Inspection on 05/09/07 for Woody Point

This inspection was carried out on 5th September 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 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woody Point 20/09/06

Woody Point 04/10/05

Woody Point 25/05/05

Woody Point 16/12/04

Woody Point 11/08/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Woody Point Station Road Brampton Beccles Suffolk NR34 8EF Lead Inspector Claire Hutton Unannounced Inspection 5th September 2007 10:45 Woody Point DS0000059654.V350231.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 Woody Point DS0000059654.V350231.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. Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woody Point Address Station Road Brampton Beccles Suffolk NR34 8EF 01502 575735 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) Amber Care (East Anglia) Ltd vacant post Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2006 Brief Description of the Service: Woody Point is a registered care home for five adults with learning disabilities. Woody Point is a large extended bungalow, set back from the road that runs through the hamlet called Brampton Station. The nearest town to the home is Halesworth. The home is privately owned by Amber Care (East Anglia) Limited. Each service user has their own bedroom. There are three communal areas for social recreation including a lounge / dining room, a snoozelum, and an activity room with a range of musical equipment, arts and crafts materials, videos and books. A conservatory has been added to the side of the house, and this is used as the laundry. The home does not have designated sleeping-in facilities for staff, as the home employs waking night staff, to cover each night. Fees for this home range from £1.900 to £2.500 per week. This fee does not include holidays, toiletries, haircuts, clothing or travel. Information regarding the service is available in the Statement of Purpose and Service User Guide. The Service User Guide is also available in a format accessible to service users. Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that focused upon the core standards relating to Adults (18 – 65). It took place on a weekday lasting six hours. The inspection process included visiting communal areas of the home, discussions with staff, observations of staff and resident interaction, and the examination of a number of documents including residents care plans and associated documents, medication records, the staff rota, recruitment, training records, menus and records relating to health and safety. The report has been written using accumulated evidence gathered before and during the inspection. The Commission had received an Annual Quality Assurance Assessment (AQAA) completed by the manager. One survey was received back from relatives/visitors, all of which was complimentary. Two surveys were received back from staff. What the service does well: What has improved since the last inspection? At the last inspection at the home there were thirteen requirements made. The manager has gone a long way in addressing these issues. A Service Users Guide has been produced in ‘Widget’ format. (This is a type of pictorial communication) This document sets out the terms and conditions of residence and contracts were seen to be in place, therefore all can be clear around expectations and agreements made. Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 6 All three residents currently at the home had evidence to show that care plans had been reviewed and updated. Medication practice is much improved with the manager completing a weekly check on medication to ensure all is in line with the procedures. This means that residents’ medication is handled safely. The record of complaints was up to date and this demonstrates that concerns are listened too. Environmentally the radiators have been made good, as previously they were unsightly. To improve infection control procedures liquid soap and paper towels are available in the toilet and following this inspection the manager telephoned to say a new industrial washing machine had been installed to ensure laundry is handled safely. 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. Woody Point DS0000059654.V350231.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 Woody Point DS0000059654.V350231.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can expect to have their needs and aspirations assessed and be able to ‘test drive’ the home. Their representatives will be provided with current information. EVIDENCE: A Service Users Guide has been produced in ‘Widget’ format (this is a type of pictorial communication). The document sets out the terms and conditions of residence. Contracts from local authorities were seen to be in place. The manager was able to discuss plans that would be in place for prospective residents and the need to obtain assessments and have a trial stay at the home. This was said would happen over a period of time, as the compatibility of the current resident group and a new resident would have to be determined. No new resident had moved into the home for sometime, but there was evidence of assessments for the current resident group. The Annual Quality Assurance Assessment AQAA states: ‘Prospective residents can expect to have their needs and aspirations assessed and to be able to test Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 9 visit to see if they like the home. All representatives will be provided with current available information’. Woody Point DS0000059654.V350231.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that their assessed needs are set out in an individual care plan and that these will be regularly reviewed, with needs taken into account, to ensure they receive the appropriate personal, health, and social care. EVIDENCE: Care records were inspected for two individuals. The plans were written clearly and comprehensively. There were sections on communication, mobility, washing, dressing and toilet habits, eating and drinking, behaviour management, interpersonal skills, leisure, sexuality, day services, bedtime and waking and independent living skills. Staff spoken to were knowledgeable about individual support needs around disability and their faith. One staff member spoke about how he would facilitate an individual rinse and cleanse following a bath in line with the residents chosen believe system. Review of the whole care plan for all three residents were seen to have taken place in Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 11 July 2007. One resident’s plan around managing their challenging behaviour was currently under monthly review with support from a Community Nurse. In order that residents were able to make decisions around the house Pecs symbols were seen to be in use. This along with the use of Makaton enables better communication between staff and residents about routines and domestic life. The daily statements made by staff were of good quality and stated what support had been given to enable the residents to maintain as much independence as was possible. Staff were observed to interact with residents in a respectful way. Information about residents is handled in confidence and in a sensitive manner. The home has a policy on access to service user information and a confidentiality policy. Both of which are accessible to staff. Staff recorded in the daily statement activities undertaken, personal care given, food eaten and sleep patterns. The detail was informative. Risk assessments that were both generic and had individual elements that promoted independence and freedom where possible. Examples of risk assessments in place included the home environment such as use of the kitchen and the fire extinguishers sited around the home. Risk assessments for outside the home included out walking, traffic, ponds, rivers and swimming. The risk assessment in place for using the homes transport did not acknowledge that the residents were restrained by use of a harness additionally fitted to the transport. It also did not have a specified review date. Woody Point DS0000059654.V350231.