Inspection on 03/10/07 for 26 Tilmore Gardens

This inspection was carried out on 3rd 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

26 Tilmore Gardens 14/03/07

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

CARE HOME ADULTS 18-65 26 Tilmore Gardens Petersfield Hampshire GU32 2JQ Lead Inspector Laurie Stride Unannounced Inspection 3rd October 2007 10:15 26 Tilmore Gardens DS0000067408.V347488.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 26 Tilmore Gardens DS0000067408.V347488.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. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 26 Tilmore Gardens Address Petersfield Hampshire GU32 2JQ 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) 01730 233124 norma.kutyauripo@sanctuary_housing.co.uk Sanctuary Care Limited Mrs Patricia Ann Ranson Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 2007 Brief Description of the Service: 26 Tilmore Gardens is registered to provide personal care and accommodation to ten people with learning disabilities. The home is arranged in two houses, with an interconnecting door for staff. Each house has a kitchen, lounge / diner, a bathroom and separate toilet. There is an enclosed garden to the rear of the home that service users are able to access. The home is located in a residential area of Petersfield. The current range of fees is £444.65 - £609.28 per week. This includes a topup fee of between £63.95 and £98.60 per week. This information was obtained at the time of the inspection. Members of the public may wish to obtain more up-to-date information from the care home. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection visit, which lasted approximately five hours, during which we spoke with two of the people who use the service and briefly met some of the others. We also spoke with the home’s acting manager and two members of staff. Information was also obtained through postal survey questionnaires returned by five of the people who live in the home, who were assisted by staff members to complete the questionnaires. Comments were also received from the relatives of two people who use the service, a care manager (social worker) and two general practitioners. Further evidence for this report was obtained through the service’s annual quality assurance assessment (AQAA), looking at samples of the home’s records and reading the previous inspection report What the service does well: What has improved since the last inspection? What they could do better: People who live in the home should be supplied with terms and conditions of residence that reflect the service they receive. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 6 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. 26 Tilmore Gardens DS0000067408.V347488.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 26 Tilmore Gardens DS0000067408.V347488.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. There are good systems to assess the needs of individuals before they move into the home, but there is still a lack of current information on terms and conditions of residence that may leave service users unaware of their rights and responsibilities. EVIDENCE: Comments from relatives indicated that they received enough information about the service to help them make decisions about whether the home was suitable. Three of the five individuals who completed service user survey forms also confirmed this. Of the other two, one said their family had the information. The other said that after experiencing what living in the home is like, they like it a lot. As identified at the previous inspection, each service user had been provided with a licence agreement, setting out the terms and conditions of their residency, however these agreements were all with the previous provider that managed the service. Individuals have signed documents to state they are aware of changes in the company managing the home, however, these do not contain any details of terms and conditions. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 9 The previous report for 14/03/07 identified that there are good systems to assess the needs of individuals before they move into the home. The service’s annual quality assurance assessment (AQAA) stated that there have been no new admissions since then. The person most recently admitted came to live in the home over five years ago. Through a sample of three care plans we saw that individual needs are continually assessed, monitored and reviewed. A care manager involved with the service said that the home’s assessment arrangements usually ensure that accurate information is gathered and that the right service is planned and provided to individuals. 26 Tilmore Gardens DS0000067408.V347488.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 excellent This judgement has been made using available evidence including a visit to this service. People who use the service benefit through being fully involved in making decisions about their lives, and playing an active role in planning the care and support they receive. EVIDENCE: The home’s annual quality assurance assessment (AQAA) states that each individual is allocated a key worker to support them with their choices and needs. There are monthly reviews of people’s care needs, which are on a one to one basis. All those who use the service have six monthly reviews, which include their choices of who they would like to attend. This could be family, friends, advocates, and day service link workers. The previous report for 14/03/07 identified that the home had generally good care planning and risk assessment systems, which supported individuals to make decisions about their lives and take managed risks. However, it was noted that some of the language used in the care plans was not appropriate and did not give clear information on how to meet needs. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 11 We discussed this with the acting manager, who demonstrated that action had been taken to ensure that the language used in the care plans promotes people’s dignity and gives clear information on how to meet their needs. During this visit we saw the personal files of three people who use the service. Each had a care plan that was developed from their initial needs assessment. These plans are reviewed monthly and had been changed where the needs of the individual had changed. One person we spoke with talked about what is in their care plan and how they take part in the planning process. They said the home is supporting them to look for more independent accommodation and we saw that this had been discussed with their care manager and recorded at a recent review. Another person who lives in the home also showed us their copy of their care plan review, which they kept in their bedroom. Care plans were comprehensive and provided a lot of detail about how staff can communicate most effectively with individuals and how to respond to various situations and behaviour. These records also contained details of how individuals should be supported to make decisions, including guidance on how staff should present options. People’s preferred daily routines, likes and dislikes were also included. Four of the five individuals who completed service user questionnaires indicated that they always make decisions about what they do each day. The other said they sometimes do, adding that when at home they make a lot of the decisions on what they do. Risk assessments were in place for all the people whose files we saw. These documents set out the assessed hazards to individuals and action to minimise the risk of harm. The assessments also included the positive effects of taking risks, for example in developing greater independence and achievement for the person. The risk assessments are regularly reviewed and changed where necessary. Responses to questionnaires received from relatives, a care manager and a general practitioner were positive. All indicated that they felt that staff members demonstrate a clear understanding of individuals’ care needs and that these needs are responded to and met. The homes’ AQAA identified an area for further improvement and plans to develop more service user friendly formats for care plans, for example Videos and audio tapes. 