Inspection on 11/10/07 for 176 London Road

This inspection was carried out on 11th October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

176 London Road 08/02/07

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 176 London Road Waterlooville Hampshire PO7 5SP Lead Inspector Ms Sue Kinch Key Unannounced Inspection 11th October 2007 14:15 176 London Road DS0000067246.V347391.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 176 London Road DS0000067246.V347391.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. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 176 London Road Address Waterlooville Hampshire PO7 5SP 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) 02392 231983 H46013@mencap.org.uk Royal Mencap Society Mrs Heather Edney Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2007 Brief Description of the Service: 176 London Road is a converted detached property with a front drive for parking plus a rear garden with facilities for the residents. The building was purchased by Mencap and was refurbished to give a suitable environment for 2 specific service users. Each resident has her own bedroom with an en suite bathroom with a walk in shower, wash hand basin and a toilet. The home has its own vehicle to transport residents. Staff are provided for 24 hours per day. The first floor contains an office, a staff sleep-in room, an activity room and a bathroom. The exact fees for the home were not known by staff at the time of the inspection but are at least £1989.00 per week and staff said that these are based on individual needs. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the home’s second inspection since registration on 22nd August 2006. The inspection consisted of a review of the file held at the CSCI office and of an Annual Quality Assurance Assessment (AQAA) document completed and sent to CSCI by the manager before the inspection. The manager was on leave but conversations were held with four staff either individually or in the company of the residents. The residents rely mainly on non-verbal communication and elements of their preferences and choices could only be attained through observation and staff views. The physical environment was assessed and some records and documentation were examined. Surveys were sent to a sample of health and care professionals involved in the home .One was returned. What the service does well: What has improved since the last inspection? Improvements needed to the care plans for one resident in respect of personal care have been made. The home is extending use of pictorial diagrams to help residents understand information about the home. Residents’ records are securely locked when not being used Toilet cleaning chemicals are now securely stored when not being used. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 6 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. 176 London Road DS0000067246.V347391.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 176 London Road DS0000067246.V347391.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ continue to benefit from a service that has been has been tailor made to meet their assessed needs. EVIDENCE: No new admissions to the home since the last inspection were reported in the AQAA and staff confirmed this at the site visit. As noted at the last inspection the home has been specifically set up, designed and staffed to meet the needs and wishes of the two residents. This involved a variety of meetings with relatives and social services, assessments and a transition plan for each person. The physical environment was designed and refurbished to meet the individual needs of each person. Staff confirmed this. However it was suggested at the last inspection that improvements could be made in the way that the home communicates information to the residents. The manager explained in the AQAA that plans were in place for the Statement of Purpose to be in a pictorial format that will be easier for the residents to understand. At this inspection it was found that this has yet to be completed but there was evidence of increased use of pictorial formats in the home. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 9 Reviews with positive results were noted following the residents’ transition from previous accommodation. A further review has taken place for one person and is planned for the other although the homes monthly reviews do not take place consistently. However, staff feel that the home continues to meet needs. 176 London Road DS0000067246.V347391.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ wishes and preferences are planned to be met with individualised support taking risks into account and this will be enhanced as goals and aspirations are assessed further. EVIDENCE: Observations were made of the care provided at the home during the visit and it was noted that staff approached residents in a thoughtful way taking their particular wishes into account. One staff member spoken with gave examples of how one of the resident had benefited since being at the home and said that the person was more relaxed. An external professional spoke of the same resident who is a lot happier since moving to the home. The home continues to have a number of documents in place to identify the support needed by the residents. These were sampled and comprehensive person plans (care plans) were in place for both residents. These covered a range of needs, preferences and support to be provided by staff including 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 11 communication, health, relationships, activities, emotional and social needs and interventions. The personal care element of one plan missing for one person at the last inspection was found to be in place on this occasion. Risk assessments are in place and show that that residents continue to be able to exercise some control over their lives and that limitations are based on assessed needs. These have been updated. Staff have been asked by the manager to sign them to say that they have read them. This has not yet been fully completed. Since the last inspection the manager reported that work has taken place on person centred plans (PCP) with families. These were requested for viewing at the site visit. One plan was available at the inspection and the staff said that one is also intended to be in place for the other resident and thought that it may have been stored elsewhere. The one in place contains many details of the person’s life and includes photographs and pictures throughout. Clear goals and aspirations have not yet been developed. However, in the AQAA the manager stated that these are planned. Residents rely mainly on non-verbal communication and there is a communication album for one resident and a board using photos to plan the day for the other. Staff said that use of the latter had lapsed because the resident was currently less keen to use it. In the AQAA the manager stated that the service planned to produce media profiles, to include photos for cooking and choices and to build on individual goals and aspirations. 176 London Road DS0000067246.V347391.