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that the home enables residents to maintain appropriate lifestyle with individual opportunities and support. Decisions around personal, family and sexual relationships are respected. EVIDENCE: Evidence from care plans, daily statements and from talking to staff confirmed that the opportunities to socialise and participate within the local community were many and quite individual. This is positive given the behaviour that on occasions is displayed and needs to be managed by staff. Each resident had an individual plan of day care. This was developed at the Amber care day services at Crown House. Opportunities included gym, swimming, art and craft, woodwork and a meal preparation day, as well as community participation. Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 13 Individual holidays have been planned and taken this year. These include Centre Parcs, Skegness and one resident will visit a hotel close to their family and receive constant support from staff to enable them to participate in the family life and their culture, attending the upcoming festival of light. There is a long-term plan for one resident to eventually go on holiday to India. Care plans and staff demonstrated that residents were able to see family and friends of their own choosing. The home has a policy on sexuality and relationships. The menus that have been created are with the involvement of the residents. This was seen as individual preferences were catered for. Food shopping is delivered regularly from local wholesalers. This is a small establishment and therefore the bulk buying that has to occur through wholesalers does not allow for the choice and diversity of food that would be available from a high street supermarket where a resident could shop with support from staff. Residents were previously seen to participate in the meal preparation and making choices around food that they liked. The menu was displayed in the kitchen and was traditional type home cooking with a roast on a Sunday, pasta dishes and curries. The menu also allowed for individuals to eat food in line with their chosen faith. On a Saturday there was an individual choice day and individual residents made their own meal. The dining room was part of the kitchen area and had smaller tables to accommodate individuals with support if needed. Woody Point DS0000059654.V350231.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health needs are assessed and reviewed regularly to ensure that residents are properly cared for. The medication procedures in place ensure that residents receive medication, but procedures and policy around controlled drugs are currently placing residents and staff at risk. EVIDENCE: Two care plans inspected contained specific information about personal support. Staff spoken to were aware of individual preferences and the routines agreed and followed by all staff for consistency of approach. The daily statements were clear and recorded all personal care given each day. One relative felt that the home could improve by ‘more help is required with their relatives personal hygiene’. But they also felt that the home always meets the needs of their relative. In care plans there was evidence of good use of health professionals. There was access to standard health services such as GP, chiropody and dentist. There was also good access and use made of more specialist healthcare Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 15 services such as the community learning disability nurses and clinical psychologists. Staff were actively following advice and closely monitoring health and behavioural changes with two residents and then feeding back on a regular basis to these health professionals. The AQAA states: ‘We offer each resident a one to one support. Every full time member of staff is trained to give medication. All residents have regular checks from his or her doctors and dentist. One resident has their feet checked by a chiropodist. Residents have washes and baths twice a day (more where necessary). Residents have a keyworker to take a more special interest to the residents health, arrange collect toiletries, clothes, make sure their hair and nails are cut’. The management of medication at the home was examined. Currently there are no residents who self medicate. The security of medication is good. There is a locked steel medication cupboard. There was evidence of staff training. The medication administration records were examined and found to be correctly completed. There were sample signatures and initials that clearly identified who had administered medication. There was a clear audit trail that showed medication prescribed had been administered and by whom. The manager completes a weekly audit on medication to ensure all is safe and correct. There was a policy and procedure available for staff to follow that had been revised since the last inspection at the home. However this did not cover information and procedure on controlled drugs or advice on how to deal with verbal orders from a GP. In the very recent past staff had been administering controlled drugs and the recording of this was not in line with current legislation. Woody Point DS0000059654.V350231.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives can be assured that their views will be listened to, safeguarding is taken seriously and any concerns are acted upon. EVIDENCE: The home has a complaints procedure in place and this is displayed at the home and is part of the Service Users Guide. The Commission has not received any complaints in the last year, but the home had received two. These were taken seriously and the manager explained that it had been dealt with. Documentation was seen that confirmed that complaints were logged and resolved. Staff surveys showed that they were aware of how to deal with complaints. In relation to protection of residents both the manager and staff have received appropriate training. The home has the Suffolk Protection of Vulnerable Adults inter agency policy, procedures and guidelines for staff to access. The new web address was given to access further updated information. Staff records showed that staff were routinely CRB (criminal records bureau) checked and had a POVA check before starting work. Woody Point DS0000059654.V350231.