CARE HOME ADULTS 18-65
1 Charmandean Road Worthing West Sussex BN14 9LB Lead Inspector
Mr E McLeod Unannounced Inspection 28th August 2007 12:40 1 Charmandean Road DS0000066940.V342822.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 1 Charmandean Road DS0000066940.V342822.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. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service 1 Charmandean Road Address Worthing West Sussex BN14 9LB 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) 020 8544 8900 www.caremanagementgroup.com Care Management Group Limited Post Vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th August 2006 Brief Description of the Service: 1, Charmandean Road is a care home registered to provide accommodation for up to eight people who have a learning disability and are between the ages of 18 and 65. The home is situated in a suburban area in Worthing, with local shops and transport links. The accommodation is provided on ground and first floor levels, and there is a passenger lift. None of the bedrooms have en-suite toilet or bath/shower facilities. The responsible person for the home on behalf of the Care Management Group Ltd is Mr M. Buckingham. There was not a manager registered with CSCI in respect of the home at the time of the inspection visit. The fee range is from £1500 to £1700 per week. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The visit was arranged to follow up requirements made at the previous inspection and to undertake a further assessment of how the home is meeting the key national minimum standards. The visit was undertaken by one inspector and lasted for five and a quarter hours. Planning for the visit took into account information received on the service since the previous visit, including a CSCI annual quality assessment self-audit (AQAA) from the home which updated us on the service provided in the home, and eight CSCI survey forms returned to us by people living in the home which they had been assisted by staff to complete. During the visit we spent time with people living in the home, talked to two visiting relatives, to the senior person on duty, and to three members of staff. We also looked at three sets of care plans and other records relating to the care provided and health and safety in the home. We sampled three sets of staff recruitment and training records. We observed interactions between staff and people living in the home, and visited areas of the home including four bedrooms and the main communal areas. What the service does well:
There is a calm and relaxed atmosphere in the home. Care planning in the home is well organised. Each person has a bedroom which meets their needs. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 6 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.
1 Charmandean Road DS0000066940.V342822.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 1 Charmandean Road DS0000066940.V342822.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): People who use the service experience good* quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to written information on the service which will help them make an informed choice about where to live. People are being admitted only on the basis of a full assessment undertaken by people competent to do so, and involving the prospective resident. Each person has an individual written contract or statement of terms and conditions with the home. EVIDENCE: We sampled an updated statement of purpose, which provides information on what the service provides. We sampled admission records for the person most recently accommodated in the home, and found that the person’s needs had been fully assessed before admission was arranged. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 9 A recommendation was made at the previous inspection that that a signed contract between the home and the person accommodated which includes information on breaches of contract should be provided. During our visit, we looked at three sets of contracts/terms and conditions, and these were seen to be signed and to include information on breaches of contract. 1 Charmandean Road DS0000066940.V342822.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): People who use the service experience good* quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: During our visit we sampled three sets of care plans, which included plans for meeting the person’s cultural needs and the individual’s activities plan. Care plans seen also included recorded reviews, and a monthly summary record made by the person’s key care worker. A recommendation was made at the previous inspection that the plan of care should be regularly reviewed and involve the person accommodated and their advocate or relative.
1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 11 During the inspection visit with spoke with relatives of two people accommodated, who said that they were being included in care plan reviews, and that their suggestions for changes to the care plan were being taken up. The manager had told us that the person’s key care worker works closely with the individual and their close family, to help the individual make informed choices including menu planning, day trips, education, relationships, and social networking. Care records we viewed which had been completed by the key care worker indicated that each person is being supported to make choices and decisions about his or her life. There was a recommendation made at the previous inspection that risk management strategies should be recorded in the care plan. The three sets of care plans we looked at included risk assessments and risk management strategies which were being reviewed and updated, and indicated that people are being supported to take risks as part of an independent lifestyle. 1 Charmandean Road DS0000066940.V342822.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): People who use the service experience good* quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use services are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: The manager has told us that all people living in the home have an activities programme provided, and these were found on all three sets of care plans sampled. Activities programmes are also indicating the further education, specialist interventions and therapies (for example hydrotherapy and aromatherapy) which are being provided for people. One person said in a written survey to us that “during the week I’ve got music, reflexology, aromatherapy. I’m attending college as well”.
