Inspection on 29/04/05 for Abbey House Nursing Home

This inspection was carried out on 29th April 2005.

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

Abbey House Nursing Home 03/10/07

Abbey House Nursing Home 13/07/06

Abbey House Nursing Home 05/12/05

Abbey House Nursing Home 29/11/04

Abbey House Nursing Home 20/04/04

Abbey House Nursing Home 16/06/03

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Abbey House 2 Abbey Hill Netley Abbey Southampton Hampshire SO31 5FB Lead Inspector Tim Inkson Unannounced 9:00am 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbey House Nursing Home Address 2 Abbey Hill Netley Abbey Southampton Hampshire SO31 5FB 023 8045 4044 023 8045 6989 info@abbeyhouse.org.uk Millennium Care Homes Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Susan Ann Wilson CRH 43 Category(ies) of OP - Old age (43) registration, with number PD - Physical disability (8) of places PD(E) - Physical disability - over 65 (43) TI - Terminally ill - (8) TI(E) - Terminally ill - over 65 (43) Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 8 service users between 50 - 64 years of age in the categories PD and TI can be accommodated at any one time. Date of last inspection 29 November 2004 Brief Description of the Service: Abbey House is located on the edge of Netley village and approximately 3 miles from Southampton city centre. It is within easy reach of local amenities in the the village including, churches, shops, pubs, retaurants and an attractive country park overlooking Southampton water. The home is set in well maintained gardens, close to the historic ruins of Netley Abbey. Originally a large Victorian house, the building has been converted and extended for use as a care home. Accommodation is provided on 3 floors and there are passenger lifts and stair lift that provide access to all areas of the home. Other facilities include three lounges, one of which is on the first floor a dining room and a conservatory, assisted baths, a laundry service and full board. The bedroom accommodation comprises twenty-nine single and seven shared rooms; twenty-one of the single rooms have en suite facilities. Abbey House is registered to provide nursing care for up to 43 individuals of both sexes over the age of 65 years. It can also provide proved care for up to 8 people between the ages of 50 and 65 years with physical disabilities and palliative care for up to 8 people in the same age range. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the first of two inspections of the home that must be undertaken during a period of 12 months. It was unannounced and started at 08:45 and was completed at 15:50 hours. The registered manager Sue Wilson was available throughout the visit and able to provide information and advice accordingly. During the inspection, a tour of the premises was undertaken, records were examined, staff working practices and an organised leisure activity were observed and residents (12), visitors (9) and staff (7) were spoken to. At the time of the inspection the home was accommodating 41 residents, 9 were male and 32 were female and their ages ranged from 71 to 102 years. What the service does well: What has improved since the last inspection? There were no requirements made as a result of the last inspection of the home on 29th November 2004. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 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. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 and 5 The home’s admission procedures were good including, making available information about the service provided, comprehensive assessments of potential service users needs before they moved into the home and enabling them to visits the home and have a trial stay. EVIDENCE: A copy of the home’s Statement of Purpose, it’s Service Users Guide and a copy of the report of last inspection of the home on 29th November 2004 were readily accessible in the entrance hall to the home. Service users and visitors also said that they had received information about the home before they moved in. Copies of the home’s Service Users Guide were seen in the rooms of several residents. The manager said that a website for the home had been recently set up enabling information about the home to be found on the internet. The records of 4 service users were examined including those of individuals who had recently moved into the home. It was apparent from the documentation and also discussion with service users and visiting relatives that assessments of the needs of potential service users were made before they Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 9 were admitted to Abbey House. They were also informed in writing that the home was able to meet their needs. • “Sue (the registered manager) visited Mum at Countess Mountbatten, then we were told they could take her and we were given information about the home” (visiting relatives). Service users and visiting relatives said that they could visit the home and also have a trial period in the home before deciding whether to live in the home permanently. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 The home had good systems in place to ensure that the health and personal care needs of service users were met and their privacy and dignity promoted. EVIDENCE: The care plans and related records of 4 service users were examined. Plans of care were detailed and set out the action staff had to take and any equipment that was necessary to meet the assessed needs of service users. There was evidence that service users were involved in the development of their care plans and that they were reviewed regularly. The plans referred to the principles that underpin social care e.g. “Variable sleep pattern, time for bed will depend on her choice – chooses her own dress which is appropriate for the time of year. Service users said that the help and care they received was in accordance with their agreed plans and where equipment (e.g. wheelchair, Zimmer frame), or provision of specific treatment (e.g. emollient), was required this was observed to be in place. • “I need a hoist for transferring and help with going to the toilet, bathing and dressing, I feel safe when they help me, they know what they are doing” (service user). Records, observation and discussion with service users indicated that the home promoted the health care needs of individuals. Service users said that when Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 11 necessary doctors visits were arranged and that other healthcare professionals visited the home regularly included chiropodists and dentists. “They organise a doctor for you if you are not well” (service user) “I saw a doctor recently because I had chest pains, they arrange hospital visits if you need them” (service user) “They visit every so often” (service user) A range of recognised methods of assessing service users health needs and for identifying appropriate interventions that may be required included consideration of; skin integrity; continence; mobility and nutrition. Consequently equipment or action plans were in place where necessary e.g. air mattress; hoist; provision of soft diet and help and encouragement with feeding. There were detailed and specific care plans in place for the