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Inspection on 07/02/06 for 18 Leafdown Close

Also see our care home review for 18 Leafdown Close for more information

This inspection was carried out on 7th February 2006.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The ethos of Leafdown Close is to promote the rights and independence of the service user, providing the necessary support to ensure that the individual lives a full and active lifestyle having a valued role within society. Discussions with the service user confirmed that she had an active social life and had future plans to obtain paid employment. The care plan and the risk assessment not only identified the support and assistance required to maintain the service users welfare but also identified goals achieved in the past and future aspirations. There was a positive emphasis focused on providing a high standard of care in an environment that promoted normal daily living.

What has improved since the last inspection?

Leafdown Close continues to provide a quality service with a positive outlook to the future. The Registered Manager liaises with the day care service and other relevant outside agencies to ensure that the service user has access to necessary services to ensure her social development and with regards to obtaining paid employment.

What the care home could do better:

The last inspection report identified a requirement; with reference to the Registered Manager continuing to undertake periodical training, in relation to first aid, this requirement still remains outstanding. The Inspector acknowledged that appropriate actions were being taken to address this requirement.

CARE HOME ADULTS 18-65 18 Leafdown Close Hednesford Cannock Staffordshire WS12 2NJ Lead Inspector Dawn Dillion Unannounced Inspection 7th February 2006 02:00 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 18 Leafdown Close Address Hednesford Cannock Staffordshire WS12 2NJ 01543 425637 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) Mrs Valerie Bullman Mrs Valerie Bullman Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th September 2005 Brief Description of the Service: Leafdown Close is a residential home located in Hednesford, Staffordshire; the home is registered to provide a service for one adult, category of registration learning disability. The two-storey semi detached property comprises of a lounge, leading to a dining area and a fitted kitchen. On the first floor level there are three single occupancy bedrooms and a bathroom that is equipped with a toilet, washbasin and a shower. There is a well-maintained garden at the rear of the property, adequate car parking facility is provided at the front of the premises. Leafdown Close provides a warm and welcoming atmosphere with a positive emphasis focused on normalisation, providing the necessary support and assistance to ensure that the service user has access to leisure facilities and to have a valued role within her local community. All healthcare services are accessible to the service user to ensure and maintain all healthcare needs. The service user attends day care services four times a week and was able to access the local colleges via this route. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of Leafdown Close was undertaken in three hours; the Registered Manager was present throughout the inspection. The methodologies used to ascertain the quality of the care and service provided at the home, involved the examination of records and systems in operation, to ensure compliance with the National Minimum Standards and the Care Homes Regulations. A tour of the premises was undertaken to ensure that the environment was conducive in meeting the needs of the service user. An informal interview was undertaken with the service user to obtain her views and opinion with regards the service provided and to also establish her general experience, in relation to the support provided and opportunities with regards to social inclusion and suitable stimulation. Leafdown Close is registered to provide a service for one service user, a high standard of care was provided within the home, with a positive emphasis focused on the promotion on the individual’s rights. What the service does well: The ethos of Leafdown Close is to promote the rights and independence of the service user, providing the necessary support to ensure that the individual lives a full and active lifestyle having a valued role within society. Discussions with the service user confirmed that she had an active social life and had future plans to obtain paid employment. The care plan and the risk assessment not only identified the support and assistance required to maintain the service users welfare but also identified goals achieved in the past and future aspirations. There was a positive emphasis focused on providing a high standard of care in an environment that promoted normal daily living. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 The Statement of Purpose provided essential information, relating to the service and facilities provided at the home, to enable prospective service users to establish whether the home would be suitable to meet their needs. A formal contract provided the necessary information relating to the terms and conditions of residency. EVIDENCE: The Statement of Purpose had recently been reviewed, providing up to date information, relating to the current service and provisions available within the home. The document was detailed and provided the necessary information in compliance to Schedule 1, of the Care Homes Regulations. Leafdown Close is registered to provide a service for one service user, who had been in residence for a number of years. The Registered Manager was fully aware that any future prospective service user would have to be subject to a pre admission assessment prior to admission; to ascertain the homes suitability to meet the individuals identified needs. The examination of records and discussions with the service user confirmed that she had access to relevant healthcare services for routine health checks. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 9 The service user did not have any specific cultural needs; discussions with both the service user and the Registered Manager confirmed that she regularly attended church on Sundays. General observations throughout the course of the inspection, identified that the service user was comfortable within her environment and that both service user and the Registered Manager interacted and communicated in a positive manner. The service user had a self-advocate and had also developed a good relationship with her key worker at the day centre. A formal contract with regards to the terms and conditions of residency was issued to the service user, of which was signed and dated by the relevant parties. