Inspection on 22/05/07 for Barnfield

This inspection was carried out on 22nd May 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 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

Barnfield 29/06/06

Barnfield 14/11/05

Barnfield 05/05/05

Barnfield 07/12/04

Barnfield 26/08/04

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

CARE HOMES FOR OLDER PEOPLE Barnfield Barnfield 24 Upfield Horley Surrey RH6 7LA Lead Inspector Mavis Clahar Unannounced Inspection 22nd May 2007 09:25 X10015.doc Version 1.40 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 Barnfield DS0000013562.V335540.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 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. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barnfield Address Barnfield 24 Upfield Horley Surrey RH6 7LA 01293 786798 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) keri.sherwood@anchor.org.uk Anchor Trust Mr Ayobami Olaonipekun Adeluola Care Home 63 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (21), Old age, not falling within any other category (63), Physical disability over 65 years of age (17), Sensory Impairment over 65 years of age (17) Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE Up to 21 of the older people accommodated may have a mental disorder and/or dementia. Up to 17 of the older people accommodated may have a sensory impairment and/or physical disability 29th June 2006 Date of last inspection Brief Description of the Service: Barnfield Residential Care Home is owned and managed by Anchor Trust. It is a substantial detached property that has been purpose built to provide accommodation for 63 service users. The home is located in a quiet residential area of Upfield in Horley. Access to shops, church, public transport and other local services are within easy reach. The accommodation for service users is provided on two floors, in seven separate units. Each unit has a separate name; each has a lounge, dining room and kitchenette. All bedrooms are single and 12 of them have en suite facilities. There is a passenger lift accessing all floors. In addition to this there is a large communal lounge that doubles up as a day centre. The home is located in substantial grounds that incorporate a garden and a sitting area. The home has a parking area at the front for a number of cars and there is additional parking space on the road outside. The fee range is from £480 to £640 per week for personal care. Barnfield DS0000013562.V335540.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 home’s first key inspection to be undertaken by the Commission for Social Care Inspection (CSCI), was undertaken by Mrs Mavis Clahar on the 22nd May 2007 and lasted for seven hours and 35 minutes; commencing at 09:25 hours and concluding at 16:30. The majority of the service users spoken to were able to express their thoughts and feelings about the care they receive. The information contained in this report was gathered mainly from observation by the inspector, speaking with three visitors to the home, speaking with a number of residents and speaking with care staff. Further information was gathered from records kept at the home and from the pre-inspection questionnaire sent to CSCI by the home. The first part of the visit was spent updating the deputy manager about the improvements and changes to the inspection processes under inspecting for better lives. This was followed by discussions around training needs of the care workers and how these needs were being identified and met. The project manager overseeing the management of the home in the absence of the registered manager joined us, and employment of new care staff was discussed. The second part of the visit was spent reviewing residents’ care notes, which were up to date, and sampling selected policies and procedures. The third part of the inspection was spent visiting and discussing with residents and observing lunchtime activities. Residents were enthusiastic about their home and the service they receive. Residents spoken to said they enjoyed their lunch, which was prepared freshly in the home’s kitchen. Time was spent observing the presentation of the meal, care workers’ and residents’ interactions and to obtain feedback on the meal, its suitability, taste, texture and amount. The inspector observed that portions were varied to suit the appetite of the residents and that they all ate their meal in a very social gathering, all sitting at tables which were laid for four, with a small vase of flowers, the day’s menu and condiments. Residents commented positively on their meal, and the food served at the home in general. This was followed by discussions with the visiting community nurse and two visitors to the home. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 6 A tour of the home was undertaken and it was observed that residents’ bedrooms were kept in very good condition, both decorative and clean and tidy. The bedrooms are attractively presented. Generally, the home presents as clean and tidy. No requirements or recommendations for good practice were made on this visit. The inspector would like to thank all the residents and care staff and visitors who took time out of their busy day to speak with the inspector. Your comments are appreciated and helped to make the visit so productive and pleasant on the day. Thanks also to the many residents and relatives who completed the CSCI pre-inspection questionnaires. The final part of the visit was spent giving feedback to the manager and deputy manager about the findings of the visit. What the service does well: What has improved since the last inspection? All requirements issued on the last inspection have been actioned within the given timescales. The home continues to be proactive in meeting the training needs of the care workers in order that seamless care can be offered to the residents. The home continues to refurbish bedrooms and replace worn carpets as per their annual refurbishment plan. Placing a desk and having reception manned has improved the reception area of the home. Also armchairs and settees have been provided for the use of visitors, residents and their relatives who wish to sit out in the reception area. The care workers’ changing rooms have been refurbished and there is now a contracted gardener for the home. Barnfield DS0000013562.V335540.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. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have the information needed to choose a home, which will meet their needs. EVIDENCE: A selection of residents’ files were reviewed and it was noted that residents received a needs assessment prior to moving into the home. Furthermore, the first four weeks is used as a trial period for both new residents and the older residents, to ensure the new resident is comfortable on all counts in the home. It was also noted that all residents are given a contract of residency, and this contract is signed either by the resident or their representative. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 10 The deputy manager gave examples of times she has visited prospective residents in their home to get to know them and their families before the resident is moved into the home. This was verified by the documentation reviewed of the newest admission to the home and in discussion with the resident. The manager told us that a more comprehensive assessment as reviewed in the resident’s file is obtained, once the resident has settled in the home. The manager or the deputy who are both trained in the art of assessing residents’ care needs usually carry out this assessment. Standard 6 does not apply to this home. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good and clear care plan in place for residents, which also includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the residents and demonstrated that health and personal care needs were met. Care staff receive training to meet the assessed care needs of the residents ensuring that competent staff support residents and that their health and care needs are met. The home’s medication policy on receiving, storing, administering and return of medication was in place and being adhered to, thereby ensuring the safety and protection of the residents. Residents are treated with respect and are encouraged to maintain their dignity and privacy when receiving personal care. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 12 EVIDENCE: The randomly selected care plans were clear and easy to read, identifying potential and actual risks to residents, with risk assessments completed as required. The daily work sheet, along with discussion with residents, demonstrated that residents’ care needs are fully met. Care plans reviewed demonstrated that residents’ care needs are identified and are being met. Residents spoken to rated the personal care they receive at the home as very good; they said they were contented, they had enough to eat and can do as they like. Some residents said they are able to go for walks when the weather is good. Residents said their relatives and friends are able to visit as often as they wished, and the number of visitors to the home evidenced this on the day of the inspection. No resident at the time of inspection was responsible for his or her medication, but the deputy manager was knowledgeable about what to do should this situation arise. Good clear records are kept of medication receipts, storage, administration and return. There is a list of staff trained and assessed as competent to administer medication. In discussion with a care worker assessed as competent to administer medication it was evident that they were working within the home’s policy and procedure on the administration of medicines, which includes using the Medication Administration Record (MAR) sheet. Residents said the staff treated them very well. One resident said, “The staff are so kind. They will come to you at the drop of a hat”. Care workers were observed interacting with residents in a friendly but respectful manner. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ lifestyles matched their needs and preferences and, where possible, they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: The home employs an activity coordinator and care assistants are encouraged to engage residents in their choice of activities. A local hotel has arranged transport for service users to attend high tea at the hotel on a monthly basis free of charge. Residents who attended the tea told us they were well treated and pampered for the afternoon, being waited on by the hotel staff, and that they had a chat with the manager of the hotel Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 14 In the good weather residents will go out walking with the carers and in the winter months they stay mostly indoors and participate in card games, beauty therapy and puzzles. One resident told the inspector, “I am able to dress myself with help from my carer, after she helps me with my bathing. Staff are kind. I can’t knock the staff”. She was extremely proud of her bedroom and asked the inspector to look at it, and it was seen to be very clean and tidy. Another resident said, “The food is good really good and I get enough to eat. The staff are so very good. I walk in the garden when the day or weather is ok”. In discussion with the care worker she said she has been with the home for a long time and she has completed her induction and the National Vocational Qualification (NVQ) Level 2 (L2) course, and has attended all the mandatory courses and had yearly updates to enable her to care for the residents. Residents told us their friends and families are always welcome to visit at any time, and over the Easter period she had many of her relatives come to visit. The inspector observed many visitors to the home during the visit and two spoke at length to the inspector. One resident told us visiting is open to relatives and there is a Holy Communion service on every third Thursday in the month. On the day of inspection residents were observed enjoying their food. The menu is four week rotating. All residents are registered with a general practitioner (GP). Further health care provision is obtained from the district nurse, community psychiatric nurse, occupational therapist, dentist, audiologists, physiotherapist and chiropodist as requested by the GP. Records of visits are kept and are available for inspection. The inspector observed that residents were dressed appropriately for the weather. In discussion with the residents the inspector complimented one on how well groomed she looked. She told the inspector she has always tried to look her best at all times. Catering facilities are managed and carried out by the home’s cook, who has a good knowledge of the dietary needs of the service users. The inspector did not sample the meals, but the residents spoken to all said the food is good, the texture just right and the amount was what they ordered. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy and procedure and training in place that evidenced that residents’ and relatives’ concerns are listened to and acted upon. Robust safeguarding adults’ policies are in place to protect the service users from abuse. EVIDENCE: The home has a complaint policy, which outlines the processes the home undertakes to respond to complaints received. There were two complaints logged in the complaints book since the last key inspection. The manager said that issues raised are dealt with instantly before they spiral into a complaint. The CSCI has not received any complaints about the home. Two relatives spoken to told us that they had made a complaint, which was dealt with immediately and to their satisfaction. There are a number of thank you notes and letters of appreciation from grateful relatives to the whole staff team praising their work with their relatives. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 16 All staff as evidenced in the training record, and substantiated in discussion with care staff, have completed the safeguarding adults course which is based on the local authority (Surrey Multi-Agency) policy. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables service users to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home presents as comfortable with extensive work being started on the large gardens, which are not well maintained. There is good access to the gardens from various parts of the home. Some residents told us that they usually try to go out daily, weather permitting, to enjoy the garden when it was in good condition. They also told us the old gardener has left and now the home has engaged a company to redo the garden. The manager substantiated this information during discussions. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 18 The inspector noted that adverse weather would not stop service users enjoying the garden, as the windows are low enough to allow service users to view the gardens from their armchairs. It was noted that service users were able to personalise their bedrooms with small items of furniture, paintings on the wall and many family photographs. Water temperature was tested in a number of bedrooms and was found to be satisfactory. Generally, the home presents as clean, safe, pleasant, hygienic and free from offensive odours Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 19 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained, competent and skilled staff met residents’ needs. The number of staff on duty was sufficient to meet the residents’ needs. The service recruitment policy is adequate and generally meets the regulations and national minimum standards. EVIDENCE: The staff rota demonstrated that the number and grade of staff on duty to provide care and attention to residents for any 24 hour period was adequate to meet the assessed care needs of the residents. Review of training records indicated that all staff have undertaken the medicine training with Boots, the pharmacist. Care workers have undertaken training and updating in manual handling, dementia care and principles of care and all staff files sampled contained a record of having undertaken a period of induction during the first three months of appointment. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 20 All staff including the longer serving members are being asked to undertake the BTEC Foundation Award Course. Other courses staff are undertaking are the Surrey Area Visually Impaired Course, and Hear This. One staff member is visually impaired and an electronic board is fitted on both floors to alert her to which room is ringing. This is in line with the home’s implementing their equality and diversity policy and procedures. Random review of care workers’ files indicated that the home complied with the regulation regarding employment of staff to work in the care home. The records contained evidence that care workers attended all training offered. Recruitment to the home is through a process of equal opportunity and in accordance with the code of conduct and practice set by the General Social Care Council (GSCC). All staff have Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks prior to commencing employment, and they are in receipt of terms and condition of employment as evidenced in their randomly selected files. During discussion with the manager it was stated that staff are regularly supervised. This was supported in discussion with care staff spoken to on the day and by records kept by the home. There was evidence that newly appointed staff undertook a programme of induction and care workers, in discussion, supported this. Documented evidence indicated that the home ensures that care workers undertake the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the manager and care workers. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 21 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the residents. There is a strong ethos of being transparent and open in all areas of running the home. The views of the residents and their relatives are actively sought in the running of the home Service users’ financial interests are safeguarded. The service provides training on health and safety issues for all staff, and residents and their relatives are involved in the running of the home. Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager was off on sick leave on the day of the visit. The company has moved one of its senior managers to project manage the home in his absence. In discussion with care workers and residents, we were told that since the project manager has arrived she has increased the number of staff in two of the units, and that staffing morale has been improved. Also she has made a number of changes to the home to include providing a seating arrangement in reception for relatives and service users, following discussions at the relatives’ and service users’ meeting. The project manager has demonstrated that she has kept herself updated on issues relating to care of service users and staff in her charge. She has the Registered Managers Award and the National Vocational Qualification (NVQ). Assessor training. In discussion with the manager it was evident she was knowledgeable about the care needs of the service users and the training needs of the care workers to meet the identified care needs of the service users. There are clear lines of accountability within the home; each member of staff spoken to on the day of the inspection was clear about their role and responsibilities. The majority of the service users are not capable to be fully involved in the running of the home, but their relatives are encouraged to be as involved as their time allows them to be. It was noted from the positive accounts regarding the home received by CSCI from relatives that they are happy with the services the home offers their relatives. Comments such as, “The deputy manager is always available, the staff are very nice, my mother is very happy, we are always made welcome” were expressed by relatives to the inspector on the day of the visit. The home does not become involved in residents’ finances. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. Records indicated that fire drills, fire alarm, water temperature, fridge and freezer recordings were regularly checked. Random sample of care workers’ training files demonstrated that up to date and relevant training was carried out by care workers to protect residents’ health, welfare and safety. In discussion with care workers they were able to discuss their understanding and implementation of appropriate procedures to safeguard service users. Furthermore they spoke about their understanding of promoting safe working practices based on their health and safety training. Barnfield DS0000013562.V335540.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 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 Page 25 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 Barnfield DS0000013562.V335540.R01.S.doc Version 5.2 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. 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