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, 25, 26, 27, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service will find a comfortable home that is clean, well maintained and meets the needs of the existing resident group. EVIDENCE: The home is subject to a lot of wear and tear but from a tour of the home it was evident that it is well maintained. Whilst there the handy man and his helper were repainting the large decking area. All communal areas are comfortable and clean and have personal touches that make it homely, but safe for residents. The radiators were previously unsightly but now look good with radiator covers on them. There are cleaning schedules in place that were available to be examined. Each bedroom seen was a reflection of the person who resided there Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 18 The home has three bathrooms and two separate toilets. The toilets had liquid soap and paper towels for residents, visitors and staff to wash their hands adequately after using the facilities. The laundry room is in the conservatory extension and is very clean light and well ventilated. The home previously had an industrial washing machine to deal with foul laundry. However when this broke it had been replaced with a domestic washing machine, but it did not conform to infection control measures required for dealing with foul linen. This was discussed at this inspection and following the visit the manager contacted the Commission to confirm that the domestic washer had been replaced with an industrial washing machine to adequately deal with soiled laundry. Residents have access to a wide range of communal areas including a spacious lounge, an activities room with music equipment, CD Player and games and a snoozelum. Residents have access to the kitchen with staff support and there is also a small separate dining room. Externally there is a large and well-maintained garden area with decking. Woody Point DS0000059654.V350231.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, 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives can be confident that the home employs suitable numbers of staff that are adequately recruited and trained to meet the needs of the residents. EVIDENCE: The staffing roster for the home was examined. This runs on a four week rotation, however the manager said this recently changed to give more consistent time off for staff, but moreover meet the needs of the residents, especially at a weekend. The roster showed that residents were out at day services during the day time, but in the evenings staffing was three staff on duty. At night there was two awake staff who stayed to see the residents off to day services. A third member of staff also joined them at 7am. At a weekend staffing levels were at three staff during the day. The manager explained that he works 50 of his time as a carer. The deputy has 6 hours a week for management tasks. Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 20 Records were looked at for two staff. This showed that all the required recruitment checks were in place before they started work. Supervision is recorded. Training certificates seen included food hygiene, first aid, health and safety, understanding autism and a unisafe certificate – this is the training used to manage behaviour that may challenge. Four staff were currently doing their update in medication with the local pharmacy. Fire training was planned for 24th September 2007. The member of staff spoken to said that equality and diversity training is completed by all staff when the start. Two staff surveys spoke favourably about the training, supervision and recruitment they had under gone. Woody Point DS0000059654.V350231.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, 38, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, and their representatives will find that qualified persons manage the home. The health and safety of people using this service is being promoted. Seeking the views of people who use the service could be further promoted. EVIDENCE: A new manager has been appointed. He is as yet unregistered with the Commission, but gave an under taking to apply for registration in the coming months. He holds NVQ for in care Management and has the Registered Managers Award. He participated in a helpful and knowledgeable way throughout the inspection process. There were no supervision record available for the manager and he confirmed that this did not happen on a regular basis. Also he is not trained in Unisafe, but is on care duties 50 of his time. Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 22 In discussing quality assurance within the home the manger spoke of all the health and safety checks that are completed with in the home. The AQAA spoke of these in detail. There was said to be monthly reviews on residents and regular staff meetings – evidence was seen. The pharmacist visits the home every six months and audits medication. However there was no evidence that the home seek the views of the residents and their representatives. In relation to health and safety staff have received training as seen in their files. There was evidence of servicing of all fire equipment and fire tests. Hot water temperatures are regularly monitored. The oil boiler is serviced annually as is electrical equipment and the septic tank emptied regularly. Evidence in the maintenance folder was seen. Woody Point DS0000059654.V350231.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 3 2 3 3 X 4 X 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 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 2 X X 3 X Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA9 Regulation 13 (8) Requirement Timescale for action 31/10/07 2. YA20 13 (2) The risk assessment relating to use of the homes transport must be reviewed to show that the harness installed and used is a form of restraint and therefore must be periodically reviewed to ensure the ongoing safety of the resident and staff is the least restrictive option. A policy and procedure for 31/10/07 dealing with controlled drugs and verbal orders from the GP must be developed. This will ensure that residents and staff are not placed at risk and medication is handles inline with current legislation. 31/10/07 Effective quality assurance and quality monitoring systems, based on seeking the views of residents and their representatives, must be in place to measure success in achieving the aims, objectives and statement of purpose of the home. (This is a repeat requirement). 3. YA39 24 Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 25 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 YA17 Good Practice Recommendations Allowing residents to participate in food shopping could increase individual choice; therefore wholesale bulk delivery is inappropriate. The manager of the home would further benefit from being offered regular formal supervision and completing the Unisafe training. 2. YA38 Woody Point DS0000059654.V350231.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Woody Point DS0000059654.V350231.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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