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, and 9 The homes practices were proactive in promoting the rights of the service user and to ensure that the appropriate support and assistance was provided to enable her to live a full and active lifestyle. The care plan provided information relating to the necessary support, assistance and training required to enable the service user to develop new skills and enable her to live independently in the future. EVIDENCE: The care plan was developed with the involvement of the service user and focused on the service users goals and aspiration, identifying the support and assistance required to enable her to achieve her identified goals. The care plan was reviewed on a regular basis to reflect the changing needs of the service user. Discussions with the service user confirmed that she was actively involved in all decisions, relating to her welfare and general lifestyle. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 11 A Community Care Assessment Review was undertaken on 28 September 2005, to review the service users care needs and placement. The service user was fairly independent and required minimal support in certain areas of her life. With reference to the management of financial affairs, the service user required some element of support within this area of which, was provided by the Registered Manager. The homes practices and the Registered Managers approach encouraged the service users participation, in the day-to-day running of the home. The service user was integrated within the family setting and was involved in all the family’s social events. There was a risk assessment in place that identified potential hazards, the risk assessment provided information relating to the appropriate control measures to reduce or eliminate the identified risk; the risk assessment was reviewed on an annual basis. It was pleasing to see that there was a positive approach to enable the service user to take an informed risk. The Registered Manager recognised the importance of confidentiality and the Inspector was satisfied that systems and the Registered Managers approach and attitude, ensured that all confidential matters were only accessible to authorised persons. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 The homes practices and the Registered Manager approach promoted the rights and independence of the service user, ensuring that the individual had access to relevant services, to learn new skills, and to have the opportunity to live independently in the future. There was a positive emphasis focused on social inclusion and to enable the service user to socialise with her peer groups. EVIDENCE: There was a positive emphasis focused on promoting the development of the service user’s social, emotional, communication and independent living skills. The service user had access to the local college via the day care service, to learn and develop new skills. As previously identified within the contents of this report, the service user was able to continue to practice her religious faith. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 13 The Registered Manager had established close links with the day care service, to ensure that the service provided was conducive in meeting the needs of the service user. The service user attended day care services four days a week, the service user informed the Inspector that she worked within the kitchen at a café on Wednesdays on a voluntary basis, previous to this she also worked at a supermarket. Discussions with the service user identified that she was actively seeking a permanent paid employment. There was a positive focus on social inclusion and the service user was provided with the opportunity to socialise and visit new places to ensure that she had valued life experiences. The Registered Manager informed the Inspector that holidays in 2005 consisted of visits to the Lake District, Spain, Austria and Switzerland. Plans for the forthcoming year consisted of an outings to Manchester theatre to see a performance, a concert in May to see G4, London theatre to see the Lion King. Brenda is to take part in the show Oklahoma at the Prince of Wales, Cannock in september. Holidays were arranged to visit Spain, Isle of White and Blackpool. Discussions with the service user confirmed that she had a choice with regards to social activities. The previous inspection report identified that 50 of the cost of holidays were funded by the home. The service user was provided with the necessary support and assistance to enable her to maintain contact with her family and friends. Discussions with the Registered Manager identified that the service user often visited her friend for afternoon tea. Leafdown Close is a normal domestic dwelling located in a residential area and the routine within the home promoted normal daily living and ensured that the service user had a positive role within her local community. There were no restrictions posed within the home and the service user was observed to have freedom of movement throughout, having access to all facilities, the service user was also in receipt of a front door key. The general routine within the home was that of any normal domestic dwelling. The service user undertook light domestic tasks and was responsible for maintaining the cleanliness and hygiene standard of her bedroom. With reference to meals and mealtimes, discussions with the Registered Manager confirmed that meals were provided in relation to the service user’s daily choice. The service user informed the Inspector that meals were nice and that the Registered Manager was a good cook. The service user did not have any special dietary requirements. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 14 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20 and 21 The service user had access to relevant healthcare services for routine health screening. There was an awareness of the changing needs of the service user, in relation to age, the development of new skills and life experiences, in view of adapting the service to meet these changes. EVIDENCE: General discussions with the service user confirmed that she had access to relevant healthcare services for routine health screening. The service user was fairly independent and was able to maintain her personal needs independently. The Registered Manager provided the necessary support, assistance and guidance when required. The general routine within the home was flexible and the service user was able to retire to bed and awake when she so wished, and to pursue other daily activities at her own discretion. With reference to the homes medication system, the service user administered her medication and maintained a clear and accurate record of medicines taken. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 16 The Registered Manager encouraged the service user to learn new skills and was open to the possibility of the service user living independently in the future. Discussions with the service user confirmed that she was happy with the care and service provided at the home and that she wished to remain there indefinitely. Leafdown Close is able to provide a home for life and if the service user’s needs changed, the home would endeavour to provide the appropriate support, aids and adaptations to meet these needs. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 There was a clear and accessible complaints procedure in place, the manner in which the home was managed ensured that any concerns between the service user and the Registered Manager would be resolved in a professional manner, so not to damage the relationship. EVIDENCE: There was a complaints procedure in place of which was accessible to the service user, information relating to the Commission For Social Care Inspection and contact details for Social Services was identified on the document. The Commission For Social Care Inspection has not received any complaints relating to the home in recent years. The service user had access to a self-advocate at the day centre and would also be able share any concerns with her key worker. The service user also informed the Inspector that she was happy at Leafdown and that the Registered Manager looked after her well. Discussions with the Registered Manager confirmed that some element of support was required with reference to the management of the service user’s financial affairs. The examination of records relating to the Registered Manager and the appointment of a casual worker evidenced that a Criminal Record Bureau check had been undertaken. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 27, 28, 29 and 30 The general environment was stimulating and conducive in meeting the needs of the service user. Routine safety checks ensured the safety of the home, promoting the welfare of the service user and other individuals accessing the property. EVIDENCE: Leafdown Close is located in Hednesford, Staffordshire and is accessible via public transport. The semi-detached property was in keeping with the local community and provided three single occupancy bedrooms (registered to provide residential care for one). En suite facility was not provided; the bathroom was located in close proximity to the bedroom. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 19 The bathroom was located on the first floor equipped with a bath, toilet, washbasin and shower. On the ground floor there was a lounge area, which provided a comfortable area for relaxation. Leading from this area was a separate dinning room. There was an attractive fitted kitchen in place. The garden at the rear of the property was well maintained. Adequate parking facility was provided at the front of the property. The general cleanliness and hygiene of the home was of a very high standard. Smoke detectors were installed throughout the home and records confirmed that fire-fighting equipment were serviced on a regular basis. The service user showed the Inspector around her bedroom, the bedroom was tastefully decorated and was equipped with essential furnishings and items to provide a comfortable area; the service user informed the Inspector that she was happy with her bedroom. Adequate heating, ventilation and natural lighting were provided throughout the home. Leafdown is a normal domestic dwelling and there were no specific systems in place with regards to infection control. As previously identified the cleanliness and hygiene within the home was of a very high standard. The service user did not have any physical or sensory impairment hence, there were no specialist systems or adaptations required, past discussions with the Registered Manager confirmed that if and when necessary, every effort would be made to provide the necessary adaptation to meet the needs of the service user. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 35 The Registered Manager provided the necessary care and general support, having a positive focus on the development of new skills of which, has resulted in the increase of confidence and independence of the service user. EVIDENCE: Leafdown Close provided an ethos of normal daily living; there was no staffing or management structure within the home. The Registered Manager was experienced within social care and was committed in providing a high standard of care and a diverse service in meeting the needs of the service user. One staff member that was also a friend of the family was currently employed on a casual basis, to provide additional support if and when required. General discussions with the Registered Manager confirmed that the casual staff was very occasionally used due to the service user’s improved skills and independence over the years. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 21 The previous inspection report identified a requirement; in relation to the Registered Manager undertaking further training in first aid, this requirement remains outstanding. The Inspector acknowledged that appropriate arrangements were being made to undertake this training. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 There was no management structure or permanent staff provided, the service was diverse in promoting equality and normal daily living, ensuring the rights, choice and the protection of the service user. Records were maintained in relation to all safety checks of the building and systems. EVIDENCE: There was a positive commitment in providing a flexible and diverse service to promote normal daily living. The Registered Manager was experienced within social care and had obtained the National Vocational Qualification, level 2 in care. General discussions with the Registered Manager during the process of the inspection, identified that she had a sound knowledge, with regards to the care needs of the service user and was proactive in relation to changes that may be necessary in the future. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 23 With reference to the quality assurance, it was pleasing to see that since the last inspection visit, a quality assurance questionnaire had been reviewed and distributed to the service user and relevant outside agencies. The examination of these questionnaires identified that both the service user and other outside agencies were satisfied with the quality of care and the general service delivery. The service user had access to information relating to her in accordance to the Data Protection Act 1998. The examination of records and systems with regards to the health, safety and welfare of the service user identified the following: Environmental Health Report 2003 identified no requirements. A fire risk assessment was in place, dated 04/11/05 of which was undertaken by Staffordshire Fire and Rescue Service. Certificate of Maintenance in relation to fire appliances, seals fitted, fire extinguishers and training dated 27 October 2005. Electrical Installation serviced 22/09/05. 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 N/A 30 4 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 3 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X X 3 X 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 YA32 Regulation 18 Requirement Training relating to fire awareness and first aid should be undertaken by the Registered Manager. Timescale for action 01/06/06 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 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 18 Leafdown Close DS0000005089.V282234.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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