1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 13 During our visit staff told us that increased staffing provision, plus the employment of a cook and the provision of a mini bus, has allowed more people living at the home to go on day trips and other outings. We were told that each person has a day care time table and each care plan has a list of the things the person enjoys doing, and has a local disabled bus pass to enable them to gain further independence and to access other facilities. The home provides information for people on local theatre and cinema listings, as well as special local events. Day trips are planned in advance so that events or places of interest further field can be set up. On the day of the visit we spoke with two visiting relatives, who confirmed that there is good communication with the staff team, and that family links and friendships are being supported by the home. One relative used the comments book in the home to say that the staff team had put a lot of effort into a social event for people living in the home on Valentine’s day. The manager had told us that the employment of a cook has led to menu planning which caters for more individualised tastes and preferences, and that the cook holds weekly meetings with the group to plan future menus. Meal times are said to be flexible and are arranged around the activities people have planned. We talked to the cook about his arrangements to ensure a balanced diet for people and for special diets. A record is held for people’s food likes and dislikes and foods they should avoid. Fresh ingredients were being used in the cooking on the day of the inspection visit, and menus seen indicated that a balanced diet is being provided. A comments book for visitors seen included several comments about the good quality of food being provided in the home, and survey forms received from people living in the home indicated that they like the food as well. 1 Charmandean Road DS0000066940.V342822.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): People who use the service experience good* quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: CSCI survey forms were received from eight people living at 1, Charmandean Road. Forms indicated that people had often received staff assistance to help them complete these. The responses uniformly indicated that people are making their own decisions, know how to complain, and feel they are treated well. Comments made in the surveys indicated that people feel they receive the support they need in the way that they would wish to receive it.
1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 15 Comments included “I’m really happy with them because they pay a lot of attention to me” and “my parents and carers are aware of my needs”. Staff interviewed gave examples of how the people they are caring for communicate their needs and feelings where they do not have verbal skills. The care plans sampled all included a record of health care appointments, such as chiropody, dental, optician and wheelchair service appointments. We noted that people also have an individual health action plan. We looked at arrangements for administering medication in the home. Improvements since the previous inspection include records now being kept when medicines are taken for administering away from the home. The manager has advised us that medication is only administered by staff trained to do so, and a list of those trained to administer is on display in the home. Certificates for medication training on staff files were sampled. The most recent inspection visit by a pharmacist was carried out in September 2006, and the pharmacist’s report from that visit indicates that arrangements are satisfactory. We advised staff to ensure that records of medicines returned continue to be maintained. 1 Charmandean Road DS0000066940.V342822.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): People who use the service experience good* quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: Responses from people living in the home to our survey indicated that they believe staff in the home are skilled enough to pick up their non-verbal signals of when they are unhappy with something. Complaints procedures, including some in picture format, are displayed in the home. The manager told us that the complaints form has been updated to ensure the detail of the complaint, the outcome of the investigation and action taken are all recorded. We looked at a complaint made concerning a horse-riding incident. The process, reporting and outcome of the complaint indicates that complaints are taken seriously, and investigated robustly. One outcome of the complaint was that guidance to staff on supervising people when they are riding a horse have been updated to ensure greater safety.
1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 17 The deputy manager advised us that the incident was also referred to social services, but that a safeguarding adults investigation did not result. Policies and procedures are in place for the guidance of staff in protecting people against abuse. Training records seen indicated that only three staff have undertaken safeguarding adults training in the past two years. A requirement has been made concerning staff training. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good* quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, comfortable and safe environment. People’s bedrooms promote their independence. Shared spaces complement and supplement the person’s individual room. The home is clean and hygienic. EVIDENCE: Improvements to the premises since the previous inspection include the redecoration of some bedrooms and the replacement of most of the carpets in the house.
1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 19 Arrangements are in place for the house and grounds to be maintained, and maintenance records are held which are signed to say what action has taken place. We visited all of the communal areas in the house including the garden, and five of the bedrooms. The gardens and premises are being maintained to a good standard. Four of the bedrooms are on first floor level (accessed by a lift), and four of the bedrooms are on ground floor level. None of the bedrooms have en-suite toilet, bath or shower facilities. The home is furnished and decorated in a comfortable and homely way, and bathrooms and bedrooms are equipped to facilitate safe moving and handling where the person has mobility needs. People’s bedrooms have been personalised by them, and reflect their interests, needs and personality. There is a sitting room on the first floor and a dining room on the ground floor. The garden is accessed from the dining room. People living in the home would benefit from an increase in communal space, for example through the provision of a sensory room. All areas of the home visited, including the kitchen and laundry, were found to be clean and hygienic. People living in the home responding to our survey said that the home was always fresh and clean. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 20 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): People who use the service experience good* quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by competent and qualified staff, and an effective staff team. People are protected and supported by the home’s recruitment policy and practices. The training of staff needs to ensure that the individual and joint needs of people living in the home will be met. People living in the home benefit from a well supported and supervised staff team. EVIDENCE: 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 21 Twelve of the eighteen care staff employed have gained the national vocational qualification (NVQ) in care or equivalent at least at level 2, and two staff are presently undertaking NVQ level 2. The acting manager has advised us that there has been an increase in staffing levels which has allowed more one to one time with people living at the home to be provided. The manager had told us that the minimum staffing level is four staff in the morning and four in the afternoon, plus a driver, day care worker, and a cook, and two staff on waking night duty. Staff interviewed confirmed that these staffing levels were consistent, and that an additional member of staff was brought on duty where activities plans indicated a need for this. Staff said there was a good atmosphere in the home, and staffing arrangements were allowing them to provide more activities for people in the house, including escorts on holiday. On the day of the inspection visit, we found staffing numbers were adequate to meet the care needs of people accommodated and to ensure that outings and activities were being supported by staff. One relative interviewed said that staff knew their job and carried it out well. The acting manager has advised us that all staff employed in the past year have had satisfactory pre-employment checks. We sampled three sets of staff recruitment records, and found on these that all required checks and references are being obtained before a staff member is employed. We looked at training records and found that there has been a good uptake of training in specialist areas such as autism and epilepsy. We found that some of the core training topics that staff are expected to regularly undertake had not been recently undertaken by staff, including training in areas important to maintaining the safety of people living in the home such as fire safety, manual handling, and safeguarding adults. It was recommended at the previous inspection that regular, recorded supervision be provided for staff.
