Care Home: Sandbanks

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What the care home does well Thorough assessment procedures ensure the needs of people who use the respite service or move into the home permanently will be understood and can be met. They can be confident their personal information will remain confidential. People who live in the home are encouraged to be as independent as possible. They enjoy opportunities to take part in a wide range of leisure activities and education. People can be confident their personal and healthcare needs will be met in a way that respects their individual wishes and preferences and upholds their privacy and dignity. They are protected through safe systems for handling medication.People are listened to and are encouraged to offer comment or complaint. They are protected from abuse. People benefit from the spacious and wellfurnished accommodation; everyone has their own room. People who live in the home benefit from the support of the committed, well trained and competent staff team who understand their needs and actively promote their best interests. The home is managed in the best interests of the people who live there. Effective quality assurance systems promote year on year improvement in the service. What has improved since the last inspection? Care plans for people who use respite services are updated regularly to ensure any changes in their needs are understood and can be catered for. The pharmacist visits the home regularly to audit medication handling and give advice on best practice to ensure people are protected. All staff are encouraged to undertake National Vocational Training and the home meets minimum requirements in this area. What the care home could do better: Care plans for people who live in the home permanently must be kept date and reviewed regularly. Paperwork should be reviewed to ensure staff are not overburdened with forms which duplicate information held elsewhere. CARE HOME ADULTS 18-65 Sandbanks 1 Cacklebury Close Hailsham East Sussex BN27 3LF Lead Inspector Ruth Burnham Unannounced Inspection 18th March 2008 08:30 Sandbanks DS0000042776.V361069.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 Sandbanks DS0000042776.V361069.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. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandbanks Address 1 Cacklebury Close Hailsham East Sussex BN27 3LF 01323 843234 01323 441796 j.vanbergen@eastsussex.gov.uk www.eastsussex.gov.uk/socialcare East Sussex County Council 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) Mrs Jacqueline Anne Vanbergen Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is nineteen (19). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Service users with a learning disability only to be accommodated. One named service user assessed as requiring nursing care, can use the facilities at Sandbanks to be provided with respite care. 31st July 2006 Date of last inspection Brief Description of the Service: East Sussex County Council (ESCC) runs Sandbanks. It is a purpose built property on two floors, situated in its own grounds in Hailsham, about one mile from the town centre. Service user accommodation comprises of seven single bedrooms, lounge, and kitchen/diner area on the first floor for the use of the long stay service users. Respite and short term care is provided within three single bedrooms, a separate kitchen/diner and lounge in a separate flat let, a bed sitting room and a further eight single rooms, with a lounge and large dining room all situated on the ground floor. There are assisted bathing facilities in the home. Level access is facilitated between the ground and first floor by the provision of a passenger lift in the home. There is a garden at the side of the home and a central courtyard. Fees charged are in accordance with ESCC policy and procedures and at the time of the inspection the nightly charge for a service at Sandbanks is from £7.24 to £14.08. There are no additional charges but service users pay directly themselves for social activities, transport costs towards work placements and daycentres, contribution towards trips and outings, clothing and personal items, hairdressing, chiropody and college course fees. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the Service was an unannounced “Key Inspection”. The Inspector arrived at the Service at 08.30 and was in the Service for four and a half hours. It was a thorough look at how well the Service is doing. It took into account detailed information provided by the Service’s owner or manager and any information that CSCI has received about the Service since the last inspection. There is one Required Development at the end of this Report. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. There are currently thirteen residents in the home, 6 permanent residents and seven people receiving respite care. During the visit five residents, 2 members of staff and the resource officer who was the person in charge of the home on the day were spoken to. The registered manager was on leave. Feedback was given to the person in charge following the visit. A full tour of the premises was undertaken. Six care plans and three staff files were inspected. Twelve responses were received from surveys sent out to people by the Commission before the visit. These responses were largely positive, negative comments mainly related to staff being over burdened by paperwork. The home is in process of completing an annual quality assurance audit for the commission. The inspector would like to thank the residents, the resource officer and staff members for their time, assistance and hospitality during the inspection. What the service does well: Thorough assessment procedures ensure the needs of people who use the respite service or move into the home permanently will be understood and can be met. They can be confident their personal information will remain confidential. People who live in the home are encouraged to be as independent as possible. They enjoy opportunities to take part in a wide range of leisure activities and education. People can be confident their personal and healthcare needs will be met in a way that respects their individual wishes and preferences and upholds their privacy and dignity. They are protected through safe systems for handling medication. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 6 People are listened to and are encouraged to offer comment or complaint. They are protected from abuse. People benefit from the spacious and wellfurnished accommodation; everyone has their own room. People who live in the home benefit from the support of the committed, well trained and competent staff team who understand their needs and actively promote their best interests. The home is managed in the best interests of the people who live there. Effective quality assurance systems promote year on year improvement in the service. What has improved since the last inspection? 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. Sandbanks DS0000042776.V361069.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 Sandbanks DS0000042776.V361069.