Care Home: Kilmory

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What the care home does well The home provides care in a well-maintained pleasant and welcoming environment by a well-managed supported, motivated, well-trained and qualified staff team who work in a manner that recognises resident`s need for personal privacy and dignity. Residents were able to participate in a range of social activities the management of which has been assessed as excellent What has improved since the last inspection? Under the management of a new manager the home and staff have developed a sense of direction on how they wish the service to develop. All previous requirements, which are referred to in, the main body of this report have been complied with. What the care home could do better: Whilst staff are well trained and recruited using a robust procedure that protects residents, there are concerns regarding the delivery of service and the health and safety of the very vulnerable residents when staffing numbers are reduced on some weekday shifts and at weekends. CARE HOME ADULTS 18-65 Kilmory Beech Hill Headley Down Bordon Hampshire GU35 8NL Lead Inspector Peter J McNeillie Unannounced Inspection 13th February 2008 9:30 Kilmory DS0000012091.V357021.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 Kilmory DS0000012091.V357021.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. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kilmory Address Beech Hill Headley Down Bordon Hampshire GU35 8NL 01428 712177 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) Robinia Care Ltd Lynda Moseley Care Home 6 Category(ies) of Learning disability (0), Sensory impairment (0) registration, with number of places Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning Disabilities (LD) The maximum number of service users to be accommodated is 6. Date of last inspection 8th December 2006 Brief Description of the Service: Kilmory is a large detached house that stands back from the road at Headley Down, Hampshire. The home provides accommodation for six younger adults who have learning disabilities. The residents are accommodated in four single rooms and one shared room. There is a large lounge, with an adjoining small conservatory currently used as the office, and a large conservatory to the rear of the lounge, that is used as an activities room/dining room. There are gardens and patio area to the rear of the property and a lawned area to the side. The home is owned and operated by Robinia Care Limited, an organisation that has been a registered care provider since 1995. Information on fee ranges was not available at the time of writing this draft report but will be added in the final report. Kilmory DS0000012091.V357021.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 star. This means the people who use this service experience good quality outcomes. This report was written after taking into consideration a number of sources of information and evidence including a site visit to the premises, the managers pre registration report, previous reports, examining residents and staff training records, talking with residents, staff and management, responses by the manager to a pre inspection Annual Quality Assurance Assessment. (AQAA) and the results of in house satisfaction questionnaires completed by residents and residents representatives. During this inspection which took place on13/02/08 between the hours of 9.30 am and 1.15pm and was the first inspection for the year 2007/08, all of the designated key standards for younger adults and any previous requirements were inspected. As a result of this visit we found all previous requirements had been complied with and are commented on in the main body of this report. Following this visit two requirements related to staffing and health and safety have been made. The results and findings contained in this report will determine the frequency and type of future inspections. What the service does well: What has improved since the last inspection? Under the management of a new manager the home and staff have developed a sense of direction on how they wish the service to develop. All previous requirements, which are referred to in, the main body of this report have been complied with. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 6 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. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system of assessing and identifying residents diverse needs which ensures residents safety and that their assessed needs can be met. EVIDENCE: No admissions have taken place since 2000. We were informed that the homes admission policy requires no resident is admitted into the home without a full assessment of need and risk being carried out by the manager or a senior member of the homes care staff in tandem with an assessment by the potential residents external care manager. A sample of four residents records viewed confirmed that all of the current residents were admitted in accordance with the admissions policy and procedure and included an acknowledgement that the resident or their representative and contributed to the assessment procedure. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a well-developed system of planning and reviewing care which reflects residents wishes, aspirations, diversity and ensures residents needs are met within a risk management policy and involves residents, residents representatives or relatives in decisions that affect them. EVIDENCE: Following the last inspection a requirement was made that” Care Plans must include detailed information about all the needs of each resident”. Selections of four residents care plans were viewed. The records indicated that all plans which are reviewed at least monthly are based on an initial assessment of needs and risk which took into consideration, resident’s needs, wishes, choices, aspirations, risks, key worker, details of any Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 10 health care professional involved, communication methods, dietary needs and help required with eating and drinking etc. Apart from day to day health care needs the home also promotes individuals equality and diversity by ensuring all staff have a full understanding of this subject through a training programme and that issues of race, gender, disability, sexual orientation, age religion, cultural differences and customs and any other pertinent areas are reflected in care plans. Residents right, and the opportunity to take risks is seen as fundamental, however it was clear from records, observations and talking to some residents they would have difficulty in totally understanding the concept of risk and risk taking. Despite this, residents were supported to make decisions for themselves within a risk assessment framework with the help of staff who were skilled in communicating with individual residents using methods that were recorded in care plans. This process identified individual risks and how they were to be managed, enabling residents to take part in activities in a safe manner. Should restrictions need to be imposed these would be agreed with the resident and recorded in the care plans. Staff who had a good understanding of the contents of the care plans and risk assessments and were able to explain how the care plan was put into day-today practice. From the evidence viewed and comments by management and care staff we were satisfied the previous requirements had been complied with. