Care Home: DRS Care Home

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What the care home does well People living at this home are supported to be as independent as possible and follow their own interests. The home is clean and well maintained and people are provided with good quality food that they have chosen. Residents say they are happy at the home and receive the support that they need from staff. What has improved since the last inspection? The manager reported that the home is continually striving to improve the service offered and is following a programme of planned improvements. What the care home could do better: Recruitment practices in the home need to be improved. We found that staff had been employed before the provider had received the required checks on their suitability. A requirement is made to ensure that all the required checks are in place before any person is allowed to work in the home, so that residents are not put at risk of unsuitable people being employed to work with them.A requirement is also made to ensure that we (the Commission for Social Care Inspection) are consulted regarding any changes to practice to this home which may have implications for the home`s registration. A recommendation is made to avoid moving residents temporarily out of their home to another home, unless this is in their interests. CARE HOME ADULTS 18-65 DRS Care Home 41 Pembury Road Tottenham London N17 6SS Lead Inspector Jackie Izzard Unannounced Inspection 12th September 2008 9:30 DRS Care Home DS0000068758.V372185.R02.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 DRS Care Home DS0000068758.V372185.R02.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. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service DRS Care Home Address 41 Pembury Road Tottenham London N17 6SS 020 8801 4860 020 8203 0430 raniedatoo@btinternet.com 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) DRS Care Homes Limited George Japheth Obonyo Care Home 4 Category(ies) of Learning disability (4), Mental disorder, registration, with number excluding learning disability or dementia (4) of places DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The house is not suitable for wheelchair dependent service users. The home must not admit anyone with a physical disability who is unable to descend the stairs without assistance in the event of an emergency. 19/09/06 Date of last inspection Brief Description of the Service: 41 Pembury Road is registered to provide a service to four people with mental health problems and learning disabilities. The home is situated in the Bruce Grove area of Tottenham, providing access to shops and local public transport links. The home is a terraced house, and is extended by use of a conservatory room at the back. There are four single bedrooms and all have en-suite facilities. The shared areas include a kitchen, separate laundry room, a lounge/diner, and a small paved garden area. The home has a registered manager, Mr George Obonyo, and six care staff. There are at least two care staff working at the home during early and late shifts. Night shifts are covered by a waking night staff. There has been a change from DRS Care Home as a partnership, to DRS Care Homes Limited since the last inspection. Dr Safderali Datoo and Mrs Ranie Datoo have been private registered providers for approximately 20 years and have now formed a limited company. Mrs Ranie Datoo remains the Responsible Individual for the new company and Mr George Obonyo remains registered as manager of the service. Registration of the new company was approved on 25th January 2008. Information about the home including service users’ guide and the CSCI Inspection reports are available from the home by contacting the providers. The weekly fees of the home depend on the assessed needs of residents. The provider has informed us that the current fees range from £600 to £1000 per week. DRS Care Home DS0000068758.V372185.R02.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 star. This means the people who use this service experience good quality outcomes. This inspection was unannounced and took place on 12 September 2008. During the inspection, we spoke with the manager and one staff member and met the people living at the home. We looked around the home and examined a range of records to assess the quality of service provided to people at this home. We looked at residents health and care records, staff files, health and safety records, records of food provided, medication charts and other related documents and discussed these with the manager. What the service does well: What has improved since the last inspection? What they could do better: Recruitment practices in the home need to be improved. We found that staff had been employed before the provider had received the required checks on their suitability. A requirement is made to ensure that all the required checks are in place before any person is allowed to work in the home, so that residents are not put at risk of unsuitable people being employed to work with them. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 6 A requirement is also made to ensure that we (the Commission for Social Care Inspection) are consulted regarding any changes to practice to this home which may have implications for the home’s registration. A recommendation is made to avoid moving residents temporarily out of their home to another home, unless this is in their interests. 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. DRS Care Home DS0000068758.V372185.R02.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 DRS Care Home DS0000068758.V372185.R02.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People moving to this home can be assured that their individual needs will be assessed. EVIDENCE: We read the assessment for the resident who most recently moved into the home. The manager informed us that one resident had recently moved to this home from another home operated by the same provider and was staying for a temporary period. We inspected his assessment and saw that the home had sufficient information about this person’s needs as a comprehensive assessment was in place. This means that staff know how best to work with this person as soon as they moved in. From discussion of this resident and others with the manager, we found that the manager had a good knowledge of individual residents’ needs. It was evident that the home may not be able to meet the temporary resident’s needs and the manager said the placement was to be short term. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at this home are supported to take risks as part of an independent lifestyle. Their care needs are known and met by the staff team and they participate in the running of the home. EVIDENCE: We looked at the care records for three residents. We read the care plans and risk assessments, reviews of the care plan and daily records of their progress. Each of the three files contained detailed care plans including goals that the person was working towards. The care plans gave clear information about the person’s needs. Staff complete detailed daily records on each resident to monitor their well-being and progress. The records showed that staff worked with people who exhibit challenging behaviour in a planned way to ensure there was a consistent approach. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 10 The three residents had comprehensive risk assessments in place, detailing risks to them and to others. One risk assessment said that this resident should always be accompanied by staff when out of the home. The resident confirmed to us that this was the case. We discussed the care plans with the manager who was able to give an overview of each resident and their strengths and needs. The manager clearly had a good knowledge of individual needs and one of the residents told us that the manager knew him well and that all staff gave the support he needed in relation to his care plans. Individual key worker meetings are held on a regular basis to give residents the opportunity to discuss their individual needs and to be consulted and records are kept of the meeting. One resident also told us that s/he was consulted on day to day matters in the home. Residents meetings take place monthly where residents make decisions about their lives in the home. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from being supported to take part in chosen activities and to use community facilities. They enjoy the meals provided and play an active part in choosing the menu. EVIDENCE: We compared the information recorded about residents interests, activities, relationships and dietary needs in their care plans with the records kept of their activities and food eaten. This exercise showed that residents’ social and leisure and dietary needs are met. Two of the residents attend day centres suited to their individual needs and the other two do not wish to attend any structured activities. We were able to speak with one person before they left for the day centre. This resident said that s/he liked going to the day centre on the bus and that staff went with him/her to help with the journey. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 12 We were also able to speak with a resident who stays at home during the day. This person explained why s/he liked to stay at home and said s/he spends her time standing outside the home chatting to passers-by, listening to music and watching television. Records show that residents are supported to go out in the community and pursue the activities they like. One resident goes swimming and to the gym with staff support. One resident said that he likes to watch football matches on the television in his room but that staff would support him if he wanted to go to see a live match in the future. There is a rota in the home to encourage residents to become involved in domestic duties such as tidying and hoovering. One resident said that she does not like to take part in this domestic work but others are willing. The menu showed there was a varied diet and we were informed that the menu is chosen at monthly residents meetings. The manager said that none of the residents had any special dietary needs and preferences. We discussed the food with one of the residents who said, “ I am in charge of the menu.” The manager explained that residents discuss amongst themselves if they want the meal recorded on the menu and ask staff to change it if they fancy something different. The detail of the food each resident eats is recorded in their daily records so that staff can monitor any concerns with their diet. We inspected the food in the kitchen and saw that there was a selection of food of good quality. Record showed that residents are supported to keep in contact with friends and family as they wish. One resident enjoys weekly visits from family members and another also has regular contact with his/her family. One resident who does not leave the home still has the opportunity to socialise with other people as DRS Care Homes Ltd have another care home next door and the residents mix socially. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at this home have their personal support and health needs met. They are protected by the homes policies and practices for dealing with their medication. EVIDENCE: We inspected the medication in the home along with health records relating to three of the residents. Residents have health action booklets which details their medication and the reasons for taking it. This is good practice as it informs staff about why they are giving the residents medication. Two of the files show that the resident had seen their GP, dentist, optician and other specialist health care professionals as necessary on a regular basis. One resident sees a psychologist and others see psychiatrists and community mental health nurses. There was evidence that one resident has regular blood tests to monitor his/her medication levels and records are kept appropriately. Another refuses DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 14 to see any health professional but records showed staff offer support to this resident and keep records to show that s/he has the opportunity to see a GP, dentist, etc. All these documents show evidence that peoples health care needs are known and that staff support them to access health care services. None of the current residents were able to self medicate and we saw that all staff who were administering medication had appropriate training certificates to do so. At the time of this inspection, the manager informed us that one resident had been temporarily moved to the adjacent care home so that another person could stay in his room for a few weeks. The manager said that the person who had moved out was still receiving personal care at this home along with daily medication and meals and was only using the other home for sleeping purposes. At the end of the inspection, we advised the manager that a requirement would be made to seek further advice from CSCI regarding the current providing of care to five people during daytime hours as the home is registered for four. One week after the inspection, DRS Care Homes Ltd informed us that the temporary resident had moved out from the home and the long-term resident had moved back in. A recommendation is made that moving people out of the home and using their room for another person should be avoided unless it is in their interests to do so as this could be unsettling for long term residents. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at this home feel their views are listened to and acted on. They are protected from risk of abuse by staff trained in appropriate safeguarding procedures. EVIDENCE: There have been no complaints or safeguarding issues received by the Commission about this home. An allegation made by one resident in November 2007 was appropriately investigated under the local authority safeguarding procedures and was not substantiated. Records in the home show that a concern raised by a resident had been taken seriously and acted on appropriately. Staff training records showed that staff have been trained in safeguarding procedures. We discussed with one resident whether s/he had ever made a complaint and whether s/he felt safe in the home. This resident said that s/he was aware of the complaints procedure and would be happy to approach staff or the manager with any concerns or complaints but had not had reason to do so. S/he said that staff listen if residents make suggestions, for example to change the planned menu or if s/he did not want to carry out any planned domestic duties. The resident also said that s/he felt safe in the home. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 16 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a clean and well maintained home with suitable facilities for their needs. EVIDENCE: The manager showed us around the home and garden. The standard of cleanliness and tidiness throughout the home was very high. We were informed that staff clean residents bedrooms for them. We asked one resident if s/he was happy that staff cleaned his/her bedroom and s/he said s/he was very happy as s/he did not like to do it. The home has a large conservatory which is the residents lounge. There are two bedrooms on the ground floor and two bedrooms on the first floor. Residents have been provided with televisions and their rooms were personalised with their own possessions. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 17 At the time of this inspection the office in the home had moved from upstairs to downstairs which created a meeting room upstairs for residents reviews, key worker meetings etc. There was a building in the garden which was not in use at the time of the inspection. We advised the manager that the door of this building should be locked while building work was taking place. The manager informed us that this building will be used to provide supported living to two people within the garden of the care home. He was advised to discuss the implications of this plan, for the home’s registration and for the residents of the home, with CSCI before operating such a service. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 18 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at this home are supported by an effective, trained staff team. They have not been protected by the home’s recruitment practices which may put them at risk. EVIDENCE: We discussed staffing levels with the manager and looked at staff rotas. We also looked at the recruitment practice followed for the appointment of the last three staff appointed in the home. In addition we looked at staff training records. The manager informed us that there are six staff employed at this home and there are two staff on duty at all times other than at night when there is one staff awake on duty. The night staff is able to call for assistance from the manager on call and staff in the adjacent home if necessary. Six staff told us in surveys they sent to us in March 2008 that they are being kept up to date with training such as protection of vulnerable adults; food and hygiene; working with people with challenging behaviour; communication; first aid; safe use of medication and health and safety, and that they get support from regular staff meetings. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 19 We looked at the training records of a staff member who had been employed for one year. This person’s file showed that she had attended training in food hygiene, fire safety, the aims and objectives of the home, boundaries and good practice, medication, safeguarding adults, health and safety, manual handling, emergency first aid, COSHH awareness, the mental capacity act and was also enrolled on NVQ training. This is evidence of a commitment by the registered provider to training their staff for the job. It was evident, from recruitment records for three staff, that the recruitment practice in the home did not comply with the Care Homes Regulations 2001. One staff member had been allowed to start work approximately 2 weeks before a POVA first check had been received. This check shows whether a person is on the national list of people unsuitable to work with vulnerable adults and it is a requirement that this check takes place before any person begins work in a care home. Records showed that this had not taken place for this member of staff. In addition one of the two required references for this person had not been received when they started work. Therefore insufficient checks had been taken on this person’s suitability by the provider before employing them. Another staff file showed that all the appropriate checks had been received in the home before the person had been allowed to begin working. A third file showed a person had been appointed and started work three weeks before the POVA first check and also before either reference had been received. Therefore two of three files seen showed evidence of inadequate recruitment practice. At the time of the inspection all required checks were in place for the staff so there was no current risk to residents. A requirement is made to ensure recruitment practice does not put residents at risk of being cared for by potentially unsuitable people. We asked two residents for their comments on the staff team. One said, “they are alright here,” and the other said s/he thought staff gave him/her all the support needed and were “quite friendly.” DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at this home benefit from a well-managed service where their health and safety is promoted and their views are listened to. EVIDENCE: The manager has completed the registered manager’s award which is the required training for his job. He has four years experience of working at this home. We discussed the running of the home with him and he showed a good level of understanding of his responsibilities. In March 2008 we received comments from four people who live in the home. They said they are generally happy living in the home. At this inspection we were able to meet four people who were relaxed and going about their daily routines with staff support. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 21 One person had been moved from the home temporarily and we did not have the opportunity to meet this person. The manager said that this resident did not mind giving up his/her bedroom to a temporary resident, but we were unable to verify this during the inspection. Social workers/placement officers for each of the four residents were contacted in March 2008 and invited to contribute to the Annual Service Review of the home. Three people responded, representing three people who live in the home and said that their client’s needs were met in a person-centred way and that they were satisfied or very satisfied with the care that their clients were receiving. The provider undertakes monthly reports on the home. These contain limited information and could be developed and improved to give a fuller picture of what happens in the home. The responsible person for DRS Care Homes Ltd manages the home adjacent to this so is in frequent contact with the home. She also attends staff meetings and training with staff from this home. The home also seeks the views of residents and their representatives as part of their quality assurance monitoring. We checked a sample of health and safety records to see whether residents’ health and safety in the home is promoted. Fire drills were seen to be taking place quarterly as expected, so that residents and staff can familiarise themselves with the procedure to follow. The fire alarm call point is tested weekly to ensure it is working properly. The fire alarm was inspected within the last six months. The gas and electrical inspections are due within the next month and the manager said he will ensure these take place. There were no health and safety concerns noted during the inspection in the home. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 23 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA18 Regulation Care Standards Act 24 Requirement The registered persons must seek advice from CSCI if they intend to provide care to an extra person before doing so. This is to ensure that the registered persons comply with the home’s registration conditions. The registered persons must ensure that all the checks required on a person’s suitability to work in a care home are received in the home before any person is allowed to work there. This is to protect residents from risk of being cared for by unsuitable people. Timescale for action 31/10/08 2 YA34 19 sched 2 31/10/08 DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 24 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 YA18 Good Practice Recommendations The registered persons should avoid moving residents temporarily out of their home to another home, unless this is in their interests. DRS Care Home DS0000068758.V372185.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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. 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