Inspection on 05/09/06 for 58 Whichers Gate Road

This inspection was carried out on 5th September 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 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

58 Whichers Gate Road 07/08/07

58 Whichers Gate Road 14/12/05

58 Whichers Gate Road 15/08/05

58 Whichers Gate Road 22/11/04

58 Whichers Gate Road 04/06/04

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 58 Whichers Gate Road Rowlands Castle Hampshire PO9 6BB Lead Inspector Mrs Pat Hibberd Unannounced Inspection 5th September 2006 09:30 58 Whichers Gate Road DS0000011747.V305665.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 58 Whichers Gate Road DS0000011747.V305665.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. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 58 Whichers Gate Road Address Rowlands Castle Hampshire PO9 6BB 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) 023 9241 3141 Mr David Rodgers Mr David Rodgers Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th December 2005 Brief Description of the Service: 58 Whichers Gate is a three-bedroom house located on the outskirts of Rowlands Castle. There is a new manager in post. The service provides an ordinary living setting for three people with a learning disability. The Home is not staffed on a 24-hour basis as support is targeted to the needs of the three residents accommodated. There are however, staff on call at all times. The Home is close to the village of Rowlands Castle, which has a number of small shops. Havant can be reached by bus although the Home has an unmarked vehicle available for residents to use. All the residents have their own bedroom and access to all parts of the Home with the exception of the office when staff are not in the Home. Weekly fees are £450.00 .The manager provided this information on the day of the inspection in the Home. 58 Whichers Gate Road DS0000011747.V305665.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. All key standards were inspected on this occasion. The fieldwork took place over three hours and the inspector was able to tour the home, garden, view all of the bedrooms and communal area. Discussions were held with the Home’s manager and one staff member. The inspector spoke with all three residents and spent time observing staff interaction and support with one resident as detailed in their care plan. Additional information was supplied within a pre-inspection questionnaire completed by the Home’s manager. Prior to the inspection three resident comment cards were received by the commission of which views expressed as to the service provided by the Home are included within this report. Residents advised that they liked living in the home, felt involved in decisions reached about their home and, that they considered the staff treat them well. There are risk assessments in place in relation to the periods when staff are not in the Home to ensure their protection. Further details of which can be found in the main body of the report. Two residents’ files were viewed which further contributed to the findings of the inspection. What the service does well: What was evident during this inspection was the new manager’s commitment to ensuring the service offers a semi-independent lifestyle for the three residents within a risk management framework of care. Residents indicated that they feel able to talk to the staff that are always available on the telephone when not on duty in the Home and, that their needs are met as detailed in the care plans viewed. It was further evident that residents are fully involved in compiling their care plan and in any review held. Due to the Home not being staffed 24 hours a day the manager and staff have compiled a range of risk assessments addressing all aspects of care provision. These include issues of protection that were detailed and regularly monitored with the residents who were able to explain their understanding of why they had been compiled and the need to inform staff should they have any concerns. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 58 Whichers Gate Road DS0000011747.V305665.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 58 Whichers Gate Road DS0000011747.V305665.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. There is a comprehensive assessment process ensuring residents’ needs are identified by the home prior to admission. EVIDENCE: The Home has an extremely comprehensive process of assessment that is undertaken by the Home’s manager and a senior member of staff prior to a placement being offered to a resident. The process would include a prospective resident visiting the Home prior to a placement being offered during which time interaction between residents currently accommodated would take place and staff views gained. A number of visits would take place (if appropriate) before a firm offer of a placement is made. There have been no new admissions to the Home for a number of years. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are care planning and risk assessments in place which provide staff with the information required to meet the needs of residents and enable residents to make decisions about their lives. EVIDENCE: During this visit, two residents’ care plans were viewed. Both care plans had a range of information in terms of support required that included guidance for staff as to health requirements; community and activity programmes and details of personal support needs. Residents keep their care plans in their bedrooms with residents explaining that they felt their care plan “ belonged to them”. All three residents are able to read the majority of their plan and confirmed that they had fully participated in compiling the plan with staff support. Care management reviews are held by Social Services although not on a regular basis. In discussion with the new manager and one staff member it was clear that residents’ care plans and guidelines are referred to on a daily basis alongside 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 10 good systems of communication that have been developed to continually inform the reviewing process. Communication systems include shift “handovers”, completion of daily records and informal discussions. From discussion with staff it was clear they had a good understanding of individual’s’ needs, and were seen to interact appropriately. Choices and decisions made by residents were seen to be well supported by staff, and in accordance with current risk assessments. For example two residents have recently redecorated their bedrooms and on the day of the inspection were due to go to the local town to choose accessories to match the decoration. Residents informed the inspector “ the new manager is nice and we are going out a lot more”. Risk assessments were held in files. Due to the Home having minimal staffing a number of risk assessments relate to risks that may present themselves to residents when there are no staff on duty in the Home. These include action to be taken by residents in the event of a fire in the Home. Residents were able to demonstrate what they would do if there were a fire in the Home and indicated that they participate in fire evacuations with staff. From further discussions held with the three residents it was confirmed that whilst there is not a key worker system operated in the Home all felt able to talk to all of the staff and make decisions as to their chosen lifestyles within a risk management framework of care. The new manager indicated that although she has read and updated areas of residents’ care plans having been in post for nine months she has had an opportunity to become familiar with residents’ needs and will be reviewing all care plans and risk assessments. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. Social activities, family contacts and meals are well managed providing residents with choice, independence and opportunities for personal development both in the home and community. EVIDENCE: All of the residents accommodated have part time employment. Residents indicated that they generally enjoy their work that provides them with a community presence, companionship and fulfilment. Files viewed confirmed that reviews of the placements are undertaken with the resident, staff at the Home and the employer to ensure the individual is happy and receiving the appropriate level of support needed. From discussions held with the residents it was evident that they are supported to become involved in a range of community activities including trips to the “pub”, theatre, shopping and swimming. Residents indicated that they enjoyed cooking in the Home, listening to music and watching television. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 12 One resident told the inspector “ I am going to go to a Line Dancing class – I can’t wait”. Due to the independence of the residents accommodated and the Home not being staffed on a 24 hour basis discussions were held as to whether residents considered they had sufficient interests and support to pursue their chosen lifestyles. All indicated that they were” happy with their life – the new manager makes us happy and is doing lots with us”. “ I like living here “. All residents have been on holiday to the Isle of Wight this year. Staffing can be flexible however, dependent on activities arranged. For example when residents wish to go out for an evening staff support is arranged. The home has one unmarked vehicle available for residents. All residents can vote if they so wish. There is regular contact with family and friends with visitors being welcome to the Home. Feedback received from two relatives indicated that they were very happy with the service provided. There is an intercom and camera installed to enable residents to see and speak to anyone visiting the Home of which residents were able to explain how and when they use the system. There were a range of risk assessments in files viewed in relation to residents accessing the community and undertaking tasks in the Home with or without staff support. Daily routines in the Home are flexible. For example residents indicated that they go to bed and get up when they choose and eat their meals when and where they so wish. Residents have a key to their bedroom. Menus were seen and discussed with the residents who explained that they are fully involved in shopping, preparing and cooking their own meals. The menu was varied and nutritious. One resident was able to explain how they used the cooker and microwave and their understanding of safety in the kitchen when there were no staff in the Home. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. The quality in this outcome area is good. The health needs of residents are met with evidence of good multidisciplinary working taking place on a regular basis. Personal support is provided in a way that promotes and protects residents’ privacy and dignity. There are satisfactory systems in place to monitor resident’s ability to self medicate. EVIDENCE: Details of preferred personal support needs for residents were available in their files although due to their independence minimum support is required. The information was detailed however, and had been read by the new manager and discussed with staff to ensure they were all working in a consistent manner. One staff member was observed supporting a resident preparing for a bath. The support was discreet and provided in a dignified manner. Residents indicated that they received the support they required and in a way that they were satisfied with. Residents are free to choose their own routines, and on the day of the inspection this was evidenced by a resident staying in bed until later in the day. Residents can choose what they wear. All residents have access to a GP with two care plans viewed confirming that they also have access to all health professionals as required including the local community learning disability health team. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 14 The new manager said that residents now attend a chiropodist. Two residents who self medicate were able to demonstrate that their medication is securely locked in a drawer and, that there are up to date records kept of when they take their medication. They were aware of the need to contact staff if they had any concerns and a risk assessment was available in their file to that affect. Staff monitor the medication records of both residents to ensure they have taken the appropriate dosage. Staff have undertaken medication training with an external trainer and had a good knowledge of the content of the Home’s policy and procedure. Medication received and disposed of is recorded by the Home’s manager. There are no controlled drugs administered. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints policy and procedure and alternative systems are in place to ensure that residents concerns are addressed. Staff have a good understanding of adult protection issues, which protects residents from abuse. EVIDENCE: The Home has a complaints procedure. Staff and residents spoken to indicated they were aware of and knew how to use it. No complaints have been made to the Home since the last inspection. A complaints book was in place. The Home has all relevant documentation relating to adult protection including a whistle blowing procedure, the adult protection policy and the “No Secrets” guidance. Staff had received training in abuse with one staff member discussing a scenario and how they would respond to a disclosure. Residents manage their own finances with minimal support from staff and indicated they are happy with this arrangement. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable, clean, hygienic and safe environment is provided for residents, which meets their needs. EVIDENCE: All residents have their own bedroom two of which have been recently redecorated with residents indicating they had been fully involved in choosing colour schemes and new curtains and bedding. The Home has a lounge and separate dining area which provides a comfortable and homely environment for residents. Residents said they were very happy with the new three-piece suite and redecoration of the lounge. There is a good size kitchen that was clean, bright and airy. COSHH (control of substances harmless to health) sheets are available for staff. Residents were able to explain what products they use for each cleaning task when staff are not in the Home. There is a washing machine in the kitchen and dishwasher and hand washing facilities. Residents explained that they were aware that they should not use the washing machine whilst they are cooking or, if preparing a snack. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 17 Staff have received training in food hygiene and infection control. The Home has polices and procedures in relation to infection control although these were not inspected on this occasion. Since the last inspection the garden; which had become overgrown has been cleared. One resident proudly showed me the greenhouse where they had grown tomatoes and cucumbers and said, “ I like the new manager she has helped me grow tomatoes which I have eaten for my tea”. There have been no recent visits from the Statutory Fire Officer or Environmental Health officer. The Home has a planned maintenance and renewal programme. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good skill mix of well-trained staff to support residents. The relevant recruitment practices in place ensure residents are protected. EVIDENCE: One staff member spoken to demonstrated an excellent understanding of residents’ needs and was observed as being approachable, a good listener and communicator and supportive of residents’ requests throughout the inspection. Residents spoken to further supported this view. Staff indicated that a range of training is provided relevant to the needs of resident’s accommodated. It includes a thorough induction, health and safety, abuse, infection control, moving and handling, fire, medication, basic first aid and basic food hygiene. Of the two part time staff members of the team two have achieved National Vocational Qualifications (NVQ) in care Level 2 and one is due to commence NVQ Level three. One staff member spoken to demonstrated an awareness of equality and diversity issues and application to their daily practice. This policy is not currently in place in the Home although the manager indicated that this will be written and shared with staff to ensure their understanding and application to service delivery. A staff member spoken to said that they have a training needs analysis and opportunities to develop their practice with the support of 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 19 the manager. A copy of staff training records were provided with the pre inspection questionnaire sent to the commission prior to the inspection Staff files were not viewed as there have been no changes to the two members of the staff team for a number of years and during previous inspections all files were up to date and contained the relevant recruitment and employment checks. The staff member on duty confirmed that she received regular supervision and support from the manager. Rotas were viewed with residents able to advise that there are staff on duty in the Home on a Tuesday between 11am and 4pm , Thursday 9am and 3pm and a Sunday between 9am and 2pm. At all other times there is always a member of management of call . Details of the telephone numbers and who to contact were on the wall in the dining room. Residents indicated that they are happy with the staffing arrangement and enjoy the independence it enables them to have. Residents indicated that they knew how to contact staff and, that staff were always available when they phoned the on call number. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leadership provided by the new manager is good ensuring positive outcomes for residents and staff who are involved in the running of the service. The health and safety practices in the home are satisfactory. EVIDENCE: The new manager has been in post for nine months having previously managed a large Home for a number of years. The manager indicated that she is in the process of applying for registration with the commission. From discussions held it was evident that the manager is aware of the range of responsibilities she has and indicated that these include ensuring the written aims and objectives of the Home are met, policies and procedures are implemented, the budget is properly managed and residents are aware of their terms and conditions of residency. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 21 From discussions with one staff member and all three residents and documentation viewed the manager is demonstrating her ability to ensure systems are in place to achieve and meet his role and responsibilities and, provide effective leadership and management of the Home. The Home has an annual development plan with monthly objectives in place to measure outcomes for residents in respect of their care, staff and environment. Residents meetings are held monthly and are minuted. One resident confirmed that staff always follows up action identified during a meeting. Further systems implemented to ensure there is an effective quality assurance and monitoring of residents’ views include care plan and risk assessment evaluations on a monthly basis. A questionnaire is also provided for residents to comment on their views of the service six monthly with any action identified addressed by the manager or provider as relevant. The manager is currently reviewing all policies and procedures. Systems in place in the Home to ensure the health and safety of residents were satisfactory. These include monthly risk assessments of the building, regular fire checks and fire training of staff and residents, food hygiene/infection control/moving and handling and COSHH (Control of substances hazardous to health) training for staff and gas and electrical appliance checks. Each resident has a fire evacuation risk assessment that is reviewed monthly. All three residents were able to explain instructions they had been given by the manager in the event of a fire. There are smoke alarms throughout the Home. PAT (portable appliance testing) had been undertaken during this month. All food and freezer temperature records were up to date. 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score Standard No 6 7 8 9 10 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 58 Whichers Gate Road DS0000011747.V305665.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!