Care Home: Brackendale House

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What the care home does well Brackendale House is clean, hygienic and pleasantly decorated throughout most areas, with numerous improvements noted since the last inspection. It also has a very comfortable and homely atmosphere, which seems to be enhanced by the presence of the very friendly and popular `house` dog. The manager, and deputy run the home with an `open door` policy and are very approachable. Prospective service users are provided with the information they need to make an informed choice about the home and their needs are assessed before moving in. The care plans contain very clear and detailed information and `easy to follow` guidance, which ensures consistency with regard to how each person needs and wants to be supported and the service users are actively involved in compiling their care plans. Risk assessments are written clearly and are of an empowering nature. Service user meetings take place on a regular basis, which service users are very much involved in and appear to look forward to. Independence and empowerment is very much promoted at Brackendale House and some service users have recently been supported to resume living on their own in the community, although other people are encouraged and supported towards this at their own pace. Mealtimes are a very relaxed and friendly occasion, with a number of choices available. The main meals are varied, healthy and nutritious and the service users` `kitchenette` continues to be very popular, with people being able to make drinks and snacks as and when they want. What has improved since the last inspection? All staff have received training in Adult Protection. More comprehensive records of needs assessments are now kept by the home. The consistency and review of care plans has improved greatly. Further occupational and educational opportunities for people living at Brackendale House have been identified and are continually being developed. Comments, minor complaints and compliments about the service are now recorded and audited. A large proportion of the planned refurbishment for the home has been completed, with further improvements ongoing. Medication records, systems and practices are now more robust. What the care home could do better: The complaints procedure, including the concerns, comments and complaints section in Prime Life`s Policies and Procedures brochure, needs to be updated and state that `the Commission for Social Care Inspection (CSCI) can be contacted at any time` with regard to any concerns, comments or complaints. The COSHH cupboard must be kept locked, when unattended, at all times. Staff could be provided with further, and more specific, mental health training. CARE HOME ADULTS 18-65 Brackendale House 1-3 St Peters Road Sheringham Norfolk NR26 8QY Lead Inspector Debra Allen Unannounced Inspection 25th January 2008 10:00 Brackendale House DS0000027481.V358576.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 Brackendale House DS0000027481.V358576.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. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brackendale House Address 1-3 St Peters Road Sheringham Norfolk NR26 8QY 01263 824995 01263 824995 info@prime-life.co.uk info@prime-life.co.ukwww.prime-life.co.uk Prime Life Ltd 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 Shane Haines Care Home 14 Category(ies) of Dementia - over 65 years of age (1), Mental registration, with number disorder, excluding learning disability or of places dementia (13), Mental Disorder, excluding learning disability or dementia - over 65 years of age (1) Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only – code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Mental Disorder – Code MD The maximum number of service users who can be accommodated is: 14 9th May 2007 2. Date of last inspection Brief Description of the Service: Brackendale House is a private residential care home registered to accommodate 14 service users recovering from mental illness. All the bedrooms are single and on the ground, first and second floors. There are two self-contained units on the third floor where two service users, moving towards independence each have a bed sitting room, kitchen and bathroom. The Home is located within easy reach of the facilities of the seaside town of Sheringham. Brackendale House is owned by Prime Life, which is a national organisation and has homes throughout the UK. The current manager has recently completed his registration with the Commission. Prospective service users have access to a ‘guide to the home’ and CSCI inspection reports are available on the notice board of the Home. The basic weekly fees are currently £315. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the provider, the residents and their relatives as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. This inspection was carried out over a period of five and a half hours during which time discussions were held with the manager, deputy, staff and service users. A tour of the premises was also carried out guided by one of the people who live at Brackendale House. Care plans, staff files, health and safety information and other records required for regulation were also examined as part of the inspection process. Completed surveys were returned by eight service users, three relatives/friends and six staff, all of which contained very positive and constructive comments. Meanwhile, the service had an unannounced pharmacy inspection on 9th August, from which two requirements and two recommendations were made. Further reference to these can be found in section four of this report (Personal and Healthcare Support – Standards 18-21). Two requirements and one recommendation have been made as a result of this inspection. What the service does well: Brackendale House is clean, hygienic and pleasantly decorated throughout most areas, with numerous improvements noted since the last inspection. It also has a very comfortable and homely atmosphere, which seems to be enhanced by the presence of the very friendly and popular ‘house’ dog. The manager, and deputy run the home with an ‘open door’ policy and are very approachable. Prospective service users are provided with the information they need to make an informed choice about the home and their needs are assessed before moving in. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 6 The care plans contain very clear and detailed information and ‘easy to follow’ guidance, which ensures consistency with regard to how each person needs and wants to be supported and the service users are actively involved in compiling their care plans. Risk assessments are written clearly and are of an empowering nature. Service user meetings take place on a regular basis, which service users are very much involved in and appear to look forward to. Independence and empowerment is very much promoted at Brackendale House and some service users have recently been supported to resume living on their own in the community, although other people are encouraged and supported towards this at their own pace. Mealtimes are a very relaxed and friendly occasion, with a number of choices available. The main meals are varied, healthy and nutritious and the service users’ ‘kitchenette’ continues to be very popular, with people being able to make drinks and snacks as and when they want. What has improved since the last inspection? What they could do better: Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 7 The complaints procedure, including the concerns, comments and complaints section in Prime Life’s Policies and Procedures brochure, needs to be updated and state that ‘the Commission for Social Care Inspection (CSCI) can be contacted at any time’ with regard to any concerns, comments or complaints. The COSHH cupboard must be kept locked, when unattended, at all times. Staff could be provided with further, and more specific, mental health training. 