CARE HOMES FOR OLDER PEOPLE
Waterside Lodge 60 Rochdale Road Todmorden Lancashire OL14 7LP Lead Inspector
Liz Cuddington Unannounced Inspection 18th May 2007 12:00 X10015.doc Version 1.40 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 Waterside Lodge DS0000001003.V329091.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 Older People. 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. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Waterside Lodge Address 60 Rochdale Road Todmorden Lancashire OL14 7LP 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) 01706 818580 Todmorden Residential Homes Limited Ms Carol Tait Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (1) of places Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Waterside Lodge is a warm and welcoming residential home offering care and accommodation for up to 41 older people. It is situated near to Todmorden town centre, within walking distance of all local amenities and near to bus routes. The bedrooms are all single rooms and the majority have en suite facilities. There are three lounges, two dining rooms and a quiet room. Outside is an attractive garden area with plenty of seating for people and their guests. The garden has been developed as a sensory garden with easy access for all. The management and staff are committed to enabling people to lead active and fulfilled lives. Among the many activities on offer are trips out, exercise classes, reflexology and the use of a computer provided solely for use by the people who live at Waterside Lodge. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This purpose of the inspection was to make sure that the people who live at Waterside Lodge are receiving the care and support they want and that they and their families are satisfied with the service. The methods I used to collect the information I needed included sending out questionnaires for the people who live at the home, their relatives, staff and health care professionals to complete. I received three comment cards from GPs, twenty-four questionnaires from relatives and thirty-one questionnaires from the people who live at Waterside Lodge. I also received a completed preinspection questionnaire from the home’s manager. These questionnaires provide a lot of valuable information to help me form a judgement about the quality of service offered. I passed on many of the comments, including areas where people felt the home could make improvements, to the management team. No individual was identified. When I visited the home I spent time talking to the people who live at Waterside Lodge, visitors, staff and managers. I also looked at the information about how people’s care and support is provided and examined the home’s records. I would like to thank the ladies and gentlemen who live at the home, their relatives and the staff, for taking the time to talk to me and complete the questionnaires I sent out. The information they provided has given me a valuable insight into how they view the service. What the service does well:
The people who live at Waterside Lodge and their relatives confirmed that the home offers a high standard of care and support. People are encouraged and assisted, where needed, to continue with the interests and activities they prefer. Each person is treated as an individual, and their wishes are respected. One person commented that ‘Residents (are) treated with dignity and respect’ and this view was repeated in many of the questionnaires. Other people made the following comments in the surveys: ‘…we are happy that my (relative) is being so well looked after…’. ‘…we have peace of mind as a family that she is being cared for to such a high standard’. The care plans are sufficiently detailed to guide staff in how to assist each person and they are reviewed each month. The plans reflect the current, assessed needs of the individual and are developed and reviewed in
Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 6 consultation with the person and/or their relatives as well as with the staff. One relative commented that the ‘Staff are always alert to relative’s changing needs’. The survey results, including those from the GPs, confirmed that people’s healthcare needs are given a high priority. There is a wide range of leisure activities on offer and staff are available to escort people, if needed, to go out to social events or visit the shops. One person said that because of the home’s location their relative feels ‘…part of the community, which is very important to her’. The staff work hard to maintain good links with the families of the people who live at the home. One relative commented in the questionnaire that the ‘Monthly reports are important to us as (our relative) cannot communicate anything to us…..’. Everyone I spoke with confirmed the results of the surveys that the meals at Waterside Lodge are good and people are involved in deciding on the sort of meals they prefer. The house is clean, comfortable and well maintained. The garden is attractive and accessible and has been developed as a sensory garden, with seating areas set among the scented plants and water features. One relative said that there is ‘…a very comfortable home from home atmosphere’ at Waterside Lodge. The staff recruitment procedures are thorough and safe. Staff are well trained and qualified and the comprehensive training programme makes sure staff skills and knowledge levels are kept up to date. The home is well managed by a highly motivated management and staff team and this approach is reflected in the high quality of care and support the home offers to the people who live at Waterside Lodge. When asked what the home does well one relative said ‘Everything’. One person who lives at the home wrote in the questionnaire ‘I have been at the home for almost one year and have always been happy’. What has improved since the last inspection?
Since the last inspection the home’s management has continued with their programme of improving the private and shared areas of the home. On the lower ground floor a new treatment and hairdressing room has been created. There is also a second office and a staff training room. Since installing a wall mounted, large screen television the training room is also used as another television lounge and cinema for the people who live at Waterside Lodge. Two new spacious living/bedrooms have been created upstairs which, are intended for use by people who wish to live a little more independently.
Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 7 A nutritional programme has been introduced, specifically aimed at improving people’s general health and skin condition. The care planning system is constantly under review and further improvements have been made 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. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Standard 6 does not apply. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The information available for residents and their families is clear and contains all the necessary details. Comprehensive pre-admission assessments are completed before a service is offered, which means that people know the home can provide the care and support they need. EVIDENCE: Before someone is offered a place at Waterside Lodge two of the management team will visit the person at home or in hospital, to make sure the home can meet their needs. People are invited to visit the home and spend time there before reaching a decision.
Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 10 On the day of my inspection visit two of the managers went to see someone to assess whether or not the home could meet their needs and to give the person the opportunity to meet staff from the home and ask questions. People are also invited to visit the home before making a decision. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. To maintain their independence, people are supported to make choices and decisions about all aspects of their daily lives. Individual privacy and dignity is respected and maintained. The care plans and risk assessments are developed and regularly reviewed with each individual, and their family or representative if they wish, to make sure the person’s wishes are central to the planning process. Each individual’s healthcare records are thorough and up to date. People are protected by the medication systems, which ensure that medicines are stored and administered safely and accurately. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 12 EVIDENCE: The people who live at Waterside Lodge are offered the level of support and care they need, in accordance with their wishes. Professional and specialist healthcare advice is sought whenever it is needed, and any changes are recorded and acted upon. People who need medical treatment are fully supported by the staff. Relatives confirmed that they are kept informed of changes in healthcare needs. One relative said that the home has an ‘Excellent reporting system. Contact always made to report .. changes in …health..’. The care plans include risk assessments covering all areas where there is a potential risk. The plans are reviewed in detail every month and all the staff are expected to contribute to the process. The reviews reflect the current needs of the person. The individual and/or their relatives are involved in developing and reviewing the plan and they sign to indicate their agreement to it. The plans include a personal history and an outline of the person’s needs and preferences. People’s independence is encouraged and supported and improvements in health and well being are clearly shown in the records. Daily records are kept for each person and all the staff can make a contribution. Everyone has a daytime key-worker and a night-time key-worker, who take an extra interest in the person’s needs and well being. On the questionnaires I sent to the people who live at the home, everyone said that the staff listen & act on what they say and all agreed that the staff treat them well. There is a lively, relaxed atmosphere at the home and my observation confirmed that the staff respect and promote people’s individuality and dignity at all times. The appointments records are all kept up to date. From my own observation and talking to people, it was clear that the staff are fully aware of each individual’s personal and healthcare needs and how their needs are to be met. Wherever possible, people go out to the GP’s surgery, the optician, the dentist and the chiropodist when they have appointments. The three GPs who returned my questionnaires all made positive responses to the questions and one said they have no concerns about patient care. For the safety of the people who live at Waterside Lodge all medicines are securely stored and accurately administered. There is a safe system for storing and administering any controlled drugs, based on advice given by the home’s pharmacist. The staff have received training on the safe administration of medicines. Where someone wishes to manage all or some of their own medication this is detailed in their care plan and a risk assessment is completed.
Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 13 The home has recently introduced a new dietary programme designed to improve the general health and skin condition of people with poor health. The person’s information is evaluated and menus can be planned for each individual according to their needs. I was told that the home is starting to see some good results from this. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are supported to access a range of activities inside and outside of the home, and to maintain contact with family and friends. This makes sure each person’s needs and aspirations are met. The meals are of a high standard and nutritionally well balanced. Mealtimes are relaxed, providing both the nutrition essential for good health and a pleasant social occasion. EVIDENCE: The management and staff at Waterside Lodge work hard to support people to lead active lives and to continue with their outside interests as far as possible. People go out to the local shops and market, attend church and social events in the town and the home has sufficient staff to be able to escort people if they need someone with them. Recently the home has started a ‘Luncheon Club’ where people go out to a place of their choice for lunch, usually every two weeks. This could be
Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 15 somewhere local or further afield. A trip to St. Anne’s was being planned for the near future. Other trips out are arranged to visit places of interest such as Howarth. The home is to start hiring a minibus regularly so they can take people out more often. One relative said on their survey that their relative ‘…likes going on trips out and thinks the staff are wonderful’. Regular activities in the home include reminiscence sessions, floor games, board games, going for walks, baking and music. Exercise sessions and reflexology treatments are also available for those who want to take part. A religious service and communion is held at the home each month. One person’s relative commented that ‘Religious preferences (are) listened to and catered for’. A large wall mounted television has recently been installed in one of the lower ground floor rooms. This is being used as a ‘cinema’ for people who enjoy watching films. Maintaining contact with family and friends is considered very important. The home has a computer, with a large keyboard and mouse, which is exclusively for the people who live at Waterside Lodge to use. One relative said they correspond by email and the person living at the home gets a printed copy of the letter. Another relative said in the survey ‘I sometimes receive a letter, written by one of the staff, as dictated by (my relative), telling me what she has been doing, or a photo … taken on a special occasion’. Another relative said in the survey that it is ‘… never too much trouble for the staff to let (my relative) speak to (family on the phone), even if they are busy’. The menus are varied and offer a choice of main course at lunchtime. The meals were discussed at the last residents’ meeting and people’s views were taken into account when planning the new menus. Everyone is given a copy of the coming week’s menu and people are asked every day what dishes they would prefer, or if they would like an alternative. One person commented on their survey that the ‘….meals (are) good…very satisfied’. The dining tables are attractively laid and special diets are catered for. If someone needs assistance to eat this is offered discreetly. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home, and their relatives, are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The staff have received suitable training and understand the adult protection policies and procedures, which makes sure that the people they support are safe. EVIDENCE: The surveys from the people who live at the home and their relatives confirmed that they are all aware of how to raise a concern or make a complaint, should they need to do so. The complaints procedure is clear and, as with all documentation, can be produced in a large print version if this is needed. The staff have received adult protection training and are aware of what to do if they suspect that an incident of abuse or poor practice has occurred. The home’s policies and procedures are up to date and the staff are aware of the procedures and guidance they contain. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 25 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The house and gardens are well maintained, attractive and accessible. The bedrooms are well furnished and doors can be locked for privacy. The whole house is clean and hygienically maintained. The home provides a safe, comfortable and homely environment. EVIDENCE: During my visit I walked around the house and garden and talked to the people who live at the home and the staff about the facilities available and the recent alterations.
Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 18 The sensory gardens are attractive and offer sheltered seating areas for people to sit and enjoy the fresh air, plants and water features. Access to the garden is by a sloping pathway, with a handrail. The lower ground floor has been completely refurbished and now houses a new office, a hairdressing and treatment room and the comfortably furnished staff training room, which has a large screen television and is used as a cinema for the people who live at Waterside Lodge. Some of the upstairs bedrooms have been converted to create two generous sized rooms for people who wish to live more independently, while still having access to all the facilities and support available within the home. The whole house is well maintained and attractively decorated and furnished. The house is clean and there are good hygiene and infection control measures in place. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed to meet the needs of people living at the home. The people who live at Waterside Lodge are protected by thorough staff recruitment procedures. Suitable staff training is provided; to make sure all members of staff have the skills and knowledge they require so that they can meet people’s needs. EVIDENCE: There are sufficient staff on duty at all times of the day and night to assist people in their daily living activities and support them to take part in their chosen leisure pursuits. Two relatives of people who live at the home did say that, on some occasions, there has not been a member of staff available when needed. There are also enough anciliary staff employed to ensure the home is kept in good order and the kitchen and laundry function effectively. I looked at some staff files and noted that all the necessary pre-employment checks have been carried out before someone starts work. These include; two suitable references, satisfactory Criminal Records Bureau (CRB) and Protection
Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 20 of Vulnerable Adults (POVA) list checks as well as completing the usual application and interview procedure. All new staff undertake a thorough induction course. The anciliary staff take a course designed for their role. The home is fully staffed at present and the records show that there is a low rate of staff leaving the home. More than half of the care staff have a level 2 National Vocational Qualification (NVQ) and four more are due to qualify by the end of June 2007. Three staff are about to start the level 3 course. Two of the anciliary staff have an NVQ level 1 in Housekeeping and are offered the opportunity to progress to level 2 if they wish, one cook has an NVQ 2 in catering. One of the senior care staff has an NVQ level 3 qualification and two have achieved the NVQ level 4 award; the other two senior care staff have NVQ level 2 in care. The Assistant Manager and the two Deputy Managers have all achieved the NVQ level 4 Registered Manager’s Award. Every member of staff at Waterside Lodge has the opportunity to attend a wide range of training courses to keep their knowledge and skills up to date. The training records and plans for future training confirm this. All staff have already had training in the implications of the Mental Capacity Act and further training to update staff on any changes is planned for October this year. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and everyone who lives and works at the home is involved in the decision-making processes. The quality assurance systems are being further developed, to provide additional information to help improve the service. The policies and procedures are up to date and are available to guide staff in all aspects of their work. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Manager has the NVQ level 4 Registered Manager’s Award and has sufficient knowledge, experience and skills to manage the home effectively. The home has a strong staff team, which demonstrates dynamic and cohesive leadership through its staffing structures. The comments in the questionnaires I received from everyone confirmed my observations that the home is run in the best interests of the people who live there. The staff, as well as the people who live there, are involved in the running of the home and their views are sought and contribute to the decision-making processes. The manager, Mrs Tait, is currently partway through a full audit of the home. Mrs Tait is also carrying out a re-assessment of the home’s quality assurance systems, relating the questions directly to the National Minimum Standards. I saw completed quality assurance questionnaires in people’s individual files. The outcomes of the questionnaires are analysed and the results used to help improve the quality of the service offered to the people who live at Waterside Lodge. The home’s manager, along with her staff and external advisors, develops a realistic, achievable business plan for the home aimed at improving the quality of the care and support for the people who live at Waterside Lodge and upgrading the facilities in the house and gardens. My observations confirmed the considerable progress made towards realising the objectives of the current business plan. The home does not handle the finances of any of the people who live there. If people need support to manage their money this is provided by their families, or by other people appointed by them. The staff have monthly one to one supervision with their line manager, as well as annual appraisals. The managers and senior care staff are responsible for carrying out supervision and appraisals. The home’s policies and procedures and regular health and safety checks are all up to date. Staff are encouraged to familiarise themselves with the policies and procedures so that they understand how different situations are to be managed. Regular fire safety testing is carried out and more smoke detectors have recently been fitted throughout the home. Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 4 X X X X 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 3 3 3 X 3 Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 24 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. 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 Waterside Lodge DS0000001003.V329091.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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
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