Inspection on 21/02/07 for 34 Sheepwood Road

This inspection was carried out on 21st February 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

34 Sheepwood Road 16/11/05

34 Sheepwood Road 18/05/05

34 Sheepwood Road 07/09/04

34 Sheepwood Road 15/04/04

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 ADULTS 18-65 34 Sheepwood Road Henbury Bristol BS10 7BS Lead Inspector Sarah Webb Key Unannounced Inspection 21st February 2007 09:45 34 Sheepwood Road DS0000026608.V328986.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 34 Sheepwood Road DS0000026608.V328986.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. 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 34 Sheepwood Road Address Henbury Bristol BS10 7BS 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) 0117 9509968 0117 9699000 www.brandontrust.org The Brandon Trust Ms Ruth Martin Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residents must be over 35 years old. May accommodate persons with a Learning Disability and additional Physical Disabilities 16th November 2005 Date of last inspection Brief Description of the Service: 34 Sheepwood Road is operated by Brandon Trust and is registered with the Commission for Social Care Inspection to provide accommodation and personal care to three residents aged 35-64 years of age who have a learning disability. 34 Sheepwood Road is a well established home that has been in operation for fifteen years. It is a residential style bungalow that blends well with the immediate environment and is close to shops and other local amenities. The home provides ground floor accommodation and has one single and one double bedroom. Ms Ruth Martin manages the home. The fees payable currently range from £928.09 to £968.97 per week. 34 Sheepwood Road DS0000026608.V328986.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 inspection with the focus on reviewing the progress of the requirements and recommendations from the unannounced visit in November 2005 and in assessing the key standards of the National Minimum Standards. The home has demonstrated compliance in meeting one of the requirements and both recommendations from the previous inspection. A requirement made is withdrawn as an agreement is now in place between the Brandon Trust and the Commission for Social Care Inspection for the Trust to keep their staffing records at their headquarters and for the Commission to carry out periodic inspections of these records. The inspection was conducted over 6 hours. One of the residents was being supported at the home whilst the remainder were attending a day service. Discussion was had with the manager and one member of staff who were helpful in assisting with the inspection. Two completed surveys were received, by the Commission, from families of residents on their views of the service provided by 34 Sheepwood Road; these were positive in their feedback. The inspection process included viewing care records and other relevant documents required of a care home and a tour of the home. What the service does well: What has improved since the last inspection? The organisation has reviewed the policy on the protection of vulnerable adults to ensure compliance with the Department of Healths No Secrets. The home has a protocol clarified with the GP on the use of homely remedies for each individual. 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 34 Sheepwood Road DS0000026608.V328986.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 34 Sheepwood Road DS0000026608.V328986.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): 1, & 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have sufficient information made available for them to make an informed choice whether they wish to live at the home, however the home must ensure this information is reviewed and kept up to date. The assessed needs and preferences of residents are met and there are processes in place for the review of their care. EVIDENCE: The home has a Statement of Purpose and a pictorial Service User Guide, to inform residents of the service provided at 34 Sheepwood Road. There are some areas that are in need of being updated and reviewed such as the change of Registered Provider and contractual documentation identifying changes to transport charges. Families sign on behalf of their relative to agree to transport contribution, however the current amount payable was out of date. A requirement is made for the home to keep a record of any extra amounts payable for additional services by residents as set out in Schedule 4 of the Regulations of the National Minimum Standards. 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 9 The home has been providing a service to 3 ladies with a learning disability for the past 17 years, and there have been no new admissions since the last inspection. Assessments identified that the home was meeting individuals’ physical, social and psychological needs and that these had been regularly reviewed and monitored. Through examination of care files and discussion with the manager and a staff member, it was evident that the residents enjoy living at the home and are well supported with their lifestyle. One resident was at the home during the day as they were unwell. They were observed being supported by the manager and another member of staff in a caring and understanding way. 34 Sheepwood Road DS0000026608.V328986.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 good. This judgement has been made using available evidence including a visit to this service. Residents care plans set out in detail the action needed to be taken by staff to ensure all aspects of their health, personal and social care needs are met. Residents changing needs are monitored through regular review of care plans. Residents are supported in making decisions about their lifestyles and also in taking calculated risks in order that they pursue an independent life. EVIDENCE: Residents’ care files examined included all aspects of their care. Daily records, support and personal care plans contained comprehensive information including individuals’ lifestyle, including profiles, daily routines and preferences, psychological, and social needs and helped show how residents are supported. The home uses a person centred approach demonstrating that residents are supported in identifying what their needs are, ensuring their care is ‘individual’ 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 11 and based on active involvement. These plans are facilitated and reviewed externally. All 3 care plans had been reviewed and updated. Progress notes identify action taken from goals set and monthly summary sheets give an overall picture of progress made and any significant issues. There was pictorial evidence of how goals were met indicating that residents are involved in the care planning process. The 3 ladies have individual communication needs. The home uses accessible communication to inform and relate information to them. This includes photographs, and picture boards. Staff have also attended specific communication training in order to have a greater understanding of how individuals communicate. The home operates a key working system whereby each resident has a named member of staff who plays a key role in co-ordinating the services they receive. The manager completes 6 monthly reviews for a funding authority in order to inform of any changes to individuals care needs. Residents are supported to take risks in their daily lives by staff. These were detailed written risk assessments that were linked to the care plan. They demonstrated actions are taken to ensure the home is safe for the residents and staff. Risk assessments also demonstrated residents are encouraged to live an independent and fulfilling life and take part in varying activities. 