Inspection on 08/11/05 for 10 Whitfield Avenue

This inspection was carried out on 8th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

10 Whitfield Avenue 16/06/08

10 Whitfield Avenue 21/11/06

10 Whitfield Avenue 06/06/05

10 Whitfield Avenue 14/12/04

10 Whitfield Avenue 07/06/04

10 Whitfield Avenue 12/01/04

Similar services:

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

1a White Ladies Close

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 10 Whitfield Avenue Seabridge Newcastle Staffordshire ST5 2JH Lead Inspector Mr Berwyn Babb Unannounced Inspection 8th November 2005 10:00 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 10 Whitfield Avenue Address Seabridge Newcastle Staffordshire ST5 2JH 01782 638291 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) Choices Housing Association Limited Miss Rosanna Sarah Zacune Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2005 Brief Description of the Service: Whitfield Avenue is a three bedded, semi-detached house located in a residential area near Newcastle town centre, to which there is a frequent bus service. Retail outlets nearby include a number of shops and a mini market. There are several public houses close by that are popular with residents. The home offers accommodation for up to three persons between the ages of 18 and 65 (all of whom are currently male), who have differing degrees of learning disability. On the ground floor there is a large tastefully decorated and furnished lounge with comfortable seating, one single bedroom, a kitchen, a dining room cum conservatory and a WC. The domestic washer and dryer are situated in the kitchen. The first floor comprises of two further single bedrooms, a bathroom/shower and WC and the office/staff sleeping in room. There is a large private garden to the rear, where the residents use the summerhouse as a clubhouse in good weather, having been furnished with all the necessary facilities for music, games and a mini bar. The small formal garden at the front includes a paved area for parking one vehicle. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken to conclude the 2005-2006 inspection programme with the aim of completing the examination of all those standards identified in the methodology as requiring to be reported upon once in each 12-month period. Some core standards may be repeated, together with a selection of other standards that observation and discussion indicated during the inspection. Initially, two residents were present, later the third resident returned to the home after completing a pre-arranged task. The manager and her deputy were in attendance for the whole inspection and freely gave invaluable assistance, as did the two members of staff on duty at various times of the day. The care of and for the residents matched the documented assessments and Personal Care Plans, and demonstrated a commitment to maximising the potential of each individual. The consequences of Risk Assessments all had positive goals, seeking through education, training, staff assistance or medical intervention, to enable a resident to achieve something or maintain a current ability, choice or lifestyle, rather than to limit their activity. All three residents actively engaged with the inspection process, and thanks are extended to them for making it such a client-focused experience. Their home was clean, warm, tidy and well maintained, and they demonstrated ownership of it, and were seen to be treated with dignity, sensitivity and respect, by those people employed to assist them with their lives. What the service does well: The home was providing a community based domestic style of accommodation for, (currently), three men with differing types and severities of learning disability. It was assisting them to expand their presence in the community, whilst taking steps to protect the dignity and safety of themselves and others, and ensure that their assessed needs were being met. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 4,5 Standards one, two and three were met at the previous inspection of 6th June 2005, and during this inspection it was established that service users had the opportunity to visit the home and meet those people living and working there, before being admitted, and that they had a tenancy agreement covering the terms and conditions of living at the home, so that they knew what would be expected of them, and what they could expect of other people. EVIDENCE: Examination of the personal care plan of the resident last admitted into this home justified what was stated in the policies and procedures of Choices Limited, in their having been an expanding programme of visits, including sharing a meal, and then staying overnight before commencing living in the home. The care manager was at pains to point out that they do not accept emergency admissions, as it is particularly important to establish whether there is a compatibility between a prospective new resident, and the existing residents of a learning disability home. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 9 The inspector reviewed the tenancy agreements made between each resident and Choices Limited, and saw that they gave a very clear statement of what the residents were able to expect from the registered provider, and what was required of them. Further progress has been made in the documentation used during the admission process, and a new pictorial assessment tool has been generated to be used for any new admissions, based upon the computer programme “Widget”. The programme allows for residents to express a view about such contemporary issues as whether or not they wish to receive “junk mail”. One resident who greatly enjoys receiving new pictures, had used this medium to indicate that he would be extremely happy to receive junk mail. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 Standards six, seven, and nine, were satisfactorily inspected and commented on in the previous report of the 6th June, and at this inspection the inspector was satisfied that extensive consultation took place with residents, whenever any decisions were being made that had an effect upon their lives. Further, he was able to confirm with them that, consistent with their ability, they were aware of information kept that related to them, and the measures taken to impress upon staff the importance of respecting their confidentiality. EVIDENCE: The PCP of a chosen individual demonstrated evidence (later confirmed by him in discussion), that continuing reassessments of his ability to undertake certain activities, limited by a risk assessment of his challenging behaviour, had resulted in further improvement in his lifestyle, and a reduction in boundaries previously set in response to these perceived risks. In essence, long term work done by staff within this home including education and monitoring, as well as assessments, was promoting his independence in the community, to a point that he had never previously experienced. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 11 During the inspection, residents were observed engaging with staff in a variety of discussions concerning the ongoing life of and in the home, and negotiating outcomes to suit their own preferences and choices. Examples from this day include individual and different venues for next years holidays, ideas for outings made together and including friends from other Choices Homes, who is going to help with cooking the tea at night, and what this should consist of, and their level of satisfaction (all positive) with various aspects of life within the home. The level of input of residents to their records varied according to their ability to engage with and profit from such an activity, and the records were all seen by the inspector to be securely located in the staff office, with stringent policies and practices in place to establish the appropriate levels of exchange with partner agencies and significant others. Examination of detailed records showed them to be accurate, informative, and completed in a professional style without any inappropriate references, comments, or opinions. Permission was sought from the residents during the day for their records to be shown to the inspector, and those who were able to, further participated in this exercise. The company’s policy also clearly states where staff were not at liberty to retain confidence, such as in any instances of abuse that may be reported to them. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,16 Standards 11,12,15, and 17 were all satisfactorily commented on in the previous report for this year, and from this inspection, there was evidence of intensive work that had been undertaken to ensure that one resident was able to access the local community in an appropriate and acceptable way, and that the daily routine and running of the home focused on including residents, and in respecting their rights, responsibilities, privacy and dignity. EVIDENCE: The history of one resident on his admission to the home had been of minimal independent access to any community. From discussion with staff and observation in the Personal Care Plan, the inspector was able to appreciate the slow, pain staking, education, monitoring, and support that had taken place over the period of his residency, to magnify his presence within the local community. Another resident spoke of their relationship with their neighbours, and of people met on the small buses that provide a service into the town. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 13 The two residents who showed the inspector their rooms had keys for their doors, and a privacy lock was also provided on the bathroom door. Throughout the day staff spoke inclusively and sensitively to residents, and were seen to respond with an appropriate mixture of responsibility and respect, to their choice for privacy or for company. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21 Standards 18 and 20 were reported upon favourably after the inspection of 6th June, but standard 19 is repeated to record the positive benefits of the newly introduced Health Action and Assessment plan. Standard 21 is repeated to record further good practice in helping residents with planning for, and knowing about their own mortality. EVIDENCE: The inspector reviewed a sample of the new health care and assessment action plans, that had been generated both for and with the input of each resident, with the assistance of their personal carer. These will form part of the person centre plan, and were felt to assist residents to take ownership of the documents recording their health needs, and how these were planned to be, and were being, met. They presented as being comprehensive in respect of both general tertiary health monitoring and health care provision, and in those particular aspects associated with a learning disability. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 15 The care manager had used the opportunities presented by the funeral of a family member of one resident, to establish acceptable arrangements to be put in place for the eventual demise of that same resident. Other families had been less able to face this task, leading her to carry out risk assessments of what was an acceptable and appropriate level of knowledge for each individual to have to process. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Whilst standards 22 and 23 were favourably reported on at the last inspection, they are repeated in this inspection, in line with the inspector’s belief that it is imperative that they should be addressed at every opportunity. Residents continued to be able to correctly identify whom they would approach if they had a complaint, and the company’s induction procedure provided evidence of staff receiving formal training in the protection of the vulnerable adults for whom they care. EVIDENCE: The inspector was able to follow the progress of minor complaints in the grumbles book that has been started for the men to use, and this showed that they were confident in correctly approaching members of staff to help them resolve issues that were of concern to them. No major complaints have been received either by the home or by the CSCI in the period covered by this report. The inspector was able to verify with the record kept in the home, that all members of staff currently employed had attended refresher training on the subject of abuse within the last 12 months. He viewed a copy of the company policy distributed to all staff on the subject of Whistle blowing, and in essence this states that any staff that identify poor practice will be supported for making this disclosure, with every attempt being made to ensure their confidentiality and to protect their employment. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,28,29,30 The environment was well maintained with evidence of further upgrading, the rooms, both private and communal, were well decorated and comfortably furnished, the bathroom was adapted to meet residents assessed needs, and everywhere was extremely clean, tidy and odour free. EVIDENCE: One of the residents, following a course on painting, had undertaken a partial re-decoration of the conservatory at the rear of the house, and other areas of the home were equally well and attractively decorated. One gentleman showed the inspector his room, and this was spacious, comfortable and furnished to his own satisfaction. He had decorated it with many items of his own choosing, some ornamental and others reflecting his leisure needs and choices. He had his own TV and music systems, together with plenty of storage space, and enough free useable floor space for him to move around or engage in any activity that was suited to the room and of his choice. There was evidence of on-going renewal program, with a new blind and curtains installed in his room this year, and a new carpet being planned for next year. The bed had been renewed within the last 12 months to reflect the residents’ personal preference. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 18 Turning to the communal areas of the home, a new suite had been purchased for the lounge and residents told the inspector that they very much appreciated this, with an additional comment from the care manager that the style they had chosen had also, and incidentally, benefited one resident who was having difficulty maintaining posture. Further new seating in the guise of more dining chairs, had been purchased for the dining room cum conservatory. Following an assessment by an Occupational Health professional, that person had made arrangements for the purchase and fitting of a second hand rail to the bath, as the existing one that had been provided to assist one of the other gentleman was not suitable for the needs of the second resident. Some of the fitments to the toilet had been replaced, and the handrails on either side of the stairs had been renewed with ones that had extra security (and gave greater stability.) The care manager informed the inspector that the recent refurbishment of the kitchen and the lounge, had an unbelievable affect on the process of keeping the home clean and tidy, and the process of laundering bed linen had been greatly helped by the installation of a new tumble dryer. The inspector spoke to residents about their input into the programme of keeping the home clean, and acknowledges the positive ownership that they display for the tasks that they undertake. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35 The numbers of staff employed together with their levels of qualification and experience, resulted in the needs of the residents being met by sufficient and trained staff, who were aware of what was expected of them and of others. EVIDENCE: Members of staff on duty told the inspector they had job descriptions setting out the expectations and boundaries of their personal carer roles, that they had contracts, and that they felt that the structure of the home being one care manager, one deputy care manager and four support workers, was adequate and appropriate to meeting the needs of the residents for whom they care. All staff currently employed in this home meet the requirements for training standards in relation to the NVQ, and additionally the care manager and her deputy are trained to level D32 and D33 to undertake the roles of internal assessors. The care manager has also the registered managers, and her deputy is undertaking training for this, paid for by the company, as is a raft of mandatory training, the future schedule and past records for which were confirmed at this inspection. Fire safety training is refreshed for all staff every three years, as is food and hygiene training. The emergency first aid certificate training is done every two years, and moving and handling training is done by an external trainer every two years, and next year all staff are 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 20 going to start on management of actual and potential aggression training, for which the care manager is now validated as a BILD trainer. The induction training has been validated as meeting learning disability award framework and TOPSS specification, and for current staff, these standards are used for refreshment of training. Training on medication is sourced from the Boots pharmaceutical company, and the care manager is able to cascade the knowledge and advice she has obtained in the completion of the advanced award on sexuality and inter-personal relationships training. Training is also given to staff on dealing with loss and bereavement, and on confidentiality. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Whilst favourably commented upon in the report of the last inspection, standard 42 will be repeated here in line with the individual inspectors view that it needs to be reassessed at every available opportunity. The evidence from this inspection will show that the management of the home, the attention to the wishes of residents and steps taken to ensure their health, safety and welfare, combine for the benefit and support of those people who live at 10 Whitfield Avenue. EVIDENCE: Since the last inspection Miss Rosanna Zacune has been registered with the CSCI as a fit person to manage this home. She comes with a raft of qualifications and experience, suiting her to manage the care of people with a learning disability, including being a nurse trained by, and working in the NHS with learning disability patients, having obtained the registered managers award, being a NVQ internal assessor, holding an award in the management of actual and potential aggression and many individual pieces of training that 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 22 conform with the specifications of the learning disability award framework. Prior to coming to 10 Whitfield Avenue, she had been registered care manager for two other learning disability homes managed by the same registered provider. Staff interviewed at a previous inspection had commented on her open and supportive style of management, and this inspector has observed her to have a very pleasant rapport with her residents. The inspector was shown the draft of a quality assurance tool that is in preparation to be circulated to the families of residents of the home, so that they may comment and give their views on the service being provided to their relative. The inspector was able to view and verify the records of the extensive training given to staff as listed under Standard 35 above, which will be found in the previous sections comments, and considered these to contribute towards ensuring the health, safety and welfare of the residents of the home. In addition he examined the certificate of service for the central heating boiler dated the 22nd July 2005, the certificate of small electrical appliances testing that had taken place in September 2005, the certificate of Legionella testing had taken place in April 2005, and the regular records for the checking of emergency lighting, operation of fire alarms, procedures for the evacuation of the building, policies for the containment of substances hazardous to health, and certificates confirming that all the appropriate insurances were in place for the maintenance of the service in this home. In addition he was able to observe window restrictors, laminated product information sheets in case of accidental inhalation or spillage, the use of vinyl and powder free protective gloves when staff are undertaking personal or domestic tasks, and a series of risk assessments for aspects of and products used in the home. 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 4 4 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 4 X 3 3 4 LIFESTYLES Standard No Score 11 X 12 X 13 4 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score 3 X X 3 4 x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 10 Whitfield Avenue Score X 4 X 3 Standard No 37 38 39 40 41 42 43 Score 4 X 3 X X 4 x DS0000005111.V264654.R01.S.doc Version 5.0 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. Standard Regulation Requirement Timescale for action 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 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 10 Whitfield Avenue DS0000005111.V264654.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!