Inspection on 17/05/07 for 17 Jerome Close

This inspection was carried out on 17th May 2007.

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 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

17 Jerome Close 30/05/06

17 Jerome Close 15/02/06

17 Jerome Close 10/11/05

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

CARE HOME ADULTS 18-65 17 Jerome Close Eastbourne East Sussex BN23 7QY Lead Inspector Nigel Thompson Key Unannounced Inspection 17th May 2007 09:00 17 Jerome Close DS0000021453.V338075.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 17 Jerome Close DS0000021453.V338075.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. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 17 Jerome Close Address Eastbourne East Sussex BN23 7QY 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) 01323 767399 01323 740846 jamesjemini@aol.com www.jemini-response.co.uk Jemini Response Mr James Edwards Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of young adults to be accommodated is three (3). The young adults accommodated will be between sixteen (16) and twenty-five (25) years on admission. Only young adults with a learning disability can be accommodated. Date of last inspection 30th May 2006 Brief Description of the Service: The home is situated in a residential estate on the outskirts of Eastbourne and is close to local shops, bus routes and community facilities. The detached property has three bedrooms. A lounge-dining room, cloakroom, kitchen, staff lavatory and third bedroom on the ground floor. On the first floor there is a bathroom with lavatory, two bedrooms and an office. There is a triangular shaped open front garden where additional parking space has been added. The rear garden is enclosed by perimeter fencing and is grassed with a small paved area near the home and a fenced and gated area that can enclose a paddling pool at the furthest end of the garden. The home is one of two owned by the proprietor in the road; and the proximity of the sister home allows for joint activities to be planned and take place. The home is registered for young people with disorders within the autistic spectrum and challenging behaviour. The proprietor intends that the young people in the home will be able to remain living there throughout their lives. Referrals are usually through professional contacts. Current fees are £2,000 - £2,400 per week. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in May 2007. It found that the majority of the key National Minimum Standards that were assessed had been met or partially met. The overall quality of care provided was good. A service user spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were three service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with one service user, (the meeting took place at the local college and was facilitated by a tutor with specialist skills in Makaton), one member of care staff at the home, the Registered Manager and Provider. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. The purpose of this inspection was to monitor care practices at 17 Jerome Close and the focus was on the quality of life for people who live at the home. What the service does well: The service provides individual care in a homely setting with a variety of wellstructured activities. The staffing ratio is one to one at all times as the young people are assessed as having high needs. There is encouragement to each young person to engage in the local community with appropriate social behaviour. There has been a development over time with the home and the Family Intensive Support Services (FISS) team to develop individual choices for the young people particularly in regard of their personal needs. There has been informed contact with families where appropriate and close liaison with social worker as necessary. The service continues to offer a wide range of care related training and training with Dan Hobbs, from America, one of the first teachers of Gentle Teaching. 17 Jerome Close DS0000021453.V338075.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. 17 Jerome Close DS0000021453.V338075.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 17 Jerome Close DS0000021453.V338075.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): 1, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The thorough admission policy and procedures ensure that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Information made available ensures that prospective service users and their relatives and representatives know that the home is able to meet their individual care and support needs. EVIDENCE: Information is available to prospective and existing service users in various formats. The Statement of Purpose and Service User Guide have been thoughtfully and imaginatively produced to a high standard and are both comprehensive and informative. Both documents have evidently been reviewed, as required, since the previous inspection and accurately reflect the current situation within the home. The Statement of Purpose provides details of the Registered Manager, staffing structure and overall service provision, including the accommodation, the arrangements for service users to engage in social and leisure activities, the 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 9 arrangements for dealing with concerns or complaints and the systems for ensuring that individual needs are identified, met and reviewed in accordance with person centred planning. The Service Users’ Guide is presented in an easy to read and understand format, which incorporates the use of pictures and symbols. It gives an overview of the philosophy of care, purpose of the service, accommodation and outlines what support and care individuals can expect from the home. As part of the service’s thorough admission procedure, a detailed preadmission assessment form has been developed and includes information relating to the individual’s personal, medical, social and psychological care and support needs. Prospective service users and their relatives are encouraged to visit the home and have the opportunity to look around and meet with members of staff and existing residents. The manager confirmed that new service users undergo a flexible trial period at the home, during which time their suitability and compatibility are assessed and it is established whether their identified care and support needs are able to be met. It was noted that there have been no admissions to the home since the previous inspection. