Inspection on 16/02/06 for 3 4a The Beach

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 4a The Beach 13/06/07

3 4a The Beach 11/07/05

3 4a The Beach 03/03/05

3 4a The Beach 16/06/04

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 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 The Beach, 3 & 4a Clevedon North Somerset BS21 7QU Lead Inspector Catherine Hill Unannounced Inspection 16th February 2006 15:00 The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 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 The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 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 and 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. The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Beach, 3 & 4a Address Clevedon North Somerset BS21 7QU 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) 01275 879053 01275 879053 hmso89evans@mencap.org.uk Royal Mencap (Housing & Support Services) Mr Colin Evans Care Home 11 Category(ies) of Learning disability (11) registration, with number of places The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 11 persons aged between 18-64 years with learning disabilities 11th July 2005 Date of last inspection Brief Description of the Service: 3 and 4a The Beach is registered to provide personal care to up to 11 adults with a learning disability. No.s 3 and 4a The Beach are run by Mencap, although New Era - a housing association - owns the property at No.3. The two properties function as independent units to a certain extent but are registered and managed as one home. Only ten places are available now, as one of the undersize bedrooms in No. 3 has been converted to a staff sleeping-in room. Another small bedroom is used as the office. Up to seven people can live in No. 3, and up to four can live in No.4a. The two separate buildings are on opposite sides of the back garden. Each house has its own facilities but there is a shared outdoor bar-room. The home generally caters for a more independent resident group, most of whom are adults between the ages of 30 and 50, and aims to support people to develop their independence skills with a view to moving on to supported living, if this is what the individual wants. However, the home tries to adapt its service to enable residents to continue to live there as they grow older and their needs change. The home is on the seafront in Clevedon, close to local amenities and within easy reach of the town centre. The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out during the course of an afternoon, into the early evening. The inspector spoke in depth with five of the residents, and with one of the staff on duty. She spent time with some residents in the privacy of their own rooms as well as with a group of the residents in the dining room. The inspector also looked at some of the home’s written records, including residents personal records and the home’s records of medications administration. Some residents showed to the inspector their own rooms. As at previous inspections, residents described very good relationships with staff, a home life in which they are given exceptional degrees of choice and control, and a wealth of opportunities for interesting and rewarding experiences. Staff evidently get high job satisfaction and feel encouraged to work creatively and in partnership with residents. What the service does well: What has improved since the last inspection? Action has been taken to meet most of the requirements made at the last inspection, although Mencap is still in negotiation with the housing association The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 6 that owns No. 3 to provide new kitchen units. As the inspector has serious concerns about the safety of some of this equipment, she has referred the matter to the Environmental Health Officer. The hall, landing in stairs carpet has not yet been replaced but a new carpet is on order. Staff training records were not checked on this visit. Staff on duty described a thorough induction training programme that had built their confidence and skill. Medications records are being kept more thoroughly. 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 Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-10 Residents needs are well documented, and they are fully involved in this recording. Residents have an unusually good level of input to the way the home is run. EVIDENCE: A new file format had been introduced just before the last inspection, for recording residents personal information in a way that will be more accessible to them. Staff went through this new format with each person, and the general response from the residents was that they liked the idea. Each file has an index at the front with a photograph of the person whose file it is. Sections in the new files include About Me (which is key information that all people working with the person need to have ready access to), My Dreams and Hopes, The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 10 day-to-day notes, My Support Plan, My Money and Possessions, My Health (which includes the persons NHS health plan), accident and incident records, Learning Activities, Thinking about Risk and Choice, and support plan reviews. The different sections are gradually being added to as staff go through them on an individual basis with the residents. Residents or their next of kin are also being asked to think about what they would like to happen in the event of their serious illness or death, and staff have evidently been really creative in their dealings with people to turn this piece of work into a positive experience. Some of the files sampled did not have anything at all in the Dreams and Hopes section. This is probably one of the most important sections, from the residents point of view, and should be made a priority when people’s support plans are next reviewed. However, the files included lots of photographs of the person doing activities that they have particularly enjoyed or excelled at, supported by straightforward written descriptions and encouraging comments. Person-centred plans were written in a simple, picture-supported format, positively worded, and the goals are evidently the persons own rather than what staff feel they should be aiming for. These plans have been promptly updated following any significant change. However, the health-care plans seen only address problems particular to the individual, and there was no mention in any of the documentation seen of how routine health care needs will be monitored and met. The whole resident and staff groups got together recently to draw up a list of all the health issues they could think of, and have invited the Community Learning Disability Team’s Action for Health Co-ordinator to come and talk to them. After that, it is intended to draw up more detailed health-care plans. Individual residents will probably look after