34 Sheepwood Road DS0000026608.V328986.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. Residents are provided with a varied well balanced diet, and are supported and encouraged to live a fulfilling life. Residents’ benefit from contact with their families and friends. Residents’ rights are respected through the promotion of independence and the daily routines of the home. EVIDENCE: All 3 residents are involved in taking part in attending activities through a day service and college placement. Photographs of one resident identified their attendance at a gardening college course. Ongoing activities are recorded by the home and entries included residents’ participation with swimming, birthday parties, going to church, meals out, and 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 13 trips to various venues. The home also provides regular trips to the theatre, hairdressers, and shopping. Staff stated that the residents’ lead busy lifestyles and it was evident that they access many opportunities in the community. Residents are also involved in making choices about holidays with the use of pictorial information. Since the last inspection residents have been offered individual holidays from staying in hotels to attending a ‘60’s weekend. The home uses a ‘mobility’ vehicle that is in the name of an individual resident; The cost of the running of this vehicle is shared between the residents’ with records kept of petrol costs and repairs. It is evident that the home shares this resource fairly between the 3 residents. As previously recorded in Standard 1 the home must ensure a record is kept of any changes to charges made. A staff member said the home has good relationships with families and residents are supported with maintaining contact with their families. Two surveys received from families indicated that the staff meets the different needs of people and that the families are very happy with the care and support offered by staff. The homes practice is to enable the residents to make preferences through differing communication methods. Information such as the duty rota uses pictures and symbols that help to ensure residents are fully informed. The 4 weekly menus were assessed, and it was evident that residents are offered a good choice of nutritious and varied meals, which respect their individual preferences and meet dietary needs. Residents are helped to make food choices about their choice of food with the use of pictures. Records of meals eaten by residents are maintained with alternatives recorded in daily records. 34 Sheepwood Road DS0000026608.V328986.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. Residents are supported to lead healthy lifestyles with their healthcare and personal needs being monitored well. The home operates a robust medication system ensuring the safety of the residents. EVIDENCE: Health profiles included comprehensive information on individuals’ communication, daily routines, medication administered, and records of health checks. Residents’ healthcare records identified that individuals’ physical and mental healthcare needs are being met through regular reviews of their medication and support from appropriate professionals from the Community Learning Disability Team. A speech and language therapist had been working with a resident in relation to eating and staff had also been provided with advice. Care records included information that demonstrated individuals access GP, dentist, chiropodist and optician. 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 15 The home keeps hand held health action plans that record all relevant health information. These are taken to appointments and updated regularly. The procedures for the administration, storage, and disposal of medication were looked at and explained by the manager in order to monitor systems in place for handling medication. Ongoing medication is stored safely in a lockable cupboard. There are no residents who self medicate. There was a photograph of the resident maintained with each record to ensure medication is dispensed to the correct person. The medication administration charts were legible, up to date, and were signed by staff giving the medication. Up to date records were kept of all medication being received into the home. The home keeps a record of returned medication to the pharmacy. A recommendation has been met for the home to have a protocol clarified with the GP on the use of homely remedies for each individual. 34 Sheepwood Road DS0000026608.V328986.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from robust systems for complaints and protection and can be confident that they will be listened to and that they will be protected from abuse. EVIDENCE: The home has an organisational complaints policy and procedure to follow in the event that a complaint is made. An accessible copy was displayed. There have been no recorded complaints since the last inspection. Due to residents’ individual communication, both the staff and families advocate for individuals and care files held well documented information regarding how residents communicate and express their emotions. The home has good relationships and ongoing communication with families. This helps ensure that staff would be told of any concerns that families may have regarding their relatives care. There are organisational policies and procedures in place relating to the issue of protection of vulnerable adults from abuse. A requirement has been met for the organisation to review the policy on the protection of vulnerable adults to ensure compliance with the Department of Healths No Secrets” A member of staff spoken with stated they had attended training in the protection of vulnerable adults from abuse and understood appropriate action to take. 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 17 The home has good financial procedures to ensure the protection of resident’s finances; 2 residents personal allowances were correct and consistent with balances kept. Examination of care files identified that there were guidelines and approaches in place for staff working with individuals relating to their behavioural aspects. These included recognition of stress and strategies for support. 34 Sheepwood Road DS0000026608.V328986.