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: Service users individual care plans that were examined contained comprehensive details of their personal, psychological and emotional support needs and were found to be accurate, up to date and generally well maintained. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 11 The manager emphasised the importance of staff developing close working relationships with individual service users and being aware of subtle changes in mood or behaviour. Comprehensive daily records are maintained of service users’ health, welfare and outcomes for each day. The manager confirmed that such records, including personal objectives, risk assessments, activities, education, achievements and behaviour are reviewed monthly. Identified goals and an individual timetable are developed and provide an effective guide for staff regarding their interaction with service users, to ensure continuity and consistency of approach. Individual weekly timetables that were examined were found to include a wide range of activities, both in house and in different community settings. The vital importance of consistency and routine within the home is clearly and impressively demonstrated by the development and effective use of personalised ‘Flow’ charts. The timetabled charts provide staff with comprehensive details of action to be taken to meet an individual’s assessed care and support needs at various times throughout the day. The young people living in the home use Makaton sign language and Picture Enhanced Communication System (PECS). Service users are encouraged to take part in certain domestic activities, reflecting their abilities, including assisting with food preparation and vacuuming. The Family Intensive Support Services (FISS) continue to provide guidance to staff and one to one support for the young people in their preferred method of communication. The manager confirmed that service users are encouraged and supported to make decisions about their day to day living and there was evidence of effective consultation systems being in place. Service users are clearly consulted regarding many aspects of their day-to-day living, including what food they prefer and choosing both individual and collective social, recreational and leisure activities. Staff spoken to during the inspection confirmed that, despite the variable and limited communication of the service users, effective and regular interaction and consultation takes place constantly. The home operates a key-worker system and staff regularly work on a one-to-one basis with service users. 17 Jerome Close DS0000021453.V338075.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): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and meals that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 13 As previously documented, the young people follow an individual weekly timetable that provides opportunities for a wide range of activities in different community venues, for which there are risk assessments in place, including horse riding, swimming, walking and sensory massage. Individuals are well known in the local community attending leisure facilities, shopping, eating out and going to the pub and these experiences increase their social skills and confidence. The manager confirmed that, where appropriate, service users’ family links are supported, however not all service users have regular family contact. Meals are varied and balanced and are based on service users’ identified likes and preferences. An alternative to the main meal is always available and specialist diets are catered for. It was noted that a ‘Healthy Eating Plan’ has been developed for one service user with a dairy intolerance, whose weight has also increased recently. To ensure consistency, copies of this plan are in place in the kitchen and in the individual’s care plan. A member of staff confirmed that service users are regularly involved in basic food preparation. Staff and service users continue to eat their evening meal together. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: In accordance with their personal care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During a visit to the local college, service users were observed being supported in a sensitive, professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care needs of service users continue to be met within the home. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 15 All service users are registered with local GPs and have access to other health care professionals, including district nurses, physiotherapists and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Since the previous inspection the manager confirmed that reflexology has been introduced in the home and is proving to be popular with service users. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. It was noted that in all cases where medicines are administered to service uses, record sheets are routinely signed by two members of staff. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. The manager confirmed that, following risk assessments, no service user currently self-administers their own medication. