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 & 35 Quality in this outcome area is adequate. This judgement is made using available evidence including an inspection of staff records. The staff recruitment practices are safe and the residents can be confident that unsuitable staff will not be employed in the home. Staff training in health and safety related areas is good but the provision of specialised training, which could benefit the residents by enabling some care practices to be updated could be improved. EVIDENCE: The staff turnover at Vane Hill is very low and the recruitment records used to employ the most recently recruited member of staff were two and a half years old. These were inspected and included a completed application form, references and a CRB as well as proof of identity, a photograph and a job description. The staff file also contained evidence that annual appraisals are being carried out and the staff member had received induction and on-going training. The records of training provided for the staff in health and safety related areas is generally satisfactory although there are some gaps in provision and some training needs updating. However, very little provision has been made with Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 20 regard to the provision of specialised training to enable the staff to gain a better understanding of the specialist needs of the service users and to update their care practices. The need for specialised training was discussed with the manager and it was suggested that he finds suitable training courses for the staff to attend in alcohol dependency and addiction, the service users records should be used to identify any other specific conditions that they may have and look for available training courses in these areas also. Six of the twelve staff are qualified to NVQ Level 2 or above. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement is based on available evidence, including a visit to the service. The registered manager is qualified and experienced, but does need to ensure that he keeps up to date with current good practice guidance. A quality assurance system is being developed and residents meetings held to ensure that the service users views about the service are listened to. The residents can be confident that the premises are safely maintained. EVIDENCE: Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 22 The registered manager has completed his Registered Managers Award an NVQ in Care at Level 4. He also has an NEBBS qualification in supervisory management. In addition to this he has attended several certificated health and safety related training courses and is qualified to provide training on the Protect of Vulnerable Adults. Since the inspection the manager has gained qualifications in alcohol dependency and mental illness. A system of quality Assurance is being introduced into the home. Copies of completed service user and staff questionnaires were seen and arrangements were in place to send questionnaires to professional people who have an involvement with residents. In addition to this formal resident’s meetings are held every six months and minutes of meetings were seen. The registered manager said that informal staff meeting are held almost daily at the start of the staff’s working day and that formal meetings are held annually. The registered service provider visits the home monthly and signed reports of his visits were seen. Health and Safety related policies and procedures relating to the safe maintenance of the premises and safe working practices are in place and kept accessible to the staff. The provision of health and safety related training is good, although some updating is required. Regular maintenance tests, services and checks are being carried out and records of these were seen. Risk assessments of safe working practices had been carried out and recorded. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 24 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 YA2 Regulation 14 & 17 Requirement Timescale for action 26/12/06 2 YA6 3 YA7 4 YA9 5 YA17 The registered persons must amend the homes assessment practices to provide evidence that any restrictions on individual choice and freedom are based on individual needs and risk assessments and have been agreed by the service user. 15 The registered persons must ensure that the service users are actively involved in the development and reviews of their care plans. 12 The registered persons must ensure that any limits placed on individual residents rights to make decisions are supported by written and agreed assessments. 13 & 14 The registered persons must ensure that individual risk assessments are carried and risk management strategies developed with the residents to ensure that individual autonomy is promoted wherever possible. 12, 13, 16 The registered persons must & 17 ensure that the residents are offered a choice of nutritious, varied and balanced meals. 26/12/06 26/12/06 26/12/06 26/11/06 Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 25 6 YA35 18 Previous timescale 12.10.05 – not met. The registered persons must arrange for the staff to receive specialised training, for example in alcohol addiction and associated mental health conditions and Deaf Awareness. 26/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations Although the home met the standards applicable at the time of its registration, consideration could be given to reducing the number of double bedrooms and providing more en-suite bath and/or shower rooms in line with the current standards. Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Vane Hill DS0000018445.V298274.R01.S.doc Version 5.2 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. 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