Inspection on 30/08/05 for 104 Tolworth Park Road

This inspection was carried out on 30th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

104 Tolworth Park Road 21/06/07

104 Tolworth Park Road 26/01/05

104 Tolworth Park Road 10/01/05

104 Tolworth Park Road 22/06/04

104 Tolworth Park Road 24/10/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Tolworth Park Road, 104 104 Tolworth Park Road Surbiton Surrey KT6 7RH Lead Inspector Michael Stapley Unannounced 30th August 2005 09:30 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 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 Stationary 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. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Tolworth Park Road, 104 Address 104 Tolworth Park Road Surbiton Surrey KT6 7RH 020 8274 2747 020 8274 2747 john@the regardpartnership.com The Regard Partnership Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Catherine Juliet Condry Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: A variation has been granted to allow one specified service user over the age of 65 to be accommodated. Date of last inspection 260105 Brief Description of the Service: 104 Tolworth Park Road is a residential care home providing personal care and accommodation for up to six adults with a learning disability. At the time of this inspection there were four females and one male residing at the home. The home itself is owned and managed by the Regard Partnership. The home is located in a residential area of Tolworth, approximately two miles from Surbiton, four miles from Kingston-upon Thames and within easy reach of the A3 and M25. There are local shops, pubs, post office and other amenities close by.The home consists of single story accommodation and was purpose built as a care home. It is domestic in character and all of the service users have a single bedroom. There is a garden to the rear of the house where a spacious chalet has been built. This is used in the day as an office and at night as a staff sleeping-in room. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home was inspected under the National Minimum Standards Care Homes for Younger Adults. The inspection took place over one day on 30th August 2005. The registered manager, Ms Cathy Condry was present throughout the inspection and the inspector also spoke to the two support workers on duty and all of the service user’s. At the time of the inspection staff were undertaking medication training, which has been accessed from Guildford College. During the course of the inspection it became apparent that the home was in the process of reorganizing its administrative systems and preparing for a Health and Safety Inspection. As a consequence some of the records appertaining to regulation were not available. These records will therefore need to be inspected at the next inspection. Records examined included service user plans; care manager needs assessments and risk assessments, medication records, complaints, staffing records, health and safety and fire records. Requirements made during the course of this inspection were discussed and agreed with the registered manager. What the service does well: Service users are very much the centre of attention in the home; all of them have a programme of day care, save for one who does not which to access such services. The home seeks to promote the independence of service users and ensure equality of service. All of the service users have resided at the home for a number of years and as a consequence are very much involved in running the home. Individual care plans are very comprehensive and headings include a pen portrait of the service user, weekly activities, health needs and communication skills to mention a few. The arrangements for health care needs of the service users is good, all service users are registered with a local General Practitioner, the home has the support of the local pharmacist for advice on medication. Staff members have access to a range of training courses, including NVQ’s to build on their skills to ensure that they are able to meet the service users assessed needs. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: From discussion with the manager it was evident that there had been a number of staffing issues at the home, which the managing authority needs to address. Although the home has a deputy manager who is highly regarded by the manager they currently have two vacancies one post being a senior support worker. In addition on a number of occasions staff have been seconded to work at other projects that the managing authority has. This clearly affects the stability of the staff team and undermines the work they undertake with the service user’s. Stability is important if the home is to continue to build on its positive foundations and have a clear vision for the future. While the home is now using Personal Care Plans it was noted that a number of risk assessments needed to be reviewed including a risk assessment for those service user’s who self medicate. There were a number of requirements that need to be addressed not least the lack of a fire risk assessment. Other outstanding matters relate to requirements in respect of Health and Safety and medication. . Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 7 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. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 9 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 standard(s) 2 and 5 The home provides good information and introduction opportunities for prospective service users to make an informed choice about moving to the home. Contracts between the home and the service users contain all the information required under standard five thus ensuring the rights of the residents of Tolworth Park Road. Staff at the home have access to a wide range of training programmes thus enabling them to offer an effective care programme for service users. EVIDENCE: The home has a preadmission procedure; prospective service users are able to visit the home on an individual basis. Service users are only admitted to the home once a full assessment of their needs; compiled by their care manager or other relevant person has been received. All of the service users at Tolworth Park Road have lived at the home since it opened in 2002 and in discussion with the staff it was evident that assessment is on going and is seen as very much part of the care plan. Personal Care plans are based on the home’s individual system which is an in depth assessment of all aspects of service users personal care, social, recreational and emotional needs. In addition care plans include ‘My life plan’ and ‘Where I live’ forms designed for the service users at the home. Each service user also has a ‘I want to speak up’ form which the service user can complete with the support of