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,17, and 17. Quality in this outcome area is good but at times this was being compromised by the deployment and number of staff available. This judgement has been made using available evidence including a visit to this service. The social activities family contacts and the provision of varied and nutritious meals were well managed and reflected residents interests and choices. EVIDENCE: The home has developed personalised activities programmes for each resident based on their individual interests and choice using the facilities of local day services and resources within the home and the wider community. Currently activities on offer include, music aromatherapy, music, reflexology, hydro pool, cooking, multisensory room, swimming, plus trips out to places of interests. Previous trips out have included The London Eye, Beaulie, Portsmouth and other more local places such as garden centres. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 12 On the day of our visit all residents were coming and going as they undertook various activities according to their programmes. The home views residents activities as very important to the individual, consequently, staffing is arranged to ensure residents are supported in any activity and whenever possible no activity is cancelled due to lack of staff. During our visit we observed staff interacting with residents in a respectful non-patronising manner and respecting resident’s privacy by knocking and waiting for an answer before entering their rooms. Staff whose interaction with residents was positive throughout our visit informed us the lower levels of staffing between 7am - 9am and 7pm - 10pm and at weekends reduces residents choice regarding getting up times, bedtimes, activities, and could compromise the safety of residents due to the absence of supervision brought about when two staff are involved in assisting the same resident. Staffing levels resulted in the routine of the home being given a higher priority than the individual needs of residents. This matter is also commented on in the staffing section (standards 31-36) of this report. Resident’s families and friends are encouraged to visit at any time. Residents are free to receive and converse with visitors in private and choose who they wish to see. A written daily menu based on resident’s likes and dislikes was displayed. The homes staff and management recognised that alternatives to a written menu is of importance for some residents with a learning disability who may find the addition of pictures would be beneficial to their understanding and assist in them making meaningful choices. Staff confirmed that mealtimes in which residents were supported to eat are social and flexible activity that is arranged to fit in with resident’s programmes and appointments. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. EVIDENCE: Guidelines seen staff and management comments indicated choice was being exercised by residents in respect of all aspects of their lives and providers of personal services, clothes, food, gender of carer, GP, dentist optician and key worker being quoted as examples. From our observations we concluded that looking after the residents was more than a job to the staff who are to be commended for the manner in which they went about what was clearly a most difficult and demanding task Records seen indicated that any special medical or health or social care needs would be provided following consultation with the appropriate professional, these might include learning disability, sensory specialists, doctors, district Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 14 nurses and care managers and a physiotherapists who trains staff in particular techniques to assist individual residents. Medication administration records are clear and show that medicines, which are securely stored, are given when required by trained staff and disposed of it line with the homes medication policy. No residents are able to administer their own medication following a risk assessment. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear policies and procedures in place which ensures residents are able to complain and are protected from abuse . EVIDENCE: An in house whistle blowing and Adult Protection Policy and Procedure that works in tandem with a Hampshire County Council policy and procedure was available. Records viewed management and staff spoken with confirmed they had received training in reporting and recognising various types of abuse in compliance with a previous requirement. All were able to demonstrate they knew the procedure to follow should they witness or suspect the abuse of any resident. The complaints procedure, which is also included in the service users guide and was displayed in within the home-included information on how to contact The Commission for Social Care Inspection (CSCI), was seen, as was the record of complaints. C.S.C.I. have received no complaints about the service since the last inspection. All members of staff spoken with of stated they felt confident in discussing any concerns, complaints with management either in house or external on behalf of any resident. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 16 Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A safe, spacious, well maintained, clean and suitably furnished home is provided for residents which meets their needs. EVIDENCE: Following the last inspection two requirements were made that: “All parts of the building must be cleaned regularly and infection control procedures must be in place”. We found all areas of the home were clean and free from unpleasant odours and obvious hazards. Furniture was comfortable, homely and met residents needs. Since the last inspection the homes management have introduced a daily cleaning schedule with responsibility for particular areas within the home designated to a named member of staff who is also responsible for ensuring a Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 18 “deep clean “ is carried out at least every twenty eight days or sooner if required. A regular maintenance programme is now in place. Since the last inspection the complete home has been redecorated and at the time of this visit was near completion. A professional assessment to ensure that any equipment and personal aids required by residents was available has been carried out. Aids currently in use within the home include hoists, special beds, special baths and showers, bedsides, grab rails, ramps, special beds, handrails and wide The initial assessments of prospective residents (standard two of this report refers) would consider what personal aids they required and any adaptations the home needed to put into place too meet their needs. An in house health and safety policy and procedure was in place to ensure the day-to-day safety of staff and residents. Procedures include, weekly health and safety checks, the regular servicing of equipment, staff training in the techniques of moving and handling infection control, control of substances hazardous to health (C.O.S.H.H.) first aid, health and safety, reporting accidents and procedures to follow in the event of fire (including evacuation). During the inspection staff were all observed to use protective aprons, gloves and use antiseptic hand cleaner when dealing with different residents. Antiseptic gel was also available in all public areas and toilets. Following the last visit the cleanliness of the laundry facilities/area was criticised during this visit we were satisfied that this area was clean and presented to hazard to health. As part of the health and safety arrangements and to protect residents and staff, all of the hot water supplies to baths were fitted with thermostatic controls are set at 43 degrees centigrade and all radiators and hot pipes covered. From the evidence viewed and comments by management and care staff we were satisfied the previous requirements had been complied with. Kilmory DS0000012091.V357021.