Inspection on 28/11/06 for Yews, The

This inspection was carried out on 28th November 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 but made no statutory requirements on the home.

Other inspections for this house

Yews, The 10/10/07

Yews, The 01/02/06

Yews, The 20/07/05

Yews, The 06/01/05

Yews, The 27/07/04

Yews, The 25/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Yews, The 2 Church Street Alvaston Derby Derbyshire DE24 0PR Lead Inspector Angela Kennedy Key Unannounced Inspection 28th November 2006 09:30 X10015.doc Version 1.40 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 Yews, The DS0000002011.V321328.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 Older People. 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. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Yews, The Address 2 Church Street Alvaston Derby Derbyshire DE24 0PR 01332 756688 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 Rakesh Bhalla Mrs Pushpa Bhalla Mrs Brenda Towell Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2006 Brief Description of the Service: The Yews is a residential home for twenty-seven older people situated in a suburb of Derby city. It is within its own grounds and on a corner location. There are twenty-five single rooms and one shared double room, as since the last inspection an extension has been built which incorporates an additional ground floor bathroom, one disabled toilet and one general toilet, six ensuite bedrooms, a new lounge, which has allowed the old lounge area to be used as an extended dining area and additional laundry facilities. Access to the first floor is via a passenger shaft lift. There are two steps at one end of the first floor. The front and side of the property is lawned and accessible. There are two lounges adjoining each other and a dining room, all of which are well decorated with good quality furnishings and fittings. Support services are in place with a choice of General Practitioners, district nurses, chiropodist, dentist and optician. Community psychiatric nurses, occupational therapists, physiotherapists and dietician are accessed as required. Staff training takes place to inform and enable staff to care for residents appropriately. Regular entertainment is organised and those residents who wish to go out do so. At the time of inspection the fees at The Yews were from £ 334.00 to £350.00 a week. Items not covered within the fees included: Hairdressing, Chiropody, newspapers, magazines and travel expenses. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection, which means that the service was assessed against all of the key national minimum standards. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk The inspection took place over a six-hour period and the following areas were assessed. Three residents files were examined, looking at care plans, assessment and other records relating to the resident’s care. Two of these residents were spoken with, however the third resident was unavailable to speak with due to an unforeseen prior engagement. Other residents whose care files were not looked at were also spoken with to gain their views on the care and services provided at the Yews. Other records seen included the activities provided, the meals provided, resident’s financial transaction records, the medication practices, service certificates for equipment, the quality assurance records, staff training and recruitment records. A tour of the building was undertaken. Two staff were spoken with to ascertain their views on the training and support given to them and to gain their opinions on the quality of care provided to the residents. The registered manager and a senior care worker were available throughout the inspection to provide the required documents and to answer any questions. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection an extension has been built which incorporates an additional ground floor bathroom, one disabled toilet and one general toilet, six ensuite bedrooms, a new lounge, which has allowed the old lounge area to be used as an extended dining area. The donation of a widescreen plasma television was also in place within the new lounge. All of the issues below were requirements at the last inspection that have now been met. The Terms and Conditions of Residency now state the additional charges such as hairdressing, travel expenses, chiropody and newspapers. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 7 The policy on death and dying instructs staff on the procedures that must be followed following the death of a resident. Two written references were in place in the staff files seen. A template for staff supervision had been developed and staff self appraisals forms had been sent to all staff in advance prior to individual supervisions and group supervisions taking place. The template was seen and covered all areas of care practice, philosophy of the home and career development. 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. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): .1,2,3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service user guide requires further development to ensure prospective residents are able to make an informed choice about were to live. Terms and conditions of residency were in place but these require further detail to ensure all the information required is included. The needs of residents were assessed prior to admission to ensure their needs could be met by the service. EVIDENCE: Three residents care files were seen and all three residents had terms and conditions in place. The Terms and Conditions within one residents file did not Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 10 state the specific fee payable but stated that the fee payable was as per agreement with the local authority. All Terms and Conditions seen had been signed in agreement by the resident. Needs assessments were in place within the residents files seen, these were detailed and provided all of the required information needed for the home to assess each individual’s needs prior to admission to ensure their needs could be met by the service. Two of the residents whose care files were looked at were spoken with. Both residents confirmed they had received a service user guide, and both residents had a service user guide in place within their private accommodation. The service user guide did however require further detail to ensure all of the information required as stated in Regulation 5 of the Care Homes Regulation 2001 was in place. Both residents were asked if they had received a contract and both said they had but were unsure if they had seen it. However as stated above contracts/terms and conditions of residency were in place and had been signed by each individual resident. Neither of the residents spoken with was sure if their contracts had changed. Both of the residents were asked if anyone had spoken to them regarding what their needs were before they moved into the home. Both residents stated that they had received visits from someone before they moved into the home that assessed their needs. As stated above comprehensive needs assessments were in place within the residents files seen. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s health, personal and social care needs were set out within their individual care plans but further work is required to the medication practices to demonstrate that the safety of residents is maintained. Residents felt that they were treated respectfully, and the practices in place assured residents that at the time of their death staff would treat them and their families with care, sensitivity and respect. EVIDENCE: Three residents care files were looked at and two of these residents had care plans in place that had been developed from their initial needs assessments. The third residents care plans were being developed from their needs assessment also but were not complete at the time of inspection as this Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 12 resident was accessing the service for respite initially. However sufficient detail was in place from the recently undertaken needs assessment to inform staff of the support and care this resident required. The care plans seen were detailed and covered all areas of health, personal and social care needs. All care plans seen were dated and signed and had been reviewed on a monthly basis to ensure any changing needs could be identified and met. Records of visits from health care professionals were recorded this included visits from chiropodists, district nurses, doctors and opticians. Daily logs were maintained for each resident to ensure each member of staff was kept up to date on the residents well being, daily activities and events. Risk assessments were in place regarding tissue viability, manual handling, mobility and nutrition. All of the risk assessments seen had been regularly reviewed to ensuring any changing needs could be identified and the necessary amendments made to the assessment to promote resident’s safety. The medication practices were assessed and in general were good. Staff administering medication had undertaken the required training to ensure they had the skills and competency required. The medication administration records were seen and had been signed at each administration. All medication was stored correctly and at the correct temperatures. Residents who chose to self-administer their medication had disclaimers in place to demonstrate their agreement to do so. However there were no risk assessments in place to demonstrate that these residents had the capacity to retain and administer their medication safely. The policy on death and dying was seen and clearly instructed staff on the procedures that must be followed following the death of a resident. Residents spoken with said that the staff were very kind and confirmed that they were always treated respectfully. Staff were observed calling residents by their preferred name and it was also noted that staff demonstrated courtesy and respect in their contacts with the residents and their relatives. Staff were observed knocking on residents doors and waiting for a response before entering their private accommodation. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s social, recreational and religious interests were met and contact was maintained with family and friends. Residents were encouraged to exercise choice and control over their lives and the meals provided were of a good quality. EVIDENCE: The activities within the Yews were co-ordinated by the staff on duty each day and included; dominoes, card games, bingo and karaoke. Entertainers also visited the home on a regular basis to provide varying entertainment and it was said that one of the staff team played the keyboard; this talent was also used to provide musical activities for the residents. Activities accessed within the community were also undertaken such as church services, plays, pantomimes, shopping trips, fairs and events and day trips. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 14 Some residents went out to visit relatives and several relatives were at the Yews on the day of inspection. Some of the residents at the Yews had gone out with their relatives on the day of inspection. Residents spoken with confirmed the activities that took place at the Yews, although one resident spoken with felt there wasn’t enough to do during the day. No activities were observed to be taking place on the day of inspection. The manager said that residents had been asked to participate in activities that day and had declined as many had visitors or were out with relatives and some residents said they were busy sorting out Christmas gifts. A Christmas raffle and Christmas party had been organised for residents and their relatives and a carol service had also been arranged to take place within the Yews. A hairdresser visited the Yews each week for any residents who wished to use this service and this seemed very popular with the residents spoken with. Visiting time at the Yews was open and visitors spoken with commented on the warm welcome they received and stated that they were always offered a drink. Residents spoken with confirmed that they were able to receive visitors within their private accommodation or within the communal areas. Some of the residents were able to manage their own finances and for those that weren’t the Yews banked their money securely (See standard 35). External advocates were used by two of the residents and information regarding advocacy services was available within the home. Mealtimes at the Yews were; breakfast 8.30- 9.30 am, lunch 12.30pm, evening meal 5pm and supper from 7pm onwards. The lunchtime meal was sampled and found to be of good quality. Alternative choices were available and these were seen on the day of inspection. Residents spoken with felt the meals were of a good standard. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): .16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are confident that their complaints or concerns will be listened to, taken seriously and acted upon. The practices in place protect the residents from abuse. EVIDENCE: The Yews had received one complaint since the last inspection and this had been dealt with appropriately and within the required timescale. Two residents were asked if they had been given a written copy of the homes complaints procedure, neither of these residents thought they had. However copies of the homes complaints procedure were available within the service user guide and both residents had a copy of this in their private accommodation. This was discussed with the residents and both confirmed that they had not read the service user guide. Both of the residents spoken with stated that if they had any concerns they would discuss this with their families or with the registered manager. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 16 Since the last inspection the registered manager had made one Safeguarding Adults referral to the local authority. The records in place demonstrated that the registered manager had acted promptly and followed the correct procedures to address this matter. This demonstrated that residents’ safety was promoted and protected by the efficient practices in place. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe, well-maintained environment. EVIDENCE: A tour of the building was undertaken and since the last inspection an extension has been built which incorporates an additional ground floor bathroom, one disabled toilet and one general toilet, six en suite bedrooms, a new lounge, which has allowed the old lounge area to be used as an extended dining area. An additional laundry facility and sluicing machine room were also in place with the new extension area to ensure that unlaundered clothes were not carried through the dining areas. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 18 One of the residents whose private accommodation was within the new extension was spoken with and stated that she thought her room with en suite facilities were lovely. A library area was available for residents use on the first floor and this could be accessed via a shaft lift. This area provided seating for any resident’s who wished for some quiet space to read. The registered manager also confirmed that staff would fetch books for residents from the library if they wished. All of the books within the library were large print to enable residents with poor or failing vision to read them. The large laundry area was seen and housed the required equipment to launder residents clothing to the appropriate temperatures and met the disinfection standard. A laundry assistant was employed at the Yews from Monday to Friday and some Saturday’s. The registered manager confirmed that at weekends night staff undertook the resident’s ironing and senior staff washed and dried resident’s laundry. All communal areas seen provided pleasant and comfortable surroundings and furnishings for residents and a wide screen plasma television was available within the new lounge. The Yews had a clean fresh smell throughout and good standards of hygiene were noted. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs were met by the numbers and skill mix of trained staff who were competent to do their jobs, and the recruitment practices at the home ensured residents safety and welfare was protected. EVIDENCE: Staffing rotas were seen and demonstrated that on duty each morning was 1 senior care, 3 care staff, 1 domestic, 1 laundry staff and one kitchen domestic. In the afternoons 1 senior care and two care staff were on duty along with 1 cook. 2 waking night staff were available throughout the night. From Monday to Friday 2 members of the management team were also on duty. Staff spoken with felt the numbers and skill mix on duty adequately met the needs of the residents. Residents spoken with confirmed that the numbers and skill mix of staff on duty were able to meet their needs. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 20 Ten of the seventeen care staff that were in post had achieved a National Vocational Qualification (NVQ) at level 2 or above in care and four staff were enrolled on NVQ 2 training and three staff were enrolled on NVQ 3 training. The Yews therefore exceed the minimum ratio of 50 of the care staff team achieving a NVQ level 2 or equivalent. The recruitment documents for two members of staff were seen and all of the required information and evidence was in place. Training was considered to be a high priority at the Yews in ensuring that good standards of care and working practice were maintained and this was evident within the training records seen. First aid had been undertaken by all but one of the staff team and all mandatory training was up to date and training such as infection control and safeguarding adults had also been undertaken. Staff spoken with felt the training provided was very good and stated that they found the training to be useful in updating their knowledge and skills, which in turn will benefit the residents. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): .31,33,35,36,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s live in a home that is well managed and is run in their best interests but a system of feedback needs to be implemented. Resident’s financial interests were safeguarded and the health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: The registered manager has been in post at the Yews for the last four years and has achieved an NVQ at level 4 in care and the Registered Managers Award. Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 22 Both staff and residents spoken with were very complimentary about the skills and approachable manner of the registered manager. These comments were also reflected in the views of relatives and visitors spoken with. The Quality assurance systems in place were assessed and included audits that had been undertaken regarding medication practices and the general use of bathrooms and toilets. Questionnaires had been sent out to residents and relatives in November 06 and the views and opinions of district nurses, trainers and visiting doctors had also been sought. A system was not in place to feed back to residents, relatives and other interested parties the results and actions taken from the results of surveys, this was discussed with the registered manager. Financial transaction records for resident’s monies were seen and all transactions had been recorded with two signatures at each transaction. The monies held for two residents was counted and corresponded with recorded balance held. A template for staff supervision had been developed and staff self appraisals forms had been sent to all staff in advance prior to individual supervisions and group supervisions taking place. The template was seen and covered all areas of care practice, philosophy of the home and career development. Some of the records relating to the safe working practices undertaken at the Yews were examined and all were satisfactory and kept up to date. This included; maintenance certificate for fire panels and emergency lighting, weekly records of fire alarm tests, a gas certificate, maintenance certificates for lifts and hoists, electrical wiring certificate and portable appliance tests. Yews, The DS0000002011.V321328.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Yews, The DS0000002011.V321328.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 OP1 Regulation 5 Requirement The service user guide must contain all the information as stated in Regulation 5 of the Care Homes Act 2001. Terms and conditions of residency must state the total fee payable and be updated as required. Risk assessment must be in place for any resident who wishes to self-administer their medication. This risk assessment must clearly demonstrate the residents capacity to store and administer their medication safely and as prescribed. The results of resident’s surveys must be published and made available to current and prospective residents, their representatives and other interested parties. Timescale for action 01/06/07 2. OP2 5 01/06/07 3. OP9 13 (2) 01/03/07 4 OP33 24 01/06/07 Yews, The DS0000002011.V321328.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 OP1 Good Practice Recommendations The residents’ guide should include residents’ views of the home, number of places provided and any specialist interests catered for. The statement of purpose and residents’ guide should be available in a variety of formats such as on tape, with symbols and in large print. 2. OP1 Yews, The DS0000002011.V321328.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Yews, The DS0000002011.V321328.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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