Inspection on 06/03/07 for Welby Community Unit

This inspection was carried out on 6th March 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Welby Community Unit 18/01/06

Welby Community Unit 30/06/05

Welby Community Unit 10/01/05

Welby Community Unit 25/08/04

Welby Community Unit 28/02/04

Welby Community Unit 04/12/03

Welby Community Unit 18/03/03

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

CARE HOME ADULTS 18-65 Welby Community Unit 203 Outland Road Peverell Plymouth Devon PL2 3PF Lead Inspector Kim Fowler Key Unannounced Inspection 6th March 2007 12:30 Welby Community Unit DS0000031273.V315016.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 Welby Community Unit DS0000031273.V315016.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. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Welby Community Unit Address 203 Outland Road Peverell Plymouth Devon PL2 3PF 01752 794544 01752 768226 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) Woodlands.school@plymouth.gov.uk Plymouth City Council Mr John Michael Casey Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 18-65 years Service Users with learning disabilities who may also have physical disabilities 18th January 2006 Date of last inspection Brief Description of the Service: Welby Community Unit is a care home providing personal care and accommodation for 12 persons with a learning disability aged 18 - 65, who may also have a physical disability. It is owned by Plymouth City Council and provides a respite service for approximately 50 - 60 service users. The home is located in the residential area of Peverell, close to shops, pubs and other amenities. The home was opened in 1987 and consists of a detached twostorey property. The home only has level access and facilities for service users with profound mobility difficulties on the ground floor. All rooms are now single and none have en-suite facilities. There are bathing and toilet facilities close to bedrooms and communal areas. There are lounge and dining rooms, as well as a room that is used as a sitting room and activities area. There are facilities in the latter room for service users to prepare their own drinks and snacks. There is a call alarm system in some of the bathrooms, toilets and hallways. The garden is spacious and accessible to the service users. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 1 day and the Registered Manager was available during the later part of the day to assist the inspector. A full tour of the building was undertaken and the inspector spoke to 9 of the service users. The staff that was on duty at the time were spoken with. Documentation relating to the care planning process and the management of the home were examined. The Commission received four family feedback cards and any comments are discussed in the relevant section of the report. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 6 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 Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2/4/5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information and trial visits provided to prospective service users assist them to make an informed choice of a respite care. EVIDENCE: Welby only admits service users for respite care and short stay placements and all referrals for admission come from Social Services. The home has a referral and eligibility criteria for any new service user. Any new service users have an assessment carried out by a Care Manager. The homes staff said that they have been involvement in assessments. One file was examined for a service user due to come into respite care. This service user has a file set up containing the placing authority’s assessment as well as supporting information form the Speech and Language Therapist, day care placement, GP statement and family input. This assessment summary will assist the staff to meet the service users needs. One prospective respite service user was visiting at the time of the inspection and stayed for an evening visit. This service user was supported by a community support worker who was familiar with the service users needs. This Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 8 community support worker assisted both the service user and the staff at the home to meet the service users needs. One service user spoken with said they had visited the home and “I stay for tea and overnight”. The home has a documented procedure for admissions, including emergencies. Any emergency admission have a monthly strategy meeting arranged by the home with care management involvement. Not all files held service users contracts. Of the files examined three held different contracts. However the Registered Manager stated that he was aware of this he went onto say that the contract are currently under review. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6/7/9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to make decisions about their own lives during their stay at Welby. EVIDENCE: All files examined contained a service user plan by the placing authority. Those service users who are able are encouraged to sign their care plans. These plans are supported by behaviour intervention guidelines when needed and include what to do if service users do not return home by an agreed time. All review minutes have details of who was in attendance and included care managers, family members, the homes key worker and the service users if possible. One service user spoken with said “ I went to a meeting with my social worker, the staff here and my family and we agreed a time for me to come home when I stay for respite”. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 10 Of the 6 files examined all had good detailed records regarding medication and personal care needs. The level of information recoded enabled care staff to meet the assessed daily needs of each individual service user. Records clearly show that consideration has been given to the service users ability to make decisions. This is important, as each service user is an individual and so each have different abilities. Recorded incidents on service users restrictions of movement are documented and any breaches in restrictions by service users are recorded including the follow up action by the staff. All service users manage their own money with staff input when needed. All service users have a safe in their bedrooms and when admitted for respite the service users lock all money in their safe or staff assist if needed. Individual record books are also in the safe to record expenditure and these are signed by two members of staff. Some of the service users spoken with confirmed that they manage their own money and use the safe in their bedrooms. Welby has converted part of the house into a self-contained flat to promote independent living for one service user at a time and this flat has a separate entrance from the home. The service user presently occupying this flat makes everyday decisions about their life. Including what food to purchase and cook. This service user receives a sum of money each day from the Welby budget to purchase food. One staff member spoken with said they arrange for this service user to obtain money each day to purchase food and this service user decides what food to purchase. All files held completed risk assessments and included action to minimise personal safety and agreed times to contact outside agencies i.e. the police or social services if a service user does not return at and agreed time. Each referral form includes any risks to look at as part of the care package including going out on their own. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12/13/15/16/17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users in this respite home can be confident that they will participate in the local community and will be supported by staff when needed. EVIDENCE: Several service users have information from Workable Pluss, a company that assists service users with work experience. Information held on individual files included a review of work placements. One service user informed the inspector that he had been on a work placement. The files examined held information on day care placements and as most service users are only on respite stays the education and occupation of each service user is arranged by the family and placing authority. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 12 When service users come in for respite care some trips out are arranged including walks to the local pubs and shops. Welby has the use of a people carrier to use evenings and weekends. During the evening of the inspection three of the service users attended a local club. All of the service users spoken with said they visit varies places in the community. Some were able to walk to the local shops by themselves and others needed staff assistance. One relative survey returned wrote, “Our daughter enjoys being taken out on outings”. All service users live with families or relatives and are regular respite users. Observed during the inspection was the staff on duty talking to family members about future respite and details on recent respite visits. Service users are encouraged to remain as independent as possible while away from family homes. All rooms have a key and a safe for money and valuables. One service user informed the inspector that he regularly goes out and makes decisions about who he wishes to see and where he goes. The menus showed that the home has a 4 weekly set menu however different food is available when needed. The kitchen is accessible for drinks and snacks throughout the day. Information on files examined showed special diets are catered for. The cook was spoken with during the inspection and confirmed that he was employed by an agency but had been coming to Welby for over 2 years. The cook informed the inspector that there was always plenty of provision available and plenty of fresh fruit and vegetables. Service users are offered a second choice. All the service users currently in for respite care were asked for comments about the menu and food on offer. Many of the service users said they thought the food was either “good”, “OK” or “quite nice and I can choose what I want”. One service user confirmed that they required a specialist diet and that this was arranged for them. One staff member confirmed that service users are able to make a choice if the food prepared is not to their liking. Observation during the inspection showed a staff member preparing a special desert for one service user who was unable to eat the desert on offer. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18/19/20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users admitted for respite care can be confident that Welby provides good personal support to meet their needs promoting privacy and dignity at all times. EVIDENCE: Many of the service users in for respite care are able to carry out their personal care needs independently. Other service users require assistance. Details of personal care needs and preferences were recorded into service users’ plans and service users had a choice, were possible, of which staff worked with them. Any specialist advice, guidance and support can be obtained via Occupational Therapist and community nurse if required. All health care needs are recorded into individual care plans. Most of the service users spoken with said the staff only assist them when required or requested and agreed that their privacy and dignity is maintained. These service users also said that the staff knock on their bedroom doors before entering. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 14 One service user said that “I bath by myself and staff help me keep my independence” and another service user said, “ Staff help me” and another said, “the door is always shut”. One staff member confirmed that the recoded details in the care plans are reviewed and discussed when needed or a change had been noted. All the staff on duty were interviewed during this inspection. Of the staff spoken with one was from an agency another was a council bank staff member and others employed by Welby. These staff stated that they work at the home regularly and are familiar with most of the service users coming in for respite care. However if any service users admitted for respite are unknown to them they confirmed that all files contained sufficient information for them to meet the service users needs. One staff interviewed stated, “care is so good and service users are always consulted” and another said, “Service users are always involved in everything”. One relative survey wrote, “Our daughter is very happy going to Welby”. Due to the respite nature of the home, service users retain their own doctor. One service user who requires regular input from the medical services had this information recorded and documented including any actions and outcomes required. For outpatient appointments service users are supported by the staff if needed. As the home only provides respite care the procedure for medication is that it is checked in and out of the home for each service user on every visit. The local pharmacist visits and checks the medication procedure every 6 months. The staff confirmed that they had received medication training from the home’s pharmacist and a Community Nurse and specialist training on the management of diabetes is also arranged. One service users medication is held at the home but the duty assistant manager informed the inspector of the procedure to ensure a clear audit trail of this medication. The duty assistant manager confirmed that he had completed medication training. As the home only caters for respite care the ageing and death of a service user does not usual affect this home, however the wishes of service users and/or relatives had been documented. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 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. 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 this service. The service users can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home. EVIDENCE: Plymouth City Council owns Welby and the local authority has its own complaints department and any complaints received are documented. Any outcomes and actions taken are also recorded. The Commission has not received any complaints about Welby. The home complaints procedure is clearly displayed in the main entrance area for all to access. All service users spoken with and those able to stated they would approach the management of the home or the staff on duty if they had any concerns or complaints. Under the question of, are you aware of the home complaints procedure two relatives surveys ticked no and two ticked yes. Under the, have you ever had to make a complaint all four ticked no. No issues of Adult Protection have been recorded. One service users file examined held information that Welby had raised an issue with the Adult Protection team but no further action was required. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 16 It was clear from the staff files examined that all staff had attended Adult Protection training. All staff on duty were interviewed during this inspection and confirmed attendance at the Adult Protection training. It was clear from the information given to the inspector from the staff that they had a clear knowledge and understanding of the Adult Protection process. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24/27/30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from a homely, comfortable, clean and wellmaintained building that is appropriate to meet their needs. EVIDENCE: The premises were accessible to all the service users, comfortable, well furnished and decorated, clean and light. Some rooms had been re-decorated since the last inspection. The home employs a maintenance person and the home has a planned maintenance and renewal programme for the fabric and decoration of the premises. One of the bedrooms measured under 10 sq m which is small. It has now been converted to an office and the offices at the rear of the property have been altered to a self contained flat. All rooms are single and as the home only provides respite the service users usually only stay for a few days or weeks. Therefore all bedrooms were Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 18 decorated individually but possessions were few due to the home only providing respite. All bedrooms contain lockable storage space and bedroom doors were fitted with appropriate locks. The home currently has one shower unit. However the manager informed the inspector that the home has now been given money to refurbish two of the bathrooms to include converting one to a wet room. The premises were found to be clean, hygienic and free from offensive odours. Laundry facilities were found to be satisfactory and there is a coded lock on the door following the outcome of a risk assessment of service users. The washing machine has a sluice facility. The home has an infection control policy and procedure and the manager confirmed that all staff received training in infection control. The home uses a local contractor for the disposal of clinical waste. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31/34/35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Staff training is carried out regularly to all staff to ensure that all assessed needs of service users are met. EVIDENCE: Staff files were examined during the inspection process. These files confirmed that not all files were consistent and that all relevant checks were not held or undertaken prior to employment. Some staff files held copies of references and application forms and others did not hold this information. The Registered Manager informed the inspector that the councils human resources department were now delegated to undertake the recruitment role and he would obtain a copy of all relevant information required. The manager confirmed that the Council’s recruitment process is thorough and no staff would commence employment until all checks were undertaken. The manager Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 20 also stated that the council always confirm with him when all relevant checks are in place. The streamlining of the staff files would ensure continuity of records held. The training programme of training carried out within the last 12months was held for all staff. Information was available of the training booked for the next 3 months. These documents and discussion with the staff on duty provided evidence that Welby and Plymouth city Council provide staff with regular updated training. Several staff spoken with confirmed that they had completed training recently and included Fire Safety, Manual Handling and Health and Safety. All staff spoken with confirmed that they had received regular supervision and one staff informed the inspector that they had their supervision and appraisal booked for the following day. However some staff files did not contain recent supervision and the manager confirmed that one supervisor had been unavailable for a few months and he was aware that not all staff had received recent supervision and will address this issue. All staff on duty during the inspection were spoken with and the comments received included, “A great staff team”, “make you feel welcome”, “ Love it” and “The best place I have ever worked”. One relative survey received wrote, “My daughter gets on well with the staff and the staff are always happy and chatty”. Welby Community Unit DS0000031273.V315016.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37/39/42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of this home is very good. And the staff team are well trained to meet service users needs. EVIDENCE: The Registered Manager was on a training course during the first part of the inspection but was available later in the day. The manager John Casey has been registered with the Commission since last year and confirmed that he is due to complete the Registered Manager award later in the year and then will start the NVQ 4 in care. The manager informed the inspector that he regularly updates his training and has completed the Adult Protection training and had attended a training course on restraint on the day of the inspection. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 22 All service users and staff spoken with stated that the manager of the home is approachable. One service user said “ He’s great” and another said “I can talk to him when I have a problem”. All service users files showed that a quality assurance survey is carried out regularly for the service users who receive respite care and a quality assurance survey for relatives and next of kin is available. The Manager now plans to publish the results in a quarterly newsletter and this will include any outcomes and action taken. Sampling of records indicated equipment is serviced regularly and maintained in good order including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoists ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. All staff have completed manadatory training in Fire safety, First Aid and food hygenie. The staff spoken with confirmed the completion of these courses and certificates were held on individual files. Good health and safety practices reduce any unreasonable risk, affecting residents or staff, to an acceptable level. Welby Community Unit DS0000031273.V315016.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 3 3 X 4 3 5 3 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 4 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 3 X X 3 X Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 YA34 Good Practice Recommendations All staff files should be held in one place. Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Welby Community Unit DS0000031273.V315016.R01.S.doc Version 5.2 Page 26 - 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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