1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 22 The manager has told us that staff have regular one to one supervision and annual appraisals, and that senior staff have received training in providing supervision. We sampled three sets of staff supervision records, and found on these that regular supervision which includes all recommended topics is taking place. Staff interviewed told us that arrangements for staff meetings, supervision and training were in place, and gave examples of training they have recently found useful. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 23 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): People who use the service experience good* quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A person who is qualified, competent and experienced to run the home must be registered as manager of the home. The management approach of the home creates an open, positive and inclusive atmosphere. The views of people living in the home are influencing improvements being made. Health and safety arrangements in the home would be improved by more rigorous checks on hot water temperatures being carried out. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 24 EVIDENCE: There is not a manager registered for the service at present. The acting manager for the service is presently on extended leave. In the absence of the manager, the deputy manager is in charge of the day to day operation of the home, with the support of the area manager. On the day of the visit, it was our observation that present arrangements are ensuring the good day to day running of the home. The management style in the home is helping to encourage the active participation of the relatives of people living in the home, for example in reviews of the care plan and in the communication books which are filled out by relatives and staff. A survey of the views of people living in the home has recently been undertaken. The managers have told us that a questionnaire with less generalised topics and issues will be introduced so that more changes can be made in the home to enhance people’s lives. The manager has also told us that key workers have begun to introduce a questionnaire for sending out to relatives each month. A questionnaire for people living in homes operated by the company was carried out in 2006, and a report was published on the outcomes of this. There were examples provided on the day of the visit of suggestions that have been made for the improvement of the service and how these have been used to improve provision – for example the employment of a cook. In view of this, no requirement was made in respect of it being unclear what action plan for the home had evolved from the 2006 questionnaire. We looked at the records of monthly visits to the home undertaken by the company, which indicated that the quality of provision in the home continues to be monitored and acted upon. An annual development plan for the home dated January 2007 and another dated August 2007 were seen, but neither of these provided timescales for meeting the individual parts of the plan.
1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 25 The acting manager has advised us of the most recent equipment services and testing which have been undertaken. It was recommended at the previous inspection that the provider needed to ensure better fire safety and food hygiene. Fire records sampled indicated that fire safety arrangements are in place. Staff training records sampled indicated that some staff have not undertaken recent fire training. In the kitchen we found that arrangements for recording food safety and for cleaning arrangements are in place, including the Safer Food system. Staff training records seen indicated that nine staff have undertaken food hygiene training in the past year. It was therefore considered that improvements have been made to fire safety and food hygiene in the home. Where the recommendation has not been met (in relation to fire training) this has now been made a requirement. We looked at requirements made by the Environmental Health department of West Sussex County Council in October 2006, and found that action had been taken to meet those requirements. The managers have told us that the home carries out weekly, monthly and three monthly health and safety checks to ensure the home is a safe place to live in, and that the maintenance team attend the home on a weekly basis. We sampled the records for monthly safety checks, and found that these were being carried out methodically and for the improvement of safety in the home. We looked at records for hot water checks, which indicated that records are not being kept for when people are about to be bathed or showered. Staff interviewed said that bath and shower temperature checks were carried out but not recorded. While weekly checks were being carried out on hot water taps in bedrooms, it was found that only one hot water outlet was being tested per week. 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 3 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 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 3 2 3 3 X X 2 x 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 27 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 YA35 Regulation 18.1 (c) Requirement For the protection of people accommodated, the registered person shall ensure that staff receive training appropriate to the work they are to perform. For the protection of people accommodated, the provider must ensure a safe supply of hot water, and that records evidencing this are maintained. The registered person shall register a manager in respect of this service who is qualified, competent and experienced to run the home. Timescale for action 30/11/07 2 YA42 13.4 (a) 26/10/07 3 YA37 8.1 (a) 30/11/07 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 1 Charmandean Road DS0000066940.V342822.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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
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