staff. The Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 10 management of the home then duly complete a ‘response form’ this clearly encourages service user’s to communicate more effectively and speak about any concerns they may have. The home carries out internal six monthly reviews where information is up dated and care plans changed as appropriate. There are also yearly reviews carried out with the service users, their families and other professionals as appropriate. The manager advised that all service users have access to an advocate. In addition an advocate from ‘Shout’ attends service user meetings. These meetings empower service user’s and enable them to become far more assertive The home has an excellent training programme including NVQ training. The managing company has a training coordinator and a monthly training audit is undertaken for all staff. The training programme includes first aid, health and safety, medication, supervision training for senior staff, makaton training. Contracts inspected contained all the information as required under standard 5.2. thus ensuring service user’s rights. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 11 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 standard(s) 6, 7 and 9. Service user care plans contain all the information required as per standard six. Staff at the home have all the information they require to satisfactorily meet the needs of the service users. Service users have individual risk assessments and risk management strategies carried to enabling them to participate in activities in the home and in the community with appropriate support. EVIDENCE: Service user individual care plans are comprehensive and contain all the elements of standard six. Care plans contain a pen portrait of the service user, weekly activities, health needs and communication skills. Service users and their respective families are involved in drawing up such plans as outlined in standard 6.6. In addition service users have a key worker. Service user’s have their own personal file which they keep and may refer to. The key worker ensures that minutes from key worker meetings are written in a format that service user’s can understand. The home is very service user focused. Service users are encouraged to become far more involved in the home. House meetings that take place every four to six weeks are used as a communication Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 12 tool to empower service users. Service users files sampled at random all had individual risk assessments and risk management strategies, although some of the later require review. Service users are encouraged to make their own decisions within the context of risk assessment wherever possible. All service users have individual choice and the home provides an independent advocate where desired. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 13 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 standard(s) 12, 13, 14, 15 and 17. The daily routines and house rules promote residents’ rights and encourage independence. Service users are given opportunities to engage in age appropriate activities with an emphasis on using community-based facilities. Dietary needs are catered for and a balanced diet is provided, to ensure a nutritious diet based on personal preferences. EVIDENCE: The home is supporting service users to access appropriate activities through the activity programme. The service users access local parks, cafes, theatres, local leisure facilities and shops. In addition to swimming, gym and library. The staff team are available to support service users while accessing community resources. Service users spoken to stated that they enjoyed the activities on offer at the home. Service users at the home have an annual holiday, some had recently returned from Spain while suitable holiday arrangements were in Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 14 the process of being made for other service users. Parents, relatives and friends are encouraged to visit the home whenever possible. Service users have access to a wide range of educational facilities and the manager advised that the home is hoping to access courses from SCOLA, Sutton College of learning for adults. Weekly menus were constructed with the aid of the service user’s personal choice, advice from service user’s families and the experiences of the staff. One service user said that they enjoyed what they had to eat at the home. The home does not have its own vehicle but uses community transport. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 15 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 standard(s) 18, 19 and 20. Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ medication is well managed to ensure good health. EVIDENCE: Health records are maintained for each service user. Service users record examined during the inspection demonstrate that the service user had access to routine health checks and specialist health care. Significant events and accidents are recorded and monitored. The staff team at the home keep a central record of incidents as well as an individual record on service user’s files. Staff members monitor service user’s health and maintain up to date records. Some of the staff team including the night staff have undertaken medication training. The pharmacist visits the home on a regular basis. Unfortunately the report from the last inspection was not available so this will need to be reviewed at the next inspection to ensure compliance with regulation. All medication records were correct at the time of the inspection. However it was noted that a risk assessment for service user’s who self medicate was out of date and needed to be reviewed. In addition tubs and tubes that had been opened did not have the date of opening written on them. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 16 Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 17 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 standard(s) 22 and 23 There is a complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users. EVIDENCE: The home has a detailed complaints procedure. A pictorial format of this procedure has been developed and provided to service users. The Registered Manager said that no complaints have been made to the home since the last inspection. There are also policies and procedures in place regarding the protection of vulnerable adults. All staff has received appropriate training in Vulnerable Adult Abuse. The staff team are aware of the action they must take if they need to report an incident. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30. Service user’s bedrooms provide privacy and reflect individual interests and preferences. The home is homely, bright and clean with the necessary adaptations in place, thus providing the service users with safe, comfortable surroundings that meet their needs. EVIDENCE: The home is a single story building in a quiet residential road. It is situated in Tolworth and is close to local shops and amenities. There is a large communal lounge as well as a spacious kitchen/dining room. The furniture is domestic, flame retardant, and of good quality. There has been some improvements in the décor of the home since the last inspection although some areas, notably the kitchen area look shabby and in need of decoration. The registered manager stated that a programme of redecoration for this area is due to be implemented. In addition new furnishing, fixtures and fittings are to be purchased as required. There is also a pleasant garden at the rear of the home. Bedrooms viewed provided sufficient and suitable furniture. All areas of the premises viewed Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 19 were clean and free from offensive odours. Systems are in place for controlling the spread of infection. This includes staff training in this area. The home has one bathlift, which was tested under the Loler regulations on 22nd April 2005 and found to be in good working order. The home has thermostatic valves fitted to the bath to avoid any scalding accidents. The temperature of the water is taken and duly recorded. Laundry facilities were found to be reasonable although the inspector expressed concern that a freezer was situated in the same area as in the laundry. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35. 31, 32, 33 and The staff team at the home have a range of skills and ability, which appear to meet the needs of the service users. The staff team have all had Criminal Records Check, as a safeguard to offer protection to the homes service users. EVIDENCE: The home offers training opportunities to staff at all levels within the home. New members of staff complete an induction programme covering various subjects including health and safety, fire drills, and introductions to service users and other staff. The induction programmes are signed, dated and kept on staff files. Criminal Records Checks are completed before a new member of staff can begin work in a home. The home has a very experienced staff team consisting of manager, deputy, senior and seven support workers. The manager is currently completing her Registered Manager’s Award (RMA) and four of the support workers are in the process of completing NVQ training. The manager and deputy manager offer professional support to the support workers in addition to bank staff. They are currently responsible for the supervision of junior staff which is in line with the standard. The manager advised that staff meetings usually take place every four weeks. They are used as a communication tool, where information is shared and Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 21 common themes are addressed. Staff meetings minutes evidenced were clear and focused on service users needs. There are two staff members on duty on each shift, plus one member of staff sleeping-in. There are suitable on call arrangements in place in case of an emergency. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 22 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42. The management of the home appears to be open and transparent with clear lines of accountability, which is aimed at ensuring the well being of the service users. EVIDENCE: The manager and deputy manager offer support and supervision to the support workers at the home. There were good support mechanisms in place and the manager meets with the area manager to discuss any issues concerning the home, efforts are made to meet any concerns or improve the service. The home has an annual development plan and business plan for 2005-06, which was available for inspection. The managing company ensure all records are in place by completing six monthly audits in addition to monthly regulation 26 reports. Records required for the safety and well being of service users are in place including accidents, water temperatures, complaints, incidents, food records, Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 23 fire records, staff and service user’s case files, medication records. Fire drills are up to date although a fire risk assessment had not been completed. The residents are beginning to benefit from a stable staff team and a continuity of approach this generates. However for residents and their stakeholders these developments need to be consolidated and built on in order for them to be confident that their best interests are safeguarded, their views are taken into account and the home is well managed. The system for consultation with service users, families, stakeholders and other interested parties is excellent. The quality assurance system includes service user, relatives, staff and outside professional questionnaires. The home will need to evidence that the results of the surveys are published and acted on for the benefit and wellbeing of the service users at the home. Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 24 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tolworth Park Road, 104 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 2 x G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 25 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 YA9 Regulation 13 Requirement The registered person must ensure that all service users risk assessment are reviewed and monitored on at least an annual basis The registered person must ensure that outdated creams and tubes are disposed of within laid down timescales after they have been opened. Tubes and tubs must be clearly labelled with the date of opening. The registered person must ensure that all service users who self medicate have an up to date risk assessment. The registered provider must ensure that risk assessment are carried out for all safe working practise topics in Standard 42.3 and 42.4. In addition all generic and individual service user risk assessments must be reviewed. The registered person must ensure the home has a fire risk assessment. The registered provider must send to the CSCI, local office a copy of the current legionella certificate and a current landlords gas certificate of G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Timescale for action 311205 2. YA20 12 300905 3. YA20 12 300905 4. YA42 12 311205 5. 6. YA42 YA42 23 12 300905 300905 Tolworth Park Road, 104 Version 1.40 Page 26 safety. 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 Good Practice Recommendations Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 27 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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 Tolworth Park Road, 104 G53-G53 S29148 Tolworth Park Road(104) unann V187985 240805 Stage0.doc Version 1.40 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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