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, 26, 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 34 Sheepwood Road is clean and homely and meets the care needs of the residents. There is a high standard of décor and commitment from staff in ensuring that the home is a good place to live. EVIDENCE: 34 Sheepwood Road is a bungalow set in mature gardens to the front and back of the property. The home is accessible to the residents with a ramp to the front door. The home is leased to Brandon Trust from Western Challenge which shares some of the responsibility for the maintenance of the building. The premises were homely, clean and free from odour. The home was decorated to a good standard with furnishings of a domestic nature. The property consists of a lounge, kitchen, dining room, 2 bedrooms (one being a double), a sleep in room/office, bathroom and separate toilet. 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 19 Bathrooms have been fitted with aids and adaptations to enable residents to be bathed safely. The bathroom and the toilet have been painted with a mural depicting sea life. It was evident that the staff team have worked hard to ensure residents are provided with a homely environment. Care records identified that two residents were happy to share a bedroom. Since the last inspection, bedrooms have been recarpeted and were well furnished with residents having bought new furniture. Communal areas were comfortable and homely. The home has procedures in place to ensure maintenance issues are recorded ensuring ongoing repairs are monitored. 34 Sheepwood Road DS0000026608.V328986.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): 31, 32, 34, & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from clarity of staff roles and responsibilities. Residents’ benefit from a competent staff team with their training needs well met and appropriate training offered in order to meet individuals needs; however an up to date record must be kept of all staff training. Residents benefit from robust recruitment procedures in place to protect service users. EVIDENCE: Discussion with a staff member identified their previous relevant experience and their duties and responsibilities as a support worker. They indicated those areas covered during their induction process and were clear that they had sufficient information to support the residents consistently. The staff member also said that the staff team worked well together and that there were good communication processes in place in order to share information with each other. 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 21 The home employs a minimum of two staff during the day and one sleep in member of staff on a daily basis. However on the day of the inspection the manager had completed a sleep in duty and was working on her own till late morning due to a staff member unable to work. The manager stated that usually both regular staff and named bank staff cover vacant shifts to ensure sufficient staff are on duty to meet the care needs of the residents and that there is a consistency of care. Staffing is also flexible in order to provide extra cover if residents need to be supported with differing external activities. The home currently employs 4 fulltime and 1 part time staff; arrangements are in place for regular bank staff to cover a staff member on maternity leave. The staff rota was on display to help the residents to access this information. Photographs of staff were used to make it more meaningful. The home follows the organisational recruitment policy and procedures in place. New applicants undergo interview processes and appropriate checks to help ensure that residents are kept safe. A requirement is no longer appropriate relating to staffing records to be held in the home. An agreement is in place between the Trust and the Commission for Social Care Inspection for staffing records to be held at the Trust’s Headquarters and to be inspected periodically. The manager keeps an employee records checklist that includes dates of police checks with the Criminal Records Bureau. Observation of staff training records and discussion with the manager indicated it was evident that not all areas of training had been recorded. Those seen indicated that staff had attended training in medication, food hygiene, manual handling, and first aid although there are some staff in need of updates in mandatory training; this has previously been booked with the organisation. All staff have completed a National Vocational Qualification. This is good practice and to be commended. At the last inspection, it was recorded that a member of staff had no recollection of being given a copy of the General Social Care Council’s Conduct. The manager stated that this has been rectified and that all new staff are given a copy of this during their induction. 34 Sheepwood Road DS0000026608.V328986.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. Residents’ benefit from a well run home that is managed with a clear sense of direction. There are formal quality monitoring systems in place in order to measure the aims and objectives of the home. There are procedures and protocols in place in order to ensure the health, safety and welfare of both residents and staff. EVIDENCE: Ms Martin is the registered manager. She has been in post for the past 6 years. She has successfully completed her NVQ 4 in care and management and is an NVQ assessor. 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 23 It was evident through discussion with staff that the manager communicates a clear message in directing the staff towards a holistic approach in supporting the residents. The home follows Brandon Quality Assurance competencies monitoring. This reflects the National Minimum Standards with the competencies judged as to how they are met. There are health and safety procedures in place for staff and residents to follow; records identified that are procedures in place to monitor all aspects of the health and safety of the home including monthly audits being carried out. An annual health and safety appraisal of the home is also implemented. The fire logbook record showed that the range of required fire safety checks were being carried out and were up to date helping to ensure the safety of people inside the building is maintained. All staff have attended both fire training and regular fire drills. 34 Sheepwood Road DS0000026608.V328986.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 2 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 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 x x 3 x 34 Sheepwood Road DS0000026608.V328986.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. 1. Standard YA1 Regulation Sched.4. Requirement Keep an up to date record of any extra amounts payable for additional services by residents, such as transport charges. Update staff training records. Timescale for action 30/04/07 2. YA35 Sched.4 31/05/07 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 34 Sheepwood Road DS0000026608.V328986.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 34 Sheepwood Road DS0000026608.V328986.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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