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ social, recreational, educational and occupational needs are met. EVIDENCE: Plans held for each resident include plans on a day-to-day basis. These are developed in line with their choices and staffing is arranged to ensure that 1-1 support is available for most of the day when residents are at home. Activities and interests were discussed with the staff in the company of the people living in the home and it was confirmed that a range of activities are pursued in the home and the community. One person had been at the day services and staff talked of that person’s favourite films and places to visit such as the pub and a local shopping centre. They confirmed that these places are visited and the daily records viewed supported this. The other person was noted to be encouraged to do favourite things at home such as listen to music, had plans in the evening to go to college for drama and was to be accompanied throughout by a member of staff. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 13 Support is given with social relationships. In the AQAA the manager said the home keeps a records of contact with family and plans are in place to look at how they can improve relationships with family and peers. Staff spoke of contact with family and confirmed that this was regular for both residents. It was noted in one person centred plan that staff were to assist the residents to make more friends. There was evidence of this having happened in the daily records. Staff support during the site visit was respectful and helpful taking the residents wishes into account. Food was discussed with one member of staff who thought that residents were provided with an adequate budget for a good healthy diet. Menus are in place and sometimes the residents are involved in food shopping. One member of staff spoke of how she had supported one of the residents due to specific needs and of support given with snacks. The home has menu plans showing a varied, nutritious and balanced diet for the residents, but the recording in daily diaries of food actually provided is not in enough detail to assess the adequacy of the diet. In the AQAA the manager said that the residents are encouraged to be involved in making snacks and are helped to make choices and she is planning to provide pictorial menus. 176 London Road DS0000067246.V347391.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. Residents’ health and personal care needs are mostly met although staff need to ensure that they record all cream applications and the home must be contactable at all times. EVIDENCE: At the last inspection there was sufficient evidence that health needs were met. At this inspection records were observed and with discussion revealed that this has mostly been continued. There was evidence of visits to the dentist, doctor and optician since the last inspection and of use of specialist health services. In the AQAA the manager said that health care has been reviewed with the health professionals in the community and this will continue. A comment was received about one resident occasionally, being unable to return home from the day service soon enough when unwell because of staff not being contactable. A comment was also received that one resident may be unhappy about cross gender care. Personal care was not recorded in sufficient detail in a care plan for one resident at the last inspection but at this inspection it was in place. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 15 Medication procedures have been followed and supplies are securely held. It was discussed with a member of staff who said that she had last received medication training six months before and had been re-assessed within the home a couple of months before this inspection. Training records did not record the training. However, the member of staff discussed medication and was aware of the policies and procedures required. Elements were discussed such as checking drugs coming in to the home. A monitored dosage system is in operation in the home and where checked drugs stored were correctly recorded. Record sheets are completed but some gaps were found where creams have been applied. 176 London Road DS0000067246.V347391.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. Residents are able to express their needs in the home and are supported and protected by staff aware of their role in safeguarding. EVIDENCE: The home reported not to have received any complaints since the last inspection and no entries were reported in the logbook held at the home. It was required at the last inspection that a complaints procedure was provided for residents so that they can understand how to make a complaint. A version using pictures is available in the personal files. Staff however, were able to give examples of how residents behave when they are not happy and the manager is planning to monitor this to assess needs further. In the AQAA the manager said that staff have had training in whistle blowing and adult protection procedures. The home has not made any adult protection referrals since the last inspection. Evidence sampled in the training records showed that staff are supported to attend a course named Protect and Respect and in adult protection. A member of staff spoken with about adult protection was aware of the role of staff and of other agencies. As noted at the last inspection each staff member is trained in dealing with challenging behaviour, including a British Institute of Learning Disability accredited course in crises prevention. A member of staff said that Mencap is going to provide further training in November 2007 but using a different 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 17 organisation. Support needed with behaviour of each individual is recorded in the care plans. There are policies and procedures for safeguarding residents’ finances and each person has a financial risk assessment. Money is held in the home for residents. Records sampled were accurate. 176 London Road DS0000067246.V347391.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): 24,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from a bright, modern, clean and airy home that has been purposely refurbished to a good standard and decorated to meet their needs and wishes. EVIDENCE: The home is a converted detached house set on two floors. As identified in the last report the refurbishment was tailored to meet the needs and wishes of the two residents. The quality of decoration and facilities has been maintained. Each bedroom is decorated in colours chosen by the resident and has an en suite bathroom with a walk in shower, a wash hand basin and toilet. Bedrooms are brightly decorated with numerous items of personal possession. Both residents chose to have their bedrooms on the ground floor. There are several storage spaces in the bedrooms with a safe place for the residents to store valuables. Each bedroom continues to have a ‘communication’ notice board, used to display photographs. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 19 The communal areas consist of a lounge–diner, from which the garden can be accessed. Various adaptations such as specialist ‘soft’ flooring, worktop levels in the kitchen, a call system and low surface temperature radiators remain in place.. There is an activity/sensory room on the first floor but the manager reported that preferably this would be provided on the ground floor to meet resident’s needs. Staff spoke of one person not feeling comfortable using the stairs to get to the activity room. In the AQAA the manager state that there is an infection control policy in the home and that all seven of the care staff have received relevant training. Laundry facilities are provided and a clinical waste contract was discussed with one of the staff who confirmed that this was in place. Staff also said that disposable protective items are in place in each bathroom. The home is also clean throughout. 176 London Road DS0000067246.V347391.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): 32,34,35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides sufficient numbers of well-trained staff to meet the needs of residents but regular supervision would enhance this. Residents are protected by the recruitment procedures but evidence of checks having been completed are needed for bank staff. EVIDENCE: Staff levels have not changed and the manager reported that the home provides 196 care hours each week. Evidence of hours worked were viewed on the rota. These hours allows for two staff on duty all day except from 10 in the morning until 2.30 when one resident is at a day service. Therefore residents are provided with 1-1 staffing. Staff said that this allows them to work individually with residents and meet their needs in and out of the home. Two staff members were on duty when residents returned from their daytime activities. One was a permanent member of staff and another worked at the adjacent Mencap home but sometimes completed shifts at this home. Both were able to describe their roles and had an understanding of the residents’ needs. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 21 At night a waking night staff is on duty with access to a sleep in person shared with the registered home in the adjacent building. A member of staff said that a full on call system for staff to use is in place. In the AQAA the manager reported that in the last twelve months all new employees had received satisfactory outcomes to employment checks. This was sampled and found to be satisfactory as at the last inspection. These showed that appropriate identity checks had been carried out as well as other checks such as obtaining two written references, and criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks. At this inspection no further recruitment was reported. However it was noted that there was no evidence of recruitment checks for staff used by the organisation’s bank service ‘Team-mates’. Staff said that they used regular people who had ID with them and, there were some training records in the home. A requirement has been made. In the AQAA the manager said that there is commitment to training. There is regular teambuilding, staff meetings and supervision and commitment to NVQ. Two staff have been assessed at NVQ or above and two more are working towards it. One member of staff agreed that another staff member is a PCP facilitator and it is planned to use that person’s skills further to improve on PCP in the home. The manager said that there are plans also to develop the team further with team building and training based on autism. Records are held of training and four files were sampled. This showed that staff covered a range of training and had received training in 2007. In one file records showed that one member of staff had only attended two sessions in 2007 although in discussion a staff member reported another course had been attended. The manager supports staff in the home but individual supervision is not always regular. In the files sampled dates recorded indicated that one member of staff had received none since January 07 and the last recorded session before that was in 2005. Another had received one since January 2007, a third had received three and a fourth, two. 176 London Road DS0000067246.V347391.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health and safety of residents is promoted but more monitoring is needed to ensure this is continued and all annual checks are completed. EVIDENCE: At the last inspection it was found that the manager has qualifications in NVQ 4 and the Registered Manager’s Award. She is an NVQ assessor. A staff member said that since the last inspection Mencap regional management had carried out a service review of the home on 12/9/07, which identifies the home’s strengths and those areas in need of improvement. The report had not yet been received at the time of this inspection. 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 23 In the AQAA the manager stated that there are monthly and quarterly reviews in a continuous improvement plan. Records of these were viewed and it was noted that monthly reviews had been regular but had not taken place since August 2007 and were overdue. Regulation 26 visits by a representative of Mencap had been regular and records provided but there was no evidence of a visit in September 2007. The way that residents’ wishes are included in plans was discussed with a member of staff who said that residents and family had not yet been formerly surveyed but that they had been consulted with care plans. Residents records found in an unlocked cupboard in the lounge at the last inspection are now securely locked when not in use in order to safeguard confidentiality. At the last inspection the home’s appliances and equipment had been serviced and maintained according to safety standards. At this inspection it was noted that there was no evidence of an annual gas service, which was due in August. The fire logbook showed that the fire safety equipment is tested to fire safety regulations with the exception of the annual specialist check of the system. There was no evidence of this having been completed. In the AQAA the manager said that all staff had received training in infection control and food hygiene. Evidence of other relevant courses being provided such as first aid, moving and handling and fire matters was noted in the training records. A requirement was made in the last report because a toilet cleaning chemical was not securely stored and had been left in a resident’s en suite bathroom. Similar hazards were not noted at this inspection. 176 London Road DS0000067246.V347391.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 x 2 3 3 x 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 4 25 x 26 4 27 4 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 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 YA34 Regulation 19 schedule 2 Requirement There must be evidence in the home of pre employment checks for relief staff to demonstrate that residents are adequately protected by employment procedures. Timescale for action 18/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 176 London Road DS0000067246.V347391.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 176 London Road DS0000067246.V347391.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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