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): 3 People who use the service experience good outcomes in this area. Thorough assessment procedures ensure the needs of people who use the respite service or move into the home permanently will be understood and can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who are considering moving into the home either permanently or for respite care have a thorough pre admission assessment to ensure all their needs can be met. Three people have moved into the home since the last inspection. All three were admitted as emergency placements and records show their needs were fully assessed. Social Care Assessments were completed with the new residents by staff from one of East Sussex County Council’s Adult Social Care Department’s Assessment Teams. (referred to as ESCC throughout the report) draw up an initial care plan. In situations other than emergency admissions trial visits are arranged to enable people to meet staff and other residents and experience what life is like in the home. Staff also visit people who are considering moving in or using the respite service and their carers/representatives to gain information to help them provide the care needed. Where service users are admitted for periodic respite care regular updates of individual care needs are recorded for staff to reference. People who were spoken to during the visit said they enjoyed coming to Sandbanks. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 9 Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 – 10 People who use the service experience good outcomes in this area. . People can be confident their needs are understood and care will be provided in line with their individual wishes and preferences although some documentation needs updating. People can be confident their personal information will remain confidential. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person who lives in the home has an individual plan of care. Care plans are developed with the involvement of residents, their care managers and relevant healthcare professionals. The assistant manager explained how the process is being updated to ensure a more person centred approach in recording the care plan. Four care plans were examined for permanent residents and two for respite service users. Annual reviews are carried out by the provider with service users, carers and staff at the home. Unfortunately these reviews had not resulted in updated care plans in all cases. Two care plans for permanent residents had not been updated since 2005 and 2006 respectively and some of the information recorded was out of date. However Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 11 discussion with staff and residents showed that care needs are clearly understood even though some paperwork was out of date. It was noted that there is a large amount of paperwork staff are expected to complete, some of which is duplicated. This was discussed with the person in charge who agreed to review the need for some of the forms currently in use to enable staff to focus on more important aspects of their work. Care plans provide information about people’s background, social histories, interests, wishes and preferences and provide clear guidance for staff about how people want their care delivered. People’s right to make decisions about how they wish to live their lives are respected. People are supported to make decisions in a number of ways including residents meetings and one to one contact. Each resident has an allocated key worker who is trained to offer one to one support and who knows the resident well and understands his or her needs. People are supported to be as independent as possible. There are risk management systems in place to protect people from harm and enable people to manage risk responsibly. Each person has individual risk assessments as part of their care plan. Where risk is identified action is agreed with the person to minimise the risk. People can be confident their personal information remains confidential. Personal information is stored securely and is available solely to authorised and appropriate people. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11 – 17 People who use the service experience good outcomes in this area. People who live in the home or use the respite services are encouraged to be as independent as possible. They enjoy opportunities to take part in a wide range of leisure activities and education. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are supported to be as independent as possible. They are actively encouraged to make their own choices and to live their lives as they wish, so far as they are able. Records seen indicate that religious and cultural needs are known and respected. People who live here help with running the home. Household tasks are undertaken by the residents according to their individual abilities with staff support to enable people to develop independent life skills. It was observed that staff knock before entering residents bedrooms and that personal care is offered discreetly. People are addressed in the way that they prefer. People are supported to attend the College of Further Education and day centres. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 13 Information is available to help people choose activities and outings. People are supported to maintain contact with family and friends; visitors are welcome in the home at all reasonable times. One relative who was spoken to during the visit was very happy with the care provided. Peoples’ privacy is respected. It was clear throughout the visit and in responses received to surveys before the visit that staff are committed to promoting the interests of people who live in the home. Interaction observed during the visit was warm, supportive and respectful. Staff who were spoken to during the visit knew the residents well and understood their needs and aspirations. People who live in the home are actively involved in planning meals. Photographs of the weekly menu are displayed. People who were spoken to said they enjoyed the food; the main meal is eaten in the evening during the week as many people attend day centres and local colleges. Those who are out for the day take a packed lunch. Meals are served in pleasant surroundings. The dining rooms are well furnished. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 - 20 People who use the service experience good outcomes in this area. People who live in the home or receive respite services there can be confident their personal and healthcare needs will be met in a way that respects their individual wishes and preferences and upholds their privacy and dignity. They are protected through safe systems for handling medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are provided with care in a way that respects their individual wishes and preferences and upholds their privacy and dignity. Routines are flexible and relevant, people who were spoken to confirmed they are able to choose when to go to bed and when to get up and are supported to choose their own clothes, hairstyles and other aspects of personal grooming. People who live in the home are supported with their healthcare needs; they visit the local G.P when necessary and have annual health checks. Where people only stay at Sandbanks for respite care or short-term care, they remain with their own GP if local, or will visit the local surgery and register on a temporary basis. People are supported to access other healthcare Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 15 professionals where necessary, including the dentist, optician, chiropodist and physiotherapist. Where people have specialist healthcare needs, the home liaises with specialist healthcare professionals to ensure they receive the best possible care People are protected from harm through the safe handling of medication. Service users bring any medication in with them for the period of respite care and at the time of the inspection none of the service users were administering their own medication. The system for medication administration was examined in detail at the last inspection. The local pharmacist visits the home monthly to audit medication and provides a report following their visit; these were seen during the visit. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good outcomes in this area. People who live in the home are listened to and are encouraged to offer comment or complaint. They are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are encouraged to offer comment or complaint; this is done through one to one contact with staff and management. People who were spoken to during or contacted prior to the visit said they knew who to talk to if they were unhappy. There have been no complaints received by the commission about the home. The home maintains a log of any complaints, this shows that concerns are taken seriously and investigated appropriately. There is a clear complaints procedure and records seen indicate that complaints are responded to promptly. People who live in the home can be confident they are protected from abuse. All staff have completed training on the protection of vulnerable adults. All staff are checked through the Criminal Records Bureau before appointment. People are protected from financial abuse through good systems for managing peoples’ monies. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 29 & 30 People who use the service experience good outcomes in this area. People benefit from the spacious, well-equipped and well-furnished accommodation. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from the spaciousness and cleanliness of the premises. The home is well furnished and everyone has his or her own room. People staying for respite care are accommodated on the ground floor. Permanent residents occupy accommodation on the first floor. Communal areas of the home include a lounge/dining room and two further lounges on the ground floor; permanent residents also have access to these areas. There is a further lounge and kitchen /dining room on the first floor exclusively for the use of permanent residents. People benefit from access to the large garden to the rear of the property, which is mainly laid to lawn. The small inner courtyard has a water feature and seating. There is a passenger lift between the ground, and first floor of the home Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 18 People are encouraged to personalise their bedrooms and those seen were homely. People are supported to choose the colour schemes in their rooms to suit their preferences. People have access to well-equipped bathrooms and toilet facilities, which are suitably located. There is a laundry on the ground floor, which is well – equipped and accessible to residents who are supported to do their own laundry. Peoples’ safety is promoted through routine fire checks of the building Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 – 36 People who use the service experience good outcomes in this area. People who live in the home benefit from the support of the committed, well trained and competent staff team who understand their needs and actively promote their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home benefit from the support of the well trained staff team. It was noted that staff had a good understanding of peoples’ needs, were respectful and had a good rapport with the residents. Conversations with staff during the visit showed a high level of commitment to promoting the best interests of people who live in the home. On the day of the site visit there were five care staff were on duty plus two team leaders. Responses to surveys sent out before the visit stated people felt the staff listened and acted on what they say. When asked if staff treat you well the surveys stated always or usually. Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 20 People who live in the home are protected through robust recruitment procedures, which include checks through the Criminal Records Bureau and taking up 2 written references prior to appointment. Three staff files were examined. These were up to date. CRB numbers are recorded and a checklist shows that references have been obtained. Original documentation is available for inspection at the personnel department of the Local Authority. People who live in the home can be confident staff are well-supervised and competent to carry out their duties. A number of staff have completed NVQ Level 2, others are in the process of completing these awards. All staff undertake additional training relevant to understanding the specific needs of the people they care for. Refresher courses are arranged regularly for all mandatory training. All staff have regular formal supervision sessions and all new staff follow an approved induction programme. Sandbanks DS0000042776.V361069.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 & 42 People who use the service experience good outcomes in this area. The home is run in the best interests of the people who live there. Effective quality assurance systems promote year on year improvement in the service. People are protected through systems to promote health and safety This judgement has been made using available evidence including a visit to this service. EVIDENCE: People can be confident the home is managed in their best interests. The Registered Manager working at Sandbanks has worked for ESCC for a number of years. She has participated in a range of training opportunities and has completed the Registered Managers Award. There are clear lines of line management and accountability within the organisation. The resource officer Sandbanks DS0000042776.V361069.R01.S.doc Version 5.2 Page 22 was deputising in the absence of the registered manager on the day of the site visit. People are benefiting from the ongoing programme of improvements, which are informed by the home’s quality assurance system. People are involved in decisions about how the home is managed. There are opportunities to put forward their views about the home and the care that they receive, which inform ESCC and staff in the home of the quality of the service being provided. People who were spoken to said they enjoyed living in the home. Records seen during the visit were generally up to date and well maintained. The manager is in process of completing the Annual Quality Assurance Audit for the Commission. People are protected from harm through safe working practices. A sample of the incident and accident forms completed was viewed. There is a fire risk assessment, which is reviewed annually. Regular checks of the environment and fire precautions are carried out to meet the timescales as detailed in ESCC’s policies and procedures. Staff receive training in fire safety, moving and handling, first aid, food hygiene, health and safety and infection control. The organisation has a system in place to evidence that the maintenance of equipment and services has been carried out. Sandbanks DS0000042776.V361069.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 X 3 3 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 3 26 X 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 3 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 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 3 X Sandbanks DS0000042776.V361069.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 YA2 Regulation 15 (2) (b) Requirement That the care plan is subject to regular review. All care plans should be up to date and reviewed regularly. Timescale for action 30/06/08 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 YA6 Good Practice Recommendations Paperwork should be reviewed to ensure staff are not overburdened with form filling, some of which duplicates information held elsewhere. Sandbanks DS0000042776.V361069.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 Sandbanks DS0000042776.V361069.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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