26 Tilmore Gardens DS0000067408.V347488.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. The home continues to provide good support for people to take part in suitable activities, to maintain relationships with family and friends and to have a balanced diet of food they enjoy. Staff members work in a manner that respects the rights and responsibilities of people who use the service. EVIDENCE: People who use the service are supported to take part in a range of educational and leisure activities, including attending a local day service, work placements, visiting the library, shopping, indoor games and activities and social clubs. People we spoke with said they enjoyed their activities and there were enough staff to support them. Staff were observed providing support in a friendly and respectful way, which maintained the privacy and dignity of people who use the service. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 13 The home’s annual quality assurance assessment reported that all individuals are given support to choose what activities, outings and holidays they want to do. Those who want to do voluntary work are assisted by staff to look for placements. Each individual’s family and friends are involved in the activities they choose to do. People who use the service have keys to their rooms and the front door and receive their mail unopened. People we spoke with who live in the home told us about some of the things they do. One was doing voluntary work, which they said they love doing. Another showed us photographs of their holidays with family members and confirmed that everyone in the home had gone to Devon for a holiday this year. Both said that everybody helps out doing routine tasks around the house, and pointed out the task rota on the kitchen notice board. The notice board also contained a charter of rights and a rota showing which of the staff members are on duty. All activities are recorded, including participation in daily routines, outings and appointments. The day previous to our visit everybody in the home had gone to London for a day trip. One of the people we spoke to said they had decided to stay in bed later today as they were tired after the outing. Individuals are supported to keep in touch with family and friends and the home has an open visiting policy. Comments from relatives confirmed that the home always helps individuals to keep in touch with them. Relatives and a care manager also said that the service supports people to live the life they choose. The home has a planned menu that takes into account the likes and dislikes of each person and provides a varied and balanced diet. People are supported to do cooking and each person has a day when they choose what goes on the menu. One person told us that if they don’t like another person’s choices they could have something else instead. Individuals are also involved in shopping for food. A record is kept of what people have for lunch and all-day food charts were being kept to monitor the food intake of two individuals, where there was an assessed need. People we spoke with said they liked the food provided. 26 Tilmore Gardens DS0000067408.V347488.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. The home provides good support to meet the personal care and health needs of people who use the service. The system for storing and administering medication is good and protects people. EVIDENCE: Details of the personal care and support individuals need are set out in their care plans. People who completed service user questionnaires and those who spoke to us confirmed that the staff treat them well and listen and act on what they say. Staff spoken with demonstrated a good understanding of the needs of individuals. Comments from relatives confirmed that they are always kept up to date with important issues affecting individuals receiving care. Both also said that the home always gives the support and care to individuals that they expect or agreed. The home’s annual quality assurance assessment stated that the service provides personal care to each individual as agreed in their care plans whilst 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 15 maintaining dignity, independence and respect. Staff members provide assistance to attend health checks, for example optician, dentist, doctor, blood clinics, diabetic nurse, community health team. The changing needs of each person are reviewed and updated. Staff members are given relevant training. We saw that records and a weekly planner are kept of health appointments. Correspondence was on file showing that the home liaised with relevant external agencies to promote the health and well being of people who use the service. Comments from a care manager indicated that the individual’s health care needs are always properly monitored and attended to by the service. The care managers’ comments also confirmed that individuals’ privacy and dignity is respected and staff have the right skills and experience to support individual’s social and health care needs. Questionnaires returned by two general practitioners indicated that both found the home communicates clearly and works in partnership with them. One added that if they give any specialist advice it is incorporated into the service user plan. Also that there is always a senior member of staff to confer with and that medication is appropriately managed in the home. Medication is stored in a locked cabinet in the office and records are maintained of medication brought into the home, administered and returned to the pharmacist. Medication is regularly checked to ensure that the balance recorded matches the stocks held and that all administration records have been fully completed. The acting manager reported that all staff had received medication administration training and we saw further evidence of this in the staff training records. The home had obtained written authorisation from a doctor to give homely remedies and there is a policy and procedure for recording when these are given. None of the people using the service currently administer their own medication. 26 Tilmore Gardens DS0000067408.V347488.