these themselves, and ask their GP and other professionals to write in them when they have appointments. The resident will then share these with the home as necessary so that the homes own records can be updated. A couple of the people met at todays inspection have made remarkable progress towards their goals and are evidently feeling much happier as a result. Their successes show how well the staff have been supporting them. Risk assessments are detailed and useful, and are well cross-referenced with other relevant documentation to ensure that all staff are reminded of their existence. Residents get an unusual degree of control over the running of the home. As well as being involved in interviewing staff and planning menus, they negotiate with staff how time will be allocated during each shift. Residents told the inspector today how they have been involved with vetting prospective residents to fill the vacant places. The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11-17 Each person is given good support to follow their chosen lifestyle. EVIDENCE: The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 12 Key workers support residents to develop really interesting and individual timetables of vocational, social and leisure activities, building on residents natural talents and interests. Some residents have part-time jobs and evidently get a great deal of satisfaction from working in a capacity where they help other people. Additional, intensive input on independence skills has been arranged for a couple of the residents, and these people feel they are learning really useful skills. Holidays for groups of two or three residents are arranged every year. Since the last inspection, several people have been to Guernsey. One person is having one-to-one support to go to Spain in the near future, and two other people are going to Dawlish with a staff member in the summer. A couple of people were on a trip to the Holy Land at the time of todays inspection. The staff team actively supports family links, and some of the anecdotal evidence revealed how hard staff work to help residents maintain external relationships. This attitude is also reflected in the daily notes that are kept on each persons care. Some of the files sampled reflected some excellent work with both the resident and their relatives, with difficult issues being handled honestly but tactfully, and good outcomes being sought for all concerned. Residents get an unusual degree of support in keeping up these relationships, and the team involves families appropriately so that everyone concerned with the persons care can give consistent support. Residents choose what time they eat. They plan the menus as a group but individual people are supported to prepare alternatives if they wish. Mealtime arrangements in each home are entirely separate, and the menu books showed that the two groups of residents have an independent choice of meals. Staff work with one or two residents to cook the evening meal each day. Residents write up the menus and also draw up a rota of household chores. The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at todays inspection but medications records were checked, and these are now being kept to the required standard. EVIDENCE: The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The environment is generally safe, comfortable, and well-suited to residents needs. EVIDENCE: Residents bedrooms are very individual, and each person has been supported to set up their room to suit their tastes. Many of the vanity units have been replaced since the last inspection. Two of the bedrooms have their own sitting The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 16 rooms. Vacant bedrooms are being redecorated and re-carpeted prior to new occupants moving in. There is a toilet and bath or shower on each floor of both houses. Since the last inspection, the radiators with badly flaking paint have been replaced, and the gate to the garden between the two houses has been renewed. A new hall, landing and stairs carpet is still needed, but this is on order and due to be fitted in the near future. In No. 4a, the lounge light switch by the door from the hall is not working. This needs to be repaired in order to avoid people having to walk across the dark room to use the switch by the door to the kitchen. It was noted at the last inspection that one of the floor level kitchen cupboards has a door missing that needs to be replaced in order to keep its contents clean, and that several of the drawers had no stop to prevent them from being pulled out entirely. The inspector pointed out that, given the needs of some of the people who live in this home, this could prove quite dangerous. The beading is coming away from the edge of some of the unit doors, exposing the MDF beneath. The Environmental Health Officer advised when she inspected in March last year that repair works must be carried out to the kitchen in No. 3 to ensure the integrity of surfaces used for food preparation. Her requirements have not been carried out. Neither have the CSCI inspector’s requirements been met. The home has been documenting its contact with the housing association who owns these premises but has not yet received a satisfactory response. The CSCI will be following this issue up with Mencap separately due to the level of concern about safety. A new cooker has been provided in this kitchen since the last inspection. Residents and staff have worked hard on creating improvements to the back gardens of both homes in recent years, and more work is planned to the back garden of No. 3. The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 X 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 X 23 x ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 2 29 3 30 3 STAFFING Standard No Score 31 X 32 x 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT 37 X 38 X 39 X 40 X 41 X 42 X 43 X Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 3 3 4 3 3 4 3 3 3 3 3 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X x The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23 Requirement Broken kitchen units must be repaired. This requirement was first made on 11/07/05. An action plan must now be submitted to the CSCI within the next two months. The lounge light switch in No. 4a must be repaired. Training records must show that the requirement for a minimum of three days training per year is being met for all staff. This requirement was first made on 16/6/04 but was not checked at todays inspection. Timescale for action 16/04/06 2. 3. YA28 YA35 23 17 16/03/06 16/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 21 No. Refer to Standard Good Practice Recommendations The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. The Beach, 3 & 4a DS0000008093.V265938.R01.S.doc Version 5.0 Page 23 - 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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