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 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. At times resident’s needs are not met by sufficient numbers of well-trained and supported staff who are recruited and selected using a procedure designed to protect all residents. EVIDENCE: At the time of the inspection the number of staff on duty were 4 care staff plus a manager a staffing level which we felt was sufficient to meet the needs of the highly dependant residents all of whom require help with the simplest of day to day tasks such as dressing/undressing, washing/bathing, using the toilet and feeding as reported in AQAA completed by the manager and the care plans. In discussion with the manager we established the normal deployment of staff is 7am–9am 2 staff, 9am-5 pm 4 staff plus a manager, 5pm–7pm 2 staff, 7pm –10pm 2 night staff, 10pm-7am 2 night staff. The deployment of staff at weekends is also reduced. In our view the current deployment of care staff has a detrimental affect on the quality of service and the care and support the highly dependent residents would receive. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 20 Staff informed us the lower levels of staffing between 7am-9am, 7pm - 10pm and at weekends also reduces residents choice regarding getting up times, bedtimes, activities, and could compromise the safety of residents due to the absence of supervision brought about when two staff are involved in assisting the same resident. This matter is also commented on the Lifestyle (standards 11-17) of this report Following the last inspection a requirement was made that: “All relevant preemployment checks must be in place prior to staff beginning to work in the home”. We viewed three staff recruitment and training files, all of which included evidence that all staff are employed in accordance with a corporate equal opportunities robust recruitment and selection procedure designed to protect residents This involves the completion of an application form, the signing of a rehabilitation of offender’s declaration, an interview, and satisfactory Criminal Record Bureau (CRB), Protection of Vulnerable Adults (POVA) and reference checks. From the evidence viewed and comments made by the manager and care staff we were satisfied the previous requirements had been complied with. Following their appointment, records seen confirmed all staff are subject to an in house and corporate induction and compulsory training programme, which involves courses that include first aid, moving and handling, POVA, food hygiene, fire safety (including evacuation), handling medication, visual imparement, equeal opportunities, autism, intensive interaction, sexual behaviour and epilepsy. All staff are expected to undertake a National Vocational Qualification (N V Q) course. Currently 44.4 of staff has been trained to at least NVQ level two with a further 33.3 currently on courses. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home seeks the views and opinions of residents and residents representatives,and whilst the health and safety of staff and residents is promoted through the implementation of safe working practices this is being compromised by staffing levels. EVIDENCE: Following the last inspection the following requirements were made: “The Manager must inform the Commission for Social Care Commission of any event in the home that adversely affects service users”. “The obsolete fire extinguishers in the home must be replaced”. “The obsolete fire extinguishers in the home must be replaced”. “The strip around the fire door on the landing Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 22 must be replaced”. “Workplace risk assessments specific to the home must be in place.” Records seen and observations made confirmed all of the above requirements have been complied with. The manager who has been registered since June 2007 had only been in post for a short time prior to the last inspection is qualified to N.V.Q. level and is awaiting a final assessment regarding her NVQ registered managers qualification. Since the last inspection when ten requirements were made considerable progress has been made in improving this service all previous requirements having been complied with. Staff confirmed that the manager has established a well-defined management structure and agreed new aims and objectives for the home in consultation with them. Staff described the manager as excellent, firm but fair and a person who had improved the home giving them a clear direction and an understanding of what needs to be done and how to do it. Staff added, that they felt well supported by the manager, who organised regular team meetings and ensured they had regular supervision. A comprehensive quality assurance system was in place and views were regularly sought from service users and their families. At present the views of external health and social care professionals is not sought. The manager gave a verbal undertaking that future surveys will be extended to include this group. At the last inspection a number of deficiencies relating to health and safety were commented on. As previously reported in the environment section of this report (standards 2430), an in house health and safety policy and procedure is in place to ensure the day-to-day safety of staff and residents. Procedures include, weekly health and safety checks, the regular servicing of equipment, staff training in the techniques of moving and handling infection control, control of substances hazardous to health (C.O.S.H.H.) first aid, health and safety, reporting accidents and procedures to follow in the event of fire (including evacuation). Despite the considerable progress made we have concerns that the staffing levels and deployment of staff at times could compromise the health and safety of residents. Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 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 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA33 Regulation 18(1)(a) Requirement A review of the number and deployment of staff must be undertaken to ensure sufficient trained and competent staff are available at all times to ensure residents needs can be met at all times. The health and welfare of all residents must be protected at all times with particular reference to the number and deployment of staff. Timescale for action 31/03/08 2 YA42 12(1)(a)(b) 31/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kilmory DS0000012091.V357021.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Kilmory DS0000012091.V357021.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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