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. People who use the service feel confident to express any concerns and that these will be listened to and acted on. People who live in the home are protected by the homes policies and procedures. EVIDENCE: The home has a complaints procedure available, which sets out who will deal with a complaint and how long the provider will take to respond. The procedure has been supplied to all people who use the service in an accessible format and is also displayed in the home on a notice board. All five individuals who completed service user questionnaires said they know who to speak to if they are not happy. Most said they knew how to make a complaint and were aware of where to find the information. One said they would need help to read what was on the notice board. No complaints have been received by the home since the last inspection. Questionnaires returned by two general practitioners indicated that neither had received any complaints about the service. A care manager comments indicated that they were confident that the service would respond appropriately if they or the person using the service raised any concerns. Comments from two relatives showed they know how to make a complaint and that they felt the home would respond appropriately to any concerns raised about individual’s care. One said ‘I have never had any need to raise concerns about the care provided’. Since the last inspection the acting manager had 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 17 taken action to ensure that the complaints procedure information was sent to all the relatives. The home has an adult safeguarding policy and a copy of the local authority procedures. Staff members have received abuse awareness training and those we spoke with demonstrated a good understanding of abuse and action to take if abuse was reported or suspected. 26 Tilmore Gardens DS0000067408.V347488.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 good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a safe, homely environment for service users. EVIDENCE: The home is arranged in two houses, with an interconnecting door for staff. Each house has a kitchen, lounge / diner, a bathroom and separate toilet. Furnishings are domestic and of good quality. One of the people we spoke with showed us their bedroom, which they had personalised with their belongings. The home is well maintained and the acting manager said that there is a maintenance department and action is taken promptly to ensure maintenance issues are followed up. A new alarm system had been installed to provide better security. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 19 There is an enclosed rear garden that is shared by both of the houses and people who live there are able to access. The garage to the rear of the home has been converted into an activity room. The home has a separate laundry room, which means laundry is not taken through food preparation of storage areas. There are hand-washing facilities in the kitchen, laundry room, bathrooms and toilets. All areas of the home we saw during the visit were clean and there were no unpleasant odours. All five individuals who completed service user questionnaires confirmed the home is always kept fresh and clean. They also commented that they help with the household chores and there is a cleaning rota for them and staff to clean the house every day. 26 Tilmore Gardens DS0000067408.V347488.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 good This judgement has been made using available evidence including a visit to this service. People who use the service are supported by a qualified and trained staff team and are protected by the home’s recruitment procedures. EVIDENCE: During the visit we observed staff interacting with people who use the service in a friendly and respectful manner. Staff we spoke with demonstrated good knowledge of peoples’ individual needs and the agreed ways of working with them. The acting manager reported that all nine of the current care staff are qualified to or working towards NVQ level 2 or above and records we saw on file provided further confirmation of this. This demonstrates that the home actively promotes the development of a qualified and competent staff team. Comments from relatives indicated that they feel that care staff have the right skills and experience to look after people properly. The home’s annual quality assurance assessment stated that all staff recruitment checks were carried out and this was confirmed through inspecting a sample of staff files. The two staff members’ files contained evidence of 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 21 Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks, two written references, completed application forms with employment histories. These also included information about staff probation and induction periods. Sanctuary Care has a planned training programme and a record is kept in the home of all training that staff members have undertaken. The sample of staff records showed that training is provided to assist staff to meet the needs of people using the service and to comply with safe working standards. Staff had completed training in person centred care, first aid, medication administration, moving and handling, food hygiene, fire safety, health and safety, adult protection, diversity, dementia and communication. The acting manager reported that additional autism training, such as in autism, was available through the organisations’ training library. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are arrangements to cover the absence of the manager and effective systems are in place to promote the health, safety and welfare of people who use the service and staff. The home has systems to gather the views of people who live there and other stakeholders, as a way of assessing how the home is performing. EVIDENCE: The acting manager has completed an NVQ level 4 in Care and is currently undertaking the Registered Manager’s Award. The registered manager is currently doing an acting area manager job for Sanctuary Care. The acting manager reported that the position is now being reviewed, and if necessary a permanent manager for the home will be recruited. We had been informed of the management changes. 26 Tilmore Gardens DS0000067408.V347488.R01.S.doc Version 5.2 Page 23 The home has sent out questionnaires to people who use the service and relatives to gain their views of the quality of the service that is being provided. People we spoke with spoken with confirmed they have monthly meetings, when they can say what they think about the way the home is managed. The information from people who live in the home and their relatives is used to feed into a development plan for the organisation’s learning disability department. Senior managers from the organisation visit the home each month to review the service quality. Reports of these visits contain actions that are required to improve the service. We saw evidence that demonstrates safe working practices are promoted and maintained within the service. The home has a fire risk assessment and regular checks are made of the fire warning system and the equipment. There are risk assessments for the building, which are regularly reviewed and contain actions that should be followed to minimise the identified risks. Portable electrical appliances are tested annually. 26 Tilmore Gardens DS0000067408.V347488.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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 26 Tilmore Gardens DS0000067408.V347488.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. 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 26 Tilmore Gardens DS0000067408.V347488.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 26 Tilmore Gardens DS0000067408.V347488.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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