Inspection on 22/08/07 for 9-10 Jutland Place

This inspection was carried out on 22nd August 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

9-10 Jutland Place 05/04/06

9-10 Jutland Place 10/10/05

9-10 Jutland Place 12/04/05

9-10 Jutland Place 03/11/04

9-10 Jutland Place 10/05/04

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Southfields

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Dovedale Court

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Jutland Place 9-10 9/10 Jutland Place Pooley Green Egham Surrey TW20 8ET Lead Inspector Mavis Clahar Unannounced Inspection 22nd August 2007 09:05 Jutland Place 9-10 DS0000013538.V344539.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 Jutland Place 9-10 DS0000013538.V344539.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. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jutland Place 9-10 Address 9/10 Jutland Place Pooley Green Egham Surrey TW20 8ET 01784 436647 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) H46013@mencap.org.uk Royal Mencap Society To Be Confirmed Care Home 8 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: UNDER 65 YEARS OF AGE One named service user who is over the age of 65 years, may be accommodated in the home. 5th April 2006 Date of last inspection Brief Description of the Service: Jutland Place is situated close to Egham town centre, in a quiet residential cul de sac. The home is a detached property formed from two semi-detached houses and in keeping with the surrounding area. The home is within walking distance of local amenities. The premises provide accommodation and care for 8 residents, male and female, with learning disabilities. Single bedrooms are situated on the first and ground floor. Communal facilities such as the Lounge, kitchen and conservatory/dining area are on the ground floor and the home has its own private garden to the rear. There is ample car parking at the side of the property. Fees at this home are currently £475.27 per week. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the first key inspection to be undertaken by the Commission for Social Care Inspection, (CSCI) was undertaken by Mrs Mavis Clahar on the 22nd August 2007 and lasted for five hours and twenty-five minutes; commencing at 09:05 hours and concluding at 14:30 hours. The first part of the inspection was spent talking to the service users who were waiting to be transported to their various planned activities. This was followed by discussion with the manager, giving an update on the inspection processes under inspecting for better lives. An outline of how this visit would be conducted was discussed and agreed. The second part of the visit was spent reviewing service users care notes, which were up to date and sampling selected policies and procedures. The information contained in this report is gathered mainly from service users notes and records kept by the home, from direct observation by the inspector, along with discussions with care workers present on the day of the visit. Further information was obtained from mainly two service users with occasional input from a third service user. The direct views and opinions of these service users are included in this report. However, not all the service users were able to participate due to them having to leave the home, and also due to their learning disabilities it was not possible to get answers to questions asked of them. A tour of the home and gardens was conducted. Each service user bedroom is personalised by the service user to suit their likes and tastes. It was noted that all service users bedrooms were particularly clean and tidy, their clothing neatly folded and stored. Generally the home is clean and tidy. The final part of the visit was spent giving feedback to the manager about the findings of the visit. Two requirements on staffing issues were made on this visit, and one outstanding requirement was reissued. Please see details of requirements under the heading Staffing in the body of the report. The inspector would like to thank all the service users, and staff who spent time speaking with the inspector on the day of the visit. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Current photographs of service users are now included onto their service user files. Plans are in place to deal with ageing, terminal illness and death, as agreed with the service user and relative or representative. All requirements issued on the last inspection except one have been actioned within the given timescales. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 7 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. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 8 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 Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home are not made until a full needs assessment has been undertaken to ensure the home can meet the needs of the service user. The assessment is conducted professionally and sensitively, and involves the service user and their family or representative where appropriate, and the psychologist, and the occupational therapist. Where the assessment is undertaken by social services, the home obtains a copy and also a copy of the care plans. EVIDENCE: Review of service users files demonstrated that the home has established a good process of assessing service users needs. This has been enhanced by the joint development of service users care plans with service users. The assessment contains the documented evidence of the psychiatrist, psychologist and occupational therapist. The home uses the Person centred approach to care, and this is documented using the “widget” method, which is a method of communication suitable for persons with learning disabilities. It was noted that no two service users assessment of needs were identical. The manager told us the service users are more involved in their assessment and so are able to make decision with support about their care and leisure pursuits. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 10 Care workers spoken to told us service users’ assessment of needs is carried out over a period of time and that the service users and their families are very involved. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 11 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): 679 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in the review of their care, and agreed changes are documented in their care plans, thereby ensuring all care workers have access to this new information. The home encourages service users to make decisions about their daily lives, and to take risks as part of their independent lifestyles, with assistance from the key worker when necessary. EVIDENCE: Random review of service users files demonstrated that service users assessed needs are documented in the care plans and the evaluations demonstrated that changing needs are recorded. How much the service users are currently aware of this was hard to ascertain as only one service user was present during the whole of the visit and she nodded to every question asked. It is obvious from the information contained in the care plan that the service users were involved in assessing their changing needs, and achieving their personal goal. One service user expressed a wish to become involved in working in the coffee shop at the day centre, and this service user was being supported in Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 12 achieving their goal. However, on the day of the visit the coffee shop was closed and although arrangements were made for this service user to work in the canteen he declined and asked to be returned to the home. In discussion with this service user, he told us the coffee shop was where he wanted to work and since it is closed he would like to go shopping. The service user and his key worker went into town to do his shopping as he requested. It was apparent that service users made decisions about their lives. The inspector was shown the home’s computer which, service users are encouraged and supported to use to document their changing needs using the widget form of communication. The home’s documentation on service users’ choices is based on Respect, Independence, Community participation and Community presence. In discussion with care workers the inspector was told service users are involved in the care of their home. We observed one service user tidying up the kitchen area on our arrival at the home. The service user told us today is her home day when she helps with tasks around the house. We were told that the service users hold a weekly menu-planning meeting followed by food shopping which involves the service users. Some service users are encouraged to do their own laundry with the support of their key worker. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a strong commitment to enabling service users to develop their skills, including social, emotional, cultural communication and independent living skills. Service users are encouraged and supported to identify their goals, and aspirations and work to achieve them. Service users are able to make choices in accordance with their abilities and are provided with balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: The observed relationship between care workers and service user was relaxed and friendly creating a warm and friendly homely feeling. Service users are encouraged to live a full life and to partake in age related activities such as going to the pub, having meals out, attending day centres, shopping, and going to the cinema. Their religious beliefs are acknowledged and encouraged. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 14 Review of service users records and in discussion with care workers it was documented that service users are encouraged to make friends outside of the home and to keep in touch with their friends and families as they wish. Service users are enabled to entertain their guest in the privacy of their bedroom if they so wish. The manager told us the home is run on the basis that it is a family home where each member is allocated tasks within their capabilities. Sometimes tasks are allocated that will stretch the service user, who is always supported and enabled by their key worker and service users achievements are always acknowledged. We were also told that the care workers aided by the service users provide catering service for all at the home. The inspector did not sample the mid-day meal but the service users said it was delicious, and the amount was right. Today the midday meal was sandwiches as there were only two service users in the home, and there will be a cooked evening meal. We noted a good amount of dry, frozen and fresh food in the home. Plenty of fresh fruits, including a good variety, were placed on tables in the lounge where service users can help themselves as they wished. Service users were observed making drinks as they wish with assistance from their key worker. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 15 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. Carers understand the principles of giving personal care and support and are responsive to varied and individual requirements of the service users. They recognise that the delivery of personal care is highly flexible, consistent and reliable ensuring that service users receive personal care and support in the way they prefer; and that their emotional and health needs are met. None of the service users at this home are assessed as capable to selfadminister their medication. Medication is administered by staff trained to do so, thereby being protected by the home’s policies and procedures on administration of medication. EVIDENCE: Discussions with manager and care worker and review of care plans indicated each service user received the agreed personal care and support as directed in the care plans. Physical and emotional needs identified in the care plans are also met. The care plans are reviewed on a regular basis, visits to the doctor dentist, and dietician are carried out on an as required basis. Daily care notes are documented, dated and signed by the key worker or other care worker as necessary. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 16 Review of randomly selected service users’ files revealed that no service user at the home is risk assessed as capable to self-administer their medication. A review of the medication records demonstrated that medication is being administered within the home’s policy and guidelines of administration of medicines. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates in a manner that supports service users to air their views and concerns, which are acted upon before they can become complaints. Robust safeguarding policies are in place to protect the service users from abuse, neglect and self-harm. EVIDENCE: CSCI office has not received any complaints about this home since the last inspection. Included in the service users information pack kept in the office as a written and signed request of the service user is the home’s complaints policy and Service Users’ Guide, developed in pictorial and widget symbol format. We were told that issues raised by service users are dealt with instantly before they can become complaints. Random sample of care workers files and in discussion with care worker it was evidenced that care workers are being trained to recognise and report any act or suspicion of abuse to service users. The manager supported this by the production of the staff training records. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical layout of the home enables service users to live in a safe, wellmaintained and comfortable environment, which encourages independence. EVIDENCE: The home has a well-maintained environment, and service users are encouraged and enabled to personalise their bedrooms. The home presents as a safe place to live with bedrooms that meet the National Minimum Standards for Younger People. The management has a good infection control policy: they seek advice from external specialists, e.g. infection control, and encourage their own staff to work to the home’s policy and procedures to reduce the risks of infection. It was noted in care workers file that they attend regular training sessions on Health and Safety issues. Care workers spoken to appear knowledgeable about suitable storage and disposal of waste. The home presents as comfortable with attractive gardens which are easily accessible to service users who are all fully mobile. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 19 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 33 34 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care workers in the home are trained, and skilled but are not in sufficient numbers to support the service users who live at the home, and to support the smooth running of the home. The manager must work within her defined role as manager for the home to ensure the safety of the service users at all times. The home’s recruitment policy and the training given to care workers ensure suitably selected and qualified staff meet service users needs. EVIDENCE: It was noted on the staff rota that the manager was working full time as a member of the care staff. In discussion with the manager is was clear that managing the home was fitted in when she had time, and this was mostly in her own time. A requirement was issued on this standard for the responsible individual to ensure the manager receives a clearly defined job description, and understands her own and others’ roles and responsibilities. Review of service users care plans indicated their named key worker supports service users. In discussions with care worker they indicated the manager Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 20 encourages and enables carers to undertake external qualifications beyond the basic requirements to enable staff to assist the service users achieve the agreed care and social needs. Reviewing of service users files supported this statement. In discussion with the manager it was revealed that staff training is high on the agenda for the home. Review of the duty rota indicated that only one member of staff is on duty between 13:00 hours and 16:00 hours and this is a regular practice, which is highly unsafe practice. A requirement was made on this standard. Further review of the staff rota indicated that great care was taken in ensuring the right skill mix of care workers are on duty over any twenty-four hour period to meet the needs of the service users. One sleep in carer covers night duty. The home has a good recruitment policy and procedure, based on their equal opportunities policy that has the needs of the service users at its core; reviewing of staff records evidenced this. It was noted that all members of staff were recorded as having had an application to the Criminal Records Bureau (CRB). It was noted that one requirement regarding the calculation of staff hours given at the last inspection was not met. In discussion with the manager we were told that the home was unable to find the advised document. We gave the manager the name and address and telephone number and Webb site whereby an order can be placed, with a new date for submission to CSCI. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 21 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. The management and administration of the home is based on openness and respect, has effective quality assurance systems to ensure service users views are obtained and acted upon. The manager ensures that care workers follow the policies and procedures to maintain the health, safety and welfare of the service users. EVIDENCE: The home has a manager who is in the process of seeking registration with the Commission for Social Care Inspection, who is a trained nurse with many years experience in caring for and managing care needs of people with a learning disability. It was evidenced that the manager displays a strong ethos of being open and transparent in all aspects of the running of the home. The manager is service user focused and leads and supports a strong staff team who have been recruited and trained to a high standard. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 22 It was difficult to measure how confident all service users were that their views underpin all self-monitoring, review and development by the home. In discussions with the group of service users, some were vocal and focused whilst others were quiet. It was not possible to have one-to-one conversations with each service user, as they had their day’s activities planned and wanted to be off. However, one service user returned home, as they did not want to participate in the lunchtime activities, and this service user was very knowledgeable and focused about his care and his involvement in making decisions. Documented evidence from service users/care workers meetings was available for review; also the monthly reviews by the responsible individual were carried out and records kept. Only one service user was present throughout the day of the visit, this service user was not able to answer questions asked by the inspector. The inspector observed that service users were relaxed in the company of care workers and although the service users were not communicating with each other, they would smile at the inspector during attempts at conversation. We were told that service users and care workers opinions were listened to and acted upon. Service users are encouraged and supported to make choices even when these choices might involve some degree of risks, for which appropriate risk assessment is completed. Each service user is registered with the local GP practice, which they access as required. Chiropody service and dental service are also accessed as required. Service users have access to the wider primary health care services and the manager told us she is aware of whom to contact if the need arises. The manager ensures that at all times the health, welfare and safety of the service user and care staff are promoted and protected by ensuring staff have regular and up to date training as evidenced by the home’s training records. Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 2 32 3 33 2 34 3 35 3 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 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 Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 24 YES 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 YA31 Regulation 19 (5) (b) Requirement The responsible individual to ensure the manager has a clearly defined job description, which will enable her to understand her role and responsibilities as a manager of the home. At all times during any twentyfour hour period the home must have suitable numbers of carers on duty to ensure the health and safety of service users and staff are not compromised. Timescale for action 30/10/07 2. YA33 18 (1) (a) 30/10/07 3. YA33 18(1)(a) The home should keep under 30/10/07 review the ‘staff to resident’ ratio and calculate the numbers of staff required using the Residential Forum matrix. This calculation should be sent to CSCI. (Timescale 10/12/05 and 31/05/06 not met). Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 25 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 Jutland Place 9-10 DS0000013538.V344539.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Jutland Place 9-10 DS0000013538.V344539.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. 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!