Inspection on 12/12/08 for 2a Court Road

This inspection was carried out on 12th December 2008.

CSCI found this care home to be providing an Good service.

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

2a Court Road 30/11/07

2a Court Road 16/11/06

2a Court Road 21/02/06

2a Court Road 13/01/05

2a Court Road 10/08/04

2a Court Road 18/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 2a Court Road 2a Court Road Kingswood South Glos BS15 9QB two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Odette Coveney Date: 1 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: 2a Court Road 2a Court Road Kingswood South Glos BS15 9QB 01179618737 01179607195 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Aspects and Milestones Trust Name of registered manager (if applicable) Mrs Tracy Jean Cunningham Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 15 0 care home 15 learning disability Additional conditions: May accommodate up to 15 persons aged between 18-64 years with Learning Disabilities Date of last inspection A bit about the care home 2a Court Road is located in an established residential area of South Gloucestershire within approximately a quarter a mile of the shopping area of Kingswood where most community facilities exist. Public transport (buses) is available to Bristol City Centre, which is approximately four miles away. The home is purpose built and was opened in 1996. It has three houses within the same building. Two houses have single level accommodation, while the middle house is based on two floors with stairs to the first floor. Each house is registered to accommodate five people and consists of individuals? bedrooms dining room and lounge. Kitchen and bathrooms. There are staff administration offices and sleeping-in accommodation for staff. The staff team is approximately 38 in total. Aspects & Milestones Trust, a voluntary non-profit making organisation, runs the home. All of the clients previously lived in Stoke Park Hospital and moved to 2a Court Road when it opened in 1996. All of those living within the homes have profound learning difficulties. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home We spent one day at the home. Time was spent in each of the three houses. Time was spent observing the individuals who live at the home, staff interactions and their interactions with each other and with visitors to the home. We spoke with staff and the manager and with activities and day care support staff. We examined the care and all associated records for four of the people who live at the home, we reviewed health and safety, fire records and records associated to the staff at the home, such as staff training, duty rotas, minutes of team meetings. Prior to our visit three surveys were received by us from professionals who visit people who live at the home information about their comments and views are incorporated within this report. What the care home does well 2a Court Road provides an environment which is well maintained and is furnished to meet the needs of people who live at the home. The manager has worked in the care profession for many years and has been the manager of this home for many years. The manager and staff demonstrated a sound understanding of the diverse and sometimes complex needs of the people who are living at the home. Records are well written and are well maintained; records are person centered and actions taken are done in consultation and in the best interests of people who live at the home. People are well supported with their healthcare, both primary and specialist services are arranged for people, in line with their assessed needs. What has got better from the last inspection What the care home could do better No requirements or recommendations were made during this visit to the service. The service must continue to maintain standards at the home which provide good quality outcomes for those who live at 2a Court Road. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Odette Coveney 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Prospective service users and those already living at the home are provided with the information they need to make an informed choice about whether to live at the home. Individuals aspirations and needs are assessed and can be assured that the home will be able to meet their needs. Evidence: The home has in place an up to date statement of purpose, this document sets out the aims and objectives of the home, its services and facilities, and the terms and conditions of the placement. The home have produced a service users guide which is extremely detailed and provides information about the location of the home, the homes staffing structure, it outlines how individuals will be supported with any cultural and spiritual needs that they may home. The guide also gives information about the services and support available from other professionals and the community as well as services provided by the home. The home had in place a copy of the last inspection report completed by us. The home has a clear and detailed admissions process. From information we have seen within individuals care files it it evident that each admission is tailored to the individuals needs of the service user. A full care management assessment is completed prior to any admission to the home. The home use this information, and their own pre admission assessment in which to develop the care plan for the individual. People are admitted to the home for a trial period and it is during this time observations and assessments are completed in order to make a judgement about whether the home is able to meet the individuals needs. Full consultation is undertaken will all parties in order to ensure that the individual will be appropriately placed at the home. Evidence: Licence Agreements, or terms and conditions of the placement were not viewed by us during this visit. These have been seen by us at previous visits to the home and have been found to contain all of the required information. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Individuals assessed and changing needs and personal goals are reflected within their individual plan, these have clear information in order to direct and guide staff practice. People are supported to make decisions and take appropriate risks with assistance as needed, Evidence: During our visit to 2a Court Road, time was spent in each of the houses. We focused on their care and associated records such as essential lifestyle document and risk assessments for four people who live in house 3. We saw that the home had gathered a wealth of information about people, about their support needs with all aspects of their physical and emotional health and welfare, information was also in place about individuals lifestyle choices, activities, relationships and how their rights are upheld and respected. We saw that information in place was person centered and relevant to the individual. Each person had an essential lifestyle plan, ELP, which contained information about individuals positive reputation, information that was both essential and important to them, information recorded what individuals prefer/enjoy. Information was also in place for each person about how they personally wished to be supported, how they wanted support to stay healthy and safe. Clear information on individuals communication requirements were also in place, these documents are kept under constant review and updated when changes occur. There is one individual living at the home who is over the age of 65, this person continues to be well supported at this home and his needs are being met. The home Evidence: are not required to make a request for a minor variation in their registration status when people exceed the age of 64 if they are still able to meet individuals assessed and changing needs. We saw that each persons essential lifestyle plan is reviewed in full every 6 months, in house ELPs are reviewed every 3 months and it is at these reviews that individuals identified goals are evaluated to monitor progress in these areas. The home has clear, detailed policies in respect of confidentiality and this outlines the role and responsibilities of staff members employed at the home. Within the statement of purpose for the home it outlines the homes responsibility to respect and safeguard the privacy and dignity of individuals and states that confidential information is provided on a need to know basis. All staff spoken with were respectful at all times and demonstrated the importance of confidentiality within their work. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People Living at 2a Court Road are well supported to participate in activities of their choice. People are encourage to engage with new opportunities and are supported with this as required. Evidence: During our visit we spent time with a newly appointed member of staff. This member of staff has been recruited on a full time basis as an activities co ordinator. This person told us that their role was to enable people living at the home to develop new skills and experience new opportunities. They showed us activity records which demonstrated the variety of social, leisure and educational opportunities that people living at the home have been supported with. These include visiting places of local interest such as horse world, local carol services, cinema, bowling, ice skating, visiting the gym, attending discos and swimming. It was evident that people at the home are encouraged to participate in new and varied activities which are tailored and staffed according to individuals needs and choices. We also spent time with 2 staff members from WEA,Workers Educational Association. This service is provided to individuals on a one to one basis at the home as well as with small group work. People are supported with opportunities to devlope skills in areas such as communication, physical dexterity and movement. We also saw individual daily diarys information about what people had done recently such as listening to music, attending a pantomime, visiting a local park and being supported to maintain their independence by using public transport. Evidence: We spoke with a person who supports one of the residents in house 3 with their day care, this person also supported the individual at another home prior to their admission to 2a Court Road, they told us, that in their view, the person was more relaxed, settled and participative since coming into the home. They told us that staff are informative and have a good understanding of the needs of people living at the home. We saw on one persons records that they had recently experienced an adventure holiday where they participated in a variety of activities such as rock climbing, canoing and abseiling. The staff members who escorted this person told us of the job satisfaction they had experienced though being involved and seeing the person having a wonderful holiday. The home were awarded a five star food hygiene award issued by South Gloucestershire Council environmental health officers during their visit to the home earlier this year. During our visit we sat with people in house 3 during lunchtime, people were offered a choice of a light meal. People were seen to be enjoying their meal and were supported at their own pace in line with their own ability. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living at the home are well supported to ensure that their emotional and physical health needs are met. Medication is managed well at the home. Evidence: Whilst at house 1 one of the people living in the house suddenly appeared undressed, staff members responded promptly and kindly in order to assist the person and maintain their dignity. Prior to our visit to the home we received three feedback forms from three independent professionals who support people living at the home. The comments received from these people were good and assured us that people are supported well by the home with their emotional and physical health needs. One person said that staff were caring and friendly and that in their view people living at the home were supported well by staff. Another person said that they have found the staff to be friendly and welcoming, that staff have showed continued concern and commitment to an individual at the home who has complex needs and deteriorating health needs. Of the care files we reviewed we saw that people had in place a health action plan, this plan was specific to each person and contained information on how to support people to remain healthy and well and to support them with identified areas. Information in the plan also records how the home maintains a safe environment in which people live, examples given included support in the bath, that chemicals are kept locked and individuals skin conditions and how these should be managed. Where required we saw that individuals weight and diet are monitored and recorded, with specialist advice being sought if needed. Evidence: The manager talked to us about the changing needs of people living at the home and gave a number of examples of how individuals current and anticipated needs are being met both by the home and also by external support agencies such as day care services, educational resources and healthcare services. We reviewed the systems of medication administration in house 2. This included an evaluation of the medicines prescribed and a review of the records in place. We noted that medication is stored in a secure cabinet, within a locked cupboard. The home also has suitable facilities to store controlled medication. We saw that each person has a printed medication administration sheet which detailed each individuals medication type, dose and when to be taken. Records were clear and medication given had been signed for as required. We saw that each person in house 2 had a individual profile for their medication which detailed what people were taking, why and how they were to be supported. The staff member we spoke with was able to provide us with full information about individuals health requirements and medication given. Staff told us about the training they received in order to be deemed competent to give medication. They told us that their medication competency is reviewed on an annual basis at the home. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has good procedures for responding to and dealing with complaints and people living at the home can be assured that appropriate action would be taken should an issue be raised. Those living at 2a Court Road are supported by trained staff who have a sound understanding of adult protection protocols and of their role and responsibility in this area. Evidence: The home has a well established complaints procedure as laid down by Aspects and Milestones Trust. Each person has a copy of the complaints procedure available to them and this has been produced in a pictorial format in order to assist individuals with this process. No concerns were raised to us either prior to or during our visit to the home. During this visit we observed a staff handover of residents money in House 2. Staff told us that individuals money held for safekeeping is checked against records and cash three times a day. Records of all transaction are well maintained and receipts for purchases are in place. No concerns were noted by us. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . 2a Court Road is a well maintained care home for young adults. Facilities and services provided are in accordance with individuals assessed needs. Evidence: 2a Court Road is care home is located in South Gloucestershire, within the residential area of Kingswood. The care home is made up of three separate self contained houses which are linked together by a corridor at the front of the building. Houses 1 and 3 are bungalows and house 2 in a house. Each house accommodates 5 people and have their own staff team to support them. Each house has their own kitchen, dining room, bedrooms, bathrooms, laundry and storage facilities. Each house has access to a private, well established enclosed garden. Within the rest of the building there is the managers office, and a self contained area for activities and communal use. During our last visit to the home which was undertaken on 24th July 2008 we reviewed requirements which had been made by us at previous site visits to the home were reviewed. The first requirement reviewed was that the Registered Provider must ensure that the home is well maintained for those individuals who live there. During our visit to 2a Court Road time was spent in all three houses. We looked at both communal areas and private rooms for people who live at the home. We saw that the home has been well maintained and that requirements made previously by us had been met. Lounge Carpets had been replaced making these areas more pleasant for people who live at the home. During our last visit we reported that the patio doors in house 2 were not secure and a requirement was made that the Registered Person must ensure the patio doors are secure to ensure the safety of those living and working at the home. The patio doors in all three house were seen to be in good working order. Evidence: At our last visit to the home we reviewed the records for one person who had recently been admitted into the home. We saw in their care assessments that it had been recommended that this person have a assessment a requirement was made by us that the Registered Provider shall make arrangements for the identified service user to receive advice from an occupational therapist that they may assess the environment to ensure it is suitable and meets assessed needs. The manager and staff confirmed to us that this advice had been sought and the occupational therapist had visited the individual at the home. We saw evidence of this within the individuals records. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Those living at 2a Court Road are supported by an effective staff team who are recruited and selected through a clear set criteria. Staff are well trained and have the skills to support those with complex needs. Evidence: During this visit we reviewed the training portfolios for four staff members is house 2. We saw that staff receive sufficient amounts of training per year, and training which is specific to their role. We saw that staff have completed core training in areas such as first aid, fire safety and protection of vulnerable adults. We saw that staff have also completed training is specialist areas such as understanding autism, eating well and health, supporting people who self harm, mental health and learning difficulties. One of the staff members told us about the training they had recently attended about understanding people who self harm, the staff member told us that the trainer was motivational and inspiring, that the training was skilled and provided them with practical information and knowledge which they could sue in the workplace. Staff told us that they are well supported in aspects of training and that most requests for training are honoured by the service. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Those living at 2a Court Road benefit from the ethos, leadership and management approach of the home. The rights and best interests of people who live at the home are safeguarded by the homes policies and procedures. The Health, safety and welfare of people at the home are promoted and protected. Evidence: The registered manager of this home is Tracey Cunningham. Mrs Cunningham has been a home manger for over seventeen years including setting up and managing a small care home. Mrs Cunningham is a registered learning disability nurse, she has achieved an National Vocational Qualification, NVQ at level 4 in care management and has also obtained the registered managers award. Mrs Cunningham is also an assessor and verifier for the NVQ process. During the inspection Mrs Cunningham and the staff team fully engaged with the inspection process. Mrs Cunningham has a sound, in depth understanding of the needs of people who live at the home, she ensure that people are provided with opportunities and choices in order to live a life as full as they are able. We saw minutes of staff meetings and saw that these occur between teams on a regular basis. Within the minutes of a meeting for house 3 which occurred on 20th October 2008 we saw that the home complaints procedure and whistle blowing policy and safeguarding alerts were discussed and that financial audits were also part of the agenda. We saw that the most recent management meeting occurred on 14th November 2008 and the homes insurance, staffing rotas and preparations for Christmas were discussed. Evidence: We receive copies of the visits undertaken to the home on a monthly basis by a representative of the responsible individual. We saw that during these visits care plans, welfare of service users, registration, records and staffing issues are discussed, action plans are set with agreed timescales, demonstrating that the organisation are committed to monitoring the services provided at 2a Court Road. No issues of concern have been noted by us within these reports. The home keep us informed of incidents which affect the wellbeing of individuals who live at the home. During this visit we reviewed incident/accident forms, individuals daily records and spoke with staff about incidents which have been reported to us. The home deal with incidents appropriately in order to ensure the safety and wellbeing of the individuals involved, we saw that the home contact specialist healthcare services as required with additional support also being provided by the home when needed, care planning and risk assessments are updated where required in order to ensure that staff are provided with clear accurate information in order to direct and guide their practice. Whilst as house 3 we reviewed the fire logbook. We saw that the house had a detailed fire risk assessment in place, this identified potential hazards, identified significant risks, evaluated the risks and recorded the findings and actions to be taken. This document had been reviewed by the home in April 2008. We reviewed fire drills and saw records to evidence that drills occur every 3 months, we also reviewed staff training in this area and saw that in house training is provided, fire induction and refresher training is also provided by the Trust. We saw that fire fighting equipment s checked both by the home and by an appointed contractor at the required intervals. Within the statement of purpose for the home we saw that arrangements are in place in the form of an emergency plan should a critical situation occur such as no electricity, gas, water, fire evacuation, telephone failure or infectious disease at the home. Demonstrating the homes ability to plan for unexpected situations in order to lessen the impact on those who live at the home. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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