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. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 8 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 Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 9 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, 3, 4 & 5 Quality in this outcome area is good. Prospective service users are provided with the information they need to make an informed choice about the home and their needs are assessed before moving in to ensure that the home is suitable for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An up-to-date copy of the information pack, including the Statement of Purpose and Service Users Guide was received by the Commission prior to the inspection and the information provided was seen to be very clear and informative. Four care plans were looked at during the inspection and each was found to contain detailed needs assessments and personal profiles, which had been completed prior to people moving in to, or temporarily staying at, Brackendale House and the assessment documentation had clearly improved since the last inspection. There were a number of very positive comments contained within the various questionnaires that were returned. In particular, one service user stated that they were asked if they wanted to move to Brackendale House and, after Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 10 writing to them and receiving a reply, stayed for a week’s holiday before making the decision that they liked it and wanted to move in permanently. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 11 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, 8, 9 & 10 Quality in this outcome area is excellent. Service users are actively involved in all aspects of life in the home, including individual care planning, their views are taken into consideration and they are supported to make decisions and take risks as part of their independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the four care plans that were looked at on the day of inspection were found to contain very clear and detailed information and ‘easy to follow’ guidance, to ensure consistency with regard to how each person needed and wanted to be supported. It was evident that service users were actively involved in compiling their care plans with statements such as: ‘information provided by [service user] on [date]’ noted regularly throughout the files. Overall, the contents of the care plans were seen to have improved significantly since the last inspection and included comprehensive information under headings such as: Personal Profile, Physical Health, Mobility, Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 12 Communication, Mental Health Wellbeing, Behaviour, Eating & Drinking, Sleeping, My Life, Social Inclusion, Accommodation, Dressing and Cleansing. Clear risk assessments (of an empowering nature) and a brief summary of needs/additional information were also seen to be included in each of these sections. Although the format for the care plans is provided by Prime Life, it was recognised that the staff and management team of the individual service have worked very hard, particularly since the last inspection, to ensure that this information is regularly reviewed and updated and each person’s individuality is maintained. Other observations during the inspection showed some service users assisting with domestic tasks and some of the comments made in the questionnaires also confirmed this – i.e. ‘I do my own washing’ and ‘the staff help me to clean my room’. It was noted that service user meetings take place on a regular basis, with one scheduled for the afternoon of the inspection. Observations confirmed that service users were very much involved in these meetings and appeared to look forward to them, as a way of getting together, being listened to and having their say. All of the service users’ personal information and records were seen to be stored securely, helping to ensure that confidentiality is maintained. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. Service users are supported with their personal development, are part of the local community and have access to a variety of social and leisure activities, which helps to enhance their lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions and observations during the inspection confirmed that independence and empowerment is very much promoted at Brackendale House and some service users have recently been supported to resume living, on their own, in the community. However, it was also evident that other people are encouraged and supported towards this at their own pace. Some of the questionnaires received from friends and family contained comments such as: “The staff seem to be able to balance the provision of care, with the ability of each client, to live an independent life, encouraging them so that they can progress as far as possible with this.” Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 14 “Before moving to Brackendale House, [name] had no quality of life. Since moving there he is more friendly and gets on with most of the other residents. He looks so well and staff have encouraged him to start some gentle exercise, which he would not have achieved without their encouragement. We are very grateful to Brackendale house.” Discussions with the manager confirmed that some additional community and educational resources have been accessed since the last inspection and they are currently waiting to hear from the local allotment committee with the hope that the service users can have an allotment so they can grow their own vegetables etc. Meanwhile, some of the things that service users were noted to be currently involved with include a farming group, meeting with befrienders, church club and library club. A number of people were observed going out and about, as they pleased during the inspection and one person went grocery shopping for the home. We joined service users at lunchtime, which was observed to be a very relaxed and friendly occasion, with a number of choices being available. The main meals were noted to be varied, healthy and nutritious and the service users’ ‘kitchenette’ in the conservatory continues to be very popular and people were observed making drinks and snacks as and when they wanted. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 15 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 & 21 Quality in this outcome area is good. Service users receive personal and health care support in the way they prefer and they are protected by the home’s policies and procedures for dealing with medication. Service users are also treated with dignity and respect during times of illness and/or death. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person was seen to have a clear and comprehensive care plan, which outlined how they like to be supported and what their individual needs were. Service users were noted to be actively involved in compiling their care plans and daily notes were seen to be written in an appropriate and respectful manner, which showed that their wishes were being respected. Records looked at also showed various involvement from various health professionals such as, GP, psychiatrist, community nurse, dentist and optician. Most people were noted to handle their own personal care and hygiene, although a few require some prompting or encouragement from staff. The Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 16 service users who were spoken to confirmed that any personal support they did receive, happened in a private and dignified manner. With regard to medication, the service underwent a full pharmacy inspection last year and the report from this showed that Brackendale House had a satisfactory system in place for the administration of medication, although some discrepancies were identified. Two requirements and two recommendations were made as a result of the pharmacy inspection, although these were deemed to have been complied with, following this visit. Other records and information seen in the care plans, showed how service users have been supported during times of ill health or death and this information indicated that people had been treated with dignity and respect. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 17 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. Service users feel their views are listened to and acted on and they are protected from abuse, neglect and self harm as much as is possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As previously mentioned, service user meetings were noted to take place on a regular basis at Brackendale House and observations confirmed that service users were very much involved in these meetings and appeared to look forward to them, as a way of getting together, being listened to and having their say. In compliance with a recommendation made at the last key inspection, it was confirmed that records are now kept, which relate to comments, minor complaints and compliments about the service. Most of the questionnaires returned by service users and relatives/friends confirmed that they knew how to make a complaint. However, it was noted that the concerns, comments and complaints section in Prime Life’s Policies and Procedures brochure needs updating, to state that the Commission for Social Care Inspection (CSCI) can be contacted at any time with regard to any concerns, comments or complaints. Staff spoken to on the day had a clear understanding of adult abuse and protection. Training records and discussions with the manager confirmed that all staff have now received training in the Protection Of Vulnerable Adults. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 18 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 & 30 Quality in this outcome area is good. Service users live in homely, comfortable and safe environment, which is clean and hygienic. Bedrooms, toilets and bathrooms are individual and private and shared spaces complement their individual rooms. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises, guided by a service user, showed Brackendale House to be clean, hygienic and pleasantly decorated throughout most areas, with numerous improvements noted. It also had a very comfortable and homely atmosphere, which seemed to be enhanced by the presence of the very friendly and seemingly popular ‘house’ dog. The guiding service user was happy to show me their room, which they said they were very happy with and a number of service users were seen using the various communal areas, in which everyone appeared very relaxed and content. Brackendale House DS0000027481.V358576.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): 32, 33, 34, 35 & 36 Quality in this outcome area is good. Service users are supported by competent and qualified staff and the service has robust recruitment policies and practices, which helps to ensure service users are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three staff files were looked at during the inspection and each of them was found to contain all the relevant records such as application form, references, confirmation of identification and clear, enhanced Criminal Records Bureau (CRB) disclosures, therefore confirming that the home/organisation has robust recruitment procedures. Training records were also looked at and evidence was seen of courses attended such as first aid, fire safety, health & safety, moving & handling, food hygiene, adult protection, medication, COSHH and diversity. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 20 However, comments noted in the questionnaires and discussions held during the inspection, indicated that the majority of staff felt they would benefit greatly from further, and more specific, mental health training. Evidence was also seen, during the inspection, to show that staff received one-to-one support and supervision on a regular basis and staff spoken to also confirmed this fact. Brackendale House DS0000027481.V358576.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, 40 & 42 Quality in this outcome area is good. Brackendale House is a well run home, in which the service users’ views are continually taken into consideration and their health, safety and welfare is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of Brackendale House is experienced and competent and has become registered with the Commission since the last inspection. He also completed his Registered Manager’s Award in March 2006 and his NVQ4 in Care in August 2007. It was evident on the day of inspection that the manager, and deputy run the home with an ‘open door’ policy and are very approachable. Staff spoken to said they felt supported and could talk to the manager or deputy at any time. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 22 The service users who were spoken with said they were happy living at Brackendale House, they like and trust the manager and deputy and can talk to them about anything. The service was seen to have a good system in place with regard to policies and procedures, which were noted to be regularly reviewed and updated as required. The regulated checks for fire, environmental health, water and electric were found to be satisfactory and cleaning materials/hazardous chemicals were seen to be stored appropriately, although the storage cupboard was found to be unlocked during the tour of the premises. Brackendale House DS0000027481.V358576.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 3 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 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 4 3 LIFESTYLES Standard No Score 11 4 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 3 3 3 3 3 X 2 X Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 YA22 Regulation 22 Requirement The complaints procedure, including the concerns, comments and complaints section in Prime Life’s Policies and Procedures brochure, needs to be updated and state that ‘the Commission for Social Care Inspection (CSCI) can be contacted at any time’ with regard to any concerns, comments or complaints. The COSHH cupboard must be kept locked, when unattended, at all times. Timescale for action 31/03/08 2. YA42 13 25/01/08 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 YA35 Good Practice Recommendations It is recommended that staff are provided with further, and more specific, mental health training. Brackendale House DS0000027481.V358576.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Brackendale House DS0000027481.V358576.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. 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