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: A clear, accessible and recently amended copy of the home’s complaints procedure is in place in the entrance hall for the benefit of service users’ relatives and other visitors to the home. All complaints are recorded and include actions taken and outcomes achieved. Close working relationships, effective and ongoing communication and consultation provide adequate opportunities for any concerns to be raised and addressed, before they become complaints. A service user and a member of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 17 It was noted that there have been no concerns or complaints recorded by the home since the last inspection. The organisation has produced detailed policies and procedures relating to adult protection and abuse, including a whistle blowing policy. The manager confirmed that staff have undertaken specific adult protection training, in accordance with the multi agency guidelines for the protection of vulnerable adults. This was evidenced through individual training records. 17 Jerome Close DS0000021453.V338075.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): 24, 25, 26 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is accessible, safe and clean and remains suitable for it’s stated purpose. Service users benefit from accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: It is evident that there have been some changes to the physical environment of the home since the previous inspection other than routine redecoration and refurbishment and standards remain satisfactory throughout. The manager confirmed that floor covering has been replaced throughout the ground floor and new carpets have been fitted in two service users’ rooms as 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 19 well as the hallway, staircase and landing. The dishwasher, fridge and tumble drier have been replaced and new garden furniture has been provided outside. During my ‘guided tour’ of the premises, including service user accommodation and spacious communal areas, it was evident that the well maintained décor and adequate furniture and furnishings continue to provide a comfortable, pleasant and homely environment for service users. The manager confirmed that independence and individuality continue to be promoted within the home and this is evident from the personalising of service users’ individual rooms, which clearly reflects individual tastes and interests. On the day of the inspection, levels of cleanliness and hygiene throughout the home were found to be satisfactory 17 Jerome Close DS0000021453.V338075.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): 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is always sufficient trained and competent staff on duty to meet the assessed needs of the service users. Service users are protected by satisfactory staff recruitment policies, procedures and documentation. EVIDENCE: The stable and dedicated staff team remains clearly able to meet the assessed, individual and collective needs of service users within the home. All new employees are provided with a comprehensive job description and staff spoken with during the inspection demonstrated a sound understanding of their individual role and responsibilities. The manager clearly recognises the importance of a skilled and competent workforce. In addition to the comprehensive induction programme undertaken by all newly appointed staff, appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. It was 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 21 also evident that since the previous inspection personal development folders have been implemented for each member of staff. Two members of staff hold the NVQ level 2 qualification with a further six staff currently studying for the award. This represents 80 of care staff who are working toward the qualification. A current duty rota was made available for inspection and indicated that sufficient staff are employed to meet the assessed care and support needs of service users. The manager confirmed that formal supervision is provided for all care staff every two months. In accordance with organisational policy, it is evident that the home continues to operate thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a competent and experienced management structure and are protected by satisfactory health and safety procedures. Their best interests are safeguarded by adequate and effective quality monitoring systems. EVIDENCE: The manager holds the Registered Managers Award (RMA) and is clearly competent to run the service. He has many years experience in caring for and supporting young people, with complex needs. He updates his skills and regularly attends relevant training with his staff, which supports the exchange of knowledge and practice within the home. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 23 Quality assurance is more thoroughly managed by a senior member of staff in the home and the manager countersigns the weekly and monthly audits to ensure consistency. Satisfaction questionnaires, relating to the services provided, are sent to parents, college tutors, the Family Intensive Support Services (FISS) team and social workers. Positive responses to a recent survey include: ‘Excellent, supportive and professional’. ‘I have always found that communication is good and the staff are very approachable’. ‘They (the management) keep us well informed and include us in all that is decided’. The manager confirmed that the health, safety and welfare of service users and staff remain of paramount importance within the home and staff training is provided in many aspects of safe working practices, including moving and handling, food hygiene and first aid. Two members of staff have attended fire prevention training and are able to instruct colleagues. Fire prevention equipment is maintained and drills are held at appropriate regular intervals. COSHH assessments and guidelines are in place. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 25 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 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 17 Jerome Close DS0000021453.V338075.R01.S.doc Version 5.2 Page 27 - 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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