management of wounds and there was evidence that these were monitored and reviewed appropriately. The home was within the catchment area of 7 different surgeries that had service users registered with them. A retainer was paid to one surgery that accepted service users that had not resided in the locality before moving into the home. All service users said that the staff respected their privacy and dignity and staff were observed knocking on bedroom doors and waiting for a response before entering. One service user said, “they always knock on my door and its very private when they wash me, they cover me with a towel”. The home had some shared bedrooms and service users accommodated in them said that staff ensured that screens were used to provide them with privacy. Service users also confirmed that they were able to wear their own clothes and that they were addressed by their preferred terms that were noted in their care plans. • “They call me X I think its more friendly” (service user) Some visitors said, “they always knock and when they see us they ask if we want the door closed, they seem concerned about privacy” Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 The homes had a good and varied programme of activities in which service users could participate and promoted individuals rights to exercise choice. It had good links with the community. Meals in the home were good offering both choice and variety and catering for special dietary needs. EVIDENCE: At the time of the inspection a regular visiting singer was providing entertainment in the largest of the communal lounges in the home. Service users said that the home had an “activities lady” and that they enjoyed some of the many different things that were organised. • “We have regular musicians and singers, exercises, all sorts” (group of service users) The preferences of service users were noted in their care plans and service users confirmed that these were respected accordingly and that they could exercise choice in many ways. “I get up early, I am down around 7:00 a.m. and it’s my choice, I also go to bed late. We have two choices of main meal each day and if you don’t like either of them they will rustle something up for you” (service user). “I like to be in bed by 7:30 p.m. and it’s very seldom that I am not”(service user) Service users said that routines in the home were relaxed and there were “no rules as such”. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 13 All visitors spoken to said that visiting the home was encouraged and that the arrangements were very flexible and all described the home in very positive terms. “You can come at any time so they could not hide anything” “They are good to me. I phone through and they put up a meal for me”. “You can pop in at any time” “You get a nice cup of tea when it comes round”. All service users without exception said that the food provided by the home was good and confirmed that they had three meals a day and could have snacks at other times. • “The food is lovely” (service user) The home had a four-week rotating menu, service users were advised of the choices available and orders for meals were taken in advance. Information about the needs of service users with specific dietary requirements was readily available in the kitchen e.g. diabetic, soft, chopped up, etc. Pureed meals were provided with all their constituents prepared separately ensuring that their appearance was attractive. Some service users ate in their rooms and some in the dining room or at tables in one of the lounges. Staff were observed sensitively and appropriately providing help to those service users that needed assistance at meal times. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Arrangement for protecting service users and responding to their concerns were satisfactory. EVIDENCE: The home’s complaints procedure was readily accessible and all service users expressed confidence in their ability to raise matters of concern with the manager. A record of complaints, including how they were investigated and their outcomes was kept by the home. The Commission for Social care Inspection had received no complaints since the last inspection of the home on 29th November 2004. The home had robust policies and procedures in place to promote the safety of vulnerable adults and there was a copy of the local authority’s adult protection procedures readily available in the home. Other relevant written policies and procedures that were available in the home included: • Adult Protection Policy (04/04) • Use of bedrails • Service Users’ Rights – Handling their monies and valuables (11/02) Guidance and information that was available for staff to use included a video about abuse in care homes. The staff handbook included details of the home’s policy about, “gifts to staff and service users wills”. At the last inspection of the home the manager had stressed that confirmation was obtained from agencies that supplied staff to the home in the event of sickness or shortages that those individuals had been checked with the Criminal Records Bureau (CRB). She had also said that CRB checks had been Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 15 made on regular visitors to the home who had access to service users e.g. chiropodist and hairdresser. Staff said that they had received training in adult protection matters and were able to demonstrate an awareness of the types of abuse that could occur and knew what to do if they suspected or knew that service users were being abused. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 and 26 The home provided a comfortable, clean and safe standard of accommodation that met the needs of service users. EVIDENCE: The home was well generally in good repair and the home employed a member staff full time to undertake maintenance of the building and was observed cleaning carpets in communal areas at the time of the inspection. The home’s owners had plans to construct an extension to the building that would incorporate 5 bedrooms, a new and enlarged conservatory and would ensure improved access to all floors as well as more communal space. The communal areas in the home comprised 3 lounges, one of which is on the first floor, a separate dining room and a conservatory. They décor and furnishings were domestic in character and in good repair. Service users said the lounges were comfortable and provided them with options. • “You have a choice which television to watch” Service users and visitors said that the home was clean and was odour free. “Its clean, fresh and there are no smells” (visitors) “My room is kept nice and clean” (service user) Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 17 The home had written policies and procedures available concerned with infection control and staff had attended relevant training courses. Protective clothing was readily available and staff were observed using it appropriately. The manager said, “they are so diligent using gloves we use thousands of them every week”. The home was provided with sluice disinfector and the laundry room was suitably located in the building and properly equipped. Laundry procedures included the use of dissolvable plastic bags that helped reduce the risk of cross infection. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 The home employed an appropriate skill mix of staff and in sufficient numbers to ensure that the needs of service user were met. Robust recruitment procedures were in place for the protection of service users. EVIDENCE: Service users and visitors said that there were enough staff, that they had the ability to provide the help and care that they needed and that the nurse call system was answered promptly. “They look after her very well, there never seems to be a shortage, there is always someone there” (relative) “If you want help you get it” (service user) “When they help me they know what they are doing” (service user) “There are more than enough of them and the put me at my ease when they help me” (service user) Staff comments about the numbers deployed in the home included: “It can be hard work but I really like it, keeping busy helps the day go quickly”(staff member) “Staffing levels are OK – its heavy in the mornings” (staff member) “I think there are enough staff, the morning is harder but the nurses help us” (staff member) “We get plenty in, there are definitely enough of them” (service user) Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 19 The minimum care staffing levels deployed in the home was as follows: 08:00 to 14:00 2 7 9 14:00 to 20:00 2 6 8 20:00 to 08:00 1 4 5 Registered nurses Care assistants Total The registered manager did not work as part of the minimum rota and was supernumerary at all times. Other staff employed to work in the home were: • A full time administrator • A part time secretary • Two full time cleaners (a third was to be employed in the near future) • A full time equivalent laundry assistant • Two cooks, a kitchen assistant and a hostess Staff said that there were many opportunities for training and to enhance their knowledge and skills. There was evidence from staff records to confirm this and also that staff participated in regular training sessions concerned with health and safety matters. One of the home’s staff was an accredited manualhandling trainer. “We have had quite a lot of training this month, fire safety and manual handling up date, and bereavement” “We get a lot … fire and we had palliative care and the other day catheter care. I am doing NVQ and should finish later in the year.” “They notify us who has to attend courses like fire and manual handling, if we have to attend fire training and we are not on duty the pay us” The records of two staff employed since the last inspection of the home on 29th November 2004, were examined. All the necessary pre-employment checks and information that must made or obtained, had been done and received prior to them working in the home. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35 and 36 The home was well managed. Relationships between staff and service users and also with visitors to the home were good and staff morale was high. A good quality monitoring system was in place and service users financial interests were appropriately safeguarded. EVIDENCE: All service users and visitors to the home said that the home’s staff were, helpful, friendly and cheerful and described the “atmosphere” in positive terms. “They are very polite” (service user). “It’s good and friendly” (service user). “The staff are very pleasant” (visitor) “They are cheerful and friendly, always obliging and helpful” (visitors) “Its wonderful, you are treated so well, nothing is too much for them” (service user). Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 21 “They are very good, they have a lot of patience, and they are so kind” (service user) Staff were observed exchanging friendly banter with service users and it was apparent that relationships were relaxed and informal. Staff expressed enthusiasm about working in the home. Both service users and staff said that the home’s manager was approachable, supportive and provided clear leadership and also that the registered providers were accessible and responsive. “I enjoy coming to work for the companionship and the residents are lovely” (staff member) “It is well run, the bloke who owns it has his finger on the button. The matron is pleasant and makes sure that it runs smoothly” (service user). “One of the owners comes at least once a week and talks to staff” (staff member) “She is organised and knows what she wants … she will dig in and do things … She helps me all the time and gives me advice … She knows a lot … I have seen her with the carpet cleaner and working in the kitchen when needed … the owners are polite and approachable” (group of 3 staff). “I like everything … I am happy here … good colleagues … my manager is welcoming” (staff member). The registered manager indicated that the registered providers/owners were responsive and said, “they listen to what people say”. The staff team included several individuals from ethnic minorities and one said that she was supported to attend an English language course to improve her ability to communicate with service users and work colleagues. Service users and visitors said that regular meetings were organised for them at which they could raise concerns and discuss issues about life in the home and also that they were given or sent questionnaires in order to comment about the service that the home provided. There was documentary evidence that home had implemented a quality monitoring system and audits of the service were undertaken. There was also evidence that the home reviewed its policies and procedures regularly and they were readily available and accessible to staff. Staff and service users said that representatives of Millennium Care homes Ltd (registered providers/owners) made frequent visits to the home. Monthly reports of visits to the home in accordance with Regulation 26 of the Care Homes regulations 2001 were available. The home had a written policy concerned with managing service users monies. It stated the following: “… specifically this policy summarises the philosophy of the home towards encouraging service users to manage their own financial affairs as far as they are able, and arrangements are in place for the secure and safe storage and handling of service users monies and valuables”. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 22 The home only looked after money for one individual as all other service users either managed their own finances or their families and/or representatives did so on their behalf. Records maintained concerning the service users monies were accurate and up to date. Staff said that they received regular supervision and records examined confirmed that regular individual supervision sessions were provided for all care staff. Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x 3 3 x x Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 24 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 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. 1. Refer to Standard Good Practice Recommendations Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 25 Commission for Social Care Inspection 4 Floor, Overline House Blechynden Terrace Southampton Hampshire 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 Abbey House H54 S11411 Abbey House (Netley) V218922 290405